Ketorolac injection, 15 mg at Jefferson Lansdale Hospital. CPT J1885.
What Jefferson Lansdale Hospital publishes for this service, straight from its standard-charges file, last updated September 15, 2026.
Outpatient / ER
$0.33cash price (self-pay)
$5.00list price
$0.29–$1.17range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Provider Partners Health Plan | JAB002 Medicare | $0.29 |
| Innovage | JAB002 Medicare | $0.29 |
| Jefferson Health Plan Medicaid | JAB002 Caid MCO CHIP | $0.29 |
| Horizon Medicare Blue | JAB002 Medicare | $0.29 |
| Jefferson Health Plan Medicare | JAB002 Medicare | $0.29 |
| United Healthcare Medicare | JAB002 AARP | $0.29 |
| VA_Champus_Tricare | JAB002 Military | $0.29 |
| Inspira Life | JAB002 Medicare | $0.29 |
| Jefferson Health Plan ACA QHP Exchange | JAB002 Commercial Exchange | $0.29 |
| Keystone First | JAB002 Caid MCO | $0.29 |
| Optum VA CCN | JAB002 VA CCN | $0.29 |
| Humana Medicare | JAB002 Medicare | $0.29 |
| St Agnes | Medicare | $0.29 |
| Cigna HealthSpring Medicare Adv | JAB002 Medicare | $0.30 |
| Aetna Medicare Adv | JAB002 Medicare | $0.30 |
| Highmark Medicare Advantage | JAB002 Medicare | $0.30 |
| UPMC CHC Medicaid | JAB002 Caid CHC | $0.30 |
| Devoted Health Participation | JAB002 Medicare | $0.30 |
| UPMC Medicare Advantage | JAB002 Medicare | $0.31 |
| United Healthcare Medicare | Medicare Group Retiree | $0.31 |
| Ibc | Jab002 HMO | $0.33 |
| IBC | JAB002 Indem_Trad | $0.33 |
| Ibc | Jab002 PPO | $0.33 |
| Perennial | JAB002 Medicare | $0.33 |
| Highmark Wholecare Gateway | JAB002 Medicare | $0.33 |
| Horizon BCBS of NJ | JAB001_JAB002 PPO_Indemnity | $0.34 |
| Horizon BCBS of NJ | JAB001_JAB002 Managed | $0.34 |
| Aetna Better Health | JAB002 CHIP | $0.36 |
| PA Health and Wellness Commercial | JAB002 Exchange | $0.41 |
| NaphCare | JAB002 Commercial | $0.46 |
Inpatient
—cash price (self-pay)
—list price
$0.29–$1.17range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Inspira Life | JAB002 Medicare | $0.29 |
| Jefferson Health Plan Medicare | JAB002 Medicare | $0.29 |
| Humana Medicare | JAB002 Medicare | $0.29 |
| Innovage | JAB002 Medicare | $0.29 |
| VA_Champus_Tricare | JAB002 Military | $0.29 |
| IBC Medicare | JAB002 Medicare | $0.29 |
| Horizon Medicare Blue | JAB002 Medicare | $0.29 |
| Jefferson Health Plan ACA QHP Exchange | JAB002 Commercial Exchange | $0.29 |
| Optum VA CCN | JAB002 VA CCN | $0.29 |
| Point of Comfort Refugee Resettlement | Commercial | $0.29 |
| St Agnes | Medicare | $0.29 |
| United Healthcare Medicare | JAB002 AARP | $0.29 |
| United Healthcare Medicare | Medicare ISNP | $0.29 |
| Provider Partners Health Plan | JAB002 Medicare | $0.29 |
| Cigna HealthSpring Medicare Adv | JAB002 Medicare | $0.30 |
| Devoted Health Participation | JAB002 Medicare | $0.30 |
| Aetna Medicare Adv | JAB002 Medicare | $0.30 |
| Keystone First VIP Choice | JAB002 Medicare | $0.30 |
| Highmark Medicare Advantage | JAB002 Medicare | $0.30 |
| Highmark Wholecare Gateway | JAB002 Medicare | $0.31 |
| United Healthcare Medicare | Medicare Group Retiree | $0.31 |
| PA Health and Wellness Medicare | JAB002 Medicare | $0.31 |
| UPMC Medicare Advantage | JAB002 Medicare | $0.31 |
| Geisinger Medicare Advantage | JAB002 Medicare | $0.33 |
| Perennial | JAB002 Medicare | $0.33 |
| IBC Main Line Health | JAB002 Commercial | $0.36 |
| IBC Employee Benefit | JAB002 Commercial | $0.36 |
| PA Health and Wellness Commercial | JAB002 Exchange | $0.43 |
| NaphCare | JAB002 Commercial | $0.46 |
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