Average Medicaid Prescription Medications Payments in Detroit, MI: $18.05
Avg. Paid
$18.05
Range
$0.00 – $624.62
Total Claims
361,248
Providers
88
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 Detroit, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Henry Ford Health System
2799 W Grand Blvd |
$26.60 | 62,598 | 53,871 |
|
Vhs Childrens Hospital Of Michigan Inc
3901 Beaubien St |
$27.30 | 59,661 | 55,700 |
|
Vhs Harper-Hutzel Hospital Inc
3990 John R St |
$0.98 | 59,107 | 51,490 |
|
Vhs Sinai-Grace Hospital Inc
6071 W Outer Dr |
$3.02 | 52,039 | 47,210 |
|
Vhs Detroit Receiving Hospital Inc
4201 Saint Antoine St |
$0.24 | 37,479 | 32,442 |
|
Barbara Ann Karmanos Cancer Hospital
4100 John R St |
$3.76 | 14,027 | 9,202 |
|
Park Family Health Care, P.C.
12871 E Jefferson Ave |
$0.62 | 7,470 | 7,252 |
|
University Pain Clinic Associates, Pllc
4160 John R St |
$0.88 | 7,444 | 7,038 |
|
Bazzi Podiatry
7633 E Jefferson Ave |
$0.44 | 6,259 | 6,073 |
|
Henry Ford Health System
2799 W Grand Blvd |
$62.32 | 5,088 | 1,537 |
|
Northwest Detroit Dialysis Center, Llc
7800 W Outer Dr |
$79.13 | 4,930 | 1,242 |
|
Bio-Medical Applications Of Michigan, Inc.
18430 Livernois Ave |
$0.12 | 4,358 | 430 |
|
Vernor Urgent Care Pllc
3456 W Vernor Hwy |
$0.97 | 3,630 | 3,517 |
|
University Physician Group
4201 St. Antoine St. |
$579.93 | 3,474 | 3,230 |
|
Halo Medical Group Pllc
4160 John R St Ste 510 |
$6.14 | 3,350 | 3,198 |
|
Metro Womens Health Pllc
4727 Saint Antoine St |
$0.03 | 3,143 | 3,113 |
|
Junction Clinic
4771 Michigan Ave |
$5.33 | 2,922 | 2,698 |
|
Blessings Medical Center Pc
4828 W Warren Ave |
$3.84 | 2,830 | 2,622 |
|
Woodland Urgent Care Llc
22341 W 8 Mile Rd |
$0.39 | 2,098 | 2,053 |
|
Bio-Medical Applications Of Michigan, Inc.
7733 E Jefferson Ave Ste 120 |
$0.00 | 1,970 | 219 |
|
Dva Healthcare Renal Care Inc
4145 Cass Ave |
$0.00 | 1,830 | 172 |
|
The Wellness Plan Medical Centers
2888 W Grand Blvd |
$0.34 | 1,676 | 1,591 |
|
Wasim A Qazi Md Pc
6001 W Outer Dr |
$3.47 | 1,345 | 1,306 |
|
Sonal Saraiya
3901 Beaubien St |
$10.56 | 861 | 751 |
|
Gfc Of Southeastern Michigan, Pc
4160 John R St Ste 1011 |
$0.67 | 849 | 575 |
|
Dva Healthcare Renal Care Inc
22711 Grand River Ave |
$0.00 | 652 | 76 |
|
Manisha Mehta
4160 John R St Ste 1011 |
$0.48 | 650 | 343 |
|
Daisy Mae Family Medicine Pllc
20400 W Warren Ave |
$0.12 | 636 | 621 |
|
Great Lakes Dialysis, L.L.C.
14614 Kercheval St |
$64.77 | 531 | 209 |
|
Physicians Dialysis Acquisitions Inc
11707 Whittier Ave |
$0.02 | 528 | 76 |
|
Dva Healthcare Renal Care Inc
18100 Schaefer Hwy |
$0.00 | 509 | 52 |
|
Detroit Health Care For The Homeless
15400 W Mcnichols Rd |
$52.06 | 501 | 487 |
|
Total Renal Care Inc
19800 Woodward Ave |
$0.00 | 501 | 53 |
|
Givelife Dialysis Llc
18000 E Warren Ave |
$0.00 | 492 | 64 |
|
Andrew Freeth
6071 W Outer Dr |
$0.09 | 484 | 381 |
|
Bio-Medical Applications Of Michigan, Inc.
22151 Moross Rd Ste G-5 |
$0.17 | 444 | 49 |
|
Henry Ford Urgent Care
1 Ford Pl |
$1.33 | 401 | 397 |
|
Stanley M Poleck Do Pllc
19335 Grand River Ave |
$9.89 | 294 | 291 |
|
Sam Hartley Sadler
4201 Saint Antoine St |
$0.91 | 286 | 245 |
|
Junction Clinic Health Center Pllc
4771 Michigan Ave |
$4.70 | 266 | 245 |
|
Marcus Reginald Brown
2799 W Grand Blvd |
$2.29 | 255 | 198 |
|
Carissa Jane Wentland
3901 Beaubien St # 3515 |
$0.01 | 247 | 237 |
|
Timothy Michael Scott
4201 Saint Antoine St |
$0.01 | 232 | 223 |
|
Emma E Cermak
400 Mack Ave |
$0.00 | 221 | 202 |
|
Bio-Medical Applications Of Michigan, Inc.
18944 Grand River Ave |
$0.01 | 213 | 26 |
|
Get Well Urgent Care Detroit, Plc
19335 Grand River Ave |
$0.60 | 193 | 189 |
|
Matthew William Ogren
6071 W Outer Dr |
$0.33 | 169 | 157 |
|
Nile Yu Chi Chang
4201 Saint Antoine St |
$0.46 | 156 | 145 |
|
Detroit Community Health Connection, Inc.
13901 E Jefferson Ave |
$1.18 | 150 | 148 |
|
Community Health And Social Services Center, Inc
5635 W Fort St |
$77.76 | 140 | 139 |
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 Detroit, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Detroit, MI is $18.05 per claim, based on 361,248 claims from 88 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 Detroit, MI?
There are 88 Medicaid providers offering Prescription Medications related services in Detroit, MI according to public payment data.
What is the price range for Prescription Medications in Detroit, MI?
Medicaid reimbursement for Prescription Medications in Detroit, MI ranges from $0.00 to $624.62 per claim, with an average of $18.05. 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 Detroit, MI
Emergency Room Visit
Avg $110.55
4,694,783 claims
Office Visit
Avg $56.69
4,680,416 claims
Blood Work & Lab Tests
Avg $3.68
4,416,700 claims
Substance Abuse Treatment
Avg $28.79
3,445,158 claims
Home Health Visit
Avg $57.99
2,886,533 claims
X-Ray
Avg $10.17
1,790,332 claims
Psychiatric Evaluation
Avg $99.11
1,494,151 claims
Behavioral & Mental Health Therapy
Avg $129.03
1,324,733 claims