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 |
|---|---|---|---|
|
Jesal Chinubhai Patel
6031 E Woodmen Rd Ste 200 |
$0.71 | 12 | 12 |
|
Patrick I Burns
4110 Briargate Pkwy Ste 140 |
$0.00 | 12 | 12 |
|
Stephanie Swanson
3480 Centennial Blvd |
$82.50 | 12 | 12 |
|
Abid Khan
1400 E Boulder St Ste 600 |
$0.00 | 12 | 12 |
|
John Thomas Allerdice Seddon
8890 N Union Blvd Ste 171 |
$0.00 | 12 | 12 |
|
Caroline T Meyer
4125 Briargate Pkwy |
$0.00 | 13 | 13 |
|
Maurice Markus
2312 N Nevada Ave Ste 400 |
$0.74 | 13 | 12 |
|
Clinton James Fox
1400 E Boulder St |
$0.00 | 13 | 12 |
|
Charles J Lalonde
175 S Union Blvd |
$72.00 | 13 | 13 |
|
Jane Elizabeth Switzer
3207 N Academy Blvd |
$0.00 | 13 | 13 |
|
Jason Emmanuel Rosenberg
4110 Briargate Pkwy Ste 100B |
$0.00 | 13 | 13 |
|
William Roberts Howarth
4925 N Nevada Ave |
$0.00 | 13 | 13 |
|
Maria Vanushkina
4110 Briargate Pkwy Ste 100B |
$0.00 | 13 | 12 |
|
Jeremy Hedges
1400 E Boulder St |
$0.00 | 13 | 12 |
|
Ryan Christensen
2222 N Nevada Ave |
$0.00 | 13 | 12 |
|
Nina Mikkilineni
4125 Briargate Pkwy |
$0.71 | 14 | 14 |
|
Rachel Joyce Hurst
2222 N Nevada Ave |
$0.00 | 14 | 13 |
|
Jill W. Vessey
4190 E Woodmen Rd Ste 100 |
$0.00 | 14 | 13 |
|
Michelle D Dewing
4110 Briargate Pkwy |
$0.00 | 14 | 12 |
|
Melissa Stibbens
1400 E Boulder St Ste 500 |
$1.40 | 14 | 14 |
|
Richard Chough
2312 N Nevada Ave Ste 100 |
$994.02 | 14 | 12 |
|
Debra P Garcia
2828 International Cir |
$0.00 | 14 | 13 |
|
Linda Kathleen Longo
3525 American Dr |
$75.60 | 15 | 13 |
|
Sara E. Tisdale
6001 E Woodmen Rd |
$0.24 | 15 | 15 |
|
Michael R Loew
2222 N Nevada Ave |
$0.00 | 15 | 13 |
|
Brett Alan Banks
1400 E Boulder St |
$0.00 | 15 | 15 |
|
Mary Kathryn Abraham
1400 E Boulder St |
$1.22 | 16 | 14 |
|
Whitney Halgrimson
175 S Union Blvd Ste 315 |
$0.00 | 16 | 12 |
|
Kazunari Kuno
225 S Union Blvd |
$0.00 | 16 | 14 |
|
Elise Van Leuven
10807 New Allegiance Dr Ste 160 |
$15.19 | 17 | 12 |
|
Nicholas Alan Beckmann
3030 N Circle Dr Ste 300 |
$0.00 | 17 | 17 |
|
John J Radio
3843 Rio Vista Dr Ste 1200 |
$6.05 | 17 | 17 |
|
Christopher Ryan Westfall
1400 E. Boulder Street |
$0.00 | 17 | 12 |
|
John Joseph Shonk
1725 E Boulder St Ste 101 |
$0.00 | 18 | 14 |
|
Uchenna Okagbue Njiaju
525 N Foote Ave |
$0.00 | 20 | 12 |
|
Douglas Graham Adler
2920 N Cascade Ave Ste 301 |
$0.00 | 20 | 17 |
|
Morgan Lee Meury
1400 E Boulder St |
$0.00 | 20 | 16 |
|
Narine Viruni
2770 N Union Blvd Ste 140 |
$812.06 | 21 | 17 |
|
Pei Zhang
525 Bob Peters Grv Ste 202 |
$0.00 | 22 | 12 |
|
Jared Miles
2767 Janitell Rd |
$0.00 | 22 | 12 |
|
Ryan Mckay Rich
2770 N Union Blvd |
$557.00 | 22 | 12 |
|
Amber Gates
4440 Barnes Rd Ste 245 |
$0.00 | 23 | 13 |
|
Lucas Allen Hennings
1400 E Boulder St |
$0.06 | 25 | 24 |
|
Lauren Ashley Barnett
1400 E Boulder St |
$0.00 | 25 | 25 |
|
Brent Jon Persons
1330 Quail Lake Loop Ste 220 |
$0.58 | 25 | 24 |
|
Thomas Drake Mcdonald
2312 N Nevada Ave Ste 100 |
$639.34 | 26 | 25 |
|
Paul A Decarolis
2312 N Nevada Ave Ste 400 |
$0.74 | 27 | 25 |
|
Lance Ginsburg
1263 Lake Plaza Dr Ste 120 |
$0.90 | 27 | 26 |
|
Susan Mikaelian
8580 Scarborough Dr Ste 100 |
$0.00 | 27 | 14 |
|
Tyler Backlas
3027 N Circle Dr |
$0.00 | 27 | 24 |
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