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 |
|---|---|---|---|
|
Karin Irene Luisa Gallup
777 Bannock St |
$0.00 | 12 | 12 |
|
Molly E.W. Thiessen
777 Bannock St |
$0.00 | 12 | 12 |
|
Brian Morgan
777 Bannock St |
$0.00 | 12 | 12 |
|
Ryan Douglas Paterson
777 Bannock St |
$0.00 | 12 | 12 |
|
Brock Eugene Boehm
777 Bannock St # Mc3240 |
$0.00 | 12 | 12 |
|
Brian C Joondeph
8101 E Lowry Blvd Ste 210 |
$2,470 | 13 | 12 |
|
Susan W. Ryan
4567 E. 9Th Avenue |
$0.00 | 13 | 12 |
|
Denis David Bensard
777 Bannock St |
$0.00 | 13 | 12 |
|
Kathryn Majors-Foley
777 Bannock St |
$17.99 | 13 | 12 |
|
Marleigh Higgins
790 Delaware St |
$17.22 | 13 | 13 |
|
Bjorn Sauerwein
660 Bannock St Fl 5 |
$0.00 | 13 | 13 |
|
Dolly George Maben
7155 E 38Th Ave |
$70.71 | 14 | 13 |
|
Fredric Michael Pieracci
777 Bannock St |
$0.00 | 14 | 13 |
|
Jessica Suhowatsky
4500 E 9Th Ave |
$82.50 | 14 | 14 |
|
Mariam Syed Ahmad
777 Bannock St # Mc0156 |
$1.11 | 14 | 14 |
|
Andrew B. Ziller
4567 E. 9Th Avenue |
$0.00 | 14 | 14 |
|
Tadd Rodney Ferguson
Dept #0861 |
$0.00 | 15 | 14 |
|
Kareem G. Sobky
1601 E 19Th Ave Ste 3300 |
$8.21 | 15 | 12 |
|
Mindell Johnson
7155 E 38Th Ave |
$14.00 | 15 | 12 |
|
Cyril Mauffrey
777 Bannock Street |
$0.00 | 16 | 12 |
|
Emily Lines
3055 Roslyn St |
$0.00 | 16 | 14 |
|
Andrew P Tyus
301 W 6Th Ave |
$0.00 | 16 | 15 |
|
Christopher E Urbina
777 Bannock St |
$2.90 | 16 | 15 |
|
Daniel J Holligan
777 Bannock St |
$0.00 | 16 | 14 |
|
Joseph Yun Jo Chang
777 Bannock St # Mc3240 |
$0.00 | 17 | 16 |
|
Stephen Dreyer
777 Bannock St |
$0.00 | 17 | 14 |
|
Robert Covington Springs
4120 Federal Blvd |
$0.88 | 18 | 12 |
|
Carly Noel Calagias
777 Bannock St |
$76.50 | 18 | 17 |
|
Shawna Noelle Tonick
1960 N Ogden St Ste 340 |
$0.00 | 18 | 12 |
|
Curtis L Hagedorn
2005 Franklin St |
$0.00 | 19 | 14 |
|
David M. Morrison
4567 E. 9Th Avenue |
$0.00 | 20 | 14 |
|
Andrea Bishop Navarre
777 Bannock St # Mc3240 |
$0.00 | 20 | 12 |
|
Jennifer Stichman
University Of Colorado School Of Medicine |
$0.00 | 21 | 14 |
|
Manuel R Montano
777 Bannock St |
$0.00 | 24 | 24 |
|
Emily Cohn Ambrose
777 Bannock St |
$0.62 | 25 | 25 |
|
Joshua A. Parry
777 Bannock St |
$0.00 | 25 | 13 |
|
Teresa S Gross
777 Bannock St |
$18.97 | 26 | 25 |
|
Leslie Megan Murray
3545 Quebec St Ste 110 |
$0.00 | 27 | 26 |
|
Miriah Michael Teeter
8101 E Lowry Blvd Ste 210 |
$780.10 | 27 | 24 |
|
Peter Carl Bergmann
1375 E 20Th Ave |
$395.49 | 28 | 24 |
|
Judith A Kralewski
777 Bannock St |
$0.00 | 28 | 26 |
|
Susan M Somerset
777 Bannock St |
$0.00 | 28 | 27 |
|
Anna Kalogeropoulos
4545 E 9Th Ave Ste 300 |
$0.00 | 29 | 25 |
|
Melissa Lynne Knight
Dept 0861 |
$0.00 | 33 | 24 |
|
Benjamin Louis Sholl
777 Bannock Street, Mc 0108 |
$0.00 | 39 | 36 |
|
Ian Alexander Backlund
660 Bannock St |
$0.00 | 41 | 40 |
|
Adam Schwertner
777 Bannock St |
$0.00 | 42 | 35 |
|
Laura Rachel Greenbaum
7155 E 38Th Ave |
$82.50 | 43 | 43 |
|
Jennifer Mccoy
777 Bannock St |
$0.00 | 47 | 46 |
|
Daniel Glenn Vanderploeg
777 Bannock St |
$0.00 | 48 | 25 |
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