Ketorolac injection, 15 mg at WellSpan York Hospital. CPT J1885.
What WellSpan York Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$3.20cash price (self-pay)
$24.25list price
$0.30–$38.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerihealth_Caritas_Medicaid | All_Plans | $0.30 |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $0.30 |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $0.30 |
| Geisinger_Medicaid | All_Plans | $0.30 |
| Health_Partners_Medicaid | All_Other_Plans | $0.30 |
| Highmark_Medicare | All_Plans | $0.30 |
| Johns_Hopkins_HealthCare_Plan | Johns_Hopkins_US_Family_Health | $0.30 |
| Aetna_Advantra_Medicare | All_Plans | $0.31 |
| Aetna_Medicare | All_Plans | $0.31 |
| Aetna_Better_Health_Kids | All_Plans | $0.32 |
| Amerihealth_Medicare | All_Plans | $0.32 |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $0.32 |
| Geisinger_Gold_Medicare | All_Plans | $0.32 |
| Jefferson_Health_Medicare_Advantage | All_Plans | $0.32 |
| PA_Health_&_Wellness_Medicare | All_Plans | $0.32 |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $0.32 |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $0.32 |
| Health_Partners_Medicaid | Kidz_Partners | $0.33 |
| WellSpan_Capital_Blue_Cross | All_Plans | $0.36 |
| UPMC_Medicaid | All_Plans | $0.36 |
| Highmark | Higmark_Healthy_Kids | $0.45 |
| United_Medicaid | Community_Plan_For_Kids | $0.53 |
| Aetna | All_Plans | $0.92 |
| First_Health_Network | All_Plans | $0.92 |
| Highmark | My_Direct_Blue | $1.11 |
| Highmark | My_Priority_Blue_Flex | $1.11 |
| United_Healthcare | All_Plans | $1.12 |
| Highmark | Choice_Blue_PPO | $1.48 |
| Highmark | Performance_Blue | $1.48 |
| Highmark | Blue_Cross_High_Performance_Network | $1.48 |
Inpatient
$3.20cash price (self-pay)
$24.25list price
$2.28–$39.90range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue_Cross | Capital_Blue_Performance_PPO | $13.48 |
| Blue_Cross | Capital_Cares_4_kids | $13.81 |
| Blue_Cross | All_Other_Plans | $19.73 |
| Aetna | All_Plans | $21.02 |
| First_Health_Network | All_Plans | $21.02 |
| Cigna | All_Plans | $21.65 |
| PHC | All_Plans | $21.82 |
| WellSpan_Capital_Blue_Cross | All_Plans | $22.31 |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $23.04 |
| UPMC | UPMC_For_Kids | $23.04 |
| UPMC | Employees_And_Dependents | $23.04 |
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