Average Medicaid Prescription Medications Payments in Des Moines, IA: $101.32
Avg. Paid
$101.32
Range
$0.00 – $1,428
Total Claims
26,526
Providers
82
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 Des Moines, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mark Miller Belz
1215 Pleasant Street |
$2.83 | 2,997 | 203 |
|
Hans Michael Leonard
1345 E University Ave |
$1.55 | 2,898 | 2,747 |
|
Lynn Rankin
1301 Penn Ave |
$404.93 | 2,257 | 1,090 |
|
Bruce Lewis Buchsbaum
501 Sw 7Th St |
$0.12 | 2,213 | 168 |
|
Wendy Waldman Zadeh
1801 Hickman Rd |
$291.89 | 2,096 | 996 |
|
Robert J Behrens
1221 Pleasant St |
$2.03 | 1,726 | 1,105 |
|
John Wesley Rayburn
450 Laurel St Ste A |
$0.79 | 1,176 | 1,045 |
|
Loras R Even
6520 Se 14Th St |
$6.99 | 926 | 902 |
|
Mark S Puricelli
1111 6Th Ave |
$336.53 | 860 | 387 |
|
Lynn K Struck
1221 Pleasant St |
$370.11 | 785 | 416 |
|
Thomas Gerard Klein
450 Laurel St Ste A |
$1.91 | 724 | 650 |
|
Larry Lindell
1801 Hickman Rd |
$3.95 | 722 | 703 |
|
Michael R.K. Jacoby
1111 6Th Ave |
$392.03 | 656 | 396 |
|
Allison Christine Pratt
1000 E Army Post Rd |
$25.04 | 456 | 401 |
|
Primary Health Care, Inc.
3509 E 29Th St |
$0.19 | 426 | 400 |
|
Chad Alan Quist
450 Laurel St |
$295.53 | 387 | 186 |
|
Jennifer Lauren Thompson
1215 Pleasant St Ste 100 |
$0.00 | 301 | 12 |
|
Bryan Stocker
1200 Pleasant St |
$1.30 | 264 | 248 |
|
Abdelaziz Elhaddad
411 Laurel St Ste A300 |
$1.21 | 256 | 189 |
|
Renee Beth Baumhover
1212 Pleasant St |
$76.93 | 247 | 245 |
|
Bradley K Hiatt
411 Laurel St Ste A300 |
$1.49 | 244 | 169 |
|
Erik Adair
1200 Pleasant St |
$1.75 | 227 | 209 |
|
Amy Marie Groen
1200 Pleasant St |
$1.45 | 193 | 181 |
|
Elisabeth Rose Lyons
1000 E Army Post Rd |
$27.14 | 188 | 182 |
|
Priscilla M. Putzier
1200 Pleasant St |
$1.30 | 170 | 160 |
|
Casey John Howe
450 Laurel St |
$7.28 | 162 | 148 |
|
Bradley L Lair
1221 Pleasant |
$0.00 | 161 | 76 |
|
Jennifer Fae Wilsbacher
2304 University Ave |
$26.06 | 150 | 135 |
|
Trevor Richard Schmitz
450 Laurel St Ste A |
$0.00 | 140 | 102 |
|
Debra J Borcherding
1200 Pleasant St |
$0.99 | 127 | 122 |
|
Sandra R. Scholten
1907 Carpenter Ave |
$479.14 | 126 | 116 |
|
Troy Matthew Bunch
1801 Hickman Rd |
$0.54 | 123 | 115 |
|
Jimmie Rogers Horton
1350 Des Moines St |
$13.93 | 119 | 113 |
|
Bryan Lee Folkers
2000 Grand Ave |
$0.00 | 117 | 91 |
|
Paige Goff
450 Laurel St Ste A |
$13.26 | 116 | 102 |
|
Robert L Bender
1801 Hickman Road |
$360.91 | 112 | 103 |
|
Blake Hale
450 Laurel St Ste A |
$0.50 | 99 | 93 |
|
Craig Robert Mahoney
450 Laurel St Ste A |
$6.94 | 93 | 88 |
|
Timothy George Kenney
450 Laurel St |
$7.08 | 89 | 80 |
|
Broadlawns Medical Center
1801 Hickman Rd |
$0.00 | 86 | 83 |
|
Benjamin Robert Beecher
450 Laurel St Ste A |
$11.58 | 81 | 72 |
|
Mica M Murdoch
1801 Hickman Rd |
$0.00 | 80 | 74 |
|
Tyler J Fisher
1200 Pleasant St |
$1.57 | 72 | 66 |
|
Lydia J Holm
1200 Pleasant St |
$0.35 | 66 | 66 |
|
Angela Elizabeth Sandre
411 Laurel St Ste A300 |
$1.55 | 66 | 50 |
|
Giselle Mery
411 Laurel St Ste A300 |
$1.54 | 64 | 53 |
|
Primary Health Care, Inc.
1200 University Ave Ste 120 |
$0.00 | 59 | 57 |
|
Mathew Wehbe
411 Laurel Street |
$1.24 | 55 | 37 |
|
Shannon Brown
2103 Ingersoll Ave |
$1.47 | 55 | 53 |
|
Brian P Freeman
411 Laurel St Ste A300 |
$1.17 | 49 | 42 |
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 Des Moines, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Des Moines, IA is $101.32 per claim, based on 26,526 claims from 82 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 Des Moines, IA?
There are 82 Medicaid providers offering Prescription Medications related services in Des Moines, IA according to public payment data.
What is the price range for Prescription Medications in Des Moines, IA?
Medicaid reimbursement for Prescription Medications in Des Moines, IA ranges from $0.00 to $1,428 per claim, with an average of $101.32. 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 Des Moines, IA
Office Visit
Avg $32.61
1,644,515 claims
Blood Work & Lab Tests
Avg $4.48
1,009,999 claims
Psychiatric Evaluation
Avg $74.70
882,204 claims
Emergency Room Visit
Avg $135.04
702,067 claims
Vaccines & Immunizations
Avg $14.31
507,649 claims
Dental Cleaning & Exam
Avg $23.97
466,251 claims
Personal Care Services
Avg $68.74
403,169 claims
Case Management Services
Avg $98.76
274,116 claims