Ketorolac injection, 15 mg at UPMC Muncy. CPT J1885.
What UPMC Muncy publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$0.60cash price (self-pay)
$5.50list price
$0.15–$29.21range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $0.29 |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $0.30 |
| AmeriHealth Caritas | Medicaid | $0.30 |
| Geisinger | CHIP | $0.30 |
| Geisinger | Medicaid/CHIP | $0.30 |
| Highmark Wholecare (prev Gateway) | Medicaid | $0.30 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $0.30 |
| UPMC Health Plan | CHIP | $0.33 |
| UPMC Health Plan | Managed Medicaid | $0.33 |
| Highmark Wholecare (prev Gateway) | Medicare | $0.82 |
| UPMC Health Plan | Managed Medicare | $0.82 |
| AmeriHealth Caritas | Medicare | $0.85 |
| Cigna | Medicare | $0.87 |
| United Healthcare | Medicare | $0.88 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $0.89 |
| UPMC Work Partners | Workers Comp | $1.52 |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $2.16 |
| Aetna | PEBTF Custom Network | $2.23 |
| UPMC Health Plan | Commercial | $2.40 |
| Highmark BCBS of PA | Managed Care - Social Mission | $2.54 |
| Aetna | Commercial | $2.62 |
| Coventry/First Health | Commercial | $2.75 |
| Wirerope Works | Commercial | $3.06 |
| Aetna | First Health | $3.63 |
| Geisinger | Commercial | $3.68 |
| Coventry/First Health | FH-Medical Rental | $3.71 |
| United Healthcare | Commercial | $3.76 |
| Cigna | Commercial | $3.77 |
| Multiplan | Auto | $4.29 |
| Multiplan | PPO (Includes PHCS as a Payer) | $4.29 |
Inpatient
$0.60cash price (self-pay)
$5.50list price
$0.28–$2,316range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Work Partners | Workers Comp | $1.52 |
| Aetna | PEBTF Custom Network | $2.35 |
| Aetna | Commercial | $2.77 |
| Coventry/First Health | Commercial | $2.91 |
| Wirerope Works | Commercial | $3.06 |
| Aetna | First Health | $3.63 |
| Coventry/First Health | FH-Medical Rental | $3.71 |
| United Healthcare | Commercial | $3.76 |
| Cigna | Commercial | $3.77 |
| Multiplan | Auto | $4.29 |
| Multiplan | PPO (Includes PHCS as a Payer) | $4.29 |
| America's Choice | PPO | $4.40 |
| InterGroup | PPO | $4.40 |
| Three Rivers Provider Network | All | $4.95 |
| Multiplan | Worker's Compensation | $5.22 |
| AmeriHealth Caritas | Medicare | $2,208 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $2,316 |
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