Ketorolac injection, 15 mg at Platte Valley Medical Center. CPT J1885.
What Platte Valley Medical Center publishes for this service, straight from its standard-charges file, last updated March 22, 2026.
Outpatient / ER
—cash price (self-pay)
$10.95list price
$0.30–$50.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Denv Hlth Med Plan | Denver Hlth Med Pl | $0.30 |
| Kaiser Perm PPO/POS | Kaiser Perm PPO/POS | $2.56 |
| Kaiser Perm PPO/POS | Kaiser PPO/POS Other | $2.56 |
| Cigna Scl Employees | Cigna Sclhs Cdhp | $3.91 |
| BCBS/Anthem | BCBS Co Exchange Plan | $4.36 |
| BCBS/Anthem | BCBS Co Federal | $4.36 |
| BCBS/Anthem | BCBS Co HMO | $4.36 |
| BCBS/Anthem | BCBS Co PPO | $4.36 |
| Choicecare Humana | Choicecare Humana HMO EPO | $4.60 |
| Choicecare Humana | Choicecare Humana PPO | $4.60 |
| United Healthcare | Selectcolorado | $6.07 |
| Cigna | Cigna HMO | $7.59 |
| Cigna | Cigna Indemnity | $7.59 |
| Cigna | Cigna Other | $7.59 |
| Cigna | Cigna POS/Qpos | $7.59 |
| Cigna | Cigna PPO | $7.59 |
| Cigna | Eighth Dist Elect Ben Pln | $7.59 |
| Cigna | Health-Partners | $7.59 |
| Geha | Geha | $8.09 |
| Geha | Geha Mcr Supplemental | $8.09 |
| United Healthcare | All Savers Alternative Funding | $8.09 |
| United Healthcare | Golden Rule Ins | $8.09 |
| United Healthcare | Healthscope | $8.09 |
| United Healthcare | Medica | $8.09 |
| United Healthcare | Surest | $8.09 |
| United Healthcare | UHC Charter/Navigate | $8.09 |
| United Healthcare | UHC Exchange Plan | $8.09 |
| United Healthcare | UHC Other/Supplemental | $8.09 |
| United Healthcare | Umr-United Med Resources | $8.09 |
| United Healthcare | United Healthcare | $8.09 |
Inpatient
—cash price (self-pay)
$10.95list price
$2.53–$21.53range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser Perm PPO/POS | Kaiser Perm PPO/POS | $4.75 |
| Kaiser Perm PPO/POS | Kaiser PPO/POS Other | $4.75 |
| Cigna | Cigna HMO | $7.59 |
| Cigna | Cigna Indemnity | $7.59 |
| Cigna | Cigna Other | $7.59 |
| Cigna | Cigna POS/Qpos | $7.59 |
| Cigna | Cigna PPO | $7.59 |
| Cigna | Eighth Dist Elect Ben Pln | $7.59 |
| Cigna | Health-Partners | $7.59 |
| BCBS/Anthem | BCBS Co Indemnity | $8.52 |
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