Average Medicaid Prescription Medications Payments in Kettering, OH: $0.19
Avg. Paid
$0.19
Range
$0.00 – $5.28
Total Claims
50,905
Providers
44
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 Kettering, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kettering Medical Center
3535 Southern Blvd |
$0.10 | 17,020 | 11,750 |
|
Sampath Kumar Thiruveedi
500 Lincoln Park Blvd |
$0.28 | 8,723 | 702 |
|
Natallia Maroz
500 Lincoln Park Blvd |
$0.14 | 7,929 | 606 |
|
Siva Ambalavanan
500 Lincoln Park Blvd |
$0.33 | 7,493 | 550 |
|
Nicholas P Christoff
500 Lincoln Park Blvd |
$0.19 | 5,780 | 382 |
|
Zena Jalloh
4750 Hempstead Station Dr |
$0.06 | 855 | 774 |
|
Lalit Kishore Goyal
3535 Southern Blvd |
$0.06 | 529 | 488 |
|
Daniel Benton Verrill
3700 Southern Blvd Ste 300 |
$0.00 | 456 | 441 |
|
Arthur Tsai
1362 E Stroop Rd |
$0.12 | 448 | 38 |
|
Brian Michael Pennington
3535 Southern Blvd |
$0.03 | 287 | 278 |
|
Priya Jain
3700 Southern Blvd Ste 401 |
$0.05 | 111 | 55 |
|
John Corker
3535 Southern Blvd |
$0.01 | 103 | 98 |
|
Jeremy J Traylor
3535 Southern Blvd |
$0.03 | 100 | 90 |
|
Shawn Michael Priem
3535 Southern Blvd |
$0.00 | 98 | 90 |
|
Don J Mascarenhas
3700 Southern Blvd Ste 300 |
$0.00 | 91 | 89 |
|
Joshua Neal Klepinger
3525 Southern Blvd |
$0.01 | 79 | 75 |
|
Jamie Bonner
3525 Southern Blvd |
$0.00 | 76 | 75 |
|
John Mark Miller
3535 Southern Blvd |
$5.28 | 70 | 64 |
|
Jordan Jacobsen
3535 Southern Blvd |
$0.04 | 70 | 68 |
|
Theresa Foreman
3535 Southern Blvd |
$0.11 | 63 | 61 |
|
Mark A Marinella
3120 Governors Place Blvd |
$0.44 | 48 | 24 |
|
Manisha Marie Nanda
3700 Southern Blvd Ste 401 |
$0.00 | 40 | 26 |
|
Julie Smith Fennig
1775 Delco Park Dr |
$0.13 | 39 | 39 |
|
Manish R Sheth
3120 Governors Place Blvd |
$0.83 | 38 | 25 |
|
Adam Christopher Welch
3535 Southern Blvd |
$0.00 | 31 | 27 |
|
William R. Breeding
3535 Southern Blvd |
$0.20 | 28 | 26 |
|
Amanda Noelle Freeman
3535 Southern Blvd |
$0.15 | 27 | 25 |
|
Mark E Gebhart
3535 Southern Blvd |
$5.10 | 25 | 25 |
|
Malek Mohamad Safa
3700 Southern Blvd Ste 401 |
$0.00 | 24 | 12 |
|
Gary E Gries
4750 Hempstead Station Dr |
$0.00 | 18 | 18 |
|
Kelly Lynn Robbins Miller
3700 Southern Blvd Ste 401 |
$0.46 | 18 | 12 |
|
Tarek M Sabagh
3120 Governors Place Blvd |
$1.00 | 16 | 12 |
|
Nicholas Allen Elliott
3535 Southern Blvd |
$0.00 | 16 | 14 |
|
Valerie Esther Moren
3535 Southern Blvd |
$0.38 | 16 | 14 |
|
Michael Steven Elson
3535 Southern Blvd |
$0.13 | 16 | 12 |
|
Lauren Aleice Stroud
3700 Southern Blvd Ste 300 |
$0.00 | 16 | 16 |
|
David L Marcus
3535 Southern Blvd |
$0.18 | 14 | 12 |
|
Kindra C Engle
3535 Southern Blvd |
$0.07 | 14 | 13 |
|
Matt Arroyo
3525 Southern Blvd |
$0.00 | 14 | 13 |
|
Gregory Mark Gottschlich
3525 Southern Blvd |
$0.00 | 14 | 13 |
|
Suzanne Marie Brooks
3700 Southern Blvd Ste 300 |
$0.00 | 14 | 12 |
|
Wenxia Becker
3535 Southern Blvd |
$0.00 | 13 | 12 |
|
Jonathan Seth Bingham
4750 Hempstead Station Dr |
$0.00 | 13 | 12 |
|
Christopher Huelsman
3535 Southern Blvd |
$0.00 | 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 Kettering, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Kettering, OH is $0.19 per claim, based on 50,905 claims from 44 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 Kettering, OH?
There are 44 Medicaid providers offering Prescription Medications related services in Kettering, OH according to public payment data.
What is the price range for Prescription Medications in Kettering, OH?
Medicaid reimbursement for Prescription Medications in Kettering, OH ranges from $0.00 to $5.28 per claim, with an average of $0.19. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Prescription Medications in Other Cities
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Avg $6.48
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Avg $40.26
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San Diego, CA
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Other Procedures in Kettering, OH
Emergency Room Visit
Avg $92.55
963,000 claims
Blood Work & Lab Tests
Avg $3.42
657,607 claims
Home Health Visit
Avg $55.80
476,695 claims
Office Visit
Avg $48.87
316,054 claims
X-Ray
Avg $5.77
211,699 claims
EKG / ECG (Electrocardiogram)
Avg $4.57
167,967 claims
Urinalysis & Urine Tests
Avg $0.59
157,306 claims
Vaccines & Immunizations
Avg $12.13
112,018 claims