Average Medicaid Prescription Medications Payments in Kansas City, MO: $0.53
Avg. Paid
$0.53
Range
$0.00 – $430.64
Total Claims
28,205
Providers
30
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 Kansas City, MO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ahmed M Awad
4320 Wornall Rd |
$0.00 | 8,005 | 609 |
|
Karen Tamano
4320 Wornall Rd |
$0.00 | 6,307 | 507 |
|
Jim I Mertz
4320 Wornall Rd. |
$0.00 | 5,865 | 425 |
|
Ryan Matthew Lustig
4320 Wornall Rd |
$0.00 | 2,070 | 153 |
|
Richard Kenneth Capling
12110 Holmes Rd |
$0.00 | 842 | 71 |
|
Jignesh Shah
2301 Holmes St |
$1.51 | 801 | 107 |
|
Barry C Wood
4320 Wornall Rd |
$0.00 | 776 | 58 |
|
Johanna Lynn Mccullagh
4320 Wornall Rd |
$0.00 | 772 | 76 |
|
Irme Akhtar
4320 Wornall Road |
$0.00 | 744 | 65 |
|
Gerald M Reid
6530 Troost |
$0.00 | 459 | 150 |
|
Rafael Torosyan
4320 Wornall Rd Ste 208 |
$0.00 | 280 | 24 |
|
Edison Paxton Mcdaniels
4801 E Linwood Blvd |
$0.02 | 233 | 174 |
|
Ami Marie Keltner
1318 E 104Th St |
$2.51 | 185 | 179 |
|
Emily Defelice Weaver
501 Nw Barry Rd |
$1.13 | 163 | 159 |
|
Omar Nunez Lopez
2401 Gillham Rd |
$0.94 | 107 | 105 |
|
Mary Katherine Melton
8380 N Tullis Ave Ste 300 |
$21.14 | 104 | 74 |
|
Ahmed Ibrahim Al-Absi
6530 Troost Ave Ste A |
$0.00 | 101 | 13 |
|
Stephanie Nicole Lewis
2301 Holmes |
$0.80 | 91 | 77 |
|
Nathaniel Weberding
2401 Gillham Rd |
$0.00 | 49 | 48 |
|
Peter H. Olson
6601 Rockhill Rd |
$0.03 | 45 | 36 |
|
Steven Robert Krebel
2401 Gillham Road |
$0.87 | 38 | 38 |
|
Mark Leo Ryan
2401 Gillham Rd |
$29.96 | 37 | 36 |
|
Shajadi Patan
2316 E Meyer Blvd |
$0.90 | 25 | 13 |
|
Brian Michael Aalbers
2401 Gillham Rd |
$430.64 | 20 | 12 |
|
Ryan W Swope
8880 Ne 82Nd Ter Ste 120 |
$0.00 | 18 | 17 |
|
Julie D. Lambert
2101 Charlotte St |
$0.00 | 15 | 13 |
|
Joseph Lane Wilson
7900 Lees Summit Rd |
$67.92 | 14 | 13 |
|
Jeffrey A Goldstein
2401 Gilham Avenue |
$0.17 | 14 | 14 |
|
Muhammad Ishaq Farhan
2101 Charlotte St |
$0.00 | 13 | 13 |
|
Matthew Christopher Whitton
2301 Holmes St |
$9.05 | 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 | — |
| 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 Kansas City, MO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Kansas City, MO is $0.53 per claim, based on 28,205 claims from 30 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 Kansas City, MO?
There are 30 Medicaid providers offering Prescription Medications related services in Kansas City, MO according to public payment data.
What is the price range for Prescription Medications in Kansas City, MO?
Medicaid reimbursement for Prescription Medications in Kansas City, MO ranges from $0.00 to $430.64 per claim, with an average of $0.53. 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 Kansas City, MO
Office Visit
Avg $65.55
1,847,204 claims
Emergency Room Visit
Avg $140.53
1,170,483 claims
Behavioral & Mental Health Therapy
Avg $49.36
1,169,404 claims
Blood Work & Lab Tests
Avg $49.01
939,227 claims
Substance Abuse Treatment
Avg $31.61
654,341 claims
X-Ray
Avg $17.57
545,280 claims
Dental Cleaning & Exam
Avg $27.67
454,830 claims
Personal Care Services
Avg $89.28
437,104 claims