Ketorolac injection, 15 mg at UPMC Northwest. CPT J1885.
What UPMC Northwest publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$44.40cash price (self-pay)
$74.75list price
$0.19–$65.88range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | Managed Medicaid | $0.19 |
| UPMC Health Plan | Managed Medicare | $0.26 |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue | $0.29 |
| PA Health & Wellness | PA Medicaid HMO | $0.30 |
| United Healthcare | Unison Advantage Non Special Needs | $0.30 |
| Aetna | Medicare | $0.30 |
| Aetna of PA | Medicare | $0.30 |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $0.30 |
| Geisinger | Medicaid/CHIP | $0.30 |
| Highmark Wholecare (prev Gateway) | Medicaid | $0.30 |
| AmeriHealth Caritas | Medicare | $0.31 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $0.31 |
| Highmark Wholecare (prev Gateway) | Medicare | $0.31 |
| United Healthcare | Unison Advantage Special Needs | $0.32 |
| UPMC Health Plan | Commercial | $0.37 |
| United Healthcare Community Plan for Families | Unison MedPLUS | $0.80 |
| United Healthcare Community Plan for Families | Unison Kids | $0.87 |
| Aetna | Medicaid | $0.91 |
| UPMC Work Partners | Workers Comp | $26.99 |
| Aetna | EBR ASO | $29.90 |
| Cigna | Commercial | $29.90 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Ca | $39.75 |
| Aetna | EBR FI | $44.85 |
| Aetna | Neighborhood Network | $44.85 |
| Aetna | Home Depot Employer Group | $46.12 |
| Aetna | NBR ASO/FI | $47.09 |
| Cigna | New Business ASO | $47.09 |
| InterGroup | PPO | $48.75 |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $48.98 |
| Coventry/First Health | Commercial | $52.33 |
Inpatient
$44.40cash price (self-pay)
$74.75list price
$0.75–$3,704range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Work Partners | Workers Comp | $28.69 |
| Aetna | EBR ASO | $29.90 |
| Cigna | Commercial | $29.90 |
| Aetna | EBR FI | $43.35 |
| Aetna | Neighborhood Network | $46.34 |
| Aetna | Home Depot Employer Group | $47.62 |
| Aetna | NBR ASO/FI | $48.59 |
| Cigna | New Business ASO | $48.59 |
| Coventry/First Health | Commercial | $52.33 |
| Private Health Care Systems | PPO | $59.80 |
| Humana | Commercial | $63.54 |
| InterGroup | PPO | $1,877 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.