Average Medicaid Prescription Medications Payments in Cedar Rapids, IA: $91.53
Avg. Paid
$91.53
Range
$0.00 – $790.74
Total Claims
12,246
Providers
35
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 Cedar Rapids, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Eastern Iowa Health Center
1201 3Rd Ave Se |
$0.36 | 3,936 | 3,562 |
|
Eastern Iowa Health Center
1201 3Rd Ave Se |
$0.38 | 1,833 | 1,704 |
|
Fadi Yacoub
543 7Th St Se |
$0.01 | 1,647 | 135 |
|
Nicholas R Appleby
1026 A Ave Ne |
$790.74 | 1,200 | 959 |
|
Michelle Ann Donohue
788 8Th Ave Se |
$8.00 | 778 | 719 |
|
Amy Crystal Freeman
4205 Glass Rd Ne |
$7.34 | 420 | 388 |
|
Amber Dawn Hartman
153 Collins Rd Ne |
$1.61 | 356 | 351 |
|
Christin L Aucutt
1855 1St Ave Se Ste 201 |
$0.00 | 299 | 283 |
|
Rachel Ann Blackford
1630 42Nd St Ne Ste F |
$1.58 | 282 | 278 |
|
Abha Saxena
115 8Th St Ne |
$0.36 | 244 | 25 |
|
Megan Elizabeth Gilmere
701 10Th St Se |
$9.00 | 161 | 150 |
|
Stanley John Mathew
855 A Ave Ne Ste 105 |
$533.26 | 138 | 115 |
|
Alysha Reese
855 A Ave Ne Ste 120 |
$25.93 | 100 | 93 |
|
Julie Rae Baburek
153 Collins Rd Ne |
$1.67 | 96 | 93 |
|
Steven Andrew Brown
202 10Th St Se |
$0.00 | 78 | 78 |
|
Shereen Juhsun Chang
202 10Th Street Se |
$251.31 | 73 | 67 |
|
Rachel Janet Taves
1940 1St Ave Ne |
$657.97 | 70 | 54 |
|
Meiying Kuo
202 10Th Street Se |
$4.55 | 64 | 59 |
|
Alexis A Becker
701 10Th St Se |
$8.05 | 59 | 56 |
|
Ryan K Sundermann
1026 A Ave Ne |
$0.20 | 58 | 55 |
|
Angelique A Andrews
1225 3Rd Ave Se |
$0.00 | 42 | 39 |
|
Tamara J Meier
701 10Th St Se |
$0.93 | 41 | 37 |
|
Joshua Eastvold
701 10Th St Se |
$0.00 | 33 | 26 |
|
Andrew George Nowell
202 10Th Street Se |
$6.29 | 33 | 26 |
|
Megan Marie Raddatz
202 10Th Street Se |
$211.10 | 33 | 24 |
|
Marlee G Hansen
855 A Ave Ne Ste Ll1 |
$0.91 | 27 | 24 |
|
Melanie Lucille Giesler-Spellman
202 10Th St Se |
$4.63 | 26 | 24 |
|
Christina M Osborn
3425 1St Ave Se Ste 100 |
$23.07 | 21 | 17 |
|
Vincent Junior Reid
701 10Th St Se |
$2.49 | 17 | 15 |
|
Jeffrey Scot Krivit
202 10Th Street Se |
$0.13 | 17 | 12 |
|
Jasmine Hernandez
901 8Th Ave Se |
$0.00 | 13 | 12 |
|
Lisa Michelle Coester
202 10Th Street Se |
$6.17 | 13 | 13 |
|
St Luke'S Methodist Hospital
1026 A Ave Ne |
$655.31 | 13 | 13 |
|
Kathryn K Dierks
1026 A Ave Ne |
$0.00 | 13 | 12 |
|
Sarah Ann Hoper
1026 A Ave Ne |
$0.07 | 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 Cedar Rapids, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Cedar Rapids, IA is $91.53 per claim, based on 12,246 claims from 35 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 Cedar Rapids, IA?
There are 35 Medicaid providers offering Prescription Medications related services in Cedar Rapids, IA according to public payment data.
What is the price range for Prescription Medications in Cedar Rapids, IA?
Medicaid reimbursement for Prescription Medications in Cedar Rapids, IA ranges from $0.00 to $790.74 per claim, with an average of $91.53. 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 Cedar Rapids, IA
Office Visit
Avg $32.20
1,155,232 claims
Psychiatric Evaluation
Avg $80.03
782,796 claims
Blood Work & Lab Tests
Avg $5.07
726,071 claims
Emergency Room Visit
Avg $123.45
441,777 claims
Behavioral & Mental Health Therapy
Avg $112.79
317,466 claims
Vaccines & Immunizations
Avg $8.18
316,420 claims
Dental Cleaning & Exam
Avg $21.73
268,508 claims
Case Management Services
Avg $5.20
198,755 claims