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 |
|---|---|---|---|
|
Richard Zhang
5841 S Maryland Ave |
$1.85 | 12 | 12 |
|
Fallon M Flowers
6250 S Cottage Grove Ave |
$42.02 | 12 | 12 |
|
Primecare Community Health Inc.
5635 W Belmont Ave |
$0.00 | 12 | 12 |
|
Adam Yanke
1611 W Harrison St |
$13.85 | 12 | 12 |
|
Jose Rafael Deurrutia
3700 W 26Th St |
$40.83 | 12 | 12 |
|
Stephen William Cooper
1901 W Harrison St |
$0.18 | 12 | 12 |
|
Ana-Marie Rojas
355 E Erie St |
$861.00 | 12 | 12 |
|
Brandy Monique Prince
111 W Jackson Blvd Ste 1700 |
$1.97 | 13 | 12 |
|
Olga Lansky
6420 N California Ave |
$2.40 | 13 | 12 |
|
Meredithe Claire Mcnamara
5721 S Maryland Ave # Mc8000 |
$0.00 | 13 | 13 |
|
Gadi Asher Revivo
355 E Erie St |
$1,148 | 13 | 13 |
|
Lorelei Beyer
2525 S Michigan Ave |
$43.11 | 13 | 12 |
|
Westley Alexander Reinhart Mcmillan
1740 W Taylor St |
$0.00 | 13 | 12 |
|
Spencer Douglas Reid
7435 W Talcott Ave |
$0.00 | 13 | 13 |
|
Access Community Health Network
3202 W North Ave |
$25.38 | 13 | 13 |
|
Sherie O Ajayi
4747 N Kedzie Ave |
$0.00 | 13 | 13 |
|
Samantha Kopin Silverman
676 N Saint Clair St Ste 950 |
$38.50 | 14 | 12 |
|
Hannah B Cutts
1301 W Devon Ave |
$37.50 | 14 | 13 |
|
Max Rosenstock Emmerling
1969 W Ogden Ave |
$5.26 | 14 | 12 |
|
Regina Michelle Stein
676 N St Clair St |
$1.08 | 14 | 13 |
|
Carmen T Ramos Irizarry
5841 S Maryland Ave |
$0.00 | 15 | 13 |
|
Sunandana Chandra
645 N. Michigan Avenue |
$1.03 | 15 | 12 |
|
Lila G Glotfelty
1740 W Taylor St |
$5.15 | 15 | 15 |
|
Janet Paige Thompson
5033 W Grace St |
$41.57 | 15 | 14 |
|
Ayoade O. Akere
6307 S Stewart Ave Ste 306 |
$84.16 | 15 | 14 |
|
Jack Leong
3000 N Cicero Ave |
$0.40 | 16 | 12 |
|
Kierre R Honore
2320 E 93Rd St |
$0.00 | 17 | 12 |
|
Renlin Xia
3412 W Fullerton Ave |
$2.44 | 17 | 13 |
|
Aura N Lamas
6550 S Richmond St |
$0.12 | 18 | 12 |
|
Kyra Anne Dawson
836 W. Wellington Ave |
$0.29 | 19 | 17 |
|
Nadia Hallaj Ilhardt
3800 W Madison St |
$0.00 | 19 | 13 |
|
Aparna Kalyan
645 N Michigan Ave |
$1.98 | 23 | 12 |
|
Johne Philip Chapman
1740 W Taylor St |
$0.00 | 23 | 14 |
|
Shuo Ma
676 N Saint Clair St |
$1.14 | 23 | 13 |
|
Megan Stultz
5841 S Maryland Ave |
$0.00 | 24 | 13 |
|
Jeffrey Ackerman
2923 N California Ave |
$3.56 | 24 | 24 |
|
Irfan A Mirza
7447 W Talcott Ave |
$0.88 | 24 | 12 |
|
Jill Starzyk Jeffe
251 E Huron St |
$0.01 | 25 | 24 |
|
Brian Po Han Yu
1750 W Harrison St Ste 108 |
$5.02 | 25 | 24 |
|
Corina Constantinescu
836 W Wellington Ave |
$0.70 | 25 | 23 |
|
Rafat Shoneye
654 E 47Th St |
$35.00 | 25 | 25 |
|
Robert J Strugala
2850 S Wabash Ave |
$5.14 | 25 | 24 |
|
David Michael Kowalczyk
1855 W Taylor St # Mc648 |
$0.00 | 25 | 17 |
|
Bianca Barcelo
259 E Erie St Ste 1900 |
$515.41 | 26 | 13 |
|
Mukund Narayan
3202 W North Ave |
$35.00 | 27 | 27 |
|
Rediet Kokebie
2525 S Michigan Ave |
$6.28 | 27 | 27 |
|
Shauntel Seaton
2822 E 83Rd St |
$1.69 | 27 | 26 |
|
Abdul Salman Mohammed
836 W Wellington Ave |
$639.14 | 28 | 25 |
|
William Aaron Heller
2850 S Wabash Ave |
$6.70 | 28 | 27 |
|
Andrew Jesse Engel
5327 N Sheridan Rd Unit B |
$0.00 | 28 | 24 |
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