Ketorolac injection, 15 mg at Children's Hospital of Philadelphia. CPT J1885.
What Children's Hospital of Philadelphia publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$105cash price (self-pay)
$108list price
$0.30–$99.52range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Highmark Wholecare | All plan types | $0.30 |
| Horizon NJ Health | All plan types | $0.30 |
| Geisinger Medical Assistance | All plan types | $0.41 |
| UHC Community Plans PA | All plan types | $0.50 |
| Keystone Health Plan East | HMO | $0.53 |
| Independence Blue Cross | PPO | $0.53 |
| Keystone First Medicaid | All plan types | $17.78 |
| Health Partners | All plan types | $18.74 |
| Aetna Better Health | All plan types | $28.37 |
| UPMC Medical Assistance | All plan types | $29.43 |
| Keystone First CHIP | All CHIP plant types | $33.41 |
| Horizon Blue Cross Blue Shield of New Jersey | All plan types | $38.05 |
| Geisinger Health Plan Commercial | All plan types | $47.43 |
| Jefferson Health Plans | All plan types | $50.98 |
| Highmark | All plan types | $53.89 |
| Aetna | All plan types | $53.89 |
| Cigna HMO | HMO | $53.89 |
| Cigna PPO | PPO | $53.89 |
| Qualcare | All plan types | $59.28 |
| United Healthcare | All plan types | $59.28 |
| First Health Network | PPO | $70.06 |
| Private Health Care Systems | All plan types | $86.23 |
| Devon Health, Intergroup, Multiplan, Valley Preferred/Populytics | All | $86.23 |
| Choice Care Network | All plan types | $97.01 |
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