Average Medicaid Prescription Medications Payments in Mishawaka, IN: $14.77
Avg. Paid
$14.77
Range
$0.00 – $330.21
Total Claims
7,062
Providers
20
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 Mishawaka, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jose A Bufill
5340 Holy Cross Pkwy |
$11.08 | 1,225 | 699 |
|
Rashid Khan
5340 Holy Cross Pkwy |
$9.99 | 873 | 510 |
|
John S Gilbert
810 Park Place |
$0.00 | 765 | 645 |
|
Robin T Zon
5340 Holy Cross Pkwy |
$0.37 | 621 | 358 |
|
Tori Driver
3005 Grape Rd Ste B |
$56.92 | 473 | 452 |
|
Rafat H Ansari
5340 Holy Cross Pkwy |
$0.49 | 406 | 253 |
|
Matthew K Folstein
611 E Douglas Rd Ste 207 |
$0.00 | 356 | 315 |
|
Bilal Ansari
5340 Holy Cross Pkwy |
$0.51 | 354 | 198 |
|
Alexander C Gatzimos
212 West Edison Road |
$4.40 | 307 | 235 |
|
Sayuri Cheruvu
5340 Holy Cross Pkwy |
$0.54 | 298 | 216 |
|
Rolan A Pascual
5340 Holy Cross Pkwy |
$50.83 | 250 | 146 |
|
David A Taber
5340 Holy Cross Pkwy |
$0.26 | 231 | 112 |
|
Saint Joseph Regional Medical Center-South Bend Campus, Inc.
5215 Holy Cross Pkwy |
$0.00 | 172 | 143 |
|
Lauren Rinard
112 Ironworks Ave Ste B1 |
$0.00 | 154 | 120 |
|
Kyla M Schauss
413 W Mckinley Ave Ste D |
$2.37 | 153 | 145 |
|
Ralph F Carbone
212 W Edison Rd Ste F |
$1.73 | 129 | 112 |
|
Michael Englert
611 E Douglas Rd |
$330.21 | 120 | 50 |
|
Angela Marie Wright
810 Park Place |
$0.00 | 104 | 97 |
|
Shawn Phillip Naranjo
5215 Holy Cross Pkwy |
$0.02 | 56 | 54 |
|
Eugene Huang
301 E Day Rd |
$0.00 | 15 | 14 |
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 Mishawaka, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Mishawaka, IN is $14.77 per claim, based on 7,062 claims from 20 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 Mishawaka, IN?
There are 20 Medicaid providers offering Prescription Medications related services in Mishawaka, IN according to public payment data.
What is the price range for Prescription Medications in Mishawaka, IN?
Medicaid reimbursement for Prescription Medications in Mishawaka, IN ranges from $0.00 to $330.21 per claim, with an average of $14.77. 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
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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 Mishawaka, IN
Office Visit
Avg $54.11
452,845 claims
Blood Work & Lab Tests
Avg $8.62
267,352 claims
X-Ray
Avg $12.03
188,989 claims
Psychiatric Evaluation
Avg $62.49
117,424 claims
Emergency Room Visit
Avg $111.42
113,054 claims
Eye Exam
Avg $49.20
112,254 claims
Physical Therapy
Avg $27.36
78,745 claims
Speech Therapy
Avg $47.97
78,198 claims