Ketorolac injection, 15 mg at Westfields Hospital. CPT J1885.
What Westfields Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$36.29cash price (self-pay)
$69.00list price
$1.77–$69.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Healthpartners [900713] | Hp Self Insured [91021] | $1.77 |
| Hp Medicaid Replacement [950307] | Hp Care Pmap [50327] | $1.77 |
| Ucare Medicaid Replacement [950289] | Ucare Pmap [50283] | $27.41 |
| Hp Medicare Replacement [950306] | Hp Medicare Advantage [95307] | $28.29 |
| BCBS Medicare Replacement [950296] | BCBS Medicare Advantage [50299] | $28.70 |
| UHC Medicare Replacement [950281] | UHC Medicare Advantage PPO [50275] | $29.26 |
| BCBS Medicaid Replacement [950295] | BCBS Pmap [95296] | $29.39 |
| Medica Medicare Replacement [950299] | Medica Government Advantage [50 | $29.53 |
| Medica [900156] | Medica Choice [90156] | $56.24 |
| First Health Network [950334] | First Health Network [95334] | $56.58 |
| Unitedhealthcare [900444] | UHC [50131] | $61.17 |
| MA Wisconsin Replacement [950271] | Ghc Of Eau Claire MA HMO [50261] | $69.00 |
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