Ketorolac injection, 15 mg at Intermountain Health Riverton Hospital. CPT J1885.
What Intermountain Health Riverton Hospital publishes for this service, straight from its standard-charges file, last updated August 5, 2026.
Outpatient / ER
$16.88cash price (self-pay)
$22.50list price
$0.27–$20.25range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| SelectHealth | Med Individual ACA | $0.59 |
| SelectHealth | Signature Individual ACA | $0.59 |
| SelectHealth | Value Individual ACA | $0.59 |
| 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 | Medicare Advantage | $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 |
| Intermountain Caregiver Plan | Share Network | $5.17 |
| SelectHealth | FEHBP | $5.17 |
| SelectHealth | SelectShare | $5.17 |
| SelectHealth | SelectValue | $5.17 |
| Donor Connect | Other | $5.69 |
| Intermountain Caregiver Plan | Med Network | $5.82 |
| SelectHealth | CHP | $5.82 |
| SelectHealth | Med | $5.82 |
| SelectHealth | SelectCare | $6.09 |
| EMI | Commercial | $12.15 |
| Deseret Mutual | Commercial | $12.94 |
| Cigna | Open Access Flex | $14.18 |
| AWH Connected | Connected Utah | $14.51 |
| EMI Health | Mint | $15.61 |
Inpatient
$16.88cash price (self-pay)
$22.50list price
$0.81–$20.25range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Donor Connect | Other | $0.81 |
| SelectHealth | Med Individual ACA | $6.70 |
| Health Plan of Nevada | Medicaid | $6.75 |
| Intermountain Caregiver Plan | Share Network | $9.54 |
| SelectHealth | FEHBP | $9.54 |
| Intermountain Caregiver Plan | Med Network | $10.84 |
| SelectHealth | CHP | $10.84 |
| SelectHealth | Med | $10.84 |
| EMI | Commercial | $12.15 |
| Deseret Mutual | Commercial | $12.94 |
| Regence BCBS | BlueOption | $13.89 |
| Cigna | Open Access Flex | $14.18 |
| AWH Connected | Connected Utah | $14.29 |
| EMI Health | Mint | $15.61 |
| EMI Health | Network Care | $15.61 |
| PEHP | Advantage State | $15.66 |
| BYU Risk Management | Workers Comp | $15.75 |
| Corporation of the President | Workers Comp | $15.75 |
| Regence BCBS | High Performance | $15.75 |
| Regence BCBS | FEHBP | $15.86 |
| PEHP | Advantage Non-State | $15.98 |
| AG Administrators | USU Athletics | $16.20 |
| BYU Athletics | Commercial | $16.20 |
| Campbell Scientific | Commercial | $16.20 |
| CorVel Corporation | Workers Comp | $16.20 |
| Franklin County | Commercial | $16.20 |
| Juniper Systems | Commercial | $16.20 |
| LW Miller | Commercial | $16.20 |
| Injury Care of Nevada | Workers Comp | $16.88 |
| Regence BCBS | Traditional | $17.10 |
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All common services at Intermountain Health Riverton Hospital