Average Medicaid Prescription Medications Payments in Dayton, OH: $19.98
Avg. Paid
$19.98
Range
$0.00 – $1,140
Total Claims
212,950
Providers
130
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 Dayton, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Miami Valley Hospital
1 Wyoming St |
$1.16 | 74,765 | 40,865 |
|
Dayton Osteopathic Hospital
405 W Grand Ave |
$13.41 | 39,014 | 26,263 |
|
Dayton Children'S Hospital
1 Childrens Plz |
$20.02 | 30,539 | 23,977 |
|
Augustus K. Eduafo
455 Turner Rd |
$0.21 | 14,014 | 1,027 |
|
Melissa Schnell
455 Turner Rd |
$0.49 | 11,553 | 816 |
|
Adedayo Odunsi
455 Turner Road |
$0.17 | 4,621 | 352 |
|
Kyle Martin Hensley
One Children'S Plaza |
$8.12 | 4,494 | 4,329 |
|
Ankur Mahendra Patel
1 Childrens Plz |
$9.87 | 3,116 | 2,683 |
|
Amol Soin
7076 Corporate Way |
$0.30 | 2,189 | 2,063 |
|
Barbara A Bennett
8701 Troy Pike Ste 50 |
$10.58 | 2,057 | 1,949 |
|
Brenda Renee Ellis
7271 N Main St |
$0.91 | 2,036 | 1,729 |
|
Mary Ruth Gorniak
1 Wyoming St |
$51.12 | 1,579 | 897 |
|
Nadeem Ahmed
425 W Grand Ave Ste 1006 |
$0.00 | 1,483 | 1,337 |
|
Toni Tipton
2261 Philadelphia Dr |
$46.94 | 1,238 | 645 |
|
Richard J Kim
30 E Apple St |
$529.80 | 1,221 | 494 |
|
Elizabeth Knecht
1 Childrens Plz |
$8.90 | 1,145 | 938 |
|
Scott Michael Pfahler
301 W 1St St |
$902.46 | 1,010 | 643 |
|
Jeffrey M Rayborn
9000 N Main St |
$13.47 | 1,010 | 851 |
|
Saad Hashem Kanaan
1 Elizabeth Pl |
$504.79 | 847 | 317 |
|
Townsend Smith
1 Wyoming St |
$0.00 | 787 | 709 |
|
Wayarne A Harlan
9000 N Main St |
$99.60 | 748 | 712 |
|
Robert Todd Bloom
1 Childrens Plz |
$4.13 | 644 | 619 |
|
John Robert Dorsch
4881 Sugar Maple Dr |
$7.54 | 633 | 596 |
|
Jeffrey S Rogers
4160 Little York Road |
$6.97 | 620 | 568 |
|
Michael Colin Rymer
2350 Miami Valley Dr |
$4.17 | 606 | 546 |
|
Kathryn Louise Lowry-Collins
1 Wyoming St |
$49.67 | 599 | 354 |
|
Donald Huu Nguyen
1 Childrens Plz |
$2.26 | 509 | 437 |
|
Michael G Raab
9000 N Main St |
$7.92 | 464 | 348 |
|
Fred Arthur Wagshul
8371 Yankee St |
$0.21 | 347 | 300 |
|
James Michael Lee
1 Childrens Plz |
$0.16 | 335 | 302 |
|
George Kaiser
405 W Grand Ave |
$0.40 | 325 | 292 |
|
Shelly C Joiner
9000 N Main St |
$102.19 | 291 | 274 |
|
Srinivas Erragolla
1 Elizabeth Pl Ste D |
$5.57 | 289 | 251 |
|
Nathan Mitchell Melton
4160 Little York Rd Ste 10 |
$0.02 | 283 | 252 |
|
Elissa Marie Reed
8701 Troy Pike Ste 20 |
$11.29 | 274 | 265 |
|
Jeffrey Aaron James
2350 Miami Valley Dr Ste 320A |
$8.41 | 270 | 187 |
|
Andrew H. Gabriel
7740 Washington Village Dr Ste 110 |
$0.00 | 268 | 251 |
|
Bruce M Buerk
89 Sylvania Dr |
$1,140 | 260 | 196 |
|
Arturo Aranda
1 Childrens Plz |
$9.33 | 260 | 245 |
|
Tiffany Tiara Brown
2222 Philadelphia Dr |
$0.02 | 251 | 225 |
|
Michael Charles Albert
1 Childrens Plz |
$0.02 | 249 | 217 |
|
Christopher David Mcintosh
405 W Grand Ave |
$0.09 | 241 | 209 |
|
Pradeep Padmanabhan
1 Childrens Plz |
$3.61 | 238 | 79 |
|
James E Decaestecker
9000 N Main St |
$0.11 | 238 | 197 |
|
Mark D Oxman
7700 Washington Village Dr |
$0.25 | 211 | 26 |
|
Anna Elizabeth Miller
438 Shadowlawn Ave |
$0.83 | 204 | 151 |
|
Oliver Stephen Soldes
1 Childrens Plz |
$5.00 | 185 | 176 |
|
Alexis Victoria Robinson
1010 Woodman Dr |
$0.75 | 178 | 128 |
|
Michael Scott Bloom
1020 Woodman Dr Ste 105 |
$1.37 | 177 | 175 |
|
Richard G Scharrer
9000 N Main St |
$104.95 | 175 | 169 |
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 Dayton, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Dayton, OH is $19.98 per claim, based on 212,950 claims from 130 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 Dayton, OH?
There are 130 Medicaid providers offering Prescription Medications related services in Dayton, OH according to public payment data.
What is the price range for Prescription Medications in Dayton, OH?
Medicaid reimbursement for Prescription Medications in Dayton, OH ranges from $0.00 to $1,140 per claim, with an average of $19.98. 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 Dayton, OH
Home Health Visit
Avg $59.90
3,092,172 claims
Office Visit
Avg $64.03
3,013,507 claims
Substance Abuse Treatment
Avg $99.66
2,178,156 claims
Emergency Room Visit
Avg $97.08
1,743,160 claims
Blood Work & Lab Tests
Avg $6.58
1,534,294 claims
Behavioral & Mental Health Therapy
Avg $69.30
1,407,770 claims
Psychiatric Evaluation
Avg $74.24
998,423 claims
X-Ray
Avg $8.52
885,936 claims