Ketorolac injection, 15 mg at WellSpan Chambersburg Hospital. CPT J1885.
What WellSpan Chambersburg Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$21.20cash price (self-pay)
$26.50list price
$0.30–$8.08range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United_Medicaid | Community_Plan_For_Kids | $0.30 |
| Devoted_Medicare | All_Plans | $0.32 |
| United_Medicare | ISNP_DSNP_Plans | $0.32 |
| Blue_Cross | Capital_Blue_Performance_PPO | $0.33 |
| WellSpan_Capital_Blue_Cross | All_Plans | $0.36 |
| UPMC_Medicaid | All_Plans | $0.36 |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $0.39 |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $0.39 |
| Aetna | All_Plans | $0.92 |
| Aetna | PPO_Plan | $0.92 |
| United_Healthcare | All_Plans | $1.12 |
| Cigna | All_Plans | $1.75 |
| Cigna | PPO_Plan | $1.84 |
| UPMC | UPMC_For_Kids | $5.10 |
| Geisinger | All_Plans | $6.29 |
| First_Health_Network | All_Plans | $8.08 |
Inpatient
$21.20cash price (self-pay)
$26.50list price
$17.78–$25.18range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | All_Plans | $17.78 |
| Geisinger | All_Plans | $19.61 |
| Cigna | All_Plans | $19.74 |
| Aetna | PPO_Plan | $20.17 |
| Cigna | PPO_Plan | $20.73 |
| UPMC | UPMC_For_Kids | $22.53 |
| First_Health_Network | All_Plans | $25.18 |
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