Ketorolac injection, 15 mg at Intermountain Health Sevier Valley Hospital. CPT J1885.
What Intermountain Health Sevier Valley Hospital publishes for this service, straight from its standard-charges file, last updated August 5, 2026.
Outpatient / ER
$2.49cash price (self-pay)
$14.29list price
$0.27–$17.10range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Injury Care of Nevada | Workers Comp | $10.72 |
| BYU Risk Management | Workers Comp | $12.15 |
| CorVel Corporation | Workers Comp | $12.15 |
| Corporation of the President | Workers Comp | $12.15 |
| AG Administrators | USU Athletics | $13.58 |
| Aetna | Standard | $13.58 |
| BYU Athletics | Commercial | $13.58 |
| Campbell Scientific | Commercial | $13.58 |
| Cigna | HMO | $13.58 |
| Cigna | Open Access Flex | $13.58 |
| Cigna | PPO/EPO | $13.58 |
| Deseret Mutual | All Other | $13.58 |
| Deseret Mutual | Select | $13.58 |
| EMI Health | Mint | $13.58 |
| EMI Health | Network Care | $13.58 |
| EMI | Commercial | $13.58 |
| Franklin County | Commercial | $13.58 |
| Global Excel | Commercial | $13.58 |
| Health Utah | Commercial | $13.58 |
| Humana | Commercial | $13.58 |
| Hygeia Corporation | Commercial | $13.58 |
| Intermountain Caregiver Plan | Med Network | $13.58 |
| Juniper Systems | Commercial | $13.58 |
| LW Miller | Commercial | $13.58 |
| Managed Care Admin | Commercial | $13.58 |
| MedCare International | Commercial | $13.58 |
| Molina | CHIP | $13.58 |
| Molina | Marketplace | $13.58 |
| MotivHealth | Commercial | $13.58 |
| PEHP | All Plans | $13.58 |
Inpatient
$2.49cash price (self-pay)
$14.29list price
$2.49–$16.92range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Injury Care of Nevada | Workers Comp | $10.72 |
| BYU Risk Management | Workers Comp | $12.15 |
| CorVel Corporation | Workers Comp | $12.15 |
| Corporation of the President | Workers Comp | $12.15 |
| Health Plan of Nevada | Medicaid | $12.72 |
| Healthy U | Medicaid | $12.72 |
| Molina | Medicaid | $12.72 |
| AG Administrators | USU Athletics | $13.58 |
| AWH Connected | Connected Utah | $13.58 |
| Aetna | Connected | $13.58 |
| Aetna | Extended | $13.58 |
| Aetna | Standard | $13.58 |
| BYU Athletics | Commercial | $13.58 |
| Campbell Scientific | Commercial | $13.58 |
| Cigna | HMO | $13.58 |
| Cigna | Open Access Flex | $13.58 |
| Cigna | PPO/EPO | $13.58 |
| Deseret Mutual | All Other | $13.58 |
| Deseret Mutual | Select | $13.58 |
| EMI Health | Mint | $13.58 |
| EMI Health | Network Care | $13.58 |
| EMI | Commercial | $13.58 |
| Franklin County | Commercial | $13.58 |
| Global Excel | Commercial | $13.58 |
| Health Utah | Commercial | $13.58 |
| Humana | Commercial | $13.58 |
| Hygeia Corporation | Commercial | $13.58 |
| Intermountain Caregiver Plan | Med Network | $13.58 |
| Juniper Systems | Commercial | $13.58 |
| LW Miller | Commercial | $13.58 |
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All common services at Intermountain Health Sevier Valley Hospital