Ketorolac injection, 15 mg at UPMC Community Osteopathic. CPT J1885.
What UPMC Community Osteopathic publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$0.60cash price (self-pay)
$2.00list price
$0.20–$25.50range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $0.30 |
| Capital Blue Cross | Medicare Advantage | $0.30 |
| Geisinger | Medicaid/CHIP | $0.30 |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue | $0.30 |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $0.30 |
| Keystone Health Plan | Medicare Advantage | $0.30 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $0.30 |
| Humana | Medicare | $0.31 |
| Aetna | Medicare | $0.31 |
| Cigna | Medicare | $0.32 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $0.32 |
| United Healthcare | Medicare | $0.32 |
| Capital Blue Cross | CHIP | $0.36 |
| Capital Blue Cross | Commercial | $0.36 |
| Prime Net | Managed Medicare | $0.36 |
| UPMC Health Plan | CHIP | $0.37 |
| Aetna | ACO | $0.64 |
| UPMC Work Partners | Workers Comp | $0.64 |
| Aetna | PEBTF ACO | $0.70 |
| Aetna | Commercial | $0.82 |
| Keystone Health Plan | Commercial | $0.93 |
| InterGroup | PPO | $1.07 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $1.08 |
| Prime Net | FH-Medical Rental | $1.13 |
| Wellspan Population Health | Commercial | $1.27 |
| Highmark BCBS of PA | CHIP | $25.50 |
| Highmark BCBS of PA | Commercial | $25.50 |
Inpatient
$0.60cash price (self-pay)
$1.50list price
$0.34–$5.10range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | ACO | $0.51 |
| Aetna | PEBTF ACO | $0.54 |
| Aetna | Commercial | $0.64 |
| UPMC Work Partners | Workers Comp | $0.68 |
| InterGroup | PPO | $1.07 |
| Prime Net | FH-Medical Rental | $1.13 |
| Wellspan Population Health | Commercial | $1.27 |
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