Ketorolac injection, 15 mg at St Lukes Hospital Upper Bucks Campus. CPT J1885.
What St Lukes Hospital Upper Bucks Campus publishes for this service, straight from its standard-charges file, last updated February 26, 2026.
Outpatient / ER
$4.72cash price (self-pay)
$5.69list price
$0.31–$4.71range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Capital Blue Cross | Medicare | $0.31 |
| Highmark | Medicare Advantage | $0.31 |
| Highmark | Freedom Blue Medicare Advantage | $0.31 |
| Horizon BCBS NJ | Medicare | $0.31 |
| Independence Blue Cross | Medicare Advantage | $0.31 |
| Aetna | Medicare | $0.32 |
| Geisinger | Medicare | $0.32 |
| Humana | Medicare | $0.32 |
| United Healthcare | Medicare Advantage | $0.33 |
| UPMC Health Plan | Medicare Advantage | $0.33 |
| Independence Blue Cross | HMO | $0.38 |
| Independence Blue Cross | PPO | $0.38 |
| Independence Blue Cross | Indemnity | $0.38 |
| Aetna | Commercial | $0.72 |
| Aetna | Medical Rental | $0.72 |
| Highmark Wholecare | Medicaid | $0.97 |
| Highmark | Commercial/Special Care | $1.07 |
| Oscar | Commercial | $1.48 |
| Cigna | Commercial | $1.56 |
| UPMC Health Plan | Commercial | $1.56 |
| Geisinger | Commercial | $1.60 |
| United Healthcare | Commercial | $1.64 |
| Capital Blue Cross | Commercial | $4.71 |
Inpatient
$4.72cash price (self-pay)
$5.69list price
$1.48–$1.60range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oscar | Commercial | $1.48 |
| UPMC Health Plan | Commercial | $1.56 |
| Geisinger | Commercial | $1.60 |
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