Ketorolac injection, 15 mg at UPMC Wellsboro. CPT J1885.
What UPMC Wellsboro publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$0.60cash price (self-pay)
$6.00list price
$0.18–$29.21range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $0.30 |
| Geisinger | CHIP | $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 |
| United Healthcare Community Plan for Families | PA Medicaid | $0.30 |
| UPMC Health Plan | CHIP | $0.33 |
| UPMC Health Plan | Managed Medicaid | $0.33 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.83 |
| Aetna | Medicare | $0.99 |
| Highmark BCBS of PA | Medicare | $1.10 |
| Highmark Wholecare (prev Gateway) | Medicare | $1.10 |
| UPMC Health Plan | Managed Medicare | $1.12 |
| Cigna | Medicare | $1.16 |
| United Healthcare | Medicare | $1.18 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $1.19 |
| UPMC Work Partners | Workers Comp | $2.08 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2.37 |
| UPMC Health Plan | Commercial | $2.40 |
| Highmark BCBS of PA | Commercial | $2.78 |
| Wirerope Works | Commercial | $3.06 |
| Geisinger | Commercial | $3.68 |
| Aetna | PEBTF Custom Network | $4.04 |
| Multiplan | Auto | $4.29 |
| Multiplan | PPO (Includes PHCS as a Payer) | $4.29 |
| United Healthcare | Commercial | $4.67 |
| Aetna | Commercial | $4.75 |
| America's Choice | PPO | $4.95 |
| InterGroup | PPO | $4.95 |
| Multiplan | Worker's Compensation | $5.22 |
Inpatient
$0.60cash price (self-pay)
$5.50list price
$0.38–$29.21range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Work Partners | Workers Comp | $2.08 |
| Wirerope Works | Commercial | $3.06 |
| Aetna | PEBTF Custom Network | $4.04 |
| Multiplan | Auto | $4.29 |
| Multiplan | PPO (Includes PHCS as a Payer) | $4.29 |
| United Healthcare | Commercial | $4.67 |
| Aetna | Commercial | $4.75 |
| America's Choice | PPO | $4.95 |
| InterGroup | PPO | $4.95 |
| Multiplan | Worker's Compensation | $5.22 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.