Average Medicaid Prescription Medications Payments in Columbus, OH: $41.87
Avg. Paid
$41.87
Range
$0.00 – $1,379
Total Claims
466,534
Providers
411
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 Columbus, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nationwide Children'S Hospital
700 Childrens Dr |
$51.65 | 68,328 | 51,257 |
|
Ohiohealth Corporation
111 S Grant Ave |
$2.14 | 65,229 | 42,028 |
|
Ohio State University Hospitals
410 W 10Th Ave |
$73.37 | 52,617 | 34,589 |
|
Brian J Mussio
285 E State St |
$0.14 | 31,719 | 2,880 |
|
Mount Carmel Health System
6001 E Broad St |
$0.27 | 26,031 | 17,035 |
|
Ohiohealth Corporation
3535 Olentangy River Rd |
$1.75 | 21,681 | 14,294 |
|
Ohiohealth Corporation
5100 W Broad St |
$1.92 | 18,852 | 12,275 |
|
Nabil J. Haddad
543 Taylor Ave |
$0.18 | 18,212 | 1,666 |
|
Arthur G James Cancer Hospital And Research Institute
460 W 10Th Ave |
$56.15 | 13,547 | 7,006 |
|
Naveen Singri
929 Jasonway Ave |
$0.32 | 10,291 | 901 |
|
Bio-Medical Applications Of Ohio, Inc.
4661 Karl Rd |
$0.08 | 10,276 | 945 |
|
Anil K Agarwal
456 W 10Th Ave |
$0.18 | 6,829 | 592 |
|
Bio-Medical Applications Of Ohio, Inc.
285 E State St Ste 170 |
$0.05 | 6,774 | 657 |
|
Fresenius Medical Care-Osuim Kidney Centers, Llc
730 Taylor Ave |
$0.05 | 5,947 | 516 |
|
Elizabeth Marie Rave
929 Jasonway Ave |
$0.17 | 5,382 | 447 |
|
Fresenius Medical Care-Osuim Kidney Centers, Llc
1791 Kenny Rd |
$0.00 | 4,980 | 399 |
|
Planned Parenthood Of Greater Ohio
1511 W Broad St |
$92.02 | 4,465 | 4,178 |
|
American Oncology Partners Pa
3100 Plaza Properties Blvd |
$7.56 | 4,216 | 2,256 |
|
Teferi G Mengesha
2355 S Hamilton Rd |
$0.13 | 3,513 | 325 |
|
Planned Parenthood Of Greater Ohio
18 E 17Th Ave |
$92.12 | 2,991 | 2,791 |
|
Daniel J Roncone
929 Jasonway Ave |
$0.29 | 2,445 | 200 |
|
Ramesh Annadurai
929 Jasonway Ave |
$0.30 | 2,259 | 164 |
|
Manmohan K Katapadi
800 E Broad St |
$12.02 | 2,037 | 945 |
|
Yeshwant P Reddy
931 Chatham Ln |
$0.32 | 1,612 | 1,296 |
|
Bio-Medical Applications Of Ohio, Inc.
4039 E Broad St |
$0.07 | 1,462 | 140 |
|
Charles Albert Elmaraghy
555 S 18Th St |
$2.88 | 1,451 | 1,323 |
|
Ann L. Griffen
305 W 12Th Ave |
$0.02 | 1,381 | 1,365 |
|
Meredith N. Lind
555 S 18Th St |
$2.40 | 1,370 | 1,256 |
|
Matthew Craig Beran
405 Butterfly Gardens Dr |
$0.08 | 1,320 | 961 |
|
Kevin Lee Schroeder
929 Jasonway Ave |
$0.19 | 1,308 | 99 |
|
Saud Siddiqui
440 Industrial Mile Rd |
$0.29 | 1,235 | 983 |
|
Mid-America Dialysis, Llc
2355 S Hamilton Rd |
$0.00 | 1,230 | 110 |
|
Raymond Joseph Tesner
303 E Town St |
$5.80 | 1,213 | 1,166 |
|
Dameisha Gibson
21 E State St Ofc 233 |
$90.33 | 1,187 | 1,148 |
|
Jonathan Marc Grischkan
555 S 18Th St |
$0.13 | 1,181 | 1,086 |
|
Spencer Eugene Lindsey
555 S 18Th St |
$0.04 | 1,153 | 1,087 |
|
Patrick Collins Walz
555 S 18Th St |
$0.01 | 1,114 | 1,046 |
|
James Michael Ruda
555 S 18Th St |
$0.57 | 1,102 | 1,026 |
|
Mounir Sanhaji
420 N James Rd |
$4.77 | 1,086 | 863 |
|
Matthew Joon Young Byun
262 Neil Ave Ste 220 |
$1,140 | 1,085 | 869 |
|
Abida T Makhdomi
855 S. Wall St. |
$4.57 | 1,079 | 814 |
|
Kris R Jatana
555 S 18Th St |
$0.05 | 1,054 | 983 |
|
Allison M Levering
1581 Dodd Dr |
$94.06 | 1,048 | 1,026 |
|
Heather M Lake
285 E State St |
$44.02 | 1,024 | 959 |
|
Ethan Christopher Bassett
555 S 18Th St |
$0.03 | 966 | 910 |
|
Christiane Kelly Hunt
262 Neil Ave |
$1,079 | 941 | 783 |
|
Stephen Porter Wiseman
303 E Town St |
$4.56 | 937 | 853 |
|
Chirag C Patel
262 Neil Ave |
$1,188 | 936 | 755 |
|
Albert C. Clairmont
480 Medical Center Dr Ste 1041 |
$1,179 | 886 | 757 |
|
Karl W Klamar
700 Childrens Dr |
$1,211 | 875 | 803 |
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 Columbus, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Columbus, OH is $41.87 per claim, based on 466,534 claims from 411 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 Columbus, OH?
There are 411 Medicaid providers offering Prescription Medications related services in Columbus, OH according to public payment data.
What is the price range for Prescription Medications in Columbus, OH?
Medicaid reimbursement for Prescription Medications in Columbus, OH ranges from $0.00 to $1,379 per claim, with an average of $41.87. 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 Columbus, OH
Home Health Visit
Avg $45.80
26,745,681 claims
Office Visit
Avg $62.00
8,388,006 claims
Blood Work & Lab Tests
Avg $8.64
6,317,089 claims
Emergency Room Visit
Avg $98.63
3,813,295 claims
X-Ray
Avg $8.91
2,932,314 claims
Behavioral & Mental Health Therapy
Avg $86.62
2,709,784 claims
Substance Abuse Treatment
Avg $101.75
2,434,686 claims
Psychiatric Evaluation
Avg $92.89
2,227,259 claims