Average Medicaid Prescription Medications Payments in New York, NY: $40.26
Avg. Paid
$40.26
Range
$0.00 – $1,393
Total Claims
587,024
Providers
195
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 New York, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
The New York And Presbyterian Hospital
622 W 168Th St |
$12.28 | 81,684 | 74,787 |
|
Nyu Langone Hospitals
550 1St Ave |
$13.25 | 60,082 | 49,853 |
|
The New York And Presbyterian Hospital
525 E 68Th St |
$14.72 | 41,358 | 36,793 |
|
St Lukes Roosevelt Hospital Center
1000 10Th Ave |
$3.48 | 41,170 | 32,018 |
|
Mount Sinai Hospital
1 Gustave L Levy Pl |
$25.19 | 40,628 | 35,011 |
|
Planned Parenthood Of Greater New York Inc
26 Bleecker St |
$16.74 | 25,081 | 24,857 |
|
Memorial Hospital For Cancer And Allied Diseases
1275 York Ave |
$41.64 | 23,176 | 14,606 |
|
New York City Health And Hospitals Corporation
462 First Avenue |
$6.62 | 22,169 | 18,332 |
|
New York City Health And Hospitals Corporation
506 Lenox Ave |
$14.55 | 19,605 | 16,642 |
|
Lenox Hill Hospital
100 E 77Th St |
$5.73 | 18,679 | 17,305 |
|
Nyu Langone Hospitals
160 E 34Th St |
$94.56 | 17,337 | 10,926 |
|
Ashok Chaudhari
1901 1St Ave |
$60.95 | 14,601 | 355 |
|
New York City Health And Hospitals Corporation
1901 1St Ave |
$10.97 | 12,506 | 11,800 |
|
City Medical Of Upper East Side, Pllc
336 E 86Th St |
$0.57 | 11,871 | 11,705 |
|
Nyu Langone Hospitals
301 E 17Th St |
$3.94 | 8,521 | 7,794 |
|
Vijay H Lapsia
1 Gustave L.Levy Place |
$51.63 | 7,965 | 1,096 |
|
Xenia P Sumin
100 E 77Th St |
$128.85 | 7,658 | 1,109 |
|
Tsen-Tsen Jin
139 Centre St |
$5.65 | 6,323 | 3,381 |
|
Wei Y. Sun
139 Centre Street |
$31.86 | 5,798 | 921 |
|
Sunggeun Lee
176 Stanton St Apt 1A |
$60.68 | 5,780 | 161 |
|
Mount Sinai Hospital
520 E 117Th St |
$73.25 | 5,662 | 2,010 |
|
Jonathann C. Kuo
281 Broadway |
$6.41 | 5,612 | 5,105 |
|
New York Society For The Relief Of Ruptured & Crippled Maintaining
535 E 70Th St |
$0.34 | 5,559 | 5,075 |
|
Lewis Kaufman
5 East 98Th Street |
$38.60 | 5,447 | 692 |
|
Klaus Peter Rentrop
131 W 35Th St |
$5.21 | 4,909 | 4,799 |
|
Ridgewood Dialysis Center, Inc
1249 5Th Ave |
$26.77 | 4,909 | 1,203 |
|
Jacob C Lasalle
281 Broadway |
$9.68 | 3,679 | 3,485 |
|
Silvester Lango
435 E 57Th Street |
$23.99 | 3,452 | 2,081 |
|
Jaime Uribarri
5 East 98Th Street |
$67.38 | 3,172 | 679 |
|
Jonathan Amir Feistmann
20 E 9Th St |
$789.30 | 2,951 | 2,396 |
|
The Rogosin Institute Inc.
505 E 70Th St |
$13.04 | 2,912 | 365 |
|
Community Health Project Inc.
356 W 18Th St |
$0.32 | 2,843 | 2,339 |
|
Mukta Baweja
1 Gustave L Levy Pl |
$59.26 | 2,653 | 379 |
|
Dang D Nguyen
202 Canal St |
$28.11 | 2,540 | 392 |
|
Kendra Aisha Joseph-Rodgers
139 Centre St Ph 120 |
$52.50 | 2,419 | 1,935 |
|
Suelane Sousa Do Ouro
200 W 57Th St |
$0.79 | 2,063 | 1,984 |
|
Alexander Ronald Rances
305 7Th Avenue |
$8.25 | 2,018 | 1,897 |
|
New York City Health And Hospitals Corporation
227 Madison St |
$86.83 | 1,857 | 1,848 |
|
Edward I Marcus
140 E 80Th St |
$630.63 | 1,706 | 1,445 |
|
Norland Ng
139 Centre St |
$0.36 | 1,669 | 1,051 |
|
Richard Chan
139 Centre St |
$23.73 | 1,639 | 229 |
|
Isaac Tabari
136 E 57Th St |
$0.37 | 1,596 | 1,335 |
|
Nneka Offor Brooks
52 E 72Nd St |
$1,041 | 1,487 | 1,138 |
|
David Gerard Cassagnol
281 Broadway |
$6.66 | 1,332 | 1,278 |
|
Mitchell Charles Weiser
5 East 98Th St |
$5.95 | 1,235 | 1,226 |
|
Kevia Taylor
268 Canal St |
$32.57 | 1,216 | 223 |
|
Kate Wilkins Nellans
622 W 168Th St |
$17.22 | 1,169 | 1,147 |
|
Hudson Spine And Pain Medicine, Pc
281 Broadway |
$8.10 | 1,166 | 1,049 |
|
Samuel S Chan
202 Canal St |
$0.45 | 1,150 | 1,145 |
|
Kenneth Jay Wald
140 E 80Th St |
$370.65 | 1,143 | 1,105 |
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 New York, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in New York, NY is $40.26 per claim, based on 587,024 claims from 195 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 New York, NY?
There are 195 Medicaid providers offering Prescription Medications related services in New York, NY according to public payment data.
What is the price range for Prescription Medications in New York, NY?
Medicaid reimbursement for Prescription Medications in New York, NY ranges from $0.00 to $1,393 per claim, with an average of $40.26. 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
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 New York, NY
Home Health Visit
Avg $167.81
48,743,027 claims
Office Visit
Avg $81.86
23,551,154 claims
Blood Work & Lab Tests
Avg $8.39
10,014,709 claims
Psychiatric Evaluation
Avg $116.70
6,547,727 claims
Physical Therapy
Avg $39.29
5,089,280 claims
Emergency Room Visit
Avg $130.02
3,905,512 claims
Case Management Services
Avg $322.62
3,682,218 claims
Eye Exam
Avg $50.07
3,393,865 claims