Ketorolac injection, 15 mg at UCHealth Poudre Valley Hospital. CPT J1885.
What UCHealth Poudre Valley Hospital publishes for this service, straight from its standard-charges file, last updated November 1, 2025.
Outpatient / ER
$9.23cash price (self-pay)
$16.93list price
$0.28–$24.61range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Local Plus/SureFit/Connect | $0.28 |
| Cigna | Connect Colorado Option | $0.28 |
| Select Health | Medicare Advantage | $0.30 |
| CMS | Medicare | $0.30 |
| United Healthcare | Medicare Advantage | $0.30 |
| Aetna | Medicare Advantage | $0.30 |
| Anthem | Medicare Advantage | $0.30 |
| Kaiser | Medicare Advantage | $0.30 |
| Cigna | Medicare Advantage | $0.30 |
| Devoted Health | Medicare Advantage | $0.30 |
| Humana | Medicare Advantage | $0.30 |
| Cigna | Colorado Rockies | $0.32 |
| Cigna | Broad Networks | $0.40 |
| Anthem Employee | HMO/PPO | $0.60 |
| Anthem Pathway | Commercial | $0.64 |
| Anthem City of Colorado Springs Employer Group | Commercial | $1.06 |
| Anthem Employee High Deductible Health Plan | PPO | $1.07 |
| Anthem | HMO/PPO | $1.12 |
| Select Health | Individual Colorado Option | $1.27 |
| Select Health | Individual ACA | $1.41 |
| Aetna Core/Meritain | Commercial | $1.58 |
| Aetna ASA | Commercial | $1.64 |
| Anthem Pathway Standard | Commercial | $3.66 |
| Simplified Benefits Administration | Narrow Network Exclusive Plan (EP | $6.40 |
| First Health | Commercial | $9.99 |
| Anthem CU Trust | Commercial | $10.52 |
| United Healthcare | Select Colorado | $10.60 |
| Aetna | New Business Discount | $10.84 |
| United Healthcare | Navigate Colorado Option | $10.85 |
| Simplified Benefits Administration | Tiered Benefits | $13.76 |
Inpatient
$9.23cash price (self-pay)
$16.93list price
$5.09–$24.61range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Select Health | Individual Colorado Option | $6.54 |
| Select Health | Individual ACA | $7.21 |
| First Health | Commercial | $9.99 |
| Simplified Benefits Administration | Narrow Network Exclusive Plan (EP | $10.34 |
| Anthem CU Trust | Commercial | $10.52 |
| Aetna | New Business Discount | $10.84 |
| Aetna Core/Meritain | Commercial | $13.04 |
| Denver Health Medical Plan | HighPoint | $13.21 |
| Simplified Benefits Administration | Tiered Benefits | $13.37 |
| Aetna ASA | Commercial | $14.00 |
| Rocky Mountain Health Plans | Commercial | $15.24 |
| Midlands Choice | Commercial | $15.24 |
| Multiplan | Commercial | $15.41 |
| PHCS | Commercial | $15.41 |
| First Choice of the Midwest | Commercial | $16.42 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.