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 |
|---|---|---|---|
|
Claire Elizabeth Hamp
9500 Euclid Ave |
$79.70 | 12 | 12 |
|
Aaron Robert Baker
2500 Metrohealth Dr |
$0.00 | 12 | 12 |
|
Kyle James Chepla
2500 Metrohealth Dr |
$0.00 | 12 | 12 |
|
Carlise Nicole Washington
2500 Metrohealth Dr |
$0.00 | 12 | 12 |
|
Xiaozhou Tang
2500 Metrohealth Dr |
$0.00 | 12 | 12 |
|
Rebecca Cutler
10900 Euclid Ave |
$0.00 | 12 | 12 |
|
Cynthia J Cover
9500 Euclid Ave |
$95.68 | 12 | 12 |
|
David Rowe
2500 Metrohealth Dr |
$0.00 | 12 | 12 |
|
Sydney Jane Grimes
9500 Euclid Ave |
$0.19 | 12 | 12 |
|
Emily Studeny
9500 Euclid Ave |
$0.00 | 12 | 12 |
|
Irma Jorgji Lengu
2500 Metrohealth Dr |
$0.00 | 12 | 12 |
|
Lisa Maria Torres
2500 Metrohealth Dr |
$57.98 | 13 | 12 |
|
Christina Fundzak
11100 Euclid Ave |
$0.00 | 13 | 13 |
|
Brian Mercer
2500 Metrohealth Dr |
$77.97 | 13 | 12 |
|
Shirley A Allen
18101 Lorain Ave |
$81.56 | 13 | 12 |
|
Rolly Chaudhary Chawla
9500 Euclid Ave |
$10.94 | 13 | 13 |
|
Juan Xavier Alda
18101 Lorain Ave |
$0.00 | 13 | 13 |
|
Allison R Grande
9500 Euclid Ave |
$0.00 | 13 | 13 |
|
Shetal Natu Patel
2500 Metrohealth Dr |
$0.00 | 13 | 12 |
|
Brent Richard Heimann
1730 W 25Th St |
$0.00 | 13 | 12 |
|
Christina Hardesty
11100 Euclid Ave |
$0.12 | 13 | 12 |
|
Alexander Daves
2500 Metrohealth Dr |
$0.00 | 13 | 13 |
|
Eric Chatal
2500 Metrohealth Dr |
$0.04 | 13 | 13 |
|
Karen E Kea
2816 E 116Th St |
$89.24 | 14 | 12 |
|
Rena K. Spithas
11100 Euclid Ave |
$0.00 | 14 | 13 |
|
Karen Lynne Ashby
11100 Euclid Ave |
$97.10 | 14 | 14 |
|
Harry K Kiefer
2500 Metrohealth Dr |
$75.41 | 14 | 14 |
|
David Serksnys
2500 Metrohealth Drive |
$0.00 | 14 | 12 |
|
Corinne Ann Bazella
11100 Euclid Ave |
$96.86 | 14 | 14 |
|
Lynn H Milliner
2500 Metrohealth Dr |
$0.00 | 14 | 12 |
|
James Gatherwright
2500 Metrohealth Dr |
$0.00 | 14 | 12 |
|
John Herbert Gerstenmaier
11100 Euclid Ave |
$0.00 | 14 | 12 |
|
Nathan E Bruss
9500 Euclid Ave |
$0.00 | 15 | 15 |
|
Rahi Kapur
2500 Metrohealth Dr |
$0.04 | 15 | 13 |
|
Warren M Sobol
11100 Euclid Ave Ste 3200 |
$973.90 | 15 | 12 |
|
William H Seitz
9500 Euclid Ave |
$0.00 | 15 | 12 |
|
Erin Rae Mcdowell
11100 Euclid Ave |
$0.10 | 15 | 15 |
|
Raymond R Rackley
9500 Euclid Ave |
$375.09 | 15 | 14 |
|
John Lindenmeyer
9500 Euclid Ave |
$0.94 | 15 | 14 |
|
Christopher Lee Burnsides
2500 Metrohealth Dr |
$0.14 | 15 | 14 |
|
Abigail Elizabeth Wilch
11100 Euclid Ave |
$0.00 | 16 | 15 |
|
Nicholas Romeo
2500 Metrohealth Dr |
$0.43 | 16 | 12 |
|
Lisa Vagi
11100 Euclid Ave |
$91.80 | 16 | 16 |
|
Nicholas Abourjeily
11100 Euclid Ave |
$0.00 | 16 | 15 |
|
Bahar Bassiri Gharb
9500 Euclid Ave |
$0.10 | 17 | 14 |
|
Carmen Elaine Dawson
2500 Metrohealth Dr |
$69.24 | 17 | 13 |
|
Kimberly Erin Resnick
2500 Metrohealth Dr |
$0.00 | 18 | 13 |
|
Cindy Ann Farina
4242 Lorain Ave |
$15.75 | 18 | 12 |
|
Ashley N. Charalambous
11100 Euclid Ave |
$0.00 | 18 | 14 |
|
Ankur Singal
2351 E 22Nd St |
$0.00 | 19 | 19 |
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