Ketorolac injection, 15 mg at Intermountain Health Cassia Regional Hospital. CPT J1885.
What Intermountain Health Cassia Regional Hospital publishes for this service, straight from its standard-charges file, last updated August 5, 2026.
Outpatient / ER
$6.67cash price (self-pay)
$9.50list price
$0.59–$83.95range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Adv HMO | $2.67 |
| Aetna | Medicare Adv PPO | $2.67 |
| American Health | Medicare Adv UT HMO I-SNP | $2.67 |
| Blue Cross of Idaho | Medicare ID True Blue | $2.67 |
| Health Partners of Nevada | Medicare Advantage | $2.67 |
| Humana | Medicare Choice PPO | $2.67 |
| Molina | Medicare Choice Care HMO | $2.67 |
| Molina | Medicare Complete Care HMO SNP | $2.67 |
| Regence BCBS | Idaho UT Svc | $2.67 |
| SelectHealth | Medicare Advantage | $2.67 |
| St Lukes HP | Medicare Advantage | $2.67 |
| UHC | Medicare Advantage | $2.67 |
| TriWest | Veterans Choice | $3.11 |
| CorVel Corporation | Workers Comp | $8.07 |
| Corporation of the President | Workers Comp | $8.07 |
| Moda Health | Commercial | $8.07 |
| Blue Cross of Idaho | Exchange | $8.29 |
| Aetna | Standard | $9.02 |
| BYU Athletics | Commercial | $9.02 |
| Campbell Scientific | Commercial | $9.02 |
| Cigna | HMO | $9.02 |
| Cigna | PPO/EPO | $9.02 |
| Deseret Mutual | All Other | $9.02 |
| Deseret Mutual | Select | $9.02 |
| EMI Health | Mint | $9.02 |
| EMI Health | Network Care | $9.02 |
| EMI | Commercial | $9.02 |
| First Choice | Commercial | $9.02 |
| First Health | Commercial | $9.02 |
| Franklin County | Commercial | $9.02 |
Inpatient
$6.67cash price (self-pay)
$9.50list price
$6.76–$12.25range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross of Idaho | Exchange | $7.22 |
| Blue Cross of Idaho | Traditional/PPO | $7.60 |
| CorVel Corporation | Workers Comp | $8.07 |
| Corporation of the President | Workers Comp | $8.07 |
| Moda Health | Commercial | $8.07 |
| Regence | Blue Shield ID | $8.64 |
| Aetna | Standard | $9.02 |
| BYU Athletics | Commercial | $9.02 |
| Campbell Scientific | Commercial | $9.02 |
| Cigna | HMO | $9.02 |
| Cigna | PPO/EPO | $9.02 |
| Deseret Mutual | All Other | $9.02 |
| Deseret Mutual | Select | $9.02 |
| EMI Health | Mint | $9.02 |
| EMI Health | Network Care | $9.02 |
| EMI | Commercial | $9.02 |
| First Choice | Commercial | $9.02 |
| First Health | Commercial | $9.02 |
| Franklin County | Commercial | $9.02 |
| Global Excel | Commercial | $9.02 |
| Health Utah | Commercial | $9.02 |
| Juniper Systems | Commercial | $9.02 |
| LW Miller | Commercial | $9.02 |
| Managed Care Admin | Commercial | $9.02 |
| MedCare International | Commercial | $9.02 |
| Molina | CHIP | $9.02 |
| Molina | Marketplace | $9.02 |
| MotivHealth | Commercial | $9.02 |
| PEHP | All Plans | $9.02 |
| PEHP | Capital Care | $9.02 |
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All common services at Intermountain Health Cassia Regional Hospital