Average Medicaid Prescription Medications Payments in Grand Rapids, MI: $43.58
Avg. Paid
$43.58
Range
$0.00 – $1,492
Total Claims
383,934
Providers
39
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 Grand Rapids, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Spectrum Health Hospitals
100 Michigan St Ne |
$4.51 | 165,695 | 143,780 |
|
Saint Mary'S Health Services
200 Jefferson Ave Se |
$19.12 | 54,451 | 47,483 |
|
Michigan Pain Consultants Pc
2060 East Paris Ave Se |
$7.84 | 42,677 | 41,440 |
|
Spectrum Health Primary Care Partners
1840 Wealthy St Se |
$198.59 | 34,495 | 31,099 |
|
Cancer & Hematology Centers Of Western Mi, P.C.
145 Michigan St Ne Ste 3100 |
$3.71 | 24,430 | 12,542 |
|
Javery Pain Institute Pc
710 Kenmoor Ave Se |
$0.83 | 14,148 | 12,601 |
|
Physicians Dialysis Acquisitions Inc
801 Cherry St Se |
$0.00 | 13,879 | 1,142 |
|
Physicians Dialysis Acquisitions Inc
1230 Ekhart St Ne |
$0.00 | 8,657 | 746 |
|
Orthopaedic Associates Of Grand Rapids, Pc
1111 Leffingwell Ave Ne |
$9.80 | 5,367 | 5,224 |
|
Spectrum Health Primary Care Partners
80 68Th St Se |
$1.01 | 3,576 | 3,484 |
|
Retina Specialists Of Michigan Pc
5030 Cascade Rd Se |
$1,189 | 3,402 | 3,280 |
|
Blue Sky Vision Eye Care, P.C
750 East Beltline Ne |
$1,249 | 1,490 | 1,419 |
|
Family Health Partners Pc
2335 Burton St Se Ste 130 |
$1.90 | 1,482 | 1,237 |
|
Mary Free Bed Rehabilitation Hospital
235 Wealthy Se |
$652.23 | 1,413 | 1,239 |
|
Cherry Street Services, Inc.
669 Stocking Ave Nw |
$54.95 | 1,312 | 1,276 |
|
Grand Rapids Womens Health Pc
555 Midtowne Ne |
$72.27 | 1,173 | 1,138 |
|
Cherry Street Services, Inc.
550 Cherry St Se |
$61.18 | 1,079 | 1,041 |
|
West Michigan Pain Center Pc
4024 Park East Ct Se |
$0.52 | 759 | 700 |
|
Mercy Health Urgent Care
3100 Plainfield Ave Ne |
$1.09 | 741 | 717 |
|
Metropolitan Hospital
4055 Cascade Rd Se |
$1.06 | 548 | 535 |
|
Cherry Street Services, Inc.
100 Cherry St Se |
$53.17 | 516 | 500 |
|
Vitreo-Retinal Associates P.C.
2505 East Paris Ave Se |
$889.20 | 511 | 427 |
|
River Valley Orthopedics, P.C.
350 Lafayette Ave Se |
$6.75 | 455 | 448 |
|
Jonathan P Corley
4100 Embassy Dr Se |
$0.49 | 342 | 287 |
|
Leif Eric Meyers
1000 Monroe Ave Nw # Mc-49 |
$0.00 | 236 | 192 |
|
Haven Spine & Pain Center Pllc
2680 Leonard St Ne Ste 3 |
$0.83 | 218 | 208 |
|
Amy Ann Croff
414 Plymouth Ave Ne |
$0.51 | 206 | 184 |
|
Option Care Enterprises, Inc.
1255 Michigan St Ne |
$12.98 | 204 | 72 |
|
Infusion Associates Pllc
3230 Eagle Park Dr Ne |
$13.97 | 107 | 75 |
|
Foot & Ankle Specialists Of West Michigan P L L C
2144 E Paris Se |
$0.27 | 71 | 70 |
|
Advantage Health Saint Mary'S Medical Group
200 Jefferson Se |
$81.85 | 50 | 50 |
|
Patient One Care, Pllc
1740 28Th St Se |
$0.68 | 47 | 46 |
|
Trinity Health-Michigan
1246 Madison Ave Se |
$40.83 | 40 | 39 |
|
Todd M Heffern
100 Michigan Ne Mc49 |
$1.30 | 32 | 25 |
|
Mary Free Bed Rehabilitation Hospital
235 Wealthy St Se |
$1,492 | 30 | 30 |
|
Trinity Health - Michigan
730 Grandville Ave Sw |
$81.66 | 30 | 30 |
|
Citypulse Urgent Care Pllc
6460 28Th St Se |
$0.53 | 26 | 25 |
|
Leahthan Faye Domeshek
35 Michigan St Ne Ste 5201 |
$0.67 | 24 | 24 |
|
Joshua Badour
100 Michigan St Ne # Mc49 |
$4.13 | 15 | 14 |
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 Grand Rapids, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Grand Rapids, MI is $43.58 per claim, based on 383,934 claims from 39 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 Grand Rapids, MI?
There are 39 Medicaid providers offering Prescription Medications related services in Grand Rapids, MI according to public payment data.
What is the price range for Prescription Medications in Grand Rapids, MI?
Medicaid reimbursement for Prescription Medications in Grand Rapids, MI ranges from $0.00 to $1,492 per claim, with an average of $43.58. 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 Grand Rapids, MI
Office Visit
Avg $56.03
3,306,257 claims
Blood Work & Lab Tests
Avg $4.19
2,384,351 claims
Substance Abuse Treatment
Avg $24.17
2,223,309 claims
X-Ray
Avg $7.57
2,155,834 claims
Emergency Room Visit
Avg $106.82
1,903,454 claims
Psychiatric Evaluation
Avg $79.32
1,323,354 claims
Physical Therapy
Avg $24.71
1,298,324 claims
Vaccines & Immunizations
Avg $10.34
1,229,009 claims