Ketorolac injection, 15 mg at UPMC Hamot. CPT J1885.
What UPMC Hamot publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$22.80cash price (self-pay)
$127list price
$0.19–$102range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | Managed Medicaid | $0.19 |
| Geisinger | Medicaid/CHIP | $0.30 |
| Highmark Wholecare (prev Gateway) | Medicaid | $0.30 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $0.30 |
| Fidelis | Medicare | $0.33 |
| Aetna | Medicare | $0.34 |
| UPMC Health Plan | Partners/Select | $0.34 |
| Wellcare | Medicare Advantage | $0.34 |
| BCBS of Western NY | Medicare Advantage | $0.35 |
| United Healthcare | Medicare | $0.35 |
| Cigna | Medicare | $0.36 |
| Highmark Wholecare (prev Gateway) | Medicare | $0.36 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $0.36 |
| AmeriHealth Caritas | Medicare | $0.36 |
| Independent Health | Commercial | $0.63 |
| Independent Health | Medicare Advantage | $0.63 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.95 |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $1.09 |
| Aetna | Medicaid | $1.14 |
| United Healthcare | Commercial | $1.34 |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Missi | $1.76 |
| Highmark BCBS of PA | UPMC Emergent | $2.82 |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Me | $15.32 |
| Univera | Univera_Medicare_Hamot_2024 | $19.05 |
| Aetna | Commercial | $31.75 |
| UPMC Work Partners | Workers Comp | $35.97 |
| Cigna | New Business ASO | $38.10 |
| Cigna | NBR ASO/FI | $38.10 |
| BCBS of Western NY | Commercial | $44.45 |
| UPMC Health Plan | Commercial | $46.74 |
Inpatient
$22.80cash price (self-pay)
$127list price
$10.26–$102range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $34.29 |
| Cigna | New Business ASO | $38.10 |
| Cigna | NBR ASO/FI | $38.10 |
| UPMC Work Partners | Workers Comp | $38.28 |
| Univera | Commercial | $41.91 |
| Cigna | Commercial | $50.80 |
| Cigna | EBR | $50.80 |
| United Healthcare | Commercial | $57.72 |
| InterGroup | Health Coalition Partners/PPO | $82.55 |
| Aetna | AXA/MMO | $88.90 |
| Multiplan | PPO (Includes PHCS as a Payer) | $88.90 |
| InterGroup | Beech Street | $102 |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $102 |
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