Average Medicaid Prescription Medications Payments in Chicago, IL: $33.89
Avg. Paid
$33.89
Range
$0.00 – $1,268
Total Claims
208,714
Providers
239
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 Chicago, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Henry Ford Health St. John Hospital
3187 Solutions Ctr |
$5.50 | 75,236 | 63,292 |
|
James R Diesfeld
1044 N Francisco Ave Ste 404 |
$1.08 | 16,551 | 11,145 |
|
The Board Of Trustees Of The University Of Illinois
1220 S. Wood Street |
$0.21 | 8,394 | 7,318 |
|
Access Community Health Network
600 W Fulton St |
$27.46 | 6,914 | 4,746 |
|
Ayman M Jabr
2222 W Division |
$1.02 | 6,477 | 4,399 |
|
Amr Yafi
2721 N Spaulding Ave |
$0.78 | 4,072 | 288 |
|
Kerianne Evans Johnson
18 S Michigan Ave |
$44.83 | 3,795 | 2,675 |
|
Sunayana Srinivasan
1801 W Taylor St |
$80.03 | 3,252 | 3,220 |
|
Jaroslaw B Dzwinyk
5215 N California Ave |
$15.49 | 2,963 | 2,219 |
|
Ajith R Castelino
6352 N Lincoln Ave |
$3.04 | 2,868 | 2,287 |
|
Diana Flowers
18 S Michigan Ave Fl 6 |
$40.27 | 2,437 | 1,939 |
|
Erie Family Health Center, Inc
1701 W Superior St |
$1.20 | 2,281 | 2,188 |
|
Lawndale Christian Health Center
3860 W Ogden Ave |
$0.02 | 2,197 | 1,878 |
|
Allison A Cowett
1740 W Taylor St |
$71.89 | 2,195 | 1,275 |
|
Howard Brown Health Center
4025 N Sheridan Rd |
$0.00 | 2,186 | 2,148 |
|
Edward Charles Lampley
1501 S California Ave |
$6.58 | 1,999 | 1,755 |
|
Peter G Chioros
5215 N California Ave |
$7.03 | 1,860 | 1,383 |
|
Lashawnna Chanel Jackson
6307 S Stewart Ave Ste 205 |
$0.44 | 1,775 | 1,353 |
|
Tapestry 360 Health
1301 W Devon Ave |
$2.50 | 1,683 | 1,439 |
|
Sara Elizabeth Sawyer
111 W Jackson Blvd Ste 1700 |
$42.05 | 1,634 | 1,064 |
|
Barbara Doran
2653 W Ogden Ave Ste 3B |
$24.82 | 1,560 | 1,436 |
|
Abdulmassih Abdulmassih
6201 W Touhy Ave |
$3.19 | 1,553 | 981 |
|
Sara Stephens
18 S Michigan Ave Fl 6 |
$57.29 | 1,529 | 970 |
|
Amy Whitaker
5841 S Maryland Ave |
$40.85 | 1,483 | 1,017 |
|
Leo Boler
3800 W Madison St |
$24.14 | 1,378 | 1,259 |
|
Friend Family Health Center Inc
6250 S Cottage Grove Ave |
$0.04 | 1,357 | 1,097 |
|
Anne Marie Perez
676 N Saint Clair St |
$49.36 | 1,352 | 995 |
|
Leonid Blyumin
1405 W Morse Ave |
$1.20 | 1,328 | 1,091 |
|
Michael Lewis Mcclintock
1725 W Harrison St |
$1,070 | 1,293 | 1,206 |
|
Lindsey Pastoral
18 S Michigan Ave |
$45.51 | 1,258 | 921 |
|
Sharon Obrien
1413 W Fillmore St Apt 2 |
$26.88 | 1,244 | 865 |
|
Wendewessen Amde
1 E Wacker Dr |
$1,268 | 1,241 | 959 |
|
Christian Community Health Center
9718 S Halsted |
$0.01 | 1,220 | 908 |
|
Prith M Goomar
5875 N Lincoln Ave Ste 105 |
$1.66 | 1,160 | 788 |
|
Ramin Sam
1901 W Harrison St |
$1.24 | 1,150 | 168 |
|
Maurice Brownlee
2835 N Sheffield Ave Ste 500 |
$3.94 | 1,133 | 283 |
|
Joelle Lindner
1645 W Jackson Blvd |
$78.83 | 1,132 | 893 |
|
Leticia Lartey
18 S Michigan Ave Fl 6 |
$25.34 | 1,094 | 757 |
|
Evelyn Angel Aztlan-Keahey
659 W. Washington Blvd |
$45.00 | 1,066 | 797 |
|
Sarah J Miles
659 W Washington Blvd |
$43.82 | 1,058 | 823 |
|
Leslie Dy-Anne Moore-Hicks
17 N State St Fl 5 |
$49.71 | 1,023 | 723 |
|
Nolan Stuart Horner
2641 W Harrison St |
$12.51 | 920 | 603 |
|
Kairsten Thies
1200 N Lasalle St |
$38.54 | 879 | 668 |
|
Tca Health Inc Nfp
1029 E 130Th St |
$0.02 | 745 | 576 |
|
Claire Michelsen
659 W Washington Blvd |
$30.29 | 723 | 560 |
|
Joshua Michael Zavitz
7435 W Talcott Ave |
$2.91 | 713 | 656 |
|
Roseanne Burke
111 W Jackson Blvd Ste 1700 |
$51.18 | 701 | 459 |
|
Jay M Brooker
2850 S Wabash Ave |
$11.17 | 654 | 507 |
|
Camille Frederica Haynes
11250 S Halsted St |
$27.80 | 645 | 554 |
|
Natalie Benzon
111 W Jackson Blvd Ste 1700 |
$49.39 | 634 | 444 |
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 Chicago, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Chicago, IL is $33.89 per claim, based on 208,714 claims from 239 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 Chicago, IL?
There are 239 Medicaid providers offering Prescription Medications related services in Chicago, IL according to public payment data.
What is the price range for Prescription Medications in Chicago, IL?
Medicaid reimbursement for Prescription Medications in Chicago, IL ranges from $0.00 to $1,268 per claim, with an average of $33.89. 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 Chicago, IL
Office Visit
Avg $30.31
13,989,780 claims
Blood Work & Lab Tests
Avg $5.03
10,887,691 claims
Dental Cleaning & Exam
Avg $29.66
4,929,791 claims
Emergency Room Visit
Avg $84.83
4,391,753 claims
Vaccines & Immunizations
Avg $3.36
3,818,199 claims
X-Ray
Avg $8.48
2,515,281 claims
Urinalysis & Urine Tests
Avg $2.23
2,467,995 claims
Substance Abuse Treatment
Avg $93.51
2,283,492 claims