Ketorolac injection, 15 mg at UPMC Passavant-McCandless. CPT J1885.
What UPMC Passavant-McCandless publishes for this service, straight from its standard-charges file, last updated March 7, 2026.
Outpatient / ER
$37.20cash price (self-pay)
$133list price
$0.19–$179range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | Managed Medicaid | $0.19 |
| UPMC Health Plan | Managed Medicare | $0.27 |
| Health Plan of Upper Ohio Valley | Medicare | $0.29 |
| Health Plan of Upper Ohio Valley | Medicaid | $0.29 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $0.30 |
| Highmark Wholecare (prev Gateway) | Medicaid | $0.30 |
| PA Health & Wellness | PA Medicaid HMO | $0.30 |
| United Healthcare | Unison Advantage Non Special Needs | $0.30 |
| Aetna of PA | Medicare | $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 |
| Aetna | Medicare | $0.32 |
| UPMC Health Plan | Commercial | $0.37 |
| United Healthcare Community Plan for Families | Unison MedPLUS | $0.99 |
| United Healthcare Community Plan for Families | Unison Kids | $1.09 |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Me | $15.46 |
| Highmark BCBS of PA | Managed Care - Social Mission | $42.46 |
| Cigna | New Business ASO | $42.84 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $42.92 |
| UPMC Work Partners | Workers Comp | $45.35 |
| Cigna | Commercial | $50.40 |
| Private Health Care Systems | Workers' Comp | $52.73 |
| Highmark BCBS of PA | Managed Care | $56.87 |
| Highmark BCBS of PA | Commercial - Indemnity | $57.48 |
| Health Plan of Upper Ohio Valley | Commercial | $58.22 |
| Coventry/First Health | Commercial | $88.20 |
| InterGroup | PPO | $105 |
| Humana | Commercial | $107 |
Inpatient
$37.20cash price (self-pay)
$126list price
$22.32–$196range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | New Business ASO | $45.36 |
| UPMC Work Partners | Workers Comp | $48.21 |
| Cigna | Commercial | $50.40 |
| Private Health Care Systems | Workers' Comp | $56.05 |
| Coventry/First Health | Commercial | $88.20 |
| InterGroup | PPO | $113 |
| Humana | Commercial | $117 |
| Multiplan | PPO (Includes Workers' Comp) | $117 |
| Private Health Care Systems | PPO | $117 |
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