Ketorolac injection, 15 mg at Intermountain Health Heber Valley Hospital. CPT J1885.
What Intermountain Health Heber Valley Hospital publishes for this service, straight from its standard-charges file, last updated August 5, 2026.
Outpatient / ER
$10.16cash price (self-pay)
$16.88list price
$0.59–$15.19range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Adv HMO | $4.06 |
| Aetna | Medicare Adv PPO | $4.06 |
| American Health | Medicare Adv UT HMO I-SNP | $4.06 |
| Health Partners of Nevada | Medicare Advantage | $4.06 |
| Humana | Medicare Choice PPO | $4.06 |
| Molina | Medicare Complete Care HMO SNP | $4.06 |
| Regence BCBS | MedAdvantage PPO | $4.06 |
| SelectHealth | Medicare Advantage | $4.06 |
| UHC | Medicare Advantage | $4.06 |
| TriWest | Veterans Choice | $4.57 |
| Health Plan of Nevada | Medicaid | $5.06 |
| Healthy U | Medicaid | $5.06 |
| Intermountain Caregiver Plan | Med Network | $6.45 |
| CorVel Corporation | Workers Comp | $12.66 |
| Corporation of the President | Workers Comp | $12.66 |
| Injury Care of Nevada | Workers Comp | $12.66 |
| BYU Risk Management | Workers Comp | $14.35 |
| Cigna | Open Access Flex | $14.35 |
| AG Administrators | USU Athletics | $14.69 |
| BYU Athletics | Commercial | $14.69 |
| Campbell Scientific | Commercial | $14.69 |
| EMI Health | Mint | $14.69 |
| EMI Health | Network Care | $14.69 |
| Franklin County | Commercial | $14.69 |
| Juniper Systems | Commercial | $14.69 |
| LW Miller | Commercial | $14.69 |
| Managed Care Admin | Commercial | $14.69 |
| Aetna | Connected | $14.85 |
| Aetna | Extended | $14.85 |
| Aetna | Standard | $14.94 |
Inpatient
$10.16cash price (self-pay)
$16.88list price
$5.74–$15.19range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Intermountain Caregiver Plan | Med Network | $7.16 |
| CorVel Corporation | Workers Comp | $12.66 |
| Corporation of the President | Workers Comp | $12.66 |
| Injury Care of Nevada | Workers Comp | $12.66 |
| BYU Risk Management | Workers Comp | $14.35 |
| Cigna | Open Access Flex | $14.35 |
| MedCare International | Commercial | $14.35 |
| Molina | CHIP | $14.35 |
| Molina | Marketplace | $14.35 |
| AG Administrators | USU Athletics | $14.69 |
| Aetna | Connected | $14.69 |
| Aetna | Extended | $14.69 |
| BYU Athletics | Commercial | $14.69 |
| Campbell Scientific | Commercial | $14.69 |
| EMI Health | Mint | $14.69 |
| EMI Health | Network Care | $14.69 |
| Franklin County | Commercial | $14.69 |
| Juniper Systems | Commercial | $14.69 |
| LW Miller | Commercial | $14.69 |
| Managed Care Admin | Commercial | $14.69 |
| MotivHealth | Commercial | $14.69 |
| Prodegi Corp Benefit | Commercial | $14.69 |
| AWH Connected | Connected Utah | $14.94 |
| Aetna | Standard | $14.94 |
| Cigna | HMO | $14.94 |
| Cigna | PPO/EPO | $14.94 |
| Deseret Mutual | All Other | $14.94 |
| Deseret Mutual | Select | $14.94 |
| EMI | Commercial | $14.94 |
| Intermountain Caregiver Plan | Share Network | $14.94 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.
All common services at Intermountain Health Heber Valley Hospital