Ketorolac injection, 15 mg at Intermountain Health Layton Hospital. CPT J1885.
What Intermountain Health Layton Hospital publishes for this service, straight from its standard-charges file, last updated August 5, 2026.
Outpatient / ER
$3.17cash price (self-pay)
$6.06list price
$0.33–$20.25range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| SelectHealth | Signature Individual ACA | $1.53 |
| SelectHealth | Value Individual ACA | $1.53 |
| Donor Connect | Other | $1.62 |
| SelectHealth | Med Individual ACA | $1.73 |
| Health Plan of Nevada | Medicaid | $1.74 |
| SelectHealth | Medicaid | $1.74 |
| Intermountain Caregiver Plan | Share Network | $2.57 |
| SelectHealth | FEHBP | $2.57 |
| SelectHealth | SelectShare | $2.57 |
| SelectHealth | SelectValue | $2.57 |
| Intermountain Caregiver Plan | Med Network | $2.92 |
| SelectHealth | CHP | $2.92 |
| SelectHealth | Commercial | $2.92 |
| SelectHealth | SelectCare | $3.07 |
| EMI | Commercial | $3.27 |
| Deseret Mutual | All Other | $3.48 |
| Deseret Mutual | Select | $3.48 |
| Cigna | Open Access Flex | $3.82 |
| AWH Connected | Connected Utah | $3.91 |
| EMI Health | Mint | $4.21 |
| EMI Health | Network Care | $4.21 |
| AG Administrators | USU Athletics | $4.36 |
| BYU Athletics | Commercial | $4.36 |
| Campbell Scientific | Commercial | $4.36 |
| CorVel Corporation | Workers Comp | $4.36 |
| Franklin County | Commercial | $4.36 |
| Juniper Systems | Commercial | $4.36 |
| LW Miller | Commercial | $4.36 |
| BYU Risk Management | Workers Comp | $4.42 |
| Corporation of the President | Workers Comp | $4.42 |
Inpatient
$3.17cash price (self-pay)
$6.06list price
$0.17–$22.50range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Donor Connect | Other | $0.25 |
| Health Plan of Nevada | Medicaid | $1.82 |
| Intermountain Caregiver Plan | Share Network | $2.57 |
| Intermountain Caregiver Plan | Med Network | $2.92 |
| SelectHealth | CHP | $2.92 |
| EMI | Commercial | $3.27 |
| Deseret Mutual | All Other | $3.48 |
| Deseret Mutual | Select | $3.48 |
| Regence BCBS | BlueOption | $3.74 |
| Cigna | Open Access Flex | $3.82 |
| AWH Connected | Connected Utah | $3.85 |
| EMI Health | Mint | $4.21 |
| EMI Health | Network Care | $4.21 |
| PEHP | Advantage State | $4.22 |
| BYU Risk Management | Workers Comp | $4.24 |
| Corporation of the President | Workers Comp | $4.24 |
| Regence BCBS | High Performance | $4.24 |
| Regence BCBS | FEHBP | $4.27 |
| PEHP | Advantage Non-State | $4.30 |
| AG Administrators | USU Athletics | $4.36 |
| BYU Athletics | Commercial | $4.36 |
| Campbell Scientific | Commercial | $4.36 |
| CorVel Corporation | Workers Comp | $4.36 |
| Franklin County | Commercial | $4.36 |
| Juniper Systems | Commercial | $4.36 |
| LW Miller | Commercial | $4.36 |
| Injury Care of Nevada | Workers Comp | $4.54 |
| Regence BCBS | Traditional | $4.61 |
| Managed Care Admin | Commercial | $4.73 |
| Aetna | Connected | $4.85 |
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