Ketorolac injection, 15 mg at Eastern Idaho Rmc. CPT J1885.
What Eastern Idaho Rmc publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$6.62cash price (self-pay)
$48.73list price
$0.29–$90.83range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | MLTSS | $0.29 |
| Blue Cross | MMCP | $0.29 |
| United | AllPayerAppendix | $0.56 |
| Select Health ICHN Brightpath | COMM | $14.22 |
| Select Health Idaho (EIRMC only) | SelectMed | $15.54 |
| Aetna | IdahoEnvironmentalCoalition | $19.20 |
| Doug Andrus Distributing | COMM | $19.49 |
| PacificSource Health | CCNNetworks | $20.46 |
| University of Utah | HIX | $20.46 |
| University of Utah | HMP | $20.46 |
| University of Utah | PPO | $20.46 |
| Aetna | CWI | $21.92 |
| United | GlobalBenefitPlan | $21.92 |
| Aetna | PEAKPERFERENCE | $23.72 |
| Mountain Health Co-Op | Individual | $24.36 |
| PacificSource Health | PPO | $26.11 |
| United | OptionsPPO | $28.16 |
| First Choice Health Of Washington | WCOMP | $29.23 |
| Moda | Connexus | $29.77 |
| Moda | ModaSelect | $29.77 |
| Dmba | HMO | $31.38 |
| Dmba | PPO | $31.38 |
| Mountain Health Co-Op | Group | $36.54 |
| Prime Health | INDIGENTCARE | $36.54 |
| EverNorth BH | COMM | $38.98 |
| Geha PPO Usa | Comm | $38.98 |
| Multiplan | PRIMARY | $40.93 |
| Prime Health | GROUPHEALTH | $41.42 |
| Prime Health | WCOMP | $41.42 |
| First Choice of the Midwest | COMM | $43.85 |
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