Average Medicaid Prescription Medications Payments in Green Bay, WI: $24.41
Avg. Paid
$24.41
Range
$0.00 โ $1,473
Total Claims
196,056
Providers
32
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 โ 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 Green Bay, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Baycare Aurora, Llc
2845 Greenbrier Rd |
$3.56 | 60,340 | 46,995 |
|
Bellin Memorial Hospital Inc.
744 S Webster Ave |
$0.01 | 41,416 | 32,150 |
|
St Vincent Hospital-Hospital Sisters-Third Order Of St Francis
835 S Van Buren St |
$0.00 | 30,709 | 22,128 |
|
St Mary'S Hospital Medical Center Of Green Bay Inc.-Hospital Sisters
1726 Shawano Ave |
$0.01 | 18,911 | 14,822 |
|
Total Renal Care Inc
1751 Deckner Ave |
$0.00 | 10,665 | 886 |
|
Renal Life Link Inc
120 Siegler St |
$0.00 | 8,305 | 675 |
|
Renal Life Link Inc
1910 Riverside Dr |
$0.00 | 7,710 | 579 |
|
St Vincent Hospital-Hospital Sisters-Third Order Of St Francis
1920 Libal St |
$2.71 | 3,848 | 1,174 |
|
Esmaeil Ben Kamali
725 S Webster Ave Ste 201 |
$512.54 | 3,143 | 1,754 |
|
Planned Parenthood Of Wi, Inc
2605 S. Oneida St. Suite 107 |
$17.65 | 2,590 | 2,502 |
|
Rebekah R Vandewalle
725 S Webster Ave |
$447.54 | 1,842 | 992 |
|
Fresenius Medical Care Green Bay, Llc
2240 Holmgren Way |
$0.00 | 1,810 | 170 |
|
Melissa A Dercks
725 S Webster Ave |
$368.51 | 1,463 | 706 |
|
Ryan Woods
1110 Kepler Dr |
$4.81 | 792 | 656 |
|
David K Kaufman
725 S Webster Ave |
$640.76 | 429 | 299 |
|
Terence Shaun Edgar
1821 S Webster Ave |
$1,473 | 366 | 342 |
|
Eric Maitland Dvorak
744 S Webster Ave |
$615.82 | 347 | 250 |
|
Bellin Memorial Hospital Inc
744 S Webster Ave |
$368.94 | 346 | 245 |
|
Brian Allan Knapp
725 S Webster Ave |
$809.27 | 317 | 262 |
|
Aaron H Bubolz
2845 Greenbrier Rd |
$368.44 | 251 | 107 |
|
Harold J Schock
1110 Kepler Dr |
$7.83 | 84 | 75 |
|
Douglas Dawson
2654 S Oneida St Stop 102 |
$0.99 | 83 | 65 |
|
Brett Jonathan Malo
3021 Voyager Dr |
$7.99 | 69 | 64 |
|
Debbie Tong Lim
2223 Lime Kiln Rd |
$0.11 | 48 | 24 |
|
Joanie M Columbia
1726 Shawano Ave |
$12.75 | 33 | 30 |
|
Sheila M Teddy
2595 Development Dr Ste 150 |
$258.21 | 28 | 12 |
|
Serena Ashour
1821 S Webster Ave |
$385.33 | 26 | 12 |
|
Celeste Elaine Case
725 S Van Buren St |
$487.74 | 25 | 15 |
|
Brian J Klika
1110 Kepler Dr |
$5.42 | 17 | 14 |
|
Danqing Guo
2401 Holmgren Way |
$2.48 | 15 | 13 |
|
Alyssa S Schultz
1110 Kepler Dr |
$9.63 | 14 | 13 |
|
Jonathan Schultz
2845 Greenbrier Rd |
$8.18 | 14 | 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 | โ |
| J0120 | Tetracyclin injection | โ | โ | โ |
| J0133 | Acyclovir injection | โ | โ | โ |
| J0202 | Injection, alemtuzumab | โ | โ | โ |
| J0795 | Corticorelin ovine triflutal | โ | โ | โ |
| J1160 | Digoxin injection | โ | โ | โ |
| J1205 | Chlorothiazide sodium inj | โ | โ | โ |
| J1260 | Dolasetron mesylate | โ | โ | โ |
| J1290 | Ecallantide injection | โ | โ | โ |
| J1300 | Eculizumab injection | โ | โ | โ |
| J1301 | Injection, edaravone, 1 mg | โ | โ | โ |
| J1303 | Inj., ravulizumab-cwvz 10 mg | โ | โ | โ |
| J1305 | Inj, evinacumab-dgnb, 5mg | โ | โ | โ |
| J1320 | Amitriptyline injection | โ | โ | โ |
| J1322 | Elosulfase alfa, injection | โ | โ | โ |
| J1327 | Eptifibatide injection | โ | โ | โ |
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 Green Bay, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Green Bay, WI is $24.41 per claim, based on 196,056 claims from 32 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 Green Bay, WI?
There are 32 Medicaid providers offering Prescription Medications related services in Green Bay, WI according to public payment data.
What is the price range for Prescription Medications in Green Bay, WI?
Medicaid reimbursement for Prescription Medications in Green Bay, WI ranges from $0.00 to $1,473 per claim, with an average of $24.41. 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 ยท 235 providers
Milwaukee, WI
Avg $9.22
755,550 claims ยท 88 providers
Washington, DC
Avg $6.48
675,765 claims ยท 92 providers
Los Angeles, CA
Avg $61.23
617,979 claims ยท 282 providers
Louisville, KY
Avg $31.67
601,676 claims ยท 181 providers
New York, NY
Avg $40.26
587,024 claims ยท 195 providers
San Diego, CA
Avg $27.34
493,429 claims ยท 162 providers
Tucson, AZ
Avg $24.34
489,015 claims ยท 169 providers
Other Procedures in Green Bay, WI
Blood Work & Lab Tests
Avg $11.58
853,043 claims
Substance Abuse Treatment
Avg $12.73
795,310 claims
Office Visit
Avg $38.55
766,749 claims
Emergency Room Visit
Avg $54.82
440,979 claims
Speech Therapy
Avg $12.39
360,515 claims
Dental Cleaning & Exam
Avg $35.18
302,370 claims
Physical Therapy
Avg $22.04
293,516 claims
Behavioral & Mental Health Therapy
Avg $87.72
256,697 claims