Average Medicaid Prescription Medications Payments in Lorain, OH: $1.76
Avg. Paid
$1.76
Range
$0.00 – $168.39
Total Claims
17,584
Providers
23
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 Lorain, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mercy Health-Regional Medical Center Llc
3700 Kolbe Rd |
$0.09 | 11,974 | 8,187 |
|
Patricia Ann Yost
3700 Kolbe Rd |
$0.29 | 1,056 | 521 |
|
Sameh R Yonan
4804 Leavitt Rd |
$0.20 | 879 | 793 |
|
Anant Jeet
3600 Kolbe Rd |
$5.31 | 826 | 451 |
|
Aimee V Haber
5700 Cooper Foster Park Rd W |
$1.47 | 463 | 320 |
|
Osama A Malak
4804 Leavitt Rd |
$0.15 | 457 | 425 |
|
Bharat C. Shah
4804 Leavitt Rd |
$0.11 | 383 | 344 |
|
Carla Ann O'Day
Chp Regional Medical Center |
$0.00 | 329 | 322 |
|
Brian Andrew Romito
3700 Koble Road |
$0.01 | 253 | 240 |
|
Tracy Hardy
1205 Broadway |
$51.06 | 214 | 203 |
|
Richard B White
5940 Oak Point Rd |
$5.05 | 181 | 110 |
|
Randhir S Paul
3700 Kolbe Rd |
$0.00 | 143 | 131 |
|
James J Andrasko
3600 Kolbe Rd |
$0.01 | 120 | 111 |
|
Lorain County Health & Dentistry
1205 Broadway |
$5.62 | 76 | 73 |
|
Jacqueline Marie Graziani
3600 Kolbe Rd Ste 223 |
$168.39 | 59 | 49 |
|
Brittany Lee Neidert
5172 Leavitt Rd |
$0.42 | 39 | 28 |
|
Brian S Stevens
3600 Kolbe Rd |
$5.22 | 29 | 18 |
|
Vikas D Patel
5800 Cooper Foster Park Rd W |
$15.87 | 27 | 24 |
|
Timothy Patrick O'Donnell
3600 Kolbe Rd Ste 205 |
$0.00 | 18 | 14 |
|
Beverly J Paige
3600 Kolbe Rd |
$0.00 | 16 | 13 |
|
Tarek Dbouk
3600 Kolbe Rd |
$83.57 | 15 | 14 |
|
Kirk Charles Haidet
5800 Cooper Foster Park Rd W |
$10.37 | 14 | 13 |
|
Saloni Khatri
5172 Leavitt Rd |
$0.00 | 13 | 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 Lorain, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Lorain, OH is $1.76 per claim, based on 17,584 claims from 23 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 Lorain, OH?
There are 23 Medicaid providers offering Prescription Medications related services in Lorain, OH according to public payment data.
What is the price range for Prescription Medications in Lorain, OH?
Medicaid reimbursement for Prescription Medications in Lorain, OH ranges from $0.00 to $168.39 per claim, with an average of $1.76. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Prescription Medications in Other Cities
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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
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Louisville, KY
Avg $31.67
601,676 claims · 181 providers
New York, NY
Avg $40.26
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San Diego, CA
Avg $27.34
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Tucson, AZ
Avg $24.34
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Other Procedures in Lorain, OH
Office Visit
Avg $42.76
582,044 claims
Behavioral & Mental Health Therapy
Avg $73.54
353,970 claims
Blood Work & Lab Tests
Avg $5.56
292,761 claims
Psychiatric Evaluation
Avg $68.76
200,757 claims
Substance Abuse Treatment
Avg $132.64
187,034 claims
Emergency Room Visit
Avg $85.32
173,745 claims
Vaccines & Immunizations
Avg $12.47
139,698 claims
Home Health Visit
Avg $77.73
101,545 claims