Ketorolac injection, 15 mg at Intermountain Health Park City Hospital. CPT J1885.
What Intermountain Health Park City Hospital publishes for this service, straight from its standard-charges file, last updated August 5, 2026.
Outpatient / ER
$10.16cash price (self-pay)
$15.21list price
$0.25–$15.19range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Adv HMO | $0.59 |
| Aetna | Medicare Adv PPO | $0.59 |
| American Health | Medicare Adv UT HMO I-SNP | $0.59 |
| Health Partners of Nevada | Medicare Advantage | $0.59 |
| Health Plan of Nevada | Medicaid | $0.59 |
| Healthy U | Medicaid | $0.59 |
| Humana | Medicare Choice PPO | $0.59 |
| Molina | Medicaid | $0.59 |
| Molina | Medicare Complete Care HMO SNP | $0.59 |
| Regence BCBS | MedAdvantage PPO | $0.59 |
| SelectHealth | Medicaid | $0.59 |
| SelectHealth | Medicare Advantage | $0.59 |
| UHC | Medicare Advantage | $0.59 |
| Donor Connect | Other | $4.39 |
| Intermountain Cargiver Plan | Med Network | $5.74 |
| CorVel Corporation | Workers Comp | $11.41 |
| Corporation of the President | Workers Comp | $11.41 |
| Injury Care of Nevada | Workers Comp | $11.41 |
| BYU Risk Management | Workers Comp | $12.93 |
| Cigna | Open Access Flex | $12.93 |
| Global Excel | Commercial | $12.93 |
| AG Administrators | USU Athletics | $13.23 |
| BYU Athletics | Commercial | $13.23 |
| Campbell Scientific | Commercial | $13.23 |
| EMI Health | Mint | $13.23 |
| EMI Health | Network Care | $13.23 |
| Franklin County | Commercial | $13.23 |
| Juniper Systems | Commercial | $13.23 |
| Aetna | Connected | $13.38 |
| Aetna | Extended | $13.38 |
Inpatient
$10.16cash price (self-pay)
$15.21list price
$0.37–$15.19range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Donor Connect | Other | $0.42 |
| Intermountain Cargiver Plan | Med Network | $6.45 |
| CorVel Corporation | Workers Comp | $11.41 |
| Corporation of the President | Workers Comp | $11.41 |
| Injury Care of Nevada | Workers Comp | $11.41 |
| BYU Risk Management | Workers Comp | $12.93 |
| Cigna | Open Access Flex | $12.93 |
| Global Excel | Commercial | $12.93 |
| MedCare International | Commercial | $12.93 |
| Molina | CHIP | $12.93 |
| Molina | Marketplace | $12.93 |
| AG Administrators | USU Athletics | $13.23 |
| Aetna | Connected | $13.23 |
| Aetna | Extended | $13.23 |
| BYU Athletics | Commercial | $13.23 |
| Campbell Scientific | Commercial | $13.23 |
| EMI Health | Mint | $13.23 |
| EMI Health | Network Care | $13.23 |
| Franklin County | Commercial | $13.23 |
| Juniper Systems | Commercial | $13.23 |
| LW Miller | Commercial | $13.23 |
| Managed Care Admin | Commercial | $13.23 |
| MotivHealth | Commercial | $13.23 |
| AWH Connected | Connected Utah | $13.46 |
| Aetna | Standard | $13.46 |
| Cigna | HMO | $13.46 |
| Cigna | PPO/EPO | $13.46 |
| Deseret Mutual | All Other | $13.46 |
| Deseret Mutual | Select | $13.46 |
| EMI | Commercial | $13.46 |
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All common services at Intermountain Health Park City Hospital