Ketorolac injection, 15 mg at UPMC St. Margaret. CPT J1885.
What UPMC St. Margaret publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$3.00cash price (self-pay)
$4.05list price
$0.19–$119range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | Managed Medicaid | $0.19 |
| UPMC Health Plan | Managed Medicare | $0.25 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $0.30 |
| PA Health & Wellness | PA Medicaid HMO | $0.30 |
| Aetna of PA | Medicare | $0.30 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $0.31 |
| Highmark Wholecare (prev Gateway) | Medicare | $0.31 |
| Aetna | Medicare | $0.32 |
| UPMC Health Plan | Commercial | $0.37 |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $0.63 |
| Aetna | Neighborhood Network | $1.02 |
| UPMC Work Partners | Workers Comp | $1.05 |
| Aetna | Home Depot Employer Group | $1.11 |
| Aetna | NBR ASO/FI | $1.13 |
| Cigna | New Business ASO | $1.13 |
| Aetna | EBR FI | $1.54 |
| Aetna | EBR ASO | $1.62 |
| Cigna | Commercial | $1.62 |
| Coventry/First Health | Commercial | $2.83 |
| Private Health Care Systems | PPO | $3.24 |
| SelectCare | Commercial | $3.24 |
| Humana | Commercial | $3.44 |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Me | $15.46 |
| Highmark BCBS of PA | Managed Care - Social Mission | $44.52 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $44.75 |
| Highmark BCBS of PA | Managed Care | $59.63 |
| Highmark BCBS of PA | Commercial - Indemnity | $59.94 |
| Highmark BCBS of PA | UPMC Emergent | $119 |
Inpatient
$3.00cash price (self-pay)
$4.05list price
$0.51–$48.66range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Neighborhood Network | $1.05 |
| UPMC Work Partners | Workers Comp | $1.11 |
| Aetna | Home Depot Employer Group | $1.15 |
| Aetna | NBR ASO/FI | $1.17 |
| Cigna | New Business ASO | $1.17 |
| Aetna | EBR FI | $1.54 |
| Aetna | EBR ASO | $1.62 |
| Cigna | Commercial | $1.62 |
| Coventry/First Health | Commercial | $2.83 |
| Private Health Care Systems | PPO | $3.24 |
| SelectCare | Commercial | $3.24 |
| Humana | Commercial | $3.44 |
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