Ketorolac injection, 15 mg at Mountain View Hospital. CPT J1885.
What Mountain View Hospital publishes for this service, straight from its standard-charges file, last updated March 16, 2026.
Outpatient / ER
$6.00cash price (self-pay)
$49.53list price
$0.30–$3.70range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | ChoiceCare Medicare Advantage | $0.30 |
| Aetna | Medicare Advantage | $0.32 |
| Anasazi Medical Payment Solutions | Medicare Adv. | $0.32 |
| Blue Cross of ID | Medicare Advantage | $0.32 |
| Molina | Medicare Advantage and Dual Eligible | $0.32 |
| Mount Carmel Health Plan | Medicare Advantage | $0.32 |
| Optum Care Network ID | Medicare Advantage | $0.32 |
| PacificSource | Medicare Advantage | $0.32 |
| SelectHealth | Medicare Advantage | $0.32 |
| United Healthcare | Medicare Advantage | $0.32 |
| Moda | Select/Connexus | $0.72 |
| Molina | Marketplace | $0.72 |
| Cigna | Commercial | $0.86 |
| Blue Cross of ID | Commercial (Trad, PPO, POS) | $3.70 |
| Blue Cross of ID - OON | Emergency Only | $3.70 |
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