Average Medicaid Prescription Medications Payments in Albany, NY: $72.19
Avg. Paid
$72.19
Range
$0.00 – $1,358
Total Claims
60,696
Providers
26
Typical Payment Range
Typical Medicaid Prescription Medications payments fall between $0.68 and $14.54 per claim (median: $2.87). The top 10% of payments exceed $78.92.
Based on per-provider averages across all Medicaid claims in this category.
Prescription drug costs and pharmacy services covered under Medicaid. Includes brand-name and generic medications across all therapeutic categories.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Prescription Medications in Albany, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Albany Medical Center Hospital
43 New Scotland Ave |
$1.68 | 28,128 | 25,738 |
|
St. Peter'S Hospital Of The City Of Albany
315 S Manning Blvd |
$0.08 | 14,515 | 12,773 |
|
Albany Medical Center Hospital
25 Hackett Blvd |
$0.01 | 8,244 | 8,127 |
|
St. Peter'S Hospital Of The City Of Albany
315 South Manning Blvd |
$0.00 | 2,275 | 1,984 |
|
David Karim Rabady
3 Atrium Dr |
$842.08 | 1,621 | 1,241 |
|
Upper Hudson Planned Parenthood Inc.
855 Central Ave. |
$11.12 | 1,570 | 1,564 |
|
David Henry Perlmutter
35 Hackett Blvd |
$1,358 | 1,175 | 917 |
|
Memorial Hospital, Albany, N.Y.
600 Northern Blvd |
$0.02 | 651 | 619 |
|
Charles Argoff
47 New Scotland Ave |
$1,078 | 471 | 429 |
|
Robert B Feldman
3 Atrium Dr Ste 100 |
$1,037 | 316 | 236 |
|
Center For Disability Services, Inc
314 S Manning Blvd |
$940.45 | 230 | 208 |
|
Kelly Alexandra Schoch
920 Lark Dr |
$35.87 | 215 | 215 |
|
Brianna Samson
47 New Scotland Ave |
$61.31 | 176 | 161 |
|
Ane Gardner Kline
391 Myrtle Ave Ste 4A |
$47.88 | 167 | 141 |
|
Sara Abigail Huss
47 New Scotland Ave |
$792.37 | 150 | 118 |
|
Thomas John Federici
223 Great Oaks Blvd |
$915.84 | 140 | 134 |
|
Jacqueline Aimee Dall
855 Central Avenue |
$47.39 | 121 | 94 |
|
Miles Byrd
43 New Scotland Ave |
$7.52 | 108 | 56 |
|
Canivory Pettiway
855 Central Ave |
$33.96 | 104 | 86 |
|
Julina K Evans
391 Myrtle Ave |
$19.41 | 79 | 30 |
|
Caitlin Danaher
855 Central Ave Uppr Hudson |
$52.19 | 69 | 66 |
|
Farrukh Aziz Ansari
121 Everett Rd |
$11.70 | 66 | 66 |
|
Adrianna Piccone
1971 Western Ave |
$0.77 | 56 | 56 |
|
Stanley F Penc
400 Patroon Creek Blvd |
$598.17 | 24 | 12 |
|
Orthopedicsny, Llp
121 Everett Road |
$1.15 | 13 | 13 |
|
Vivek Dutt
1367 Washington Ave Ste 200 |
$9.58 | 12 | 12 |
What to Expect: Prescription Medications
Medicaid covers most medically necessary prescription medications. Your copay is typically $0-3 for generic drugs and $0-5 for brand-name drugs. Some medications require prior authorization. Most prescriptions can be filled at any participating pharmacy. Mail-order pharmacy may be available for maintenance medications. 90-day supplies may be available for chronic conditions.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| J1100 | Dexamethasone sodium phos | $3.37 | 17,408,335 | 19,920 |
| J1270 | Injection, doxercalciferol | $16.67 | 15,455,545 | 1,785 |
| J0696 | Ceftriaxone sodium injection | $4.52 | 8,442,343 | 9,869 |
| J1170 | Hydromorphone injection | $3.20 | 6,069,586 | 3,002 |
| J1200 | Diphenhydramine hcl injectio | $3.10 | 5,922,771 | 3,790 |
| J0690 | Cefazolin sodium injection | $5.07 | 4,950,109 | 2,942 |
| J1050 | Medroxyprogesterone acetate | $38.04 | 2,722,661 | 5,740 |
| J0131 | Inj, acetaminophen (nos) | $15.79 | 2,017,135 | 1,612 |
| J1030 | Methylprednisolone 40 mg inj | $5.08 | 1,577,497 | 4,461 |
| J0882 | Darbepoetin alfa, esrd use | $63.10 | 1,115,197 | 646 |
| J1040 | Methylprednisolone 80 mg inj | $6.39 | 1,102,119 | 2,895 |
| J0585 | Injection,onabotulinumtoxina | $534.00 | 949,108 | 1,450 |
| J0702 | Betamethasone acet&sod phosp | $9.01 | 907,372 | 2,580 |
| J0780 | Prochlorperazine injection | $4.11 | 869,130 | 1,089 |
| J0178 | Aflibercept injection | $802.42 | 747,781 | 1,182 |
| J0171 | Adrenalin epinephrine inject | $5.61 | 533,091 | 956 |
| J0897 | Denosumab injection | $708.53 | 175,698 | 394 |
| J1071 | Inj testosterone cypionate | $3.01 | 121,666 | 206 |
| J0636 | Inj calcitriol per 0.1 mcg | $2.19 | 94,974 | 28 |
| J0885 | Epoetin alfa, non-esrd | $82.64 | 88,458 | 179 |
| J1020 | Methylprednisolone 20 mg inj | $3.48 | 88,065 | 344 |
| J0881 | Darbepoetin alfa, non-esrd | $149.52 | 63,199 | 108 |
| J0878 | Daptomycin injection | $167.80 | 55,762 | 36 |
| J1245 | Dipyridamole injection | $5.21 | 54,912 | 138 |
| J0592 | Buprenorphine hydrochloride | $15.56 | 48,440 | 32 |
| J0153 | Adenosine inj 1mg | $18.75 | 46,321 | 143 |
| J0670 | Inj mepivacaine hcl/10 ml | $0.91 | 37,668 | 90 |
| J0129 | Abatacept injection | $1,614 | 34,397 | 89 |
| J0735 | Clonidine hydrochloride | $6.85 | 32,191 | 92 |
| J0610 | Calcium glucon (fresenius) | $9.34 | 31,253 | 88 |
| J0135 | Adalimumab injection | $738.85 | 28,382 | 35 |
| J1094 | Inj dexamethasone acetate | $2.39 | 27,586 | 144 |
| J0717 | Certolizumab pegol inj 1mg | $2,072 | 22,279 | 41 |
| J0697 | Sterile cefuroxime injection | $0.94 | 18,132 | 47 |
| J0256 | Alpha 1 proteinase inhibitor | $2,389 | 16,156 | 1 |
| J1250 | Inj dobutamine hcl/250 mg | $6.92 | 14,579 | 60 |
| J0588 | Incobotulinumtoxin a | $295.98 | 10,950 | 18 |
| J1325 | Epoprostenol injection | $636.33 | 9,713 | 5 |
| J1240 | Dimenhydrinate injection | $0.02 | 8,738 | 12 |
| J1000 | Depo-estradiol cypionate inj | $11.84 | 1,738 | 11 |
| J1230 | Methadone injection | $4.00 | 1,439 | 2 |
| J1212 | Dimethyl sulfoxide 50% 50 ml | $175.32 | 1,145 | 5 |
| J1265 | Dopamine injection | $2.67 | 840 | 1 |
| J0132 | Acetylcysteine injection | $0.11 | 814 | 6 |
| J0834 | Inj., cosyntropin, 0.25 mg | $60.82 | 696 | 6 |
| J1120 | Acetazolamid sodium injectio | $8.30 | 446 | 4 |
| J0713 | Inj ceftazidime per 500 mg | $8.01 | 398 | 5 |
| J0698 | Cefotaxime sodium injection | $0.61 | 371 | 9 |
| J0775 | Collagenase, clost hist inj | $9,463 | 323 | 1 |
| J0207 | Amifostine | $23.74 | 42 | — |
| J0120 | Tetracyclin injection | — | — | — |
| J0133 | Acyclovir injection | — | — | — |
| J0202 | Injection, alemtuzumab | — | — | — |
| J0795 | Corticorelin ovine triflutal | — | — | — |
| J1160 | Digoxin injection | — | — | — |
| J1205 | Chlorothiazide sodium inj | — | — | — |
| J1260 | Dolasetron mesylate | — | — | — |
| J1290 | Ecallantide injection | — | — | — |
| J1300 | Eculizumab injection | — | — | — |
| J1301 | Injection, edaravone, 1 mg | — | — | — |
| J1303 | Inj., ravulizumab-cwvz 10 mg | — | — | — |
| J1305 | Inj, evinacumab-dgnb, 5mg | — | — | — |
| J1320 | Amitriptyline injection | — | — | — |
| J1322 | Elosulfase alfa, injection | — | — | — |
| J1327 | Eptifibatide injection | — | — | — |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Prescription Medications cost in Albany, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Albany, NY is $72.19 per claim, based on 60,696 claims from 26 providers. Typical payments fall between $0.68 and $14.54. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Prescription Medications in Albany, NY?
There are 26 Medicaid providers offering Prescription Medications related services in Albany, NY according to public payment data.
What is the price range for Prescription Medications in Albany, NY?
Medicaid reimbursement for Prescription Medications in Albany, NY ranges from $0.00 to $1,358 per claim, with an average of $72.19. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Prescription Medications in Other Cities
Phoenix, AZ
Avg $16.15
844,810 claims · 235 providers
Milwaukee, WI
Avg $9.22
755,550 claims · 88 providers
Washington, DC
Avg $6.48
675,765 claims · 92 providers
Los Angeles, CA
Avg $61.23
617,979 claims · 282 providers
Louisville, KY
Avg $31.67
601,676 claims · 181 providers
New York, NY
Avg $40.26
587,024 claims · 195 providers
San Diego, CA
Avg $27.34
493,429 claims · 162 providers
Tucson, AZ
Avg $24.34
489,015 claims · 169 providers
Other Procedures in Albany, NY
Home Health Visit
Avg $164.04
1,910,190 claims
Office Visit
Avg $75.72
1,010,207 claims
Blood Work & Lab Tests
Avg $10.26
759,592 claims
Emergency Room Visit
Avg $100.90
490,144 claims
Substance Abuse Treatment
Avg $113.47
475,654 claims
Psychiatric Evaluation
Avg $113.81
474,025 claims
EKG / ECG (Electrocardiogram)
Avg $6.06
268,376 claims
Physical Therapy
Avg $51.40
215,450 claims