Average Medicaid Prescription Medications Payments in Elkhart, IN: $14.85
Avg. Paid
$14.85
Range
$0.00 – $565.32
Total Claims
4,698
Providers
25
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 Elkhart, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jason J Hix
2310 California Road |
$14.40 | 1,324 | 1,083 |
|
Ryan P. Foreman
2310 California Rd |
$16.10 | 579 | 505 |
|
Bruce Newswanger
600 East Blvd |
$0.00 | 453 | 372 |
|
Thomas P. Moretti
500 Arcade Ave |
$0.00 | 385 | 321 |
|
Edith M Cullen
2310 California Rd |
$14.03 | 280 | 239 |
|
Adam Charles Losch
600 East Blvd |
$0.00 | 278 | 221 |
|
James Lee Shoemaker
600 East Blvd |
$0.00 | 257 | 204 |
|
Song I Baek
1004 Parkway Ave Ste E |
$56.56 | 237 | 227 |
|
Andrea Leslie Gentile
1753 Fulton St |
$0.00 | 196 | 167 |
|
David Reser
600 East Blvd |
$0.43 | 159 | 128 |
|
Erin Marie Kevern
1753 Fulton St |
$0.00 | 141 | 128 |
|
Bruce Hughes
600 East Blvd |
$0.00 | 73 | 62 |
|
Ahsanul Haque
303 S Nappanee St |
$0.49 | 51 | 25 |
|
David E Vanryn
600 East Blvd |
$0.00 | 44 | 33 |
|
Andre Nathan Hirschler
600 East Blvd |
$0.00 | 35 | 26 |
|
Gordon M Hughes
303 S Nappanee St |
$3.16 | 34 | 29 |
|
Suying Wu
303 S Nappanee St |
$565.32 | 31 | 25 |
|
Muhammad Uzair Saqlain
1215 Lawn Ave Ste 120 |
$0.00 | 30 | 14 |
|
Caesar Joseph Weston
600 East Blvd |
$0.00 | 25 | 13 |
|
Willis W Stevenson
2310 California Road |
$23.15 | 16 | 13 |
|
Abuzafar M. Arif
500 Arcade Ave Ste 300 |
$0.00 | 16 | 14 |
|
Sandra H. Morgan
1627 E Bristol St |
$0.47 | 15 | 14 |
|
Tracy Lynn Mitchel
600 East Blvd |
$0.00 | 14 | 14 |
|
Whitney Boling
2746 Old Us 20 W |
$456.10 | 13 | 12 |
|
Daniel Maas
600 East Blvd |
$0.00 | 12 | 12 |
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 Elkhart, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Elkhart, IN is $14.85 per claim, based on 4,698 claims from 25 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 Elkhart, IN?
There are 25 Medicaid providers offering Prescription Medications related services in Elkhart, IN according to public payment data.
What is the price range for Prescription Medications in Elkhart, IN?
Medicaid reimbursement for Prescription Medications in Elkhart, IN ranges from $0.00 to $565.32 per claim, with an average of $14.85. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Elkhart, IN
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Avg $101.82
355,194 claims
Office Visit
Avg $49.36
323,807 claims
Blood Work & Lab Tests
Avg $4.55
309,110 claims
Psychiatric Evaluation
Avg $46.11
120,775 claims
EKG / ECG (Electrocardiogram)
Avg $19.76
97,844 claims
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Avg $8.44
94,806 claims
Urinalysis & Urine Tests
Avg $1.93
70,876 claims
Speech Therapy
Avg $41.25
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