Average Medicaid Prescription Medications Payments in Merrillville, IN: $22.54
Avg. Paid
$22.54
Range
$0.00 – $896.36
Total Claims
32,277
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 Merrillville, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gaurav Alreja
6061 Broadway |
$0.27 | 10,891 | 674 |
|
Geeta Kurra
200 E 89Th Ave |
$21.77 | 5,017 | 2,137 |
|
Tarek H Shahbandar
8687 Connecticut St |
$1.96 | 2,810 | 2,380 |
|
Marisela Varela
90 W 86Th Ave |
$0.06 | 2,752 | 132 |
|
Bharat H. Barai
200 E 89Th Ave |
$0.35 | 1,987 | 793 |
|
Tara Kaufman
8645 Connecticut St |
$33.31 | 1,529 | 1,254 |
|
Judson Booker Wood
200 E 89Th Ave |
$8.87 | 1,315 | 1,144 |
|
Kristy Darnell
200 E 89Th Ave |
$355.34 | 1,174 | 883 |
|
Maher Ajam
9229 Taft St |
$0.02 | 999 | 63 |
|
Matthew Jason Tipton
6091 Broadway |
$0.00 | 738 | 647 |
|
David G. Gross
303 W 89Th Ave |
$0.00 | 670 | 373 |
|
Daksha C Vyas
200 E. 89Th Ave. |
$2.93 | 597 | 505 |
|
Jeffrey Lynn Nelson
303 W 89Th Ave |
$0.00 | 539 | 271 |
|
John Joseph Pomponi
333 W 89Th Ave Ste W5 |
$0.00 | 487 | 386 |
|
Yaser Alobeid
3903 E Us Highway 30 |
$3.14 | 215 | 110 |
|
Jimmy Garala
101 E 87Th Ave Fl A3 |
$8.76 | 156 | 137 |
|
Joel Eric Chasan
8679 Connecticut Street |
$896.36 | 110 | 104 |
|
John M Diveris
333 W 89Th Ave |
$2.14 | 102 | 78 |
|
Carrie Jo Kamp
8645 Connecticut St |
$34.94 | 74 | 55 |
|
Jesse Murphy
303 W 89Th Ave |
$13.73 | 46 | 36 |
|
Ahmad F Zegar
8701 Broadway |
$0.00 | 31 | 26 |
|
James Arthur Eadie
8679 Connecticut St Ste A |
$883.48 | 26 | 24 |
|
Danielle Jackson
8645 Connecticut St |
$43.40 | 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 Merrillville, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Merrillville, IN is $22.54 per claim, based on 32,277 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 Merrillville, IN?
There are 23 Medicaid providers offering Prescription Medications related services in Merrillville, IN according to public payment data.
What is the price range for Prescription Medications in Merrillville, IN?
Medicaid reimbursement for Prescription Medications in Merrillville, IN ranges from $0.00 to $896.36 per claim, with an average of $22.54. 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 Merrillville, IN
Substance Abuse Treatment
Avg $47.16
798,378 claims
Office Visit
Avg $54.67
626,977 claims
Blood Work & Lab Tests
Avg $5.00
262,934 claims
Psychiatric Evaluation
Avg $70.12
234,092 claims
Eye Exam
Avg $43.63
161,213 claims
Physical Therapy
Avg $35.48
134,950 claims
Durable Medical Equipment (DME)
Avg $28.49
111,037 claims
Nursing Facility Care
Avg $10.54
87,122 claims