Ketorolac injection, 15 mg at Intermountain Health Bear River Valley Hospital. CPT J1885.
What Intermountain Health Bear River Valley Hospital publishes for this service, straight from its standard-charges file, last updated August 5, 2026.
Outpatient / ER
$2.49cash price (self-pay)
$4.29list price
$0.27–$9.12range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Injury Care of Nevada | Workers Comp | $3.22 |
| BYU Risk Management | Workers Comp | $3.65 |
| CorVel Corporation | Workers Comp | $3.65 |
| Corporation of the President | Workers Comp | $3.65 |
| AG Administrators | USU Athletics | $4.08 |
| Aetna | Standard | $4.08 |
| BYU Athletics | Commercial | $4.08 |
| Campbell Scientific | Commercial | $4.08 |
| Cigna | HMO | $4.08 |
| Cigna | Open Access Flex | $4.08 |
| Cigna | PPO/EPO | $4.08 |
| Deseret Mutual | All Other | $4.08 |
| Deseret Mutual | Select | $4.08 |
| EMI Health | Mint | $4.08 |
| EMI Health | Network Care | $4.08 |
| EMI | Commercial | $4.08 |
| Franklin County | Commercial | $4.08 |
| Global Excel | Commercial | $4.08 |
| Health Utah | Commercial | $4.08 |
| Hygeia Corporation | Commercial | $4.08 |
| Intermountain Caregiver Plan | Med Network | $4.08 |
| Juniper Systems | Commercial | $4.08 |
| LW Miller | Commercial | $4.08 |
| Managed Care Admin | Commercial | $4.08 |
| MedCare International | Commercial | $4.08 |
| Molina | CHIP | $4.08 |
| Molina | Marketplace | $4.08 |
| MotivHealth | Commercial | $4.08 |
| PEHP | All Plans | $4.08 |
| PEHP | Capital Care | $4.08 |
Inpatient
$2.49cash price (self-pay)
$4.29list price
$2.49–$9.02range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Injury Care of Nevada | Workers Comp | $3.22 |
| BYU Risk Management | Workers Comp | $3.65 |
| CorVel Corporation | Workers Comp | $3.65 |
| Corporation of the President | Workers Comp | $3.65 |
| Health Plan of Nevada | Medicaid | $3.82 |
| Healthy U | Medicaid | $3.82 |
| Molina | Medicaid | $3.82 |
| AG Administrators | USU Athletics | $4.08 |
| AWH Connected | Connected Utah | $4.08 |
| Aetna | Connected | $4.08 |
| Aetna | Extended | $4.08 |
| Aetna | Standard | $4.08 |
| BYU Athletics | Commercial | $4.08 |
| Campbell Scientific | Commercial | $4.08 |
| Cigna | HMO | $4.08 |
| Cigna | Open Access Flex | $4.08 |
| Cigna | PPO/EPO | $4.08 |
| Deseret Mutual | All Other | $4.08 |
| Deseret Mutual | Select | $4.08 |
| EMI Health | Mint | $4.08 |
| EMI Health | Network Care | $4.08 |
| EMI | Commercial | $4.08 |
| Franklin County | Commercial | $4.08 |
| Global Excel | Commercial | $4.08 |
| Health Utah | Commercial | $4.08 |
| Hygeia Corporation | Commercial | $4.08 |
| Intermountain Caregiver Plan | Med Network | $4.08 |
| Juniper Systems | Commercial | $4.08 |
| LW Miller | Commercial | $4.08 |
| Managed Care Admin | Commercial | $4.08 |
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All common services at Intermountain Health Bear River Valley Hospital