Ketorolac injection, 15 mg at Jones Memorial Hospital. CPT J1885.
What Jones Memorial Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$0.42cash price (self-pay)
$2.11list price
$0.22–$1.43range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Upmc Health Plan 5138 | Upmc Health Plan 513801 | $0.22 |
| Excellus Blue Cross Blue Shield 2201, Out Area Blue Cross Blue Shield, | $0.30 |
| Fidelis Medicare 1311 | Fidelis Medicare 131101 | $0.30 |
| Humana Medicare 1312 | Humana Medicare 131201 | $0.30 |
| United Healthcare Medicare 1309 | United Healthcare Medicare 130901 | $0.30 |
| Wellcare Medicare 1310 | Wellcare Medicare 131001 | $0.30 |
| Medicare Blue Choice 1306 | Medicare Blue Choice 130601 | $0.30 |
| Highmark Blue Cross Blue Shield Medicare 1301 | Highmark BCBS Medicare | $0.30 |
| Total Senior Care 1319 | Total Senior Care 131901 | $0.30 |
| Aetna Medicare 1300 | Aetna Medicare 130001 | $0.32 |
| Mvp Medicare 1307 | Mvp Medicare 130701 | $0.33 |
| Cdphp Medicare 1320 | Cdphp Medicare 132001 | $0.33 |
| Highmark Blue Cross Blue Shield 5143 | Highmark BCBS 514301 HMO / POS | $0.49 |
| Independent Health 5156 | Independent Health (Buffalo NY) 515601 | $0.51 |
| Independent Health Medicare 1305 | Independent Health Medicare 130501 | $0.51 |
| Empire Plan 5179 | Empire Plan 517901 | $0.53 |
| Highmark Blue Cross Blue Shield 5143 | Highmark BCBS 514301 Indemnity | $0.61 |
| Aetna 2700 | Aetna 270002 | $0.65 |
| Mvp 2900 | Mvp Health Care 290001, Mvp Premier Group 290003 | $0.72 |
| Mvp 2900, Cigna 5144 | Mvp Commercial PPO Fully Insured 290006, Cigna | $0.74 |
| Highmark Blue Cross Blue Shield Medicaid 1702 | Highmark BCBS Medicaid | $0.87 |
| United Healthcare 5158 | United Healthcare 515803 | $1.43 |
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