Ketorolac injection, 15 mg at UPMC Childrens. CPT J1885.
What UPMC Childrens publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$100cash price (self-pay)
$177list price
$0.29–$320range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Plan of Upper Ohio Valley | Medicare | $0.29 |
| Highmark Wholecare (prev Gateway) | Medicaid | $0.30 |
| AmeriHealth Caritas | Medicare | $0.31 |
| Cigna | Medicare | $0.31 |
| Highmark BCBS of PA | Medicare | $0.31 |
| Aetna | Medicare | $0.32 |
| UPMC Health Plan | Managed Medicaid | $0.33 |
| UPMC Health Plan | Managed Medicare | $0.37 |
| Aetna | CHIP | $0.83 |
| Health Plan of Upper Ohio Valley | CHIP | $0.83 |
| Health Plan of Upper Ohio Valley | Medicaid | $0.83 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.83 |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $1.00 |
| United Healthcare | All Business | $2.96 |
| United Healthcare | Compass Exchange | $2.96 |
| Aetna | Medicaid | $33.57 |
| Highmark BCBS of PA | Managed Care - Social Mission | $43.62 |
| Highmark BCBS of PA | Managed Care | $51.32 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $55.74 |
| Highmark BCBS of PA | Commercial - Indemnity | $65.58 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $70.80 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $72.57 |
| Aetna | Narrow Network | $74.87 |
| Geisinger | Commercial | $79.56 |
| Geisinger | Medicaid/CHIP | $79.65 |
| Aetna | Fully Insured | $83.19 |
| Cigna | New Business ASO | $83.19 |
| Cigna | NBR ASO/FI | $83.19 |
| Aetna | Commercial | $97.35 |
| Cigna | Commercial | $97.35 |
Inpatient
$100cash price (self-pay)
$177list price
$66.80–$320range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicaid | $70.80 |
| United Healthcare | Compass Exchange | $70.80 |
| Aetna | Narrow Network | $74.87 |
| Geisinger | Commercial | $79.56 |
| Aetna | Fully Insured | $83.19 |
| Cigna | New Business ASO | $83.19 |
| Cigna | NBR ASO/FI | $83.19 |
| United Healthcare | All Business | $83.19 |
| Aetna | Commercial | $97.35 |
| Cigna | Commercial | $97.35 |
| Cigna | EBR | $97.35 |
| Coventry/First Health | Childrens Coventry FirstHealth Commercial | $142 |
| Saudi Armed Forces | Commercial | $142 |
| InterGroup | PPO | $150 |
| Health Payors Organization | Commercial | $150 |
| Multiplan | Commercial/Worker's Compensation | $150 |
| National Provider Network | PPO | $159 |
| Private Health Care Systems | PPO | $159 |
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