Ketorolac injection, 15 mg at Mon Health Preston Memorial Hospital. CPT J1885.
What Mon Health Preston Memorial Hospital publishes for this service, straight from its standard-charges file, last updated May 21, 2026.
Outpatient / ER
$6.00cash price (self-pay)
$12.00list price
$0.52–$11.64range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Advantra | Medicare | $7.20 |
| Aetna | Medicare | $7.20 |
| Blue_cross_highmark_medicare | Medicare | $7.20 |
| Health_plan_medicare | Medicare | $7.20 |
| Humana | Medicare | $7.20 |
| Uhc_va | Medicare | $7.20 |
| Upmc | Medicare | $7.56 |
| Health_plan_medicaid | Medicaid | $7.80 |
| Caresource_medicaid | Medicaid | $7.96 |
| Blue_cross_highmark_medicaid | Medicaid | $8.19 |
| Blue_cross_highmark_aca | Commercial | $8.73 |
| Blue_cross_highmark_pos | Commercial | $9.69 |
| Blue_cross_highmark_ppo | Commercial | $9.69 |
| Caresource_medicare | Medicare | $9.72 |
| Blue_cross_highmark_traditional | Commercial | $10.63 |
| AETNA_AUTO | commercial | $10.80 |
| Aetna_medical_rental | Commercial | $10.80 |
| UHC | Commercial | $10.80 |
| Cigna | Commercial | $11.04 |
| Geha | Commercial | $11.40 |
| 4_MOST | Commercial | $11.64 |
| Health | Commercial | $11.64 |
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