Average Medicaid Prescription Medications Payments in Cleveland, OH: $44.59
Avg. Paid
$44.59
Range
$0.00 – $1,925
Total Claims
415,249
Providers
254
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 Cleveland, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
The Cleveland Clinic Foundation
9500 Euclid Ave |
$109.92 | 90,091 | 59,255 |
|
The Metrohealth System
2500 Metrohealth Dr |
$18.96 | 70,945 | 44,063 |
|
University Hospitals Cleveland Medical Center
11100 Euclid Ave |
$17.94 | 42,090 | 24,679 |
|
Jagmeet Singh Dhingra
2500 Metrohealth Dr |
$0.39 | 21,595 | 1,844 |
|
Fairview Hospital
18101 Lorain Ave |
$6.68 | 21,516 | 14,068 |
|
Mildred Lam
2500 Metrohealth Dr |
$0.42 | 18,188 | 1,528 |
|
Edward James Horwitz
2500 Metrohealth Dr |
$0.58 | 17,715 | 1,581 |
|
University Hospitals Cleveland Medical Center
11100 Euclid Ave |
$3.02 | 13,819 | 10,315 |
|
Ohio Renal Care Group, Llc
2429 Martin Luther King Jr Dr |
$0.02 | 12,934 | 1,177 |
|
Hernan Rincon Choles
Cleveland Clinic Foundation |
$0.33 | 11,004 | 944 |
|
Lutheran Hospital
1730 W 25Th St |
$0.09 | 8,069 | 5,312 |
|
Southwest General Health Center
18697 Bagley Rd |
$0.12 | 6,391 | 4,572 |
|
Georges Saab
2500 Metrohealth Dr |
$7.95 | 4,471 | 513 |
|
Cassandra Jean Kovach
11100 Euclid Ave |
$0.20 | 3,984 | 379 |
|
George Thomas
9500 Euclid Ave |
$0.23 | 3,783 | 372 |
|
Georges Nakhoul
9500 Euclid Ave |
$0.15 | 3,507 | 310 |
|
Planned Parenthood Of Greater Ohio
7997 Euclid Ave |
$93.37 | 3,313 | 3,243 |
|
Tarek Ashour
9500 Euclid Ave # Q7 |
$0.35 | 3,278 | 300 |
|
Planned Parenthood Of Greater Ohio
2186 Brookpark Rd |
$91.66 | 3,263 | 3,004 |
|
Kim L Stearns
1730 W 25Th St Fl 6 |
$0.20 | 2,670 | 1,959 |
|
Chong Hwan Kim
2500 Metrohealth Dr |
$0.01 | 1,808 | 1,684 |
|
Gerald A Ferretti
11100 Euclid Ave |
$0.00 | 1,674 | 1,572 |
|
Brendan Astley
2500 Metrohealth Dr |
$0.07 | 1,672 | 1,499 |
|
David Yin
2500 Metrohealth Dr |
$0.03 | 1,630 | 1,462 |
|
Keyhan Mobasseri
7211 Broadway Ave |
$18.66 | 1,557 | 1,413 |
|
Robert Edwin Moore
2500 Metrohealth Dr |
$0.01 | 1,306 | 1,262 |
|
Alan Martinez
2500 Metrohealth Dr |
$0.17 | 1,304 | 1,107 |
|
Jessica Renee Tobin
9500 Euclid Ave |
$69.99 | 1,243 | 1,113 |
|
Rina N Lazebnik
11100 Euclid Ave |
$88.45 | 1,148 | 1,122 |
|
Marie Kaung Blossom
2500 Metrohealth Dr |
$94.52 | 1,108 | 1,048 |
|
Keith Mckee
9500 Euclid Ave |
$1,042 | 1,105 | 1,037 |
|
Thomas L Steinemann
2500 Metrohealth Dr |
$0.65 | 1,058 | 442 |
|
Theodore V Parran
2351 E 22Nd St |
$19.98 | 1,021 | 440 |
|
Maria Elena Shaker
5805 Euclid Ave |
$88.91 | 979 | 960 |
|
Margaret Ferretti
11000 Euclid Ave Ste 1200 |
$0.00 | 957 | 868 |
|
Mariam Ahmad Diab
2351 East 22Nd Street |
$0.01 | 944 | 928 |
|
Robert J Heyka
9500 Euclid Ave |
$0.93 | 942 | 86 |
|
Pamela Nicole Graham
4400 Euclid Ave |
$0.26 | 856 | 514 |
|
Northeast Ohio Neighborhood Health Services, Inc.
8300 Hough Ave |
$0.47 | 832 | 717 |
|
Mohammed A. Mubarak
2500 Metrohealth Dr |
$0.00 | 797 | 752 |
|
Care Alliance
1530 Saint Clair Avenue |
$66.56 | 779 | 709 |
|
Aparna Padiyar
11100 Euclid Ave |
$30.57 | 755 | 201 |
|
Laura M Doi
2500 Metrohealth Dr |
$90.11 | 687 | 655 |
|
Kush Kumar Goyal
1730 W 25Th St # 2C |
$0.06 | 656 | 581 |
|
Houssam Mhanna
2351 E 22Nd St |
$0.00 | 631 | 62 |
|
Samuel K Rosenberg
2500 Metrohealth Dr |
$0.02 | 616 | 552 |
|
Community Dialysis Center
2155 Stokes Blvd |
$0.66 | 594 | 212 |
|
Betty Joyce Stiffler
9500 Euclid Ave |
$833.87 | 584 | 551 |
|
Phillip Michael Shuffer
2500 Metrohealth Dr |
$84.78 | 560 | 507 |
|
Cathy Dobrowski
9500 Euclid Ave |
$892.90 | 523 | 493 |
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 Cleveland, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Cleveland, OH is $44.59 per claim, based on 415,249 claims from 254 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 Cleveland, OH?
There are 254 Medicaid providers offering Prescription Medications related services in Cleveland, OH according to public payment data.
What is the price range for Prescription Medications in Cleveland, OH?
Medicaid reimbursement for Prescription Medications in Cleveland, OH ranges from $0.00 to $1,925 per claim, with an average of $44.59. 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 Cleveland, OH
Blood Work & Lab Tests
Avg $5.86
7,265,730 claims
Office Visit
Avg $41.74
4,839,931 claims
Home Health Visit
Avg $54.94
3,518,961 claims
Emergency Room Visit
Avg $98.94
3,436,346 claims
Behavioral & Mental Health Therapy
Avg $95.38
2,548,278 claims
X-Ray
Avg $8.95
2,124,741 claims
Substance Abuse Treatment
Avg $65.51
1,764,305 claims
Vaccines & Immunizations
Avg $8.45
1,524,000 claims