Average Medicaid Prescription Medications Payments in Cincinnati, OH: $24.56
Avg. Paid
$24.56
Range
$0.00 – $1,496
Total Claims
318,779
Providers
299
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 Cincinnati, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Children'S Hospital Medical Center
3333 Burnet Ave |
$25.34 | 68,245 | 55,048 |
|
University Of Cincinnati Medical Center, Llc
3188 Bellevue Avenue |
$45.60 | 45,089 | 28,159 |
|
The Good Samaritan Hospital Of Cincinnati, Ohio
375 Dixmyth Ave |
$9.23 | 25,773 | 15,832 |
|
Christ Hospital
2139 Auburn Ave |
$0.58 | 17,920 | 12,580 |
|
Bethesda Hospital Inc
10500 Montgomery Rd |
$0.14 | 17,872 | 12,290 |
|
Mercy Health - West Hospital Llc
3300 Mercy Health Blvd |
$0.11 | 16,014 | 10,932 |
|
Jewish Hospital Llc
4777 E Galbraith Rd |
$0.13 | 9,822 | 6,424 |
|
Kotagal Shashi Kant
222 Piedmont Ave |
$3.72 | 8,319 | 885 |
|
Edward Sha
3219 Clifton Ave |
$0.28 | 7,689 | 564 |
|
Mercy Health - Anderson Hospital Llc
7500 State Rd |
$0.08 | 7,418 | 4,931 |
|
Cg Medical Associates Inc
7300 Beechmont Ave |
$1.20 | 6,672 | 5,992 |
|
Zeeshan Khalick Tayeb
3328 Westbourne Dr |
$4.35 | 5,767 | 4,940 |
|
Jeffrey Fley
6240 Hamilton Ave |
$8.10 | 4,204 | 3,140 |
|
Max Christopher Reif
3130 Highland Ave |
$5.13 | 4,066 | 467 |
|
John Hergenrother
2123 Auburn Ave |
$0.61 | 2,845 | 203 |
|
Amir Izhar
3219 Clifton Ave |
$0.86 | 2,824 | 210 |
|
Tahir Sajjad
3219 Clifton Ave |
$0.28 | 2,586 | 188 |
|
Joe N Austin
2123 Auburn Ave |
$0.53 | 2,521 | 186 |
|
Charuhas V. Thakar
222 Piedmont Ave |
$0.40 | 2,484 | 204 |
|
Satwant Singh
222 Piedmont Ave |
$10.33 | 2,350 | 278 |
|
Melinda Ruth Chimento
2314 Auburn Ave |
$82.80 | 1,957 | 1,803 |
|
Rodica Chele
234 Goodman St |
$3.26 | 1,789 | 189 |
|
Kurt P Leuenberger
3301 Mercy Health Blvd Ste 100 |
$0.92 | 1,783 | 951 |
|
Charles M Myer
3333 Burnet Ave |
$11.86 | 1,592 | 1,316 |
|
Dialysis Clinic Inc.
499 E Mcmillan St |
$0.07 | 1,555 | 133 |
|
Planned Parenthood Southwest Ohio Region
2314 Auburn Ave |
$87.60 | 1,539 | 1,519 |
|
022808 Kenwood Llc
8251 Pine Rd Ste 110 |
$0.46 | 1,429 | 107 |
|
Suresh Kamath
222 Piedmont Ave |
$50.23 | 1,356 | 345 |
|
Christopher James Ruhnke
6909 Good Samaritan Drive |
$21.88 | 1,322 | 1,221 |
|
Audra Trillana
2314 Auburn Ave |
$81.68 | 1,293 | 1,199 |
|
Benjamin Thomas Herms
601 Ivy Gtwy Ste 1100 |
$0.89 | 1,244 | 733 |
|
Bhupesh Khadka
4435 Aicholtz Rd Ofc 800C |
$0.12 | 1,220 | 103 |
|
Robin T Cotton
3333 Burnet Ave |
$13.82 | 1,018 | 887 |
|
Robin Alexandra Gulley
234 Goodman St |
$26.37 | 973 | 499 |
|
Gwynne K Rohrs
2314 Auburn Ave |
$85.02 | 955 | 876 |
|
Jay Paul Willging
3333 Burnet Ave |
$7.78 | 781 | 625 |
|
Scott Brian Schwartz
3333 Burnet Ave |
$4.59 | 773 | 743 |
|
Samuel J Delaune
3333 Burnet Ave |
$2.26 | 768 | 735 |
|
Mitchell E Simons
4243 Hunt Rd |
$6.95 | 767 | 599 |
|
Emma Argo
8000 Five Mile Road |
$67.17 | 764 | 580 |
|
Donald Carruthers
3825 Edwards Rd Ste 300 |
$1.32 | 757 | 725 |
|
John H Greinwald
3333 Burnet Ave |
$7.09 | 756 | 637 |
|
Ahmed Oyesola Giwa
10500 Montgomery Rd |
$0.20 | 702 | 61 |
|
Haroon Anwar Chaudhry
5535 Fair Ln |
$1,121 | 692 | 591 |
|
Sarat Thikkurissy
3333 Burnet Ave |
$5.63 | 682 | 627 |
|
Adil Qarni
234 Goodman St |
$3.63 | 671 | 576 |
|
Mark J. Goddard
151 W Galbraith Rd |
$866.80 | 638 | 572 |
|
Matthew Michael Smith
3333 Burnet Ave Ml 2018 |
$8.71 | 633 | 535 |
|
Yann-Fuu Kou
3333 Burnet Ave # 2018 |
$29.64 | 602 | 555 |
|
Mark E Johns
601 Ivy Gtwy Ste 1100 |
$0.86 | 591 | 335 |
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 Cincinnati, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Cincinnati, OH is $24.56 per claim, based on 318,779 claims from 299 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 Cincinnati, OH?
There are 299 Medicaid providers offering Prescription Medications related services in Cincinnati, OH according to public payment data.
What is the price range for Prescription Medications in Cincinnati, OH?
Medicaid reimbursement for Prescription Medications in Cincinnati, OH ranges from $0.00 to $1,496 per claim, with an average of $24.56. 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 Cincinnati, OH
Blood Work & Lab Tests
Avg $7.16
12,933,390 claims
Office Visit
Avg $57.26
6,244,164 claims
Emergency Room Visit
Avg $94.36
2,312,527 claims
Home Health Visit
Avg $67.23
2,297,701 claims
Behavioral & Mental Health Therapy
Avg $87.07
2,275,452 claims
Substance Abuse Treatment
Avg $55.29
2,244,339 claims
Psychiatric Evaluation
Avg $79.56
1,780,978 claims
Urinalysis & Urine Tests
Avg $2.81
1,707,210 claims