Ketorolac injection, 15 mg at UPMC Somerset. CPT J1885.
What UPMC Somerset publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$0.60cash price (self-pay)
$1.50list price
$0.29–$15.16range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AmeriHealth Caritas | Medicare | $0.29 |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue | $0.29 |
| United Healthcare | Medicare | $0.29 |
| UPMC Health Plan | Managed Medicare | $0.29 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $0.30 |
| Geisinger | Medicaid | $0.30 |
| Highmark Wholecare (prev Gateway) | Medicaid | $0.30 |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $0.30 |
| Highmark Wholecare (prev Gateway) | Medicare | $0.31 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Ca | $0.43 |
| UPMC Work Partners | Workers Comp | $0.51 |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $0.54 |
| UPMC Health Plan | CHIP | $0.57 |
| Geisinger | Commercial | $0.59 |
| Aetna of PA | TPA/Carrier | $0.60 |
| Multiplan | PPO (Includes PHCS as a Payer) | $0.75 |
| Galaxy Health Plan | Commercial | $0.98 |
| Humana | Commercial | $1.12 |
| UPMC Health Plan | Commercial | $2.72 |
| Highmark BCBS of PA | Medicare Advantage | $15.16 |
Inpatient
$0.60cash price (self-pay)
$1.50list price
$0.36–$4.50range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Work Partners | Workers Comp | $0.54 |
| Galaxy Health Plan | Commercial | $0.98 |
| Multiplan | PPO (Includes PHCS as a Payer) | $0.98 |
| Humana | Commercial | $1.12 |
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