Average Medicaid Prescription Medications Payments in Baltimore, MD: $34.38
Avg. Paid
$34.38
Range
$0.00 – $2,148
Total Claims
174,778
Providers
133
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 Baltimore, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Total Renal Care Inc
821 N Eutaw St |
$1.25 | 15,173 | 1,412 |
|
Renal Treatment Centers - Mid-Atlantic, Inc.
5601 Loch Raven Blvd |
$1.10 | 14,161 | 1,309 |
|
Dva Healthcare Renal Care Inc
225 N Calvert St |
$2.35 | 9,663 | 919 |
|
Grace Medical Center, Inc.
2000 W Baltimore St Fl 2Ndd |
$0.86 | 8,939 | 1,106 |
|
Dva Healthcare Of Maryland Llc
920 E 25Th St |
$0.46 | 8,772 | 802 |
|
The Johns Hopkins Hospital
600 N Wolfe St |
$4.60 | 8,405 | 6,126 |
|
Renal Treatment Centers Mid Atlantic Inc.
201 E University Pkwy |
$1.20 | 8,001 | 768 |
|
Total Renal Care Inc
4701 Mount Hope Dr |
$1.11 | 7,772 | 729 |
|
Baltimore County Dialysis, Llc
407 N Caroline St Ste 100 |
$0.23 | 7,525 | 779 |
|
Dva Healthcare Renal Care, Inc.
111 Cherry Hill Rd |
$1.04 | 6,412 | 583 |
|
Renal Treatment Centers Mid Atlantic Inc.
4800 Seton Dr |
$0.18 | 5,629 | 503 |
|
Total Renal Care Inc
5800 Harford Rd |
$2.90 | 5,301 | 473 |
|
Independent Dialysis Foundation, Inc
840 Hollins St |
$1.21 | 5,017 | 568 |
|
Total Renal Care Inc
5820 York Rd |
$1.07 | 3,857 | 376 |
|
Baltimore County Dialysis, Llc
3700 Fleet St |
$0.37 | 3,735 | 393 |
|
Parkside Dialysis Llc
6609 Reisterstown Rd |
$1.03 | 3,640 | 345 |
|
Gary R Briefel
4940 Eastern Ave |
$80.59 | 3,473 | 523 |
|
University Of Maryland Medical Center, Llc
22 S Greene Street |
$0.22 | 2,737 | 1,687 |
|
Patient First Maryland Medical Group Pllc
5100 Eastern Avenue |
$27.43 | 2,556 | 2,243 |
|
Maneesh C Sharma
2700 Lighthouse Pt E |
$0.51 | 2,499 | 1,621 |
|
Johns Hopkins Pharmaquip Inc
5901 Holabird Avenue |
$1,238 | 1,805 | 1,341 |
|
Bio-Medical Applications Of Maryland, Inc.
2801 Greenmount Ave |
$0.62 | 1,725 | 208 |
|
Johns Hopkins Bayview Medical Center Inc
4940 Eastern Ave |
$0.94 | 1,685 | 1,227 |
|
Dva Healthcare Renal Care Inc
5401 Baltimore National Pike |
$3.00 | 1,678 | 156 |
|
Johns Hopkins University
600 North Wolfe Street |
$0.30 | 1,408 | 1,183 |
|
Courtland Dialysis Clinic, Llc
7920 Scotts Level Rd |
$26.35 | 1,380 | 465 |
|
Bio-Medical Applications Of Maryland, Inc
5009 Frankford Ave |
$0.35 | 1,376 | 140 |
|
Baltimore County Dialysis, Llc
1900 N Broadway |
$0.67 | 1,327 | 155 |
|
Dva Healthcare Renal Care Inc
1581 Sulphur Spring Rd |
$0.41 | 1,314 | 124 |
|
Coldspring Dialysis Clinic Llc
4700 Harford Rd |
$66.36 | 1,308 | 439 |
|
Nicole Marie-Garcia Devlin
330 N Howard St |
$66.07 | 1,286 | 1,216 |
|
Sinai Hospital Of Baltimore, Inc.
2401 W Belvedere Ave |
$1.27 | 1,249 | 888 |
|
Mary Kerner
1000 E Eager St |
$0.23 | 1,180 | 1,043 |
|
Franklin Square Hospital Center, Inc
9000 Franklin Square Dr |
$0.00 | 1,053 | 731 |
|
Jewel Lyne Edmonds
330 N Howard St |
$68.19 | 1,016 | 941 |
|
Avi Lovette
2406 Bytham Ct |
$68.50 | 960 | 898 |
|
Toni Dominique Mcdowell
630 S Exeter St |
$28.66 | 864 | 815 |
|
Noam Rudnick
600 N Wolfe Street |
$474.94 | 837 | 408 |
|
Kavita B Kalra
711 W 40Th St Ste 427 |
$0.84 | 819 | 554 |
|
Charing Cross Dialysis Llc
5730 Executive Dr |
$0.74 | 780 | 90 |
|
Symone Stephens
1 E 31St St # N200 |
$9.33 | 751 | 649 |
|
Elman Retina Group Pa
9114 Philadelphia Rd Ste 310 |
$39.23 | 714 | 420 |
|
Santiago Mazuera Mejia
5951 Greenspring Avenue |
$934.09 | 665 | 610 |
|
Dca Of West Baltimore Llc
22 S Athol Ave |
$87.38 | 636 | 227 |
|
Mercy Medical Center Inc
301 Saint Paul Pl |
$0.07 | 620 | 500 |
|
Interventional Pain Institute, Llc
2700 Lighthouse Pt E |
$4.34 | 594 | 397 |
|
Planned Parenthood Of Maryland, Inc.
330 N Howard St |
$35.03 | 570 | 523 |
|
Mid-Atlantic Nephrology Associates Pa
1589 Sulphur Spring Rd |
$10.89 | 561 | 437 |
|
Dca Of North Baltimore Llc
2700 N Charles St |
$94.05 | 551 | 190 |
|
Leonard John Giuffreda
900 S Caton Ave |
$5.59 | 546 | 471 |
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 Baltimore, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Baltimore, MD is $34.38 per claim, based on 174,778 claims from 133 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 Baltimore, MD?
There are 133 Medicaid providers offering Prescription Medications related services in Baltimore, MD according to public payment data.
What is the price range for Prescription Medications in Baltimore, MD?
Medicaid reimbursement for Prescription Medications in Baltimore, MD ranges from $0.00 to $2,148 per claim, with an average of $34.38. 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 Baltimore, MD
Substance Abuse Treatment
Avg $107.97
7,464,932 claims
Office Visit
Avg $85.10
6,638,810 claims
Psychiatric Evaluation
Avg $100.67
6,065,385 claims
Blood Work & Lab Tests
Avg $9.87
4,046,251 claims
Emergency Room Visit
Avg $96.82
1,908,492 claims
Dental Cleaning & Exam
Avg $39.08
1,772,038 claims
X-Ray
Avg $6.77
1,399,097 claims
EKG / ECG (Electrocardiogram)
Avg $6.98
1,098,202 claims