Ketorolac injection, 15 mg at UPMC Western Psychiatric. CPT J1885.
What UPMC Western Psychiatric publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$127cash price (self-pay)
$211list price
$0.30–$179range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Geisinger | CHIP | $0.30 |
| Highmark Wholecare (prev Gateway) | Medicare | $0.31 |
| Aetna | Medicare | $0.32 |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage/Security Blue Me | $15.15 |
| Aetna | Narrow Network | $62.67 |
| Aetna | Fully Insured | $69.63 |
| Aetna | Commercial | $73.85 |
| Cigna Behavioral Health | Commercial | $127 |
| Fidelis | Medicare | $158 |
| Health Payors Organization | Commercial | $179 |
Inpatient
$127cash price (self-pay)
$211list price
$127–$179range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna Behavioral Health | Commercial | $127 |
| Fidelis | Medicare | $158 |
| Health Payors Organization | Commercial | $179 |
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