Ketorolac injection, 15 mg at UPMC Lititz. CPT J1885.
What UPMC Lititz 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
$0.13–$5.10range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Prime Net | Managed Medicare | $0.26 |
| Highmark BCBS of PA | Medicare | $0.29 |
| Aetna | Medicare | $0.30 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $0.30 |
| Capital Blue Cross | Medicare Advantage | $0.30 |
| Cigna | Medicare | $0.30 |
| Geisinger | Medicaid/CHIP | $0.30 |
| Keystone Health Plan | Medicare Advantage | $0.30 |
| Geisinger | Medicare | $0.30 |
| Highmark Wholecare (prev Gateway) | Medicaid | $0.31 |
| United Healthcare | Medicare | $0.31 |
| UPMC Health Plan | Managed Medicaid | $0.33 |
| UPMC Health Plan | CHIP | $0.37 |
| UPMC Work Partners | Workers Comp | $0.37 |
| Keystone Autism Services | ACAP | $0.46 |
| Prime Net | Legacy Commercial | $0.58 |
| Aetna | ACO | $0.59 |
| Prime Net | ACO | $0.59 |
| Cigna | Commercial | $0.69 |
| Aetna | Commercial | $0.70 |
| Capital Blue Cross | CHIP | $0.70 |
| Capital Blue Cross | Commercial | $0.70 |
| Keystone Health Plan | Commercial | $0.70 |
| Prime Net | GateKeeper | $0.70 |
| Prime Net | NonGateKeeper | $0.70 |
| Preferred Healthcare System | Inter County Health Plan/Lancaster Gener | $0.83 |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $0.86 |
| Highmark BCBS of PA | Medicaid | $0.89 |
| Highmark BCBS of PA | Commercial | $0.91 |
| Geisinger | Commercial | $0.98 |
Inpatient
$0.60cash price (self-pay)
$1.50list price
$0.26–$5.10range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Work Partners | Workers Comp | $0.39 |
| Aetna | ACO | $0.56 |
| Prime Net | ACO | $0.56 |
| Prime Net | Legacy Commercial | $0.56 |
| Prime Net | NonGateKeeper | $0.66 |
| Aetna | Commercial | $0.67 |
| Prime Net | GateKeeper | $0.67 |
| Preferred Healthcare System | Inter County Health Plan/Lancaster Gener | $0.83 |
| United Healthcare | Commercial | $0.92 |
| Geisinger | Commercial | $1.08 |
| Prime Net | FH-Medical Rental | $1.09 |
| Preferred Healthcare System | PPO | $1.12 |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1.27 |
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