Ketorolac injection, 15 mg at WellSpan Waynesboro Hospital. CPT J1885.
What WellSpan Waynesboro 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
$0.23–$26.25range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue_Cross | Capital_Cares_4_kids | $0.23 |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $0.30 |
| Health_Partners_Medicaid | Kidz_Partners | $0.30 |
| Highmark | All_Other_Plans | $0.30 |
| Highmark_Medicare | All_Plans | $0.30 |
| Jefferson_Health_Medicare_Advantage | All_Plans | $0.30 |
| PA_Health_&_Wellness_Medicare | All_Plans | $0.30 |
| United_Medicaid | Community_Plan_For_Kids | $0.30 |
| Aetna_Advantra_Medicare | All_Plans | $0.31 |
| Aetna_Medicare | All_Plans | $0.31 |
| Amerihealth_Medicare | All_Plans | $0.32 |
| Devoted_Medicare | All_Plans | $0.32 |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $0.32 |
| United_Medicare | ISNP_DSNP_Plans | $0.32 |
| Blue_Cross | All_Other_Plans | $0.33 |
| WellSpan_Capital_Blue_Cross | All_Plans | $0.36 |
| Geisinger_Gold_Medicare | All_Plans | $0.38 |
| Highmark | Higmark_Healthy_Kids | $0.46 |
| Aetna | All_Plans | $0.92 |
| Highmark | My_Direct_Blue | $1.01 |
| Highmark | Shared_Cost_Blue_PPO | $1.01 |
| Aetna_Better_Health_Kids | All_Plans | $1.02 |
| United_Healthcare | All_Plans | $1.12 |
| Highmark | Choice_Blue_PPO | $1.15 |
| Highmark | Performance_Blue | $1.15 |
| Highmark | Blue_Cross_High_Performance_Network | $1.15 |
| Cigna | All_Plans | $1.75 |
| Cigna | PPO_Plan | $1.84 |
| UPMC | UPMC_For_Kids | $8.25 |
| Geisinger | All_Plans | $10.18 |
Inpatient
$21.20cash price (self-pay)
$26.50list price
$15.90–$25.18range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC | UPMC_For_Kids | $15.90 |
| Cigna | All_Plans | $19.42 |
| Aetna | All_Plans | $19.56 |
| Geisinger | All_Plans | $19.61 |
| Cigna | PPO_Plan | $20.39 |
| First_Health_Network | All_Plans | $25.18 |
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