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 |
|---|---|---|---|
|
Chad William Becker
1200 Pleasant St |
$0.41 | 12 | 12 |
|
Kiel Adam Morris
1801 Hickman Rd |
$573.91 | 12 | 12 |
|
Nicole Jean West
6520 Se 14Th St |
$1.86 | 12 | 12 |
|
Paul Gisi
1212 Pleasant St |
$82.50 | 12 | 12 |
|
Salim Hommeida
1215 Pleasant St Ste 600 |
$1.48 | 13 | 13 |
|
Matthew Spitzenberger
1801 Hickman Rd |
$0.00 | 13 | 13 |
|
Shane Cook
1301 Pennsylvania Ave Ste 213 |
$8.85 | 13 | 12 |
|
Andrew K Terry
1111 6Th Ave |
$0.00 | 13 | 12 |
|
Dennis Whitmer
411 Laurel St |
$0.00 | 13 | 13 |
|
Jennifer Jane Pate
1301 Penn Ave |
$0.00 | 14 | 13 |
|
Jamie Lynn Piotrowski
1200 Pleasant St |
$0.25 | 14 | 13 |
|
Nicole Ruhland
1221 Pleasant St Ste 400 |
$22.80 | 15 | 12 |
|
Justin David Khoriaty
450 Laurel St Ste A |
$12.69 | 15 | 14 |
|
Eduardo Javier Carlin
1215 Pleasant St |
$0.73 | 15 | 14 |
|
Onyebuchi Ukabiala
1206 Pleasant St |
$0.52 | 16 | 15 |
|
Kevin Pothoven
1111 6Th Ave |
$0.00 | 16 | 12 |
|
James Francis Lawler
411 Laurel St |
$1,428 | 16 | 13 |
|
Magdy M Elsawy
411 Laurel St Ste A300 |
$1.18 | 16 | 13 |
|
Jared M Carter
450 Laurel St Ste A |
$1.82 | 16 | 12 |
|
Christian Philip Schultheis
411 Laurel St Ste A300 |
$1.65 | 18 | 12 |
|
Jamie Pinter
330 Laurel St Ste 2300 |
$26.68 | 19 | 12 |
|
Scott Alan Meyer
450 Laurel St |
$10.12 | 25 | 24 |
|
Amy E. Shriver
1212 Pleasant St. |
$0.00 | 25 | 24 |
|
Courtney Bohn
1111 9Th St Ste 190 |
$1.65 | 26 | 24 |
|
Jennifer Loftus Nystrom
1200 Pleasant St Fl 1 |
$0.21 | 28 | 26 |
|
Alisha Kumar
1200 Pleasant St |
$0.50 | 28 | 13 |
|
Andrew Zeff
1111 6Th Ave |
$0.00 | 29 | 17 |
|
Sean Robert Trammel
1801 Hickman Rd |
$1.09 | 31 | 28 |
|
Katheryn Anne Kuehner
500 E Locust St Ste 126 |
$1.38 | 41 | 38 |
|
Katie M Dean
5005 Douglas Ave Ste 101 |
$2.51 | 41 | 32 |
|
Paul M Roberts
1200 Pleasant St |
$0.27 | 43 | 43 |
|
Catholic Health Initiatives-Iowa Corp
1111 6Th Ave |
$0.00 | 44 | 42 |
|
Brian P Freeman
411 Laurel St Ste A300 |
$1.17 | 49 | 42 |
|
Shannon Brown
2103 Ingersoll Ave |
$1.47 | 55 | 53 |
|
Mathew Wehbe
411 Laurel Street |
$1.24 | 55 | 37 |
|
Primary Health Care, Inc.
1200 University Ave Ste 120 |
$0.00 | 59 | 57 |
|
Giselle Mery
411 Laurel St Ste A300 |
$1.54 | 64 | 53 |
|
Lydia J Holm
1200 Pleasant St |
$0.35 | 66 | 66 |
|
Angela Elizabeth Sandre
411 Laurel St Ste A300 |
$1.55 | 66 | 50 |
|
Tyler J Fisher
1200 Pleasant St |
$1.57 | 72 | 66 |
|
Mica M Murdoch
1801 Hickman Rd |
$0.00 | 80 | 74 |
|
Benjamin Robert Beecher
450 Laurel St Ste A |
$11.58 | 81 | 72 |
|
Broadlawns Medical Center
1801 Hickman Rd |
$0.00 | 86 | 83 |
|
Timothy George Kenney
450 Laurel St |
$7.08 | 89 | 80 |
|
Craig Robert Mahoney
450 Laurel St Ste A |
$6.94 | 93 | 88 |
|
Blake Hale
450 Laurel St Ste A |
$0.50 | 99 | 93 |
|
Robert L Bender
1801 Hickman Road |
$360.91 | 112 | 103 |
|
Paige Goff
450 Laurel St Ste A |
$13.26 | 116 | 102 |
|
Bryan Lee Folkers
2000 Grand Ave |
$0.00 | 117 | 91 |
|
Jimmie Rogers Horton
1350 Des Moines St |
$13.93 | 119 | 113 |
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