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 |
|---|---|---|---|
|
Ascension St John Hospital
22101 Moross Rd |
$0.00 | 12 | 12 |
|
Omari Adisa Ruffin
2799 W Grand Blvd |
$0.16 | 12 | 12 |
|
Institute For Population Health Inc.
9053 Woodward Ave |
$0.00 | 13 | 12 |
|
Procare Partners Health Pllc
3611 Carpenter St Ste 5 |
$0.12 | 13 | 13 |
|
Neema Maheshkumar Patel
6071 W Outer Dr |
$0.00 | 13 | 12 |
|
Ankit Diptanshu Nanavati
2799 W Grand Blvd |
$0.25 | 13 | 12 |
|
Berrios Antuna Family Practice, Pc
6224 Michigan Ave |
$1.11 | 14 | 13 |
|
Prechel Family Clinic, Pc
16551 W Warren Ave |
$0.08 | 14 | 14 |
|
Laura Eldridge
400 Renaissance Ctr Ste 2600 |
$42.19 | 16 | 16 |
|
Christopher A Youngman
400 Mack Ave Ste 1 |
$0.76 | 16 | 16 |
|
Wesley Daniel Martus
6071 W Outer Dr |
$0.00 | 17 | 17 |
|
Mahir D Elder Md Pc
4160 John R St Ste 510 |
$3.90 | 25 | 25 |
|
Brent Keaner
4201 Saint Antoine St |
$0.19 | 26 | 26 |
|
Narsimha Gottam M.D. P C
7633 E Jefferson Ave. |
$0.14 | 26 | 25 |
|
Do Gardi Md Pc
4160 John R St |
$4.63 | 27 | 26 |
|
Kartheek B Nagappala
4201 Saint Antoine St |
$4.93 | 29 | 29 |
|
Alicia Michelle Shelby
17400 Wisconsin St |
$0.00 | 29 | 29 |
|
Hmc Urgent Care Gross Pointe Pllc
17751 E Warren Ave |
$0.11 | 32 | 31 |
|
Brian James Holowecky
4201 Saint Antoine St |
$0.00 | 32 | 29 |
|
Sarah Zhang
4201 Saint Antoine St |
$0.10 | 34 | 32 |
|
Terry A Wynn
14103 Fenkell St |
$72.95 | 38 | 38 |
|
Sami Jaafar
4201 Saint Antoine St |
$0.00 | 39 | 29 |
|
Dr. Wendy Mckay Pc
5831 W Vernor Hwy |
$0.95 | 39 | 39 |
|
Julie Ann Baranowski
3990 John R St |
$12.19 | 39 | 29 |
|
St Mary Mercy Physician Practices
5555 Conner St Ste 2691 |
$10.23 | 56 | 50 |
|
Katrina Iverson
3901 Beaubien St |
$0.00 | 57 | 41 |
|
Wesley Blake Vanderlan
2799 W Grand Blvd |
$9.45 | 61 | 54 |
|
Jennifer Nakka Chalam
22101 Moross Rd |
$1.74 | 61 | 49 |
|
Woodland Urgent Care Llc
22341 W 8 Mile Rd |
$1.00 | 64 | 64 |
|
Sms Medical Group Pllc
18254 Livernois Ave |
$0.85 | 68 | 65 |
|
Vhs Rehabilitation Institute Of Michigan Inc
261 Mack Ave |
$0.00 | 70 | 68 |
|
City Urgent Care Pc
13403 W 7 Mile Rd |
$0.70 | 75 | 72 |
|
John Yerkes
4201 Saint Antoine St |
$3.21 | 78 | 55 |
|
West Park Medical Clinic Pc
16238 W Warren Ave |
$0.29 | 89 | 89 |
|
Ascension Medical Group Michigan
22201 Moross Rd |
$7.67 | 94 | 94 |
|
Taofik Nasrat
4201 Saint Antoine St |
$624.62 | 100 | 35 |
|
Thomas John Metcalf
6071 W Outer Dr |
$0.79 | 108 | 77 |
|
Kyle William Lacy
4201 St. Antoine |
$6.52 | 110 | 110 |
|
Community Health And Social Services Center, Inc
5635 W Fort St |
$77.76 | 140 | 139 |
|
Detroit Community Health Connection, Inc.
13901 E Jefferson Ave |
$1.18 | 150 | 148 |
|
Nile Yu Chi Chang
4201 Saint Antoine St |
$0.46 | 156 | 145 |
|
Matthew William Ogren
6071 W Outer Dr |
$0.33 | 169 | 157 |
|
Get Well Urgent Care Detroit, Plc
19335 Grand River Ave |
$0.60 | 193 | 189 |
|
Bio-Medical Applications Of Michigan, Inc.
18944 Grand River Ave |
$0.01 | 213 | 26 |
|
Emma E Cermak
400 Mack Ave |
$0.00 | 221 | 202 |
|
Timothy Michael Scott
4201 Saint Antoine St |
$0.01 | 232 | 223 |
|
Carissa Jane Wentland
3901 Beaubien St # 3515 |
$0.01 | 247 | 237 |
|
Marcus Reginald Brown
2799 W Grand Blvd |
$2.29 | 255 | 198 |
|
Junction Clinic Health Center Pllc
4771 Michigan Ave |
$4.70 | 266 | 245 |
|
Sam Hartley Sadler
4201 Saint Antoine St |
$0.91 | 286 | 245 |
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