Average Medicaid Prescription Medications Payments in Flagstaff, AZ: $10.00
Avg. Paid
$10.00
Range
$0.00 – $1,095
Total Claims
27,738
Providers
26
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 Flagstaff, AZ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Flagstaff Medical Center
1200 N. Beaver St. |
$0.15 | 22,960 | 18,063 |
|
Peter Mathern
77 W Forest Ave |
$46.90 | 2,417 | 1,464 |
|
Ryan Gregory Zate
1840 N Jasper Dr Ste 2 |
$1.63 | 489 | 472 |
|
Paul Kuefler
1329 N Beaver St |
$0.84 | 299 | 172 |
|
John H Flint
525 N Switzer Canyon Dr |
$13.49 | 297 | 288 |
|
Michael Matthew Milam
525 N Switzer Canyon Dr |
$0.29 | 255 | 233 |
|
Ldfs Llc
2268 N Walgreens St |
$282.33 | 216 | 70 |
|
Bourck D Cashmore
1840 N Jasper Dr Ste 2 |
$4.34 | 136 | 110 |
|
Jessica Floyd Thibodeaux
1200 N Beaver St |
$0.51 | 100 | 97 |
|
Peter Desmond Gibson
107 E Oak Ave |
$7.65 | 89 | 87 |
|
Brendan P Girschek
350 N Switzer Canyon Dr |
$1,095 | 76 | 64 |
|
John A Ledington
1485 N Turquoise Dr |
$0.63 | 60 | 59 |
|
Sarah Jean Conlon
77 W Forest Ave Ste 301 |
$0.83 | 57 | 37 |
|
Kent A Diehl
107 E Oak Ave |
$6.10 | 45 | 38 |
|
Deborah L Lindquist
7223 Penny Ln |
$1.11 | 38 | 12 |
|
Alexander Hu
399 S Malpais Ln |
$0.63 | 33 | 24 |
|
Mark D Mellinger
1840 N Jasper Dr Ste 2 |
$8.44 | 30 | 29 |
|
Shannon Lyons Boffeli
107 E Oak Ave |
$10.18 | 29 | 24 |
|
John W Durham
1485 N Turquoise Drive |
$7.58 | 19 | 14 |
|
Justin Michael Delange
1215 N Beaver St |
$511.19 | 16 | 14 |
|
Leonardo Santibanez
2920 N 4Th St |
$0.43 | 15 | 15 |
|
North Country Healthcare, Inc.
2920 N. 4Th Street |
$0.00 | 13 | 12 |
|
Stephen Joseph Ros
1485 N Turquoise Dr Ste 200 |
$5.98 | 13 | 13 |
|
Yuri Lewicky
1485 N Turquoise Dr |
$10.10 | 12 | 12 |
|
John Paul Graziano
2920 N 4Th St |
$47.56 | 12 | 12 |
|
Lauren E Clements
2920 N 4Th St |
$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 Flagstaff, AZ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Flagstaff, AZ is $10.00 per claim, based on 27,738 claims from 26 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 Flagstaff, AZ?
There are 26 Medicaid providers offering Prescription Medications related services in Flagstaff, AZ according to public payment data.
What is the price range for Prescription Medications in Flagstaff, AZ?
Medicaid reimbursement for Prescription Medications in Flagstaff, AZ ranges from $0.00 to $1,095 per claim, with an average of $10.00. 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 Flagstaff, AZ
Blood Work & Lab Tests
Avg $15.86
771,611 claims
Office Visit
Avg $49.29
429,684 claims
Case Management Services
Avg $24.05
423,897 claims
Substance Abuse Treatment
Avg $108.70
227,260 claims
Emergency Room Visit
Avg $212.77
190,695 claims
Physical Therapy
Avg $34.77
176,605 claims
X-Ray
Avg $7.83
143,339 claims
Speech Therapy
Avg $54.44
136,933 claims