Average Medicaid Prescription Medications Payments in Denver, CO: $70.34
Avg. Paid
$70.34
Range
$0.00 – $2,470
Total Claims
70,420
Providers
142
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 Denver, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Shaun Gabriel
63 N Quebec St Ste 300 |
$21.28 | 10,159 | 6,913 |
|
William P Lee
1375 E 19Th Ave |
$0.00 | 4,166 | 341 |
|
Jarrod Todd King
777 Bannock St |
$0.47 | 3,942 | 3,252 |
|
Brian J. Fuller
2373 Central Park Blvd |
$2.27 | 3,431 | 2,254 |
|
Anthony A Beardmore
777 Bannock St |
$0.29 | 3,396 | 2,868 |
|
Alvaro Federico Martinez-Camacho
700 Delaware St |
$0.09 | 3,169 | 2,612 |
|
Alexander Feldman
1601 E 19Th Ave Ste 4400 |
$953.54 | 2,195 | 2,038 |
|
Brandon Schreiber
1721 E 19Th Ave Ste 510 |
$208.16 | 2,109 | 1,036 |
|
Michael G. Crincoli
1601 E 19Th Ave Ste 3650 |
$390.98 | 2,061 | 1,213 |
|
Donald M Kirkpatrick
777 Bannock St |
$0.10 | 1,880 | 1,628 |
|
Michael J Mclaughlin
777 Bannock St |
$0.12 | 1,761 | 919 |
|
Clancy S Howard
919 Jasmine St |
$0.00 | 1,724 | 141 |
|
Laura Ann Kooienga
130 Rampart Way |
$0.00 | 1,607 | 135 |
|
Alison Percowycz
2949 Federal Blvd |
$206.35 | 1,531 | 744 |
|
Donna Louise Oswald
7155 E 38Th Ave |
$74.05 | 1,509 | 1,460 |
|
Zina S Hosseini
6310 E Exposition Ave |
$73.21 | 1,351 | 1,275 |
|
Kyros Ipaktchi
777 Bannock St |
$0.18 | 1,270 | 990 |
|
Alexander Lauder
777 Bannock St Dept Of Orthopedics, Mc 0188 |
$0.30 | 1,217 | 972 |
|
Julie Christine Osborne Heller
2045 N Franklin St |
$0.16 | 1,206 | 1,018 |
|
Cristos Ifantides
777 Bannock St |
$0.24 | 1,118 | 639 |
|
Courtney Marie Bhat
2045 N Franklin St |
$0.10 | 1,034 | 802 |
|
Scott A Hamilton
777 Bannock St |
$0.53 | 716 | 662 |
|
Jeffrey B Thomas
950 E Harvard Ave |
$0.00 | 681 | 36 |
|
Spencer Tomberg
777 Bannock St |
$1.77 | 651 | 568 |
|
Katherine Taylor Tinkey
2045 N Franklin St |
$1.62 | 636 | 506 |
|
Michael Carl Chen
777 Bannock St |
$0.40 | 613 | 371 |
|
Magdalene Anastacia Brooke Sanchez
777 Bannock St. |
$0.03 | 606 | 429 |
|
Eric Mark Hammerberg
777 Bannock St |
$0.40 | 584 | 247 |
|
Sandhya Sharma
777 Bannock St # Mc4000 |
$0.00 | 567 | 324 |
|
Deidre St Peter
777 Bannock St |
$0.00 | 563 | 303 |
|
Heather Fraser West
777 Bannock St |
$0.02 | 546 | 281 |
|
Bradley L Schuster
2045 Franklin St |
$0.02 | 497 | 319 |
|
Katharine Francis Tobias
7155 E 38Th Ave |
$50.54 | 479 | 393 |
|
Stephanie Deblois Malliaris
777 Bannock St |
$0.63 | 451 | 378 |
|
Sonia Okuyama Sasaki
700 Delaware St |
$0.52 | 451 | 235 |
|
Amy R Knox
7155 E 38Th Ave |
$74.49 | 414 | 396 |
|
Vivianne Muriel Clark
7155 E 38Th Ave |
$92.32 | 411 | 403 |
|
Kendall Coombs
7155 E 38Th Ave |
$57.16 | 376 | 376 |
|
Kari Ehmann
10400 E Alameda Ave |
$72.86 | 370 | 337 |
|
Sarah Jean Fletcher
777 Bannock St |
$199.99 | 336 | 165 |
|
Nathan Grohmann
777 Bannock St |
$0.85 | 336 | 318 |
|
Melanie A Mainar
7155 E 38Th Ave |
$78.18 | 335 | 326 |
|
Alexander Paul Morton
777 Bannock St # Mc0206 |
$0.74 | 314 | 253 |
|
Mark James Glasgow
301 W 6Th Ave |
$2.07 | 263 | 207 |
|
Jesse M Smith
777 Bannock St |
$556.28 | 260 | 224 |
|
Corrine Wong
777 Bannock St |
$0.00 | 253 | 201 |
|
Matthew David Folchert
777 Bannock St # Mc0188 |
$0.22 | 247 | 219 |
|
Vincent D Eusterman
777 Bannock St |
$1.15 | 235 | 215 |
|
Nathaniel J Moore
895 S Logan St |
$4.88 | 235 | 214 |
|
Paul D Mack
300 S Jackson St |
$0.79 | 233 | 218 |
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 Denver, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Denver, CO is $70.34 per claim, based on 70,420 claims from 142 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 Denver, CO?
There are 142 Medicaid providers offering Prescription Medications related services in Denver, CO according to public payment data.
What is the price range for Prescription Medications in Denver, CO?
Medicaid reimbursement for Prescription Medications in Denver, CO ranges from $0.00 to $2,470 per claim, with an average of $70.34. 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 Denver, CO
Non-Emergency Medical Transportation
Avg $26.40
71,876,674 claims
Ambulance Transport
Avg $23.52
11,577,287 claims
Office Visit
Avg $89.80
3,664,561 claims
Blood Work & Lab Tests
Avg $6.48
3,027,459 claims
Substance Abuse Treatment
Avg $93.12
2,728,510 claims
Home Health Visit
Avg $313.41
1,547,478 claims
Emergency Room Visit
Avg $97.09
1,116,435 claims
Dental Cleaning & Exam
Avg $31.66
1,066,803 claims