Ketorolac injection, 15 mg at UPMC Presbyterian. CPT J1885.
What UPMC Presbyterian publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$127cash price (self-pay)
$211list price
$0.19–$359range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | Managed Medicaid | $0.19 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $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 |
| AmeriHealth Caritas | Medicare | $0.31 |
| Cigna Lifesource | Medicare Transplant | $0.31 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $0.31 |
| Aetna | CHIP/Medicaid | $0.31 |
| Highmark Wholecare (prev Gateway) | Medicare | $0.31 |
| United Healthcare | Medicare | $0.31 |
| Aetna | Medicare | $0.32 |
| Aetna of PA | Medicare | $0.32 |
| UPMC Health Plan | Commercial | $0.37 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.95 |
| Highmark BCBS of PA | Medicare Advantage | $15.46 |
| Highmark BCBS of PA | Managed Care - Social Mission | $48.42 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $49.80 |
| Highmark BCBS of PA | Managed Care | $64.85 |
| Highmark BCBS of PA | Commercial - Indemnity | $66.70 |
| UPMC Work Partners | Workers Comp | $68.95 |
| Multiplan | Worker's Compensation | $80.18 |
| Highmark BCBS of PA | UPMC Emergent | $130 |
| Preferred Healthcare System | PPO | $137 |
| Coventry/First Health | Commercial | $148 |
| InterGroup | InterGroup Services Corporation | $158 |
| Fidelis | Medicare | $158 |
| Multiplan | PPO | $169 |
| Private Health Care Systems | PPO | $169 |
| SelectCare | Commercial | $169 |
Inpatient
$127cash price (self-pay)
$211list price
$73.36–$359range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Work Partners | Workers Comp | $73.36 |
| Multiplan | Worker's Compensation | $85.31 |
| Preferred Healthcare System | PPO | $137 |
| Coventry/First Health | Commercial | $148 |
| InterGroup | InterGroup Services Corporation | $158 |
| Fidelis | Medicare | $158 |
| Multiplan | PPO | $169 |
| Private Health Care Systems | PPO | $169 |
| SelectCare | Commercial | $169 |
| Health Coalition Partners | Intergroup | $169 |
| Health Payors Organization | Commercial | $179 |
| Humana | Commercial | $179 |
| InterGroup | Approved National Affiliated PPO Business | $179 |
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