Ketorolac injection, 15 mg at Intermountain Health Alta View Hospital. CPT J1885.
What Intermountain Health Alta View Hospital publishes for this service, straight from its standard-charges file, last updated August 5, 2026.
Outpatient / ER
$3.15cash price (self-pay)
$4.48list price
$0.30–$4.97range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| SelectHealth | Signature Individual ACA | $1.11 |
| SelectHealth | Value Individual ACA | $1.11 |
| Donor Connect | Other | $1.20 |
| SelectHealth | Med Individual ACA | $1.25 |
| Health Plan of Nevada | Medicaid | $1.27 |
| SelectHealth | Medicaid | $1.27 |
| Intermountain Caregiver Plan | Share Network | $1.79 |
| SelectHealth | FEHBP | $1.79 |
| SelectHealth | SelectShare | $1.79 |
| SelectHealth | SelectValue | $1.79 |
| Intermountain Caregiver Plan | Med Network | $2.03 |
| SelectHealth | CHP | $2.03 |
| SelectHealth | Commercial | $2.03 |
| SelectHealth | SelectCare | $2.14 |
| EMI | Commercial | $2.42 |
| Deseret Mutual | All Other | $2.58 |
| Deseret Mutual | Select | $2.58 |
| Cigna | Open Access Flex | $2.83 |
| AWH Connected | Connected Utah | $2.89 |
| EMI Health | Network Care | $3.11 |
| EMI | Mint | $3.11 |
| PEHP | Advantage Non-State | $3.19 |
| AG Administrators | USU Athletics | $3.23 |
| BYU Athletics | Commercial | $3.23 |
| Campbell Scientific | Commercial | $3.23 |
| CorVel Corporation | Workers Comp | $3.23 |
| Franklin County | Commercial | $3.23 |
| Juniper Systems | Commercial | $3.23 |
| LW Miller | Commercial | $3.23 |
| BYU Risk Management | Workers Comp | $3.27 |
Inpatient
$3.15cash price (self-pay)
$4.48list price
$0.12–$4.97range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Donor Connect | Other | $0.13 |
| Health Plan of Nevada | Medicaid | $1.34 |
| Intermountain Caregiver Plan | Share Network | $1.90 |
| SelectHealth | FEHBP | $1.90 |
| Intermountain Caregiver Plan | Med Network | $2.15 |
| SelectHealth | CHP | $2.15 |
| SelectHealth | Commercial | $2.15 |
| EMI | Commercial | $2.42 |
| Deseret Mutual | All Other | $2.58 |
| Deseret Mutual | Select | $2.58 |
| Regence BCBS | BlueOption | $2.77 |
| Cigna | Open Access Flex | $2.83 |
| AWH Connected | Connected Utah | $2.84 |
| EMI Health | Network Care | $3.11 |
| EMI | Mint | $3.11 |
| PEHP | Advantage State | $3.12 |
| BYU Risk Management | Workers Comp | $3.13 |
| Corporation of the President | Workers Comp | $3.13 |
| Regence BCBS | High Performance | $3.13 |
| Regence BCBS | FEHBP | $3.16 |
| PEHP | Advantage Non-State | $3.19 |
| AG Administrators | USU Athletics | $3.23 |
| BYU Athletics | Commercial | $3.23 |
| Campbell Scientific | Commercial | $3.23 |
| CorVel Corporation | Workers Comp | $3.23 |
| Franklin County | Commercial | $3.23 |
| Juniper Systems | Commercial | $3.23 |
| LW Miller | Commercial | $3.23 |
| Injury Care of Nevada | Workers Comp | $3.36 |
| Regence BCBS | Traditional | $3.41 |
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All common services at Intermountain Health Alta View Hospital