Ketorolac injection, 15 mg at Alta Vista Regional Hospital. CPT J1885.
What Alta Vista Regional Hospital publishes for this service, straight from its standard-charges file, last updated April 16, 2026.
Outpatient / ER
$1.72cash price (self-pay)
$6.00list price
$0.84–$19.44range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare HMO | Aetna Medicare Advantage | $0.84 |
| UHC Advantage | UHC Advantage | $0.84 |
| Medicare HMO | BCBS Medicare | $0.86 |
| Medicare | Medicare | $0.96 |
| Medicare HMO | Molina Medicare Advantage | $0.96 |
| Misc Medicare Advantage | Misc Medicare Advantage | $0.96 |
| Champus | Triwest | $0.96 |
| Medicare HMO | Aarp UHC Life1 | $0.96 |
| Medicare HMO | Cigna Medicare Advantage | $0.96 |
| Medicare HMO | Presby Medicare Adv | $0.96 |
| Medicare HMO | Meritain Medicare Adv | $0.96 |
| Mcare Mcaid HMO Dual | Presby Hlth Dual Mcr/Mcd | $0.96 |
| Mcare Mcaid HMO Dual | UHC | $0.96 |
| Medicare HMO | Humana Medicare | $0.96 |
| Medicare HMO | Humana Gold Plus HMO Ipa | $0.96 |
| Medicare HMO | Christus Health | $0.96 |
| Medicare HMO | Humana Mcr PPO | $1.60 |
| Workers Comp | Workers Comp | $2.46 |
| Self Pay | Self Pay | $3.00 |
| Other Covernment | Nm Behavioral Hlth | $3.75 |
| Commercial HMO PPO | Cigna | $4.33 |
| Blue Cross | BCBS Community Plan | $4.50 |
| Commercial HMO PPO | UHC Surest | $4.80 |
| Commercial HMO PPO | United Healthcare | $4.80 |
| Commercial HMO PPO | Geha | $4.80 |
| Commercial HMO PPO | Presby Health | $4.80 |
| Medicare HMO | Blue Advantage | $5.10 |
| Blue Cross | Blue Cross Nm | $5.10 |
| Blue Cross | Blue Cross Oos | $6.00 |
| Commercial HMO PPO | Humana | $6.00 |
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