Ketorolac injection, 15 mg at Gundersen Lutheran Medical Center. CPT J1885.
What Gundersen Lutheran Medical Center publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$8.00cash price (self-pay)
$20.00list price
$0.33–$20.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz | Level Funded | $0.33 |
| Quartz | Self Funded | $0.33 |
| Quartz | All Products | $0.33 |
| Quartz | All Other Self Funded | $0.33 |
| Aetna | Medicare Advantage | $0.34 |
| Amerigroup | Medicare Advantage | $0.34 |
| Anthem | Medicare HMO/PPO | $0.34 |
| Health Partners | Medicare Advantage | $0.34 |
| iCare | Medicare Advantage | $0.34 |
| Medical Associates | Medicare Advantage | $0.34 |
| Quartz | Medicare Advantage | $0.34 |
| Anthem | State Specific | $0.38 |
| Anthem | PPO | $0.38 |
| Anthem | HMO/POS | $0.38 |
| Bcbsmn | Mhcp | $0.59 |
| BCBSMN | All Products | $0.59 |
| Medical Associates | Dialysis Specific | $0.77 |
| Alliance | Premier/All Products | $3.48 |
| Alliance | Comprehensive/All Products | $3.75 |
| Medica | Choice Care | $6.68 |
| Medica | Medicare Advantage | $6.68 |
| Medica | Minnesota Care | $6.68 |
| Health Partners | Medicaid HMO | $10.00 |
| Health Partners | Medicare Cost | $12.00 |
| Medical Associates | All Products | $15.00 |
| Medica | All Products | $15.04 |
| Cigna | All Products | $15.42 |
| Claim Doc LLC | All Products | $16.00 |
| Group Health of South Central | All Products | $16.00 |
| Aspirus Arise Health | All Products | $16.60 |
Inpatient
$8.00cash price (self-pay)
$20.00list price
$6.68–$20.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz | All Other Self Funded | $11.78 |
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