Ketorolac injection, 15 mg at Marshfield Medical Center Beaver Dam Hospital. CPT J1885.
What Marshfield Medical Center Beaver Dam Hospital publishes for this service, straight from its standard-charges file, last updated February 20, 2026.
Outpatient / ER
$2.08cash price (self-pay)
$6.65list price
$0.33–$26.71range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana / ChoiceCare | Medicare Advantage | $0.33 |
| Managed Health Services | D-SNP/HMO/PPO | $0.33 |
| Molina Healthcare of WI | Medicare Advantage | $0.33 |
| Network Health Plan | Medicare Advantage | $0.33 |
| Quartz | Medicare Advantage | $0.33 |
| Security Health Plan (SHP) | Medicare Advantage | $0.33 |
| UnitedHealth Group of WI | Medicare Advantage | $0.33 |
| Veteran's Administration (VA CCN) | VA Network | $0.33 |
| Anthem BCBS of WI | Medicare Advantage | $0.34 |
| Group Health Cooperative of Eau Claire | Medicare Advantage | $0.35 |
| iCare | Medicare Advantage | $0.35 |
| Quartz | Broad | $0.37 |
| Anthem BCBS of WI | HMO/POS | $0.40 |
| Anthem BCBS of WI | PPO | $0.40 |
| Anthem BCBS of WI | Traditional | $0.40 |
| The Alliance | PPO Network/Premier | $3.38 |
| Security Health Plan (SHP) | EPO/HMO/SimplyOne | $3.46 |
| Amish/Mennonite | Amish Mennonite | $3.66 |
| Security Health Plan (SHP) | Broad | $3.84 |
| WPS Health Insurance | PPO | $4.48 |
| Health Payment Systems | PPO Network | $4.63 |
| Cigna | PPO | $4.92 |
| UnitedHealth Group of WI | PPO | $4.98 |
| Humana / ChoiceCare | HMO | $5.25 |
| Group Health Cooperative of Eau Claire | ETF - River Region | $5.45 |
| Network Health Plan | HMO | $5.55 |
| First Health | PPO Network | $5.65 |
| Molina Healthcare of WI | HMO | $5.65 |
| Humana / ChoiceCare | PPO | $5.92 |
| Trilogy | PPO | $5.99 |
Inpatient
$2.08cash price (self-pay)
$6.65list price
$1.14–$26.71range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Security Health Plan (SHP) | EPO/HMO/SimplyOne | $3.46 |
| Amish/Mennonite | Amish Mennonite | $3.66 |
| Security Health Plan (SHP) | Broad | $3.84 |
| WPS Health Insurance | PPO | $4.48 |
| Cigna | PPO | $4.52 |
| Health Payment Systems | PPO Network | $4.63 |
| Humana / ChoiceCare | HMO | $5.25 |
| Group Health Cooperative of Eau Claire | ETF - River Region | $5.45 |
| Network Health Plan | HMO | $5.55 |
| First Health | PPO Network | $5.65 |
| Molina Healthcare of WI | HMO | $5.65 |
| Humana / ChoiceCare | PPO | $5.92 |
| Trilogy | PPO | $5.99 |
| Trilogy | Third Party | $5.99 |
| HealthEOS by MultiPlan Inc. | PPO Network | $6.18 |
| Group Health Cooperative of Eau Claire | ETF - Greater WI/HMO | $6.32 |
| HealthEOS by MultiPlan Inc. | Workers Comp | $6.32 |
| Health Partners | PPO | $6.32 |
| Coventry | Workers Comp | $6.38 |
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All common services at Marshfield Medical Center Beaver Dam Hospital