Average Medicaid Prescription Medications Payments in Boston, MA: $61.29
Avg. Paid
$61.29
Range
$0.00 – $1,112
Total Claims
301,915
Providers
77
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 Boston, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Boston Medical Center Corporation
1 Boston Medical Ctr Pl |
$39.44 | 80,216 | 65,856 |
|
Children'S Hospital Corporation
300 Longwood Ave |
$61.82 | 48,414 | 42,963 |
|
Beth Israel Deaconess Medical Center, Inc.
330 Brookline Ave |
$30.30 | 40,588 | 33,139 |
|
Massachusetts Eye And Ear Infirmary
243 Charles St |
$101.01 | 23,811 | 20,073 |
|
The General Hospital Corporation
55 Fruit St |
$4.80 | 23,032 | 17,356 |
|
Dva Healthcare Of Massachusetts Inc
660 Harrison Ave |
$1.03 | 14,951 | 1,088 |
|
Tufts Medical Center, Inc.
800 Washington St |
$67.13 | 13,837 | 12,013 |
|
Brigham & Womens Hospital, Inc.
75 Francis St |
$2.99 | 11,037 | 9,409 |
|
Planned Parenthood League Of Massachusetts, Inc.
1055 Commonwealth Ave |
$46.59 | 9,483 | 9,412 |
|
Dana-Farber Cancer Institute, Inc.
450 Brookline Ave |
$80.40 | 8,700 | 5,224 |
|
Brigham And Women'S Faulkner Hospital, Inc
1153 Centre St |
$1.68 | 4,933 | 4,007 |
|
Omkar Ulhas Vaidya
50 Congress St Ste 642 |
$0.00 | 4,524 | 344 |
|
Steward St. Elizabeth'S Medical Center Of Boston, Inc.
736 Cambridge St |
$2.91 | 2,149 | 1,656 |
|
David Wilbur Chen
Mgh, Wang 835 |
$277.45 | 2,000 | 979 |
|
Fenway Community Health Center, Inc
1340 Boylston St |
$0.00 | 1,685 | 1,171 |
|
Torsten W Wiegand
50 Staniford St |
$1,112 | 1,523 | 1,362 |
|
Marianeli Rodriguez
243 Charles St |
$944.05 | 1,236 | 1,069 |
|
Elie Sader
725 Albany Street, Shapiro 5 & 6 |
$346.27 | 1,106 | 636 |
|
Hsinlin T Cheng
15 Parkman St |
$323.55 | 987 | 498 |
|
Adam Tristan Chin
50 Staniford St Ste 600 |
$1,112 | 634 | 539 |
|
The Shriners' Hospital For Children
51 Blossom St |
$13.33 | 587 | 492 |
|
Mark Ryan Jones
75 Francis St # Ca-034 |
$4.23 | 580 | 364 |
|
Michelle Liang
800 Washington St |
$438.73 | 522 | 468 |
|
Mark C Fisher
55 Fruit St |
$256.15 | 500 | 470 |
|
Abhishek Seth
300 Longwood Ave |
$32.42 | 448 | 431 |
|
Adam Scott Reynolds
15 Parkman St. |
$904.22 | 438 | 404 |
|
Melissa Anne Darsey
1153 Centre St |
$141.73 | 394 | 205 |
|
Carlos Miguel Alvarado
75 Francis St |
$5.52 | 367 | 366 |
|
Tina S Cleary
50 Staniford St |
$784.64 | 321 | 303 |
|
Chirag P Shah
50 Staniford St |
$799.03 | 226 | 224 |
|
Avnish Arvind Deobhakta
1 Deaconess Rd |
$420.13 | 219 | 201 |
|
Tahir Ahmed
330 Brookline Ave |
$0.28 | 210 | 192 |
|
Kimberly Huhmann
800 Washington St # 22 |
$52.96 | 207 | 199 |
|
Alix Vandeventer Quinn
1340 Boylston St |
$35.76 | 203 | 197 |
|
Margaret Kaitlin Sheehy
55 Fruit St |
$0.01 | 156 | 144 |
|
Dana-Farber Cancer Institute, Inc.
75 Francis St |
$1.69 | 139 | 91 |
|
Minna J Kohler
55 Fruit St |
$8.23 | 126 | 122 |
|
Robert C Spang
Massachusetts General Hospital |
$12.37 | 101 | 98 |
|
Nathan C Cardoos
915 Commonwealth Ave Rear |
$3.85 | 88 | 85 |
|
Susanne M Roberts
Massachusetts General Hospital |
$8.38 | 86 | 86 |
|
Didem Inanoglu
30 Warren St |
$352.58 | 83 | 50 |
|
Paul B Rizzoli
1153 Centre St |
$213.00 | 70 | 39 |
|
Corina A Vidal
243 Charles St |
$0.00 | 61 | 40 |
|
Cai Sherry Wen
330 Brookline Ave |
$1,062 | 57 | 56 |
|
Pablo R Weilg
1 Boston Medical Ctr Pl |
$12.65 | 55 | 54 |
|
Atrius Health, Inc.
133 Brookline Ave |
$3.23 | 53 | 52 |
|
Scott Adam Kaplan
133 Brookline Ave |
$780.87 | 52 | 26 |
|
Carolyn Marie Metivier
75 Francis St |
$153.47 | 47 | 24 |
|
David Young
75 Francis St |
$0.00 | 43 | 38 |
|
Mari J Bentley
850 Harrison Avenue |
$66.07 | 42 | 40 |
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 Boston, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Boston, MA is $61.29 per claim, based on 301,915 claims from 77 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 Boston, MA?
There are 77 Medicaid providers offering Prescription Medications related services in Boston, MA according to public payment data.
What is the price range for Prescription Medications in Boston, MA?
Medicaid reimbursement for Prescription Medications in Boston, MA ranges from $0.00 to $1,112 per claim, with an average of $61.29. 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 Boston, MA
Office Visit
Avg $84.37
5,683,879 claims
Blood Work & Lab Tests
Avg $10.29
4,390,978 claims
Emergency Room Visit
Avg $120.95
2,297,423 claims
X-Ray
Avg $10.07
2,027,847 claims
Dental Cleaning & Exam
Avg $34.73
1,751,075 claims
EKG / ECG (Electrocardiogram)
Avg $6.21
1,505,496 claims
Psychiatric Evaluation
Avg $73.99
945,332 claims
Vaccines & Immunizations
Avg $10.76
827,098 claims