Ketorolac injection, 15 mg at Thomas Jefferson University Hospital. CPT J1885.
What Thomas Jefferson University 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
$0.27–$1.17range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Keystone First | JCC001 Caid MCO | $0.27 |
| Keystone First | JCC001 Caid CHIP | $0.27 |
| Geisinger Medicaid | JCC001 JCC002 Caid MCO | $0.29 |
| Horizon Medicare Blue | JCC001_JCC002 Medicare | $0.29 |
| Innovage | JCC001_JCC002 Medicare | $0.29 |
| Jefferson Health Plan Medicare | JCC001_JCC002 Medicare | $0.29 |
| United Healthcare Medicare | JCC001_JCC002 AARP | $0.29 |
| Humana Medicare | JCC001_JCC002 Medicare | $0.29 |
| Optum VA CCN | JCC001_JCC002 VA CCN | $0.29 |
| United Healthcare Medicare | Medicare ISNP | $0.29 |
| St Agnes | Medicare | $0.29 |
| Point of Comfort Refugee Resettlement | Commercial | $0.29 |
| Aetna Medicare Adv | JCC001_JCC002 Medicare | $0.30 |
| Highmark Medicare Advantage | JCC001_JCC002 Medicare | $0.30 |
| Devoted Health Participation | JCC001_JCC002 Medicare | $0.30 |
| UPMC Medicare Advantage | JCC001_JCC002 Medicare | $0.30 |
| UPMC CHC Medicaid | JCC001 JCC002 CHIP | $0.30 |
| PA Health and Wellness Medicare | JCC001_JCC002 Medicare | $0.31 |
| Provider Partners Health Plan | JCC001_JCC002 Medicare | $0.31 |
| United Healthcare Medicare | Medicare Group Retiree | $0.31 |
| Perennial | JCC001_JCC002 Medicare | $0.33 |
| Ibc | Jcc001 PPO | $0.33 |
| Highmark Wholecare Gateway | JCC001_JCC002 Medicare | $0.33 |
| Geisinger Medicare Advantage | JCC001_JCC002 Medicare | $0.33 |
| Horizon BCBS of NJ | Commercial HMO | $0.34 |
| Horizon BCBS of NJ | JCC001_JCC002 PPO | $0.34 |
| Horizon BCBS of NJ | JCC001_ JCC002 Indemnity | $0.34 |
| Aetna Better Health | JCC001_JCC002 CHIP | $0.36 |
| IBC Main Line Health | JCC001_JCC002 Commercial | $0.36 |
| PA Health and Wellness Commercial | JCC001_JCC002 Exchange | $0.41 |
Inpatient
—cash price (self-pay)
—list price
$0.27–$1.17range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Innovage | JCC001_JCC002 Medicare | $0.29 |
| Jefferson Health Plan ACA QHP Exchange | JCC001_JCC002 Commercial Exch | $0.29 |
| Point of Comfort Refugee Resettlement | Commercial | $0.29 |
| Optum VA CCN | JCC001_JCC002 VA CCN | $0.29 |
| United Healthcare Medicare | JCC001_JCC002 AARP | $0.29 |
| United Healthcare Medicare | Medicare ISNP | $0.29 |
| VA_Champus_Tricare | JCC001_JCC002 Military | $0.29 |
| Horizon Medicare Blue | JCC001_JCC002 Medicare | $0.29 |
| Humana Medicare | JCC001_JCC002 Medicare | $0.29 |
| Jefferson Health Plan Medicare | JCC001_JCC002 Medicare | $0.29 |
| St Agnes | Medicare | $0.29 |
| IBC Medicare | JCC001 Medicare | $0.29 |
| Inspira Life | JCC001_JCC002 Medicare | $0.29 |
| Aetna Medicare Adv | JCC001_JCC002 Medicare | $0.30 |
| Cigna HealthSpring Medicare Adv | JCC001_JCC002 Medicare | $0.30 |
| Keystone First VIP Choice | JCC001 Medicare | $0.30 |
| Highmark Medicare Advantage | JCC001_JCC002 Medicare | $0.30 |
| UPMC Medicare Advantage | JCC001_JCC002 Medicare | $0.30 |
| Devoted Health Participation | JCC001_JCC002 Medicare | $0.30 |
| PA Health and Wellness Medicare | JCC001_JCC002 Medicare | $0.31 |
| Highmark Wholecare Gateway | JCC001_JCC002 Medicare | $0.31 |
| Provider Partners Health Plan | JCC001_JCC002 Medicare | $0.31 |
| United Healthcare Medicare | Medicare Group Retiree | $0.31 |
| Geisinger Medicare Advantage | JCC001_JCC002 Medicare | $0.33 |
| Perennial | JCC001_JCC002 Medicare | $0.33 |
| IBC Employee Benefit | JCC001_JCC002 Commercial | $0.36 |
| IBC Main Line Health | JCC001_JCC002 Commercial | $0.36 |
| PA Health and Wellness Commercial | JCC001_JCC002 Exchange | $0.43 |
| NaphCare | JCC001_JCC002 Commercial | $0.46 |
| NaphCare | JCC001_JCC002 Comm FDC PHL | $0.51 |
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