Ketorolac injection, 15 mg at UPMC Chautauqua. CPT J1885.
What UPMC Chautauqua publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$17.40cash price (self-pay)
$29.00list price
$0.30–$26.32range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Geisinger | Medicaid/CHIP | $0.30 |
| Beacon | Medicare Advantage | $0.37 |
| Humana | Medicare | $0.37 |
| United Healthcare | Medicare | $0.37 |
| United Behavioral Health | Medicare | $0.37 |
| Fidelis | Medicare | $0.37 |
| UPMC Health Plan | Managed Medicare | $0.37 |
| Aetna | Medicare | $0.38 |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $0.38 |
| Wellcare | Medicare | $0.38 |
| Beacon | Commercial | $0.46 |
| Univera | Medicare Advantage | $0.49 |
| Independent Health | Commercial | $0.63 |
| Independent Health | Medicare Advantage | $0.63 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.83 |
| BCBS of Western NY | Commercial | $0.93 |
| UPMC Health Plan | CHIP | $1.03 |
| UPMC Health Plan | Commercial | $17.40 |
| United Healthcare | Commercial | $18.56 |
| Aetna | Commercial | $18.85 |
| MagnaCare | Direct Plus | $21.75 |
| MagnaCare | PPO | $21.75 |
| Multiplan | PPO (Includes PHCS as a Payer) | $21.75 |
| GHI/Emblem Health | Commercial | $23.20 |
| Humana | Commercial | $23.20 |
| Statewide Independent PPO | PPO | $25.52 |
| Affordable First Health | PPO | $26.10 |
Inpatient
$17.40cash price (self-pay)
$29.00list price
$18.85–$21.94range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $18.85 |
| United Healthcare | Commercial | $18.85 |
| Humana | Commercial | $21.75 |
| MagnaCare | Direct Plus | $21.75 |
| MagnaCare | PPO | $21.75 |
| MagnaCare | No Fault | $21.75 |
| MagnaCare | Workers Compensation | $21.75 |
| Multiplan | PPO (Includes PHCS as a Payer) | $21.75 |
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