Average Medicaid Prescription Medications Payments in Milwaukee, WI: $9.22
Avg. Paid
$9.22
Range
$0.00 – $877.54
Total Claims
755,550
Providers
88
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 Milwaukee, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Aurora Health Care Metro, Inc.
2900 W Oklahoma Ave |
$2.45 | 177,738 | 130,723 |
|
Froedtert Memorial Lutheran Hospital, Inc.
9200 W Wisconsin Ave |
$14.08 | 137,927 | 99,285 |
|
Ascension Se Wisconsin Hospital, Inc
5000 W Chambers St |
$0.01 | 61,616 | 51,205 |
|
Children'S Hospital Of Wisconsin, Inc.
9000 W Wisconsin Ave |
$14.75 | 60,595 | 53,092 |
|
Columbia St. Mary'S Hospital Milwaukee, Inc.
2323 N Lake Dr |
$0.02 | 54,365 | 38,100 |
|
Fresenius Medical Care Midwest Dialysis, Llc
2600 W Howard Ave |
$0.00 | 45,761 | 3,577 |
|
Dva Renal Healthcare Inc
3801 W Wisconsin Ave |
$0.12 | 27,971 | 2,127 |
|
Total Renal Care Inc
2211 N Humboldt Blvd |
$0.02 | 26,262 | 2,009 |
|
Blake Dialysis Llc
4176 N 56Th St |
$0.00 | 26,004 | 1,968 |
|
Total Renal Care Inc
10130 W Appleton Ave |
$0.05 | 22,698 | 1,696 |
|
Ascension St Francis Hospital, Inc
3237 S 16Th St |
$4.39 | 18,408 | 15,184 |
|
Dva Renal Healthcare Inc
117 N Jefferson St |
$0.05 | 16,924 | 1,206 |
|
Fresenius Medical Care Midwest Dialysis, Llc
7795 W Appleton Ave Ste B |
$0.26 | 11,601 | 881 |
|
Planned Parenthood Of Wisconsin
5380 W Fond Du Lac Ave |
$15.09 | 10,201 | 9,918 |
|
Planned Parenthood Of Wisconsin
2207 W Wisconsin Ave |
$15.58 | 9,913 | 9,635 |
|
Fresenius Medical Care Midwest Dialysis, Llc
4021 N 52Nd St |
$0.17 | 6,850 | 559 |
|
Wisconsin Renal Care Group, L.L.C.
161 W Wisconsin Ave Ste 1100 |
$0.00 | 5,878 | 557 |
|
Planned Parenthood Of Wisconsin
1710 S 7Th St |
$15.95 | 5,716 | 5,571 |
|
Planned Parenthood Of Wi, Inc
801 E Capitol Dr |
$16.32 | 4,208 | 4,114 |
|
Planned Parenthood Of Wisconsin
302 N Jackson St |
$27.96 | 2,208 | 2,095 |
|
Fresenius Medical Care Midwest Dialysis, Llc
3120 S 27Th St |
$0.00 | 1,768 | 162 |
|
Eliot Martin Wickliff
9200 W Wisconsin Ave |
$3.00 | 1,461 | 1,245 |
|
Nicholas H. Tosi
2600 N Mayfair Rd Ste 901 |
$682.11 | 1,343 | 966 |
|
Nicholas P Webber
2801 W Kinnickinnic River Pkwy |
$7.37 | 1,260 | 1,089 |
|
Maqsood Ahmad
5434 W Capitol Dr |
$5.54 | 1,112 | 795 |
|
Michael Raciti
10150 W National Ave |
$877.54 | 1,073 | 609 |
|
Ara-Milwaukee Dialysis Llc
4775 N Green Bay Ave |
$0.64 | 988 | 369 |
|
City Of Milwaukee Health Dept
841 N Broadway Fl 3 |
$0.00 | 878 | 722 |
|
Navjot Singh Kohli
2801 W Kinnickinnic River Pkwy |
$7.76 | 858 | 736 |
|
Sharath C Raja
2600 N Mayfair Rd |
$657.68 | 785 | 532 |
|
Jeffrey J Butler
3237 S 16Th St |
$2.92 | 738 | 494 |
|
Mental Health Emergency Center, Inc.
1525 N 12Th St |
$0.00 | 722 | 453 |
|
Jeffrey M. Weber
2901 W. Kk River Pkwy. |
$1.84 | 709 | 479 |
|
Julie Marie Grachan
3522 W Lisbon Ave |
$72.73 | 687 | 613 |
|
Luke A Jakubowski
3011 S 56Th St |
$0.10 | 639 | 576 |
|
Inez Jane D Luna
2555 N Dr Martin Luther King Dr |
$78.14 | 631 | 611 |
|
Douglas William Storm
9200 W Wisconsin Ave |
$0.33 | 617 | 477 |
|
Raj Kiran Chawla
3365 S 103Rd St Ste 210 |
$63.10 | 533 | 519 |
|
Zarah Rose Maccoux
2555 N Dr Martin Luther King Jr Dr |
$77.98 | 437 | 415 |
|
Joselito Alvarez Baylon
756 N 35Th St |
$0.04 | 434 | 420 |
|
Lisa A Hudson
3522 W Lisbon Ave |
$48.67 | 355 | 316 |
|
Jonathan M Hershey
2600 N Mayfair Rd Ste 901 |
$656.98 | 353 | 234 |
|
Megan Vosswinkel
2555 N Dr Martin Luther King Dr |
$78.82 | 344 | 329 |
|
Theresa S Becker
3120 S 27Th St Fl 2 |
$134.74 | 291 | 219 |
|
Eric R. Yoerin
2801 W Kinnickinnic River Pkwy |
$9.96 | 289 | 259 |
|
Chicot Dialysis Llc
9127 N 76Th St |
$0.00 | 269 | 24 |
|
Wisconsin Renal Care Group, L.L.C.
377 W River Woods Pkwy Ste 111 |
$0.10 | 232 | 24 |
|
Lisa Danita Ettienne
4375 N 53Rd St |
$40.58 | 212 | 115 |
|
Nosheen Hasan
6200 W Center St |
$0.20 | 199 | 180 |
|
Mark E Hodgson
2500 N Mayfair Rd Ste 670 |
$0.66 | 193 | 158 |
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 Milwaukee, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Milwaukee, WI is $9.22 per claim, based on 755,550 claims from 88 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 Milwaukee, WI?
There are 88 Medicaid providers offering Prescription Medications related services in Milwaukee, WI according to public payment data.
What is the price range for Prescription Medications in Milwaukee, WI?
Medicaid reimbursement for Prescription Medications in Milwaukee, WI ranges from $0.00 to $877.54 per claim, with an average of $9.22. 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
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
Richmond, VA
Avg $24.15
476,311 claims · 71 providers
Other Procedures in Milwaukee, WI
Blood Work & Lab Tests
Avg $12.08
6,063,751 claims
Office Visit
Avg $50.47
5,280,772 claims
Emergency Room Visit
Avg $64.11
3,433,334 claims
Behavioral & Mental Health Therapy
Avg $97.09
2,167,359 claims
Case Management Services
Avg $88.79
1,899,271 claims
X-Ray
Avg $5.82
1,618,246 claims
Physical Therapy
Avg $31.00
1,562,867 claims
Urinalysis & Urine Tests
Avg $7.57
1,368,239 claims