Average Medicaid Prescription Medications Payments in Buffalo, NY: $6.89
Avg. Paid
$6.89
Range
$0.00 – $95.27
Total Claims
105,786
Providers
42
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 Buffalo, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kaleida Health
818 Ellicott St |
$6.74 | 20,116 | 19,648 |
|
Sisters Of Charity Hospital Of Buffalo New York
2157 Main St |
$0.21 | 17,981 | 15,608 |
|
Erie County Medical Center Corporation
462 Grider St |
$0.09 | 17,145 | 13,468 |
|
Mercy Hospital Of Buffalo
565 Abbott Rd |
$2.35 | 15,461 | 13,359 |
|
Roswell Park Cancer Institute
Elm And Carlton St |
$2.08 | 7,874 | 5,685 |
|
Kaleida Health
100 High St |
$0.41 | 7,676 | 6,802 |
|
Kaleida Health
100 High St |
$0.07 | 6,372 | 6,081 |
|
Emily Danielle Steenberg
34 Benwood Ave |
$38.65 | 1,968 | 1,052 |
|
Matthew Rubacha
700 Michigan Ave |
$0.22 | 1,557 | 1,285 |
|
Jennifer Lynn Radich Mccann
Elm And Carlton St Ste 100 |
$51.43 | 1,543 | 1,020 |
|
Amanda Harding
2697 Main St |
$59.19 | 1,283 | 1,175 |
|
Karen Kieliszek
155 Lawn Ave |
$63.30 | 1,256 | 981 |
|
John Marshall Tyo
219 Bryant Street |
$6.10 | 875 | 815 |
|
Lauren A Wolf
155 Lawn Ave |
$55.56 | 730 | 573 |
|
Melissa Ann Anstey
184 Barton St |
$57.05 | 551 | 550 |
|
Cindy M Herberger
2697 Main St |
$60.76 | 549 | 508 |
|
Anne Marie Davis
155 Lawn Ave |
$57.32 | 310 | 228 |
|
Melinda L Loefke
155 Lawn Ave |
$53.37 | 264 | 150 |
|
Adrienne Joy Woike
1020 Youngs Rd |
$59.72 | 261 | 244 |
|
Meghan Stevenson
155 Lawn Ave |
$55.66 | 203 | 190 |
|
Megan Kuntz-Kulczyk
155 Lawn Ave |
$62.82 | 196 | 196 |
|
Alexandre Roth Picard
219 Bryant St |
$0.00 | 194 | 177 |
|
Iqbal Abdus Samad
2148 Main St |
$5.15 | 152 | 147 |
|
Azima Rasiwala
2157 Main St |
$0.05 | 146 | 123 |
|
Louis Pawlowski
1595 Bailey Ave |
$2.28 | 145 | 136 |
|
Claudia J Emerson
34 Benwood Ave |
$59.99 | 144 | 132 |
|
Elizabeth Denise Ditonto, Md
462 Grider St |
$0.57 | 139 | 136 |
|
Stephanie Santoro
155 Lawn Ave Rm 310 |
$54.56 | 137 | 109 |
|
Suketu Patel
1100 Main St |
$0.00 | 98 | 98 |
|
Maria Elizabeth Lagopoulos
155 Lawn Ave Ste 100 |
$72.47 | 76 | 73 |
|
Kimberly A Steck
2697 Main St |
$55.67 | 56 | 50 |
|
Laura Elizabeth Poplewski
155 Lawn Ave |
$72.67 | 50 | 50 |
|
Camille Gutierrez
155 Lawn Ave |
$70.41 | 50 | 50 |
|
Gil I Wolfe
1010 Main St |
$0.55 | 44 | 38 |
|
Clare Hall
2157 Main St |
$95.27 | 38 | 38 |
|
Shelby Stryker
100 High St |
$0.00 | 32 | 26 |
|
Jordan Kross
6 Fountain Plz |
$9.72 | 27 | 25 |
|
Harpreet Dhiman
100 High St |
$1.93 | 26 | 26 |
|
Fatai Adesina Gbadamosi
206 S Elmwood Ave |
$6.74 | 25 | 24 |
|
Melissa Burgio
1001 Main Street |
$84.76 | 12 | 12 |
|
Spencer L Nielson
955 Main St Ste 7230 |
$0.00 | 12 | 12 |
|
Heidi Ann Nowak
184 Barton St |
$37.80 | 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 Buffalo, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Buffalo, NY is $6.89 per claim, based on 105,786 claims from 42 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 Buffalo, NY?
There are 42 Medicaid providers offering Prescription Medications related services in Buffalo, NY according to public payment data.
What is the price range for Prescription Medications in Buffalo, NY?
Medicaid reimbursement for Prescription Medications in Buffalo, NY ranges from $0.00 to $95.27 per claim, with an average of $6.89. 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 Buffalo, NY
Home Health Visit
Avg $138.93
2,641,639 claims
Office Visit
Avg $60.22
2,438,221 claims
Blood Work & Lab Tests
Avg $8.36
2,385,372 claims
Substance Abuse Treatment
Avg $44.27
1,684,325 claims
Emergency Room Visit
Avg $120.86
1,082,052 claims
Dental Cleaning & Exam
Avg $30.59
790,427 claims
Case Management Services
Avg $250.24
760,219 claims
Psychiatric Evaluation
Avg $135.39
730,584 claims