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
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 Iowa City, IA
Office Visit
Avg $49.62
731,963 claims
Blood Work & Lab Tests
Avg $3.36
396,970 claims
X-Ray
Avg $9.32
315,070 claims
Emergency Room Visit
Avg $119.10
302,845 claims
Dental Cleaning & Exam
Avg $30.93
280,322 claims
EKG / ECG (Electrocardiogram)
Avg $8.44
178,871 claims
Ultrasound
Avg $58.44
165,568 claims
Vaccines & Immunizations
Avg $19.42
124,999 claims