Ketorolac injection, 15 mg at WellSpan Gettysburg Hospital. CPT J1885.
What WellSpan Gettysburg Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$26.60cash price (self-pay)
$37.62list price
$0.30–$34.44range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| WellSpan_Capital_Blue_Cross | All_Plans | $0.36 |
| Amerihealth_Caritas_Medicaid | All_Plans | $0.45 |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $0.45 |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $0.45 |
| Geisinger_Medicaid | All_Plans | $0.45 |
| Health_Partners_Medicaid | All_Other_Plans | $0.45 |
| Johns_Hopkins_HealthCare_Plan | Johns_Hopkins_US_Family_Health | $0.45 |
| Highmark_Medicare | All_Plans | $0.46 |
| Aetna_Advantra_Medicare | All_Plans | $0.47 |
| Aetna_Medicare | All_Plans | $0.47 |
| Aetna_Better_Health_Kids | All_Plans | $0.48 |
| Amerihealth_Medicare | All_Plans | $0.48 |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $0.48 |
| Geisinger_Gold_Medicare | All_Plans | $0.48 |
| Jefferson_Health_Medicare_Advantage | All_Plans | $0.49 |
| PA_Health_&_Wellness_Medicare | All_Plans | $0.49 |
| Health_Partners_Medicaid | Kidz_Partners | $0.50 |
| UPMC_Medicaid | All_Plans | $0.54 |
| UPMC_for_Life_Community_HealthChoices | UPMC_for_Life_Complete_Care | $0.55 |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $0.55 |
| Highmark | Higmark_Healthy_Kids | $0.69 |
| United_Medicaid | Community_Plan_For_Kids | $0.80 |
| Aetna | All_Plans | $1.38 |
| First_Health_Network | All_Plans | $1.38 |
| Highmark | My_Direct_Blue | $1.60 |
| Highmark | My_Priority_Blue_Flex | $1.60 |
| United_Healthcare | All_Plans | $1.68 |
| Highmark | Choice_Blue_PPO | $2.12 |
| Highmark | Performance_Blue | $2.12 |
| Highmark | Blue_Cross_High_Performance_Network | $2.12 |
Inpatient
$26.60cash price (self-pay)
$37.62list price
$18.66–$39.90range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue_Cross | Capital_Cares_4_kids | $21.12 |
| Blue_Cross | Capital_Blue_Performance_PPO | $21.12 |
| PHC | All_Plans | $30.10 |
| UPMC | Employees_And_Dependents | $30.10 |
| UPMC | UPMC_For_Kids | $30.10 |
| Blue_Cross | All_Other_Plans | $30.17 |
| Cigna | All_Plans | $33.84 |
| Aetna | All_Plans | $34.01 |
| First_Health_Network | All_Plans | $34.39 |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $34.99 |
| Geisinger | All_Plans | $35.74 |
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