Average Medicaid Prescription Medications Payments in Honolulu, HI: $28.23
Avg. Paid
$28.23
Range
$0.00 โ $1,912
Total Claims
177,198
Providers
38
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 Honolulu, HI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
The Queens Medical Center
1301 Punchbowl St |
$3.61 | 64,751 | 51,884 |
|
Kapiolani Medical Center For Women & Children
1319 Punahou St |
$0.97 | 38,036 | 32,704 |
|
Straub Clinic & Hospital
888 S King St |
$7.84 | 21,000 | 15,721 |
|
Kaiser Foundation Hospitals
3288 Moanalua Rd |
$0.35 | 19,971 | 16,611 |
|
Liberty Dialysis - Hawaii Llc
2230 Liliha St |
$0.22 | 15,703 | 1,632 |
|
Kuakini Medical Center
347 N Kuakini St |
$0.00 | 5,375 | 3,922 |
|
Dialysis Newco Llc
226 N Kuakini St |
$255.37 | 2,827 | 773 |
|
Dialysis Newco Llc
1520 Liliha St |
$298.37 | 2,305 | 567 |
|
Value Drug Ltd
3375 Koapaka St |
$1,174 | 1,333 | 1,292 |
|
Shriners Hospitals For Children
1310 Punahou St |
$0.11 | 1,307 | 1,177 |
|
Dialysis Newco Llc
750 Palani Ave |
$370.69 | 750 | 233 |
|
Procare Pharmacy, L.L.C.
3375 Koapaka St Ste D105 |
$999.44 | 591 | 554 |
|
Daniel I Singer
1380 Lusitana St |
$0.66 | 534 | 483 |
|
Accredo Health Group Inc
677 Ala Moana Blvd |
$1,191 | 461 | 447 |
|
Edward Shei-Ahu Chan
3382 Waialae Ave |
$4.05 | 327 | 318 |
|
David Jon Tamura
500 Ala Moana Suite 6-230 |
$0.74 | 276 | 137 |
|
Glenda Faye Tali
1345 S Beretania St Ste 101 |
$1.84 | 229 | 108 |
|
Avril Parker
1429 Makiki St Ste 2202 |
$1.22 | 157 | 76 |
|
Sharon S Lawler
1029 Kapahulu Ave |
$2.16 | 153 | 42 |
|
Liberty Dialysis - Hawaii Llc
4380 Lawehana St Ste 100 |
$0.00 | 107 | 27 |
|
Christopher Dubuque
1135 11Th Ave |
$0.22 | 105 | 28 |
|
Maria Blanchard
1003 Bishop Street |
$0.00 | 103 | 103 |
|
Peter Richard Hurlbut-Miller
1620 Ala Moana Blvd Ste 500 |
$592.38 | 103 | 70 |
|
Terry A Vernoy
1329 Lusitana St |
$10.54 | 102 | 81 |
|
Kelsey R Ennila
1314 S King St Ste 1654 |
$0.65 | 90 | 86 |
|
Krister Paul Freese
1356 Lusitana Street |
$73.46 | 72 | 64 |
|
Philip Jung Suh
725 Kapiolani Blvd Ste C114 |
$292.73 | 67 | 55 |
|
David Paul Behling
1600 Kapiolani Blvd Ste 817 |
$0.70 | 66 | 12 |
|
Scott A. Denny
3288 Moanalua Rd |
$31.73 | 60 | 41 |
|
Waikiki Health
277 Ohua Avenue |
$0.00 | 56 | 37 |
|
Kanna Dokgo
725 Kapiolani Blvd Ste C114 |
$0.00 | 52 | 49 |
|
Karen Jackson Parsell Miller
1319 Punahou St |
$1.97 | 33 | 28 |
|
Claudia Gomez Hooten
1620 Ala Moana Blvd Ste 500 |
$1,878 | 24 | 24 |
|
Karen Vered Morgenshtern Yacoby
550 S Beretania St Ste 405 |
$79.00 | 16 | 13 |
|
Louis Jk Pau
2228 Liliha Street |
$4.00 | 16 | 15 |
|
Kristin Kawailoa Fernandez
1319 Punahou St |
$1.48 | 15 | 15 |
|
Todd R Devere
3288 Moanalua Rd |
$1,912 | 13 | 13 |
|
Alyssa Malley
1319 Punahou St |
$81.79 | 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 | 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 Honolulu, HI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Honolulu, HI is $28.23 per claim, based on 177,198 claims from 38 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 Honolulu, HI?
There are 38 Medicaid providers offering Prescription Medications related services in Honolulu, HI according to public payment data.
What is the price range for Prescription Medications in Honolulu, HI?
Medicaid reimbursement for Prescription Medications in Honolulu, HI ranges from $0.00 to $1,912 per claim, with an average of $28.23. 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 Honolulu, HI
Office Visit
Avg $72.77
1,673,860 claims
Blood Work & Lab Tests
Avg $11.61
1,421,473 claims
Emergency Room Visit
Avg $340.33
850,913 claims
X-Ray
Avg $10.02
558,504 claims
Psychiatric Evaluation
Avg $71.94
420,919 claims
Dental Cleaning & Exam
Avg $40.32
370,381 claims
Ambulance Transport
Avg $139.93
332,029 claims
Substance Abuse Treatment
Avg $20.02
322,535 claims