Average Medicaid Prescription Medications Payments in Mesa, AZ: $4.78
Avg. Paid
$4.78
Range
$0.00 โ $1,088
Total Claims
224,870
Providers
52
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 Mesa, AZ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Banner Desert Medical Center
1400 S Dobson Rd |
$2.99 | 106,525 | 90,323 |
|
Banner Baywood Medical Center
6644 E Baywood Ave |
$0.84 | 27,985 | 22,420 |
|
Mountain Vista Medical Center Lp
1301 S Crismon Rd |
$0.08 | 25,622 | 19,777 |
|
Southwest Kidney Davita Dialysis Partners Llc
1134 E University Dr |
$0.05 | 18,965 | 1,629 |
|
Agh Mesa Llc
9130 East Elliot Road |
$0.02 | 15,508 | 13,612 |
|
Southwest Kidney Davita Dialysis Partners Llc
10238 E Hampton Ave |
$0.01 | 6,576 | 564 |
|
Daniel Lev Ryklin
2045 S Vineyard |
$2.42 | 5,243 | 3,822 |
|
Asim Khan
2045 S Vineyard |
$2.68 | 2,627 | 2,024 |
|
Deborah S Rowan
10238 E Hampton Ave |
$79.20 | 2,185 | 2,138 |
|
Southwest Kidney Davita Dialysis Partners Llc
301 S Power Rd |
$0.00 | 2,083 | 168 |
|
Maaz Iqbal
535 E Mckellips Rd Ste 121 |
$3.36 | 1,983 | 1,373 |
|
Agh Mesa Llc
1910 S Gilbert Rd |
$0.00 | 1,956 | 1,889 |
|
Mily Nieves
1142 E Southern Ave Ste 101 |
$79.10 | 1,554 | 1,482 |
|
Agh Mesa Llc
1833 N Power Rd |
$0.03 | 1,103 | 1,066 |
|
Stephen E Hatfield
4850 E Baseline Rd |
$4.65 | 1,068 | 995 |
|
Banner Heart Hospital
6750 E Baywood Ave |
$0.00 | 732 | 564 |
|
Terry Arthur Huff
6242 E Arbor Ave Ste 107 |
$66.19 | 485 | 454 |
|
Adelante Healthcare, Inc.
1705 W Main St |
$0.00 | 364 | 335 |
|
Pranshu Bansal
6111 E Arbor Ave |
$1.15 | 312 | 227 |
|
Joseph M Donaldson
2610 E University Dr |
$1,088 | 307 | 226 |
|
Mountain Vista Medical Center, Lp
5750 E Baseline Rd |
$0.00 | 202 | 191 |
|
Roopesh K Kantala
6111 E Arbor Ave |
$0.78 | 142 | 61 |
|
Arizona Spine And Joint Hospital Llc
4620 E. Baseline Road |
$0.00 | 139 | 88 |
|
Amanpreet Saini
8035 E Brown Rd |
$1.25 | 116 | 114 |
|
Gregory J Marchand
10238 E Hampton Ave Ste 212 |
$64.84 | 97 | 95 |
|
Sharon Lynn Sawyer
560 W Brown Rd Ste 1004 |
$0.39 | 95 | 86 |
|
Mark Olsen
220 N Stapley Dr |
$0.08 | 93 | 87 |
|
Michael Haynes
5131 E Southern Ave |
$15.00 | 82 | 50 |
|
Valle Del Sol, Inc.
334 W 10Th Pl Ste 100 |
$0.00 | 75 | 57 |
|
Vhs Of Phoenix Inc
5750 E. Baseline Rd. |
$0.00 | 72 | 67 |
|
Andre Charles Matthews
6345 E Baywood Ave |
$8.19 | 55 | 42 |
|
Nancy Tiet Nguyen
1500 S Dobson Rd Ste 202 |
$444.06 | 41 | 41 |
|
Angelina Rosa Canjura
334 W 10Th Pl # S100 |
$0.33 | 39 | 38 |
|
Sonya Michelle Taylor
6553 E Baywood Ave Ste 212 |
$170.03 | 37 | 31 |
|
Gary Thomas Purcell
4566 E Inverness Ave |
$5.70 | 37 | 36 |
|
Jennyfer Nayeli Willford
616 E Southern Ave Ste 103 |
$0.82 | 34 | 28 |
|
Richard Bradley Fleming
7436 E Main St |
$0.61 | 33 | 33 |
|
Anthony Michael Digeorge
1345 E Main St |
$0.92 | 33 | 33 |
|
Kelly F England
1450 S Dobson Rd |
$1.99 | 32 | 28 |
|
Neel K Dharia
1432 S Dobson Rd |
$1.08 | 32 | 13 |
|
Kyla Ballesteros
1250 S Clearview Ave |
$0.00 | 28 | 24 |
|
Fernando C. Galaviz
1206 E Broadway Rd |
$1.55 | 28 | 25 |
|
Joseph A. Gassen
5131 E Southern Ave |
$1.21 | 23 | 14 |
|
Karl M. Baumgartner
5131 E Southern Ave |
$2.73 | 16 | 14 |
|
Lynaia Hoogewerf
5233 E Southern Ave Ste 104 |
$0.78 | 14 | 14 |
|
Cynthia Elizabeth Shelton
1705 W Main St |
$59.31 | 14 | 13 |
|
Jennifer Lynn Vilders
8035 E Brown Rd |
$0.96 | 14 | 12 |
|
Luz Angela Lopez
3130 E Baseline Rd Ste 103 |
$1.22 | 13 | 13 |
|
Daniel Lee Rowland
1705 W Main St |
$70.04 | 13 | 13 |
|
Maricopa County Special Health Care District
950 E Main St |
$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 | 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 Mesa, AZ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Mesa, AZ is $4.78 per claim, based on 224,870 claims from 52 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 Mesa, AZ?
There are 52 Medicaid providers offering Prescription Medications related services in Mesa, AZ according to public payment data.
What is the price range for Prescription Medications in Mesa, AZ?
Medicaid reimbursement for Prescription Medications in Mesa, AZ ranges from $0.00 to $1,088 per claim, with an average of $4.78. 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 Mesa, AZ
Personal Care Services
Avg $128.56
5,487,878 claims
Office Visit
Avg $53.86
2,804,171 claims
Case Management Services
Avg $32.09
2,470,619 claims
Substance Abuse Treatment
Avg $90.57
1,911,573 claims
Blood Work & Lab Tests
Avg $3.74
1,313,074 claims
Physical Therapy
Avg $45.75
1,116,196 claims
Emergency Room Visit
Avg $212.76
1,012,467 claims
Behavioral & Mental Health Therapy
Avg $113.01
944,793 claims