Ketorolac injection, 15 mg at Intermountain Health St. George Regional Hospital. CPT J1885.
What Intermountain Health St. George Regional Hospital publishes for this service, straight from its standard-charges file, last updated August 5, 2026.
Outpatient / ER
$2.36cash price (self-pay)
$4.10list price
$0.33–$33.21range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Plan of Nevada | Medicaid | $1.01 |
| SelectHealth | Medicaid | $1.01 |
| Donor Connect | Other | $1.12 |
| Health Choice | Arizona | $1.52 |
| Intermountain Caregiver Plan | Med Network | $1.62 |
| CorVel Corporation | Workers Comp | $3.08 |
| Corporation of the President | Workers Comp | $3.08 |
| Injury Care of Nevada | Workers Comp | $3.08 |
| Cigna | Open Access Flex | $3.38 |
| Global Excel | Commercial | $3.38 |
| MedCare International | Commercial | $3.38 |
| AG Administrators | USU Athletics | $3.46 |
| BYU Athletics | Commercial | $3.46 |
| Campbell Scientific | Commercial | $3.46 |
| Franklin County | Commercial | $3.46 |
| Juniper Systems | Commercial | $3.46 |
| LW Miller | Commercial | $3.46 |
| Managed Care Admin | Commercial | $3.46 |
| MotivHealth | Commercial | $3.46 |
| Altius MHNet Behavioral Health | Behavioral Health | $3.48 |
| BYU Risk Management | Workers Comp | $3.48 |
| Aetna | Standard | $3.49 |
| Deseret Mutual | All Other | $3.49 |
| Deseret Mutual | Select | $3.49 |
| EMI Health | Mint | $3.49 |
| EMI Health | Network Care | $3.49 |
| EMI | Commercial | $3.49 |
| PEHP | All Plans | $3.49 |
| PEHP | Summit Exclusive | $3.49 |
| Aetna | Connected | $3.51 |
Inpatient
$2.36cash price (self-pay)
$4.10list price
$0.06–$33.21range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Donor Connect | Other | $0.08 |
| Health Plan of Nevada | Medicaid | $1.23 |
| Health Choice | Arizona | $1.52 |
| Intermountain Caregiver Plan | Med Network | $1.74 |
| CorVel Corporation | Workers Comp | $3.08 |
| Corporation of the President | Workers Comp | $3.08 |
| Injury Care of Nevada | Workers Comp | $3.08 |
| Cigna | Open Access Flex | $3.38 |
| Global Excel | Commercial | $3.38 |
| MedCare International | Commercial | $3.38 |
| AG Administrators | USU Athletics | $3.46 |
| Aetna | Connected | $3.46 |
| Aetna | Extended | $3.46 |
| BYU Athletics | Commercial | $3.46 |
| Campbell Scientific | Commercial | $3.46 |
| Franklin County | Commercial | $3.46 |
| Juniper Systems | Commercial | $3.46 |
| LW Miller | Commercial | $3.46 |
| Managed Care Admin | Commercial | $3.46 |
| MotivHealth | Commercial | $3.46 |
| Prodegi Corp Benefit | Commercial | $3.46 |
| Altius MHNet Behavioral Health | Behavioral Health | $3.48 |
| BYU Risk Management | Workers Comp | $3.48 |
| AWH Connected | Connected Utah | $3.49 |
| Aetna | Standard | $3.49 |
| Deseret Mutual | All Other | $3.49 |
| Deseret Mutual | Select | $3.49 |
| EMI Health | Mint | $3.49 |
| EMI Health | Network Care | $3.49 |
| EMI | Commercial | $3.49 |
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All common services at Intermountain Health St. George Regional Hospital