Ketorolac injection, 15 mg at Penn Medicine Lancaster General Health. CPT J1885.
What Penn Medicine Lancaster General Health publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$12.10cash price (self-pay)
$13.50list price
$0.30–$13,500range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Cigna New Business | $0.30 |
| Gateway | Highmark Wholecare Medicaid (fka Gateway Medicaid) | $0.30 |
| AmeriHealth Caritas | AmeriHealth Caritas Medicaid HMO | $0.33 |
| Independence Blue Cross | Independence Blue Cross Commercial | $0.33 |
| Keystone First Medicaid | Keystone First Medicaid | $0.33 |
| United Healthcare | United Healthcare Medicaid MCO | $0.35 |
| UPMC for You | UPMC Medicaid | $0.35 |
| Geisinger Medicaid | Geisinger Medicaid | $0.37 |
| PA Health and Wellness Medicaid | PA Health and Wellness Medicaid | $0.38 |
| Capital Blue Cross | CBC Commercial | $0.65 |
| Aetna | Aetna Commercial | $0.86 |
| Hospice and Community Care | Hospice and Community Care | $2.56 |
| Aetna | Aetna Medicare Advantage | $3.19 |
| Old Order Group | Old Order Group | $3.65 |
| LG Coresource/LG Eliance | LG Employee Insurance | $3.85 |
| Lancashire Hall | Lancashire Hall | $4.05 |
| Nursing Home OP Services | Nursing Home OP Services | $4.05 |
| Affilia Home Health | Affilia Home Health Lancaster | $5.40 |
| Masonic Homes | Masonic Homes | $5.67 |
| Highmark | Highmark CHIP | $6.55 |
| Highmark | Highmark ACA | $7.87 |
| Eliance Health Solutions | Eliance Commercial | $8.64 |
| Highmark Commercial Preferred | Highmark Commercial Preferred | $9.03 |
| Ehp | Ehp | $11.07 |
| UPMC Commercial | UPMC Commercial | $11.07 |
| Highmark | Highmark Commercial | $11.24 |
| Cigna | Cigna | $11.30 |
| Devon | Devon | $11.47 |
| Geisinger Commercial | Geisinger Commercial | $11.47 |
| Intergroup Services | Intergroup Services | $11.47 |
Inpatient
$12.10cash price (self-pay)
$13.50list price
$3.45–$26.50range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| LG Coresource/LG Eliance | LG Employee Insurance | $3.85 |
| Old Order Group | Old Order Group | $4.32 |
| Eliance Health Solutions | Eliance Commercial | $8.64 |
| Cigna | Cigna | $10.19 |
| Ehp | Ehp | $11.07 |
| Devon | Devon | $11.47 |
| Geisinger Commercial | Geisinger Commercial | $11.47 |
| Independence Blue Cross | Independence Blue Cross Commercial | $11.47 |
| Intergroup Services | Intergroup Services | $11.47 |
| Preferred Healthcare | PHC | $11.47 |
| United Healthcare | United Healthcare Commercial | $11.47 |
| UPMC Commercial | UPMC Commercial | $11.47 |
| Medi-share Christian Care | PHCS Multiplan | $12.82 |
| Affilia Home Health | Affilia Home Health Lancaster | $13.50 |
| Commercial Generic | Commercial Generic | $13.50 |
| Highmark | Highmark ACA | $13.50 |
| Highmark | Highmark CHIP | $13.50 |
| Highmark | Highmark Commercial | $13.50 |
| Highmark Commercial Non-Preferred | Highmark Commercial Non-Preferred | $13.50 |
| Highmark Commercial Preferred | Highmark Commercial Preferred | $13.50 |
| Lancashire Hall | Lancashire Hall | $13.50 |
| Magellan | Magellan | $13.50 |
| Masonic Homes | Masonic Homes | $13.50 |
| United Behavioral Health | United Behavioral Health | $13.50 |
| Value Options | Value Options | $13.50 |
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All common services at Penn Medicine Lancaster General Health