Average Medicaid Prescription Medications Payments in Gilbert, AZ: $4.42
Avg. Paid
$4.42
Range
$0.00 – $1,353
Total Claims
95,280
Providers
29
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 Gilbert, AZ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Banner Gateway Medical Center
1900 N Higley Rd |
$3.74 | 54,717 | 38,481 |
|
Dignity Health
3555 S Val Vista Dr |
$0.13 | 23,608 | 19,682 |
|
Southwest Kidney Davita Dialysis Partners Llc
5222 E Baseline Rd |
$0.03 | 4,843 | 440 |
|
Kurt Adam Lundberg
3591 S Mercy Rd Ste 204 |
$2.35 | 3,502 | 3,121 |
|
Anuj Prakash Daftari
3591 S Mercy Rd Ste 101 |
$2.75 | 2,502 | 2,119 |
|
Sachin Narain
3645 S Rome St Ste 216 |
$0.45 | 1,504 | 1,378 |
|
Ajay Mohan Narwani
1466 W Elliot Rd |
$3.63 | 1,039 | 772 |
|
Michael Givens
1450 W Guadalupe Rd Ste 124 |
$3.60 | 758 | 656 |
|
John Donald Toth
1920 N Higley Rd Ste 206 |
$9.70 | 547 | 512 |
|
Abhimanyu Ghose
3645 S Rome St Ste 209 |
$1.06 | 415 | 284 |
|
Thomas Rooth Acott
2940 E Banner Gateway Dr Ste 200-250 |
$10.30 | 349 | 338 |
|
Lakshmimalini Govindan
3815 S. Val Vista Drive |
$59.72 | 330 | 271 |
|
Agh Mesa Llc
4760 E Germann Rd |
$0.00 | 266 | 256 |
|
Hemadevi Chenthilmurugan
4001 E Baseline Rd Ste 205 |
$0.54 | 219 | 171 |
|
East Valley Hospital, Llc
5656 S Power Rd |
$0.00 | 169 | 138 |
|
David Todd Goldenberg
3303 E Baseline Rd Ste 108 |
$1,353 | 118 | 113 |
|
Scott B Hatfield
3331 E Baseline Rd |
$2.79 | 85 | 85 |
|
Kaylee Lee
1459 S Higley Rd Ste 106 |
$0.94 | 55 | 55 |
|
Snehal Mohan Bhoola
1501 N Gilbert Rd Ste 200 |
$0.96 | 42 | 24 |
|
Payam Sarraf
4915 E Baseline Rd |
$0.17 | 37 | 27 |
|
Tyler Church
428 S Gilbert Rd Ste 115 |
$0.95 | 28 | 27 |
|
Ahdev Kuppusamy
3370 S Mercy Rd Ste 321 |
$0.94 | 27 | 18 |
|
Kent Talmage Lewis
3331 E Baseline Rd |
$3.27 | 26 | 26 |
|
Christina Schmitt Brown
6285 S Higley Rd |
$0.91 | 23 | 17 |
|
Joonhee Lim
3645 S Rome St Ste 201 |
$6.61 | 16 | 13 |
|
Tammi Lenee Williams
5656 S Power Rd Ste 137 |
$68.56 | 15 | 15 |
|
Michael Dea Montague
2940 E Banner Gateway Dr Ste 200-250 |
$8.72 | 14 | 14 |
|
Jere K O'Brien-Kinne
3493 S Mercy Rd |
$0.99 | 14 | 14 |
|
Erik Bradley
1920 N Higley Rd Ste 206 |
$9.84 | 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 Gilbert, AZ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Gilbert, AZ is $4.42 per claim, based on 95,280 claims from 29 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 Gilbert, AZ?
There are 29 Medicaid providers offering Prescription Medications related services in Gilbert, AZ according to public payment data.
What is the price range for Prescription Medications in Gilbert, AZ?
Medicaid reimbursement for Prescription Medications in Gilbert, AZ ranges from $0.00 to $1,353 per claim, with an average of $4.42. 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 Gilbert, AZ
Case Management Services
Avg $34.25
1,555,740 claims
Office Visit
Avg $60.84
1,211,376 claims
Substance Abuse Treatment
Avg $86.50
633,438 claims
Physical Therapy
Avg $47.60
611,587 claims
Blood Work & Lab Tests
Avg $7.27
541,598 claims
Behavioral & Mental Health Therapy
Avg $142.69
461,484 claims
Speech Therapy
Avg $57.93
316,009 claims
Emergency Room Visit
Avg $152.03
300,376 claims