Ketorolac injection, 15 mg at HSHS St. Clare Memorial Hospital. CPT J1885.
What HSHS St. Clare Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 24, 2026.
Outpatient / ER
$16.17cash price (self-pay)
$49.00list price
$0.33–$55.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Unity Health Plan | Unity Hospice | $0.33 |
| United Healthcare | All Commercial United Healthcare | $0.54 |
| United Healthcare | UHC Oneida Nation | $0.54 |
| United Healthcare | United Healthcare | $0.54 |
| Anthem | Anthem POS/HMO | $0.56 |
| P360 Small Group | Prevea 360 Small Group Commercial Plan | $0.59 |
| Prevea Health Network | Prevea Employees | $0.59 |
| Prevea Health Network | Prevea360 | $0.59 |
| Prevea Health Network | Prevea360 - Network | $0.59 |
| Anthem | Anthem PPO | $0.69 |
| Aetna | Aetna Medicare | $11.76 |
| Anthem | Anthem Medicare Advantage HMO | $11.76 |
| Humana | Humana Medicare Advantage | $11.76 |
| Molina Healthcare | Molina Medicare | $11.76 |
| United Healthcare | United Health Care Medicare | $11.76 |
| Security Health Plan | Medicare Advantage Security Health Plan Of Wi | $11.88 |
| Hshs Employees | Hshs Employees | $23.81 |
| Molina Healthcare Of Wi | All Commerical Molina Marketplace | $24.50 |
| Naphcare | All Commerical Naphcare | $26.46 |
| Cigna | All Commercial Cigna | $30.63 |
| Security Health Plan | All Commercial Security Health Plan Broad Netwo | $31.28 |
| Triology | All Commercial Triology | $38.71 |
| Arise Health Plan | All Commercial Arise Health Plan | $39.20 |
| Health Care Alliance | The Alliance | $41.16 |
| Choicecare | All Commercial Choice Care | $41.65 |
| Humana | All Commercial Humana Hpn Choicecare | $41.65 |
| Humana | Humana Choice Care PPO | $41.65 |
| Humana | Humana Natiional POS HMO | $41.65 |
| Health Eos | All Commercial Health Eos | $43.61 |
| Multiplan/Phcs | All Commercial Multiplan | $43.61 |
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