Average Medicaid Prescription Medications Payments in Columbus, OH: $41.87
Avg. Paid
$41.87
Range
$0.00 โ $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 โ 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 |
|---|---|---|---|
|
Gregory P Avellana
1550 W 5Th Ave |
$0.00 | 12 | 12 |
|
Henry D. Rocco
303 E Town St |
$0.74 | 12 | 12 |
|
Nikhil Verma
1087 Dennison Ave Fl 4 |
$0.08 | 12 | 12 |
|
Michael Cackovic
1800 Zollinger Rd Fl 4 |
$101.27 | 12 | 12 |
|
Brandy Lynn Zimmer
410 W 10Th Ave |
$0.69 | 12 | 12 |
|
Tracy R Ediger
700 Childrens Dr |
$0.00 | 12 | 12 |
|
Chloe Sidley
2323 W 5Th Ave |
$3.07 | 12 | 12 |
|
Ibrahim Khansa
700 Childrens Dr |
$0.00 | 12 | 12 |
|
Rotem Elitsur-Fitzpatrick
700 Childrens Dr |
$0.00 | 12 | 12 |
|
Garth Fedric Essig
915 Olentangy River Rd |
$0.00 | 12 | 12 |
|
Brian D Kenney
555 S. 18Th Street |
$0.00 | 12 | 12 |
|
Steven C. Gentile
750 Mount Carmel Mall |
$0.00 | 12 | 12 |
|
James Bradley Ford
51 N High St |
$0.00 | 12 | 12 |
|
Ala K. Shaikhkhalil
700 Children'S Drive |
$0.00 | 12 | 12 |
|
Charles Joseph Frommelt
5100 W Broad St |
$0.63 | 12 | 12 |
|
Enrique Ramirez
700 Childrens Dr |
$8.65 | 12 | 12 |
|
Lisa Marie Borkowski
262 Neil Ave |
$1,261 | 12 | 12 |
|
Michael Clark Roesch
3525 Olentangy River Rd |
$0.00 | 13 | 13 |
|
Philip Samuels
1800 Zollinger Rd Fl 4 |
$89.22 | 13 | 13 |
|
Allison Kellogg
680 Buckles Ct N Ste 100 |
$0.89 | 13 | 13 |
|
Eric Alvarez Lirio
285 E State St |
$33.21 | 13 | 12 |
|
Lisa Pursell
376 W 10Th Ave |
$0.00 | 13 | 13 |
|
Kathleen Elizabeth Waibel
921 Jasonway Ave Ste B |
$0.00 | 13 | 12 |
|
Dana Meredith Lenobel
555 S 18Th St |
$53.43 | 13 | 12 |
|
Matthew V. Kellar
2323 W 5Th Ave |
$0.00 | 13 | 13 |
|
Cynthia Marie Holland-Hall
380 Butterfly Gardens Dr |
$76.85 | 13 | 13 |
|
Maura Marie Manning
480 S 3Rd St |
$0.00 | 13 | 13 |
|
Jocelyn Grace Patel
3433 Agler Rd Ste 2700 |
$0.91 | 13 | 13 |
|
Benedict C Nwomeh
555 S 18Th St |
$0.00 | 13 | 12 |
|
William Fraser
5100 W Broad St |
$0.00 | 13 | 13 |
|
Elyshia Smith
700 Childrens Dr |
$0.07 | 13 | 13 |
|
Ann M Haynes
1492 E Broad St |
$0.00 | 13 | 13 |
|
Andrew Gathof
410 W 10Th Ave |
$0.00 | 13 | 12 |
|
Karen C Evans
3555 Olentangy River Rd Ste 2001 |
$0.00 | 13 | 13 |
|
Lauren Farrell
3225 Sullivant Ave |
$14.04 | 14 | 13 |
|
Matthew Robinson
5100 W Broad St |
$0.46 | 14 | 13 |
|
Brain J Marshall
3535 Olentangy River Rd |
$0.00 | 14 | 14 |
|
Oliver F Adunka
915 Olentangy River Rd |
$0.00 | 14 | 13 |
|
Labronz C Davis
2872 W Broad St |
$18.03 | 14 | 12 |
|
David William Schmidt
111 S Grant Ave |
$0.44 | 14 | 13 |
|
Steven J Eskin
3535 Olentangy River Rd |
$1.07 | 14 | 13 |
|
Richard Thomas Klapchar
5131 Beacon Hill Rd |
$1.41 | 14 | 12 |
|
Laura Michelle Espy-Bell
3525 Olentangy River Rd |
$0.00 | 14 | 12 |
|
Bridget Onders
5100 W Broad St |
$0.00 | 14 | 13 |
|
Glenn A. Ciolli
750 Mount Carmel Mall |
$1.33 | 14 | 13 |
|
Jacqueline Tran Rohl
3600 Olentangy River Rd Ste A |
$0.00 | 14 | 12 |
|
Timothy J Kirkpatrick
3535 Olentangy River Rd |
$0.32 | 14 | 13 |
|
William A Krebs
410 W 10Th Ave |
$0.26 | 14 | 12 |
|
Maegan Sauvageau Reynolds
700 Childrens Dr |
$0.66 | 14 | 14 |
|
John B Christoforidis
456 W 10Th Ave |
$710.02 | 15 | 12 |
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 | โ |
| J0120 | Tetracyclin injection | โ | โ | โ |
| J0133 | Acyclovir injection | โ | โ | โ |
| J0202 | Injection, alemtuzumab | โ | โ | โ |
| J0795 | Corticorelin ovine triflutal | โ | โ | โ |
| J1160 | Digoxin injection | โ | โ | โ |
| J1205 | Chlorothiazide sodium inj | โ | โ | โ |
| J1260 | Dolasetron mesylate | โ | โ | โ |
| J1290 | Ecallantide injection | โ | โ | โ |
| J1300 | Eculizumab injection | โ | โ | โ |
| J1301 | Injection, edaravone, 1 mg | โ | โ | โ |
| J1303 | Inj., ravulizumab-cwvz 10 mg | โ | โ | โ |
| J1305 | Inj, evinacumab-dgnb, 5mg | โ | โ | โ |
| J1320 | Amitriptyline injection | โ | โ | โ |
| J1322 | Elosulfase alfa, injection | โ | โ | โ |
| J1327 | Eptifibatide injection | โ | โ | โ |
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 ยท 235 providers
Milwaukee, WI
Avg $9.22
755,550 claims ยท 88 providers
Washington, DC
Avg $6.48
675,765 claims ยท 92 providers
Los Angeles, CA
Avg $61.23
617,979 claims ยท 282 providers
Louisville, KY
Avg $31.67
601,676 claims ยท 181 providers
New York, NY
Avg $40.26
587,024 claims ยท 195 providers
San Diego, CA
Avg $27.34
493,429 claims ยท 162 providers
Tucson, AZ
Avg $24.34
489,015 claims ยท 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