Ketorolac injection, 15 mg at UPMC Jameson. CPT J1885.
What UPMC Jameson publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$18.00cash price (self-pay)
$30.50list price
$0.19–$27.28range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | Managed Medicaid | $0.19 |
| Humana | Medicare | $0.29 |
| United Healthcare | Medicare | $0.29 |
| Aetna of PA | Medicare | $0.29 |
| Geisinger | Medicaid/CHIP | $0.30 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $0.30 |
| PA Health & Wellness | PA Medicaid HMO | $0.30 |
| UPMC Health Plan | EPO Partners/Partners/Select | $0.30 |
| UPMC Health Plan | Managed Medicare | $0.30 |
| AmeriHealth Caritas | Medicare | $0.31 |
| Cigna | Medicare | $0.31 |
| Highmark Wholecare (prev Gateway) | Medicare | $0.31 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $0.31 |
| Occunet | Commercial | $0.36 |
| UPMC Health Plan | CHIP | $0.57 |
| Cigna | Commercial | $9.39 |
| UPMC Work Partners | Workers Comp | $11.46 |
| United Healthcare | Commercial | $11.50 |
| UPMC Health Plan | Commercial | $13.72 |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue | $15.59 |
| Humana | Commercial | $24.40 |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $24.40 |
| National Provider Network | PPO | $26.84 |
Inpatient
$18.00cash price (self-pay)
$30.50list price
$11.98–$27.28range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Work Partners | Workers Comp | $12.18 |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $22.88 |
| Humana | Commercial | $24.40 |
| National Provider Network | PPO | $26.84 |
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