Average Medicaid Prescription Medications Payments in Baltimore, MD: $34.38
Avg. Paid
$34.38
Range
$0.00 โ $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 โ 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 |
|---|---|---|---|
|
William Bruce Watson
201 E University Pkwy |
$2.78 | 12 | 12 |
|
Jonathan Day Oakes
7141 Security Blvd |
$85.50 | 12 | 12 |
|
Barbara Barrie Bostick
22 S Greene St |
$0.00 | 13 | 12 |
|
Ira Gubernick
1050 S North Pt Rd |
$5.91 | 13 | 13 |
|
Todd Ruth
4660 Wilkens Ave Ste 302 |
$2.38 | 13 | 12 |
|
Anthony James Busti
1830 E Monument St # 6-100 |
$9.02 | 14 | 14 |
|
Chinwenwa Uchechukwu Okeagu
600 N Wolfe St |
$2,148 | 14 | 13 |
|
David Thanh Duc Dao
9114 Philadelphia Rd Ste 310 |
$1,590 | 14 | 13 |
|
Dionne Davidia Oliver
6080 Falls Rd Ste 204 |
$0.50 | 15 | 15 |
|
Philip Stalcup
22 S Greene St |
$4.00 | 15 | 12 |
|
Daniel J. Salzberg
22 S Greene St |
$0.00 | 15 | 14 |
|
Michael Weldon Diana
The Johns Hopkins Hospital Department Of |
$0.00 | 15 | 12 |
|
Nishant Shah
330 N Howard St |
$21.38 | 16 | 13 |
|
Sarah Proett
900 S Caton Ave |
$0.07 | 17 | 12 |
|
Motunrayo Dipeolu
3120 Erdman Ave |
$0.00 | 17 | 15 |
|
Sinai Hospital Of Baltimore Inc
2435 W Belvedere Ave |
$12.12 | 24 | 24 |
|
Maryland Family Care, Inc.
301 Saint Paul Pl |
$0.00 | 25 | 24 |
|
Christian Theodosis
110 S Paca St |
$4.16 | 26 | 24 |
|
Raegan Mcdonald-Mosley
600 N Wolfe St |
$70.89 | 29 | 27 |
|
Carissa Guishard-Gibson
3120 Erdman Ave |
$0.00 | 29 | 26 |
|
Pain Doctors
4300 Belair Rd |
$0.00 | 29 | 19 |
|
Nathan Mckoy
401 E Eager St |
$0.19 | 29 | 26 |
|
Melanie Josephine Bukhari
1000 E Eager St |
$91.32 | 30 | 26 |
|
Brian James Belgin
827 Linden Avenue |
$13.11 | 32 | 26 |
|
Stacey Leigh Rubin
4940 Eastern Ave |
$70.07 | 34 | 31 |
|
Amy L Leitzel
900 Caton Avenue |
$0.00 | 36 | 28 |
|
Kennedy Krieger Children'S Hospital, Inc.
707 N Broadway |
$1,327 | 41 | 39 |
|
Medstar Medical Group Ii Llc
5601 Loch Raven Blvd |
$0.69 | 44 | 32 |
|
Sidney Ariel Schechet
9114 Philadelphia Rd Ste 310 |
$1,386 | 48 | 39 |
|
Baltimore Medical System Inc
3700 Fleet St Ste 200 |
$4.22 | 49 | 40 |
|
David L Gold
1050 S North Point Rd |
$11.85 | 54 | 52 |
|
Diane Lynn Mcdonald
650 W Lombard St |
$0.00 | 54 | 54 |
|
Kara Moss-Murray
1501 S Clinton St |
$0.00 | 55 | 55 |
|
Patient First Maryland Medical Group Pllc
8830 Belair Rd |
$8.45 | 55 | 52 |
|
Trishena R Jones
201 E University Pkwy |
$0.13 | 55 | 42 |
|
Mei Tang
6569 N Charles St Ste 201 |
$1.31 | 57 | 24 |
|
Ayana Jordan
330 N Howard St |
$78.38 | 60 | 55 |
|
Kyung Seo
9105 Franklin Square Dr Ste 214 |
$0.00 | 61 | 51 |
|
Laura Lynn Galloway
330 N Howard St |
$72.61 | 62 | 61 |
|
Behnam Jafarpour
3421 Benson Ave |
$11.25 | 67 | 53 |
|
The Johns Hopkins Hospital
5901 Holabird Ave |
$1,381 | 70 | 69 |
|
Michael Joel Elman
9114 Philadelphia Road |
$1,014 | 71 | 38 |
|
Timothy Daniel Polk
6115 Falls Rd |
$1,820 | 75 | 68 |
|
Ming Hsien Wang
200 N Wolfe St |
$7.87 | 76 | 75 |
|
David Ahron Cohen
1050 South North Point Rd |
$12.06 | 80 | 77 |
|
Anil Kumar Nadipelli
900 Caton Ave |
$0.00 | 80 | 66 |
|
Krista Marie Colopinto
1800 Orleans St |
$0.00 | 92 | 90 |
|
Zaki Abou Zahr
5601Loch Raven Blvd |
$0.73 | 97 | 94 |
|
Dva Healthcare Of Maryland Llc
1 Nashua Ct |
$0.00 | 97 | 12 |
|
Ifeanyi Oduah
1111 N Charles St |
$0.09 | 98 | 88 |
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 | โ |
| J0120 | Tetracyclin injection | โ | โ | โ |
| J0133 | Acyclovir injection | โ | โ | โ |
| J0202 | Injection, alemtuzumab | โ | โ | โ |
| J0795 | Corticorelin ovine triflutal | โ | โ | โ |
| J1160 | Digoxin injection | โ | โ | โ |
| J1205 | Chlorothiazide sodium inj | โ | โ | โ |
| J1260 | Dolasetron mesylate | โ | โ | โ |
| J1290 | Ecallantide injection | โ | โ | โ |
| J1300 | Eculizumab injection | โ | โ | โ |
| J1301 | Injection, edaravone, 1 mg | โ | โ | โ |
| J1303 | Inj., ravulizumab-cwvz 10 mg | โ | โ | โ |
| J1305 | Inj, evinacumab-dgnb, 5mg | โ | โ | โ |
| J1320 | Amitriptyline injection | โ | โ | โ |
| J1322 | Elosulfase alfa, injection | โ | โ | โ |
| J1327 | Eptifibatide injection | โ | โ | โ |
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 ยท 235 providers
Milwaukee, WI
Avg $9.22
755,550 claims ยท 88 providers
Washington, DC
Avg $6.48
675,765 claims ยท 92 providers
Los Angeles, CA
Avg $61.23
617,979 claims ยท 282 providers
Louisville, KY
Avg $31.67
601,676 claims ยท 181 providers
New York, NY
Avg $40.26
587,024 claims ยท 195 providers
San Diego, CA
Avg $27.34
493,429 claims ยท 162 providers
Tucson, AZ
Avg $24.34
489,015 claims ยท 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