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Ketorolac injection, 15 mg at Midwest Orthopedic Specialty Hospital. CPT J1885.

What Midwest Orthopedic Specialty Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.

Outpatient / ER

$3.17cash price (self-pay)
$6.28list price
$0.68–$2.76range insurers pay
Insurance planNegotiated rate
Wps | 1272_wisconsin Physician Services PPO 20250701$0.68
Network Health | 1289_network Health Plan 20250701$0.92
Anthem Blue Connection | 1277_anthem Blue Connection 20250701$1.12
Centivo Nw1 | 1253_centivo Nw1 20250101$1.20
Centivo Nw2 | 1254_centivo Nw2 20250101$1.20
Centivo Nw3 | 1255_centivo Nw3 20250101$1.20
Anthem HMO POS | 1275_anthem HMO POS 20250701$1.24
Anthem PPO | 1276_anthem PPO 20250701$1.95
Cigna | 1273_cigna 20250701$2.29
Anthem Pathways | 1242_anthem Pathways 20250101$2.64
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All common services at Midwest Orthopedic Specialty Hospital