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Based on public Medicaid payment data.

Average Medicaid Prescription Medications Payments in Iowa City, IA: $210.44

Avg. Paid

$210.44

Range

$0.00 โ€“ $733.39

Total Claims

10,787

Providers

41

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 Iowa City, IA

Provider Avg. Paid Claims Patients
Planned Parenthood Of The Heartland, Inc

850 Orchard St

$27.15 2,853 2,775
Alex Kartvelishvili

2225 Mormon Trek Blvd Ste 100

$733.39 2,784 1,861
Jill Lynelle Meadows

850 Orchard St

$27.22 1,638 1,533
Rebecca L Hegeman

200 Hawkins Dr

$22.38 568 151
Katrina Marie Goebel

322 S. Dental Science Bldg

$0.00 353 299
Dawn A Allen

200 Hawkins Dr

$9.52 320 80
Adele Karen Evans

200 Hawkins Dr

$28.93 301 269
Michelle C Mosier

200 Hawkins Dr

$0.21 282 274
Robert Westermann

200 Hawkins Dr

$1.22 174 129
Ashley Kaiser

200 Hawkins Dr

$67.92 149 146
Rahul Rastogi

200 Hawkins Dr

$0.62 142 136
Deborah Sue Follmer Kacmarynski

200 Hawkins Dr

$0.29 114 77
Alison Maureen Uhl

200 Hawkins Dr

$0.09 109 63
Christopher L Groth

200 Hawkins Dr

$527.43 100 92
Joseph A Buckwalter

200 Hawkins Dr

$1.88 90 64
Mark Daniel Fisher

200 Hawkins Dr

$0.72 76 50
Gina M Cetta

1360 N Dodge St

$29.63 73 64
Kristen Renee Hurst

200 Hawkins Dr

$0.03 58 55
Daniel T. Wing

500 E Market St

$0.00 56 53
Darrick Jonathan Zirker

51300 Pomerantz Family Pavillion

$0.05 48 25
Steven L Fletcher

200 Hawkins Dr

$0.52 45 39
Susan Marie Rice

850 Orchard St

$21.87 43 26
Matthew John Bollier

2701 Prairie Meadow Dr

$0.38 41 37
Ferhat Evliyaoglu

200 Hawkins Dr

$11.62 40 36
Than Pham

200 Hawkins Dr

$1.21 37 37
Matthew R. Hoffman

200 Hawkins Dr

$0.53 32 25
Christopher Scott Cooper

200 Hawkins Dr

$0.29 30 24
Kathleen Vonderhaar

200 Hawkins Dr

$458.46 28 27
Richard J Smith

200 Hawkins Dr

$0.15 27 26
Stephanie M Atkinson

200 Hawkins Dr

$23.75 24 24
Melissa Leigh Olthoff

201 S Clinton St Ste 168

$0.05 19 15
James Stewart Gill

313 N Mount Vernon Dr

$0.00 16 16
Frederick M Frank

500 E Market St

$12.36 14 13
Rebecca Lyn Zwanziger

200 Hawkins Dr

$0.00 14 12
Arlan Timothy Johnson

200 Hawkins Dr

$0.89 14 12
Heidi Marie Steinkamp

322 Dental Science Bldg S

$0.00 13 13
Kimberly K Sprague

200 Hawkins Dr

$72.00 13 13
Joshua B Holt

200 Hawkins Dr

$0.08 13 13
Douglas Kendrick

451 Dental Science Bldg S

$1.69 12 12
Kirk L Fridrich

51300 Pomerantz Family Pavilion

$0.88 12 12
Chau Pham

200 Hawkins Dr

$3.61 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 Iowa City, IA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Iowa City, IA is $210.44 per claim, based on 10,787 claims from 41 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 Iowa City, IA?

There are 41 Medicaid providers offering Prescription Medications related services in Iowa City, IA according to public payment data.

What is the price range for Prescription Medications in Iowa City, IA?

Medicaid reimbursement for Prescription Medications in Iowa City, IA ranges from $0.00 to $733.39 per claim, with an average of $210.44. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Prescription Medications in Other Cities

Other Procedures in Iowa City, IA