Average Medicaid Prescription Medications Payments in Colorado Springs, CO: $194.23
Avg. Paid
$194.23
Range
$0.00 – $1,118
Total Claims
52,791
Providers
152
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 Colorado Springs, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mark R Cook
1914 Lelaray St |
$0.00 | 13,041 | 1,077 |
|
Andrea Nicolette Manhart
4110 Briargate Pkwy Ste 405 |
$348.19 | 3,484 | 1,593 |
|
Aparna Komatineni
3920 N Union Blvd Ste 150 |
$724.32 | 2,960 | 2,635 |
|
Kimberly Lue Wagner
2312 N Nevada Ave |
$712.50 | 2,222 | 1,989 |
|
Charles Herbert Ripp
8540 Scarborough Dr |
$17.33 | 1,602 | 1,389 |
|
Steven Scott Hamilton
4124 Briargate Parkway |
$4.67 | 1,580 | 1,424 |
|
Jack W Tubbs
8580 Scarborough Dr |
$11.06 | 1,504 | 961 |
|
Steven Michael Leoniak
4125 Briargate Pkwy |
$1.66 | 1,491 | 1,397 |
|
James K Luu
2770 N Union Blvd |
$756.89 | 1,077 | 826 |
|
Melissa Mitton
225 S Union Blvd |
$0.00 | 1,067 | 1,026 |
|
Stanford Connolly Taylor
2770 N Union Blvd Ste 140 |
$898.49 | 1,057 | 815 |
|
Dirk P Pikaart
525 Bob Peters Grv Ste 309 |
$1.68 | 1,048 | 560 |
|
Julia Marie Brinley
2312 N Nevada Ave |
$668.53 | 1,015 | 810 |
|
Kathleen Lacy Moehring
340 Printers Pkwy |
$0.00 | 942 | 855 |
|
Melissa R Strike
5818 N Nevada Avenue Su |
$913.44 | 940 | 746 |
|
Cecinio Castillo Ronquillo
2770 N Union Blvd Ste 140 |
$1,118 | 863 | 644 |
|
Adam A Martidis
2770 N Union Blvd Ste 140 |
$701.99 | 750 | 519 |
|
Bertram Willman
3030 N Circle Dr |
$1.07 | 698 | 568 |
|
Christian J York
140 Parkside Dr |
$55.26 | 687 | 573 |
|
Andrew Joseph Berson
1400 E Boulder St Ste 500 |
$0.35 | 686 | 590 |
|
Virginia M Quiroz
1633 Medical Center Pt |
$4.58 | 658 | 536 |
|
Augusta W Kluk
5818 N Nevada Avenue |
$2.14 | 641 | 545 |
|
Elisa Jeanne Knutsen
5818 N Nevada Ave Ste 110 |
$0.00 | 614 | 497 |
|
Tyler Nickle
2430 Research Pkwy Ste 205 |
$16.38 | 445 | 404 |
|
Margot Anne Crossley
6965 Tutt Blvd Ste 100 |
$1.75 | 435 | 400 |
|
Arash Yekrangi-Tajvidi
1400 E Boulder St |
$0.01 | 409 | 281 |
|
Sean Thomas Kelly
1633 Medical Center Pt |
$0.00 | 407 | 343 |
|
Bradley Philip Coughlin
2767 Janitell Rd |
$0.80 | 396 | 343 |
|
Jennie Bowhay-Sweet
6340 Barnes Rd |
$77.19 | 377 | 374 |
|
American Medical Response Of Colorado Inc
980 Elkton Dr |
$0.00 | 376 | 338 |
|
Faisal Alex Sayeed
2017 E Bijou St |
$5.79 | 367 | 321 |
|
Benjamin C. C. Kam
1625 Medical Center Pt Ste 215 |
$1.33 | 352 | 311 |
|
John H. Bissell
3910 S Carefree Cir Ste F |
$0.00 | 336 | 259 |
|
Ernesha Tenicki Wolf
2767 Janitell Rd |
$0.00 | 334 | 269 |
|
Alyssa Marie Lantiere
225 S Union Blvd |
$0.00 | 320 | 310 |
|
Vladislav Suntsov
10807 New Allegiance Dr Ste 160 |
$0.75 | 299 | 213 |
|
Jordan Mcelravy
2767 Janitell Rd |
$0.00 | 247 | 223 |
|
Diana Syrene Gue
225 S Union Blvd |
$0.00 | 245 | 205 |
|
Geoffrey Patrick Doner
4105 Briargate Parkway |
$0.00 | 245 | 235 |
|
Christa Maria Coolidge
2767 Janitell Rd |
$0.00 | 241 | 191 |
|
Courtney Crance
3505 Austin Bluffs Pkwy Ste 306 |
$0.72 | 218 | 170 |
|
Chance Jack Henderson
2446 Research Pkwy Ste 200 |
$0.00 | 212 | 181 |
|
Jesse W Dacus
2767 Janitell Rd |
$0.00 | 207 | 186 |
|
Francis F Joseph
1304 N Academy Blvd Ste 206 |
$5.11 | 207 | 109 |
|
Jacqueline Morris
225 S Union Blvd |
$21.67 | 198 | 196 |
|
Steven B Waskow
1633 Medical Center Point |
$6.97 | 185 | 174 |
|
Adrianna Juliet Allen
13445 Voyager Pkwy |
$1.31 | 181 | 157 |
|
Eric Shawn Boyer
1400 E Boulder St |
$0.00 | 174 | 150 |
|
Leah Johnson
2767 Janitell Rd |
$0.00 | 162 | 134 |
|
Tina E. Keeler
1400 E. Boulder Street |
$0.06 | 155 | 120 |
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 Colorado Springs, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Colorado Springs, CO is $194.23 per claim, based on 52,791 claims from 152 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 Colorado Springs, CO?
There are 152 Medicaid providers offering Prescription Medications related services in Colorado Springs, CO according to public payment data.
What is the price range for Prescription Medications in Colorado Springs, CO?
Medicaid reimbursement for Prescription Medications in Colorado Springs, CO ranges from $0.00 to $1,118 per claim, with an average of $194.23. 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 Colorado Springs, CO
Office Visit
Avg $95.93
2,902,599 claims
Substance Abuse Treatment
Avg $185.90
2,709,369 claims
Personal Care Services
Avg $39.49
1,822,464 claims
Home Health Visit
Avg $97.60
1,739,313 claims
Physical Therapy
Avg $46.47
1,393,162 claims
Psychiatric Evaluation
Avg $81.18
1,321,507 claims
Dental Cleaning & Exam
Avg $32.80
1,061,897 claims
Case Management Services
Avg $65.62
873,469 claims