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 |
|---|---|---|---|
|
Brandy Nicole Morgan
3333 Burnet Avenue |
$0.17 | 12 | 12 |
|
Jamie Lyn Gerdemann
3333 Burnet Avenue |
$0.00 | 12 | 12 |
|
Aaron Louis Smith
10506 Montgomery Rd |
$0.00 | 12 | 12 |
|
Crystal Wilmhoff
3130 Highland Ave |
$86.62 | 12 | 12 |
|
William Kitzmiller
222 Piedmont Ave |
$0.00 | 12 | 12 |
|
Joseph Nicolas
222 Piedmont Ave |
$266.93 | 12 | 12 |
|
Mamie Myo Thant
3130 Highland Ave |
$14.48 | 12 | 12 |
|
Phillip F Oblinger
3131 Queen City Ave |
$0.00 | 12 | 12 |
|
Andria N Berry
3219 Clifton Ave Ste 230 |
$0.00 | 12 | 12 |
|
Molly Carey
222 Piedmont Ave |
$97.15 | 12 | 12 |
|
Jay Michael Tennie
3131 Queen City Ave |
$0.13 | 12 | 12 |
|
Joshua Paticoff
4355 Ferguson Dr Ste 270 |
$0.64 | 12 | 12 |
|
Tina Rajput
3333 Burnet Avenue |
$0.00 | 12 | 12 |
|
Jane Lee
3333 Burnet Ave. |
$0.00 | 12 | 12 |
|
Graig W Smith
3219 Clifton Ave |
$99.23 | 12 | 12 |
|
Ligia Maria Alfaro Cruz
3333 Burnet Ave |
$0.00 | 12 | 12 |
|
Brian Andrew Rottinghaus
500 E Business Way |
$10.48 | 12 | 12 |
|
Jennifer Dehner
5505 Harrison Ave |
$0.16 | 12 | 12 |
|
Arthur Francis Lee
7910 Beechmont Ave |
$16.35 | 12 | 12 |
|
Timothy William Dake
3131 Queen City Ave |
$0.05 | 12 | 12 |
|
Richard A Falcone
3333 Burnet Ave |
$0.00 | 12 | 12 |
|
Matthew Robert Wolfgang
8240 Northcreek Dr |
$0.00 | 12 | 12 |
|
Jarrad N Lifshitz
3131 Queen City Ave |
$0.00 | 12 | 12 |
|
Christopher Dandoy
3333 Burnet Ave |
$0.00 | 12 | 12 |
|
Miral N Patel
6139 Glenway Ave |
$0.82 | 12 | 12 |
|
Michelle Evanko
3131 Queen City Ave |
$0.05 | 12 | 12 |
|
Philip E Putnam
3333 Burnet Ave |
$0.00 | 13 | 12 |
|
Thomas N. Lindenfeld
10663 Montgomery Rd |
$13.66 | 13 | 13 |
|
Arnold R. Penix
8311 Montgomery Road |
$5.25 | 13 | 12 |
|
Brent Monk
3300 Mercy Health Blvd |
$0.00 | 13 | 12 |
|
Grace M Casellas Cerich
2314 Auburn Ave |
$94.50 | 13 | 13 |
|
Allison L. Schwandner
3333 Burnet Ave |
$0.00 | 13 | 12 |
|
Eileen Blaire Hall
234 Goodman St |
$0.00 | 13 | 13 |
|
Angela Stillwagon
234 Goodman St |
$1,496 | 13 | 12 |
|
Seema R Bhatt
3333 Burnet Ave., Ml 2008 |
$0.00 | 13 | 13 |
|
James Alexander Phero
222 Piedmont Ave |
$0.61 | 13 | 13 |
|
Laura J. Power
222 Piedmont Ave |
$81.47 | 13 | 12 |
|
Molly Mchenry
3333 Burnet Ave |
$81.45 | 13 | 12 |
|
James Robert Devries
234 Goodman St |
$0.00 | 13 | 12 |
|
Joshua Stephen Adamow
10500 Montgomery Rd |
$0.00 | 13 | 13 |
|
Alvin C Jones
3333 Burnet Ave. Ml 2023 |
$0.00 | 13 | 13 |
|
Lauren C Riney
3333 Burnet Ave |
$0.00 | 13 | 12 |
|
Eileen Murtagh Kurowski
3333 Burnet Ave |
$0.00 | 13 | 12 |
|
Todd E Grime
8099 Cornell Rd |
$11.24 | 13 | 12 |
|
Ronnie Reyes Marquez
3333 Burnet Ave |
$0.32 | 14 | 13 |
|
Robert Lambert
3131 Queen City Ave |
$0.00 | 14 | 13 |
|
Frank Harold Wolf
8599 Ridge Rd |
$67.84 | 14 | 12 |
|
George Theodore Shybut
4440 Glen Este Withamsville Rd |
$31.15 | 14 | 14 |
|
Elizabeth Shaughnessy
234 Goodman St |
$0.92 | 14 | 13 |
|
Ruth Retzinger
3333 Burnet Ave # 2008 |
$0.00 | 14 | 14 |
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