Ketorolac injection, 15 mg at Portneuf Medical Partners. CPT J1885.
What Portneuf Medical Partners publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$3.71cash price (self-pay)
$34.52list price
$0.35–$40.39range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Meritain Aetna [3685] | Meritain Aetna Ardent Employee [368502] | $7.11 |
| Pacific Source Health Plans [2850] | Pacific Source Health Plans [2850 | $10.39 |
| Employee Benefit Management Services [2445] | Employee Benefit Managem | $14.15 |
| Lucent Health [6000] | Lucent Health [600000] | $14.15 |
| Web Tpa [2115] | Web Tpa Healthcare Highways [211504] | $14.15 |
| Moda Health [6100] | Moda Health [610000] | $14.15 |
| Black Lung [6055] | Black Lung [605500] | $14.15 |
| Healthcare Highways [2210] | Hch Broken Arrow [221012] | $14.15 |
| Healthcare Highways [2210] | Hch John Soules Foods [221011] | $14.15 |
| Healthcare Highways [2210] | Hch 90 Degree Benefits [221013] | $14.15 |
| Pending Ssi [1616] | Pending Ssi Rca [161601] | $14.15 |
| Employee Benefit Management Services [2445] | Ebms Bingham Memorial Ho | $20.71 |
| Liberty Health Share Lhs/Medcost Solutions LLC [2400] | Liberty Health | $20.71 |
| Medishare Christian Care [1645] | Medishare Christian Care [164500] | $20.71 |
| Multiplan [1680] | Hma [168003] | $23.13 |
| Cigna [1260] | Cigna PPO [126025] | $25.41 |
| Enablecomp [1350] | W/C Work Comp Enablecomp [135000] | $25.89 |
| Worker'S Comp [2125] | Jme Claims Work Comp [2125114] | $25.89 |
| Transamerican Life [1990] | Transamerican Life [199000] | $25.89 |
| First Health [1375] | Tall Tree Administrators [137514] | $28.48 |
| First Health [1375] | Meritain Health First Health [137516] | $28.48 |
| Selecthealth [3740] | Selecthealth Med Network [3740003] | $29.27 |
| Meritain Aetna [3685] | Meritain Aetna [368500] | $29.27 |
| Geha [1415] | Geha - Asa [141503] | $31.07 |
| Humana Commercial [2140] | Humana Choicecare [214003] | $31.07 |
| Umr [2035] | Umr United Healthcare [203502] | $31.07 |
| Umr [2035] | United Medical Resources [203503] | $31.07 |
| United Healthcare [2060] | UHC Surest Bind [206032] | $31.07 |
| Healthnet [1495] | Healthnet [149500] | $32.79 |
| Healthfirst [2395] | Healthfirst [239500] | $32.79 |
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