Average Medicaid Prescription Medications Payments in Newark, NJ: $16.43
Avg. Paid
$16.43
Range
$0.00 – $56.43
Total Claims
178,904
Providers
22
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 Newark, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Newark Beth Israel Medical Center Inc
201 Lyons Ave |
$10.13 | 56,315 | 47,897 |
|
University Hospital
150 Bergen St |
$17.15 | 32,251 | 26,335 |
|
Bio-Medical Applications Of New Jersey, Inc.
155 Berkeley Ave |
$4.45 | 23,423 | 2,038 |
|
Prime Healthcare Services - St Michaels Llc
111 Central Ave |
$4.25 | 17,122 | 12,612 |
|
Kidney Life, Llc
580 Frelinghuysen Ave |
$42.02 | 12,861 | 1,104 |
|
Kidney Life, Llc
571 Central Ave |
$42.80 | 11,335 | 1,109 |
|
Bio-Medical Applications Of New Jersey, Inc.
91-101 Hartford St |
$2.43 | 9,541 | 727 |
|
Ramez Wadie Samuel
346 Roseville Ave |
$56.43 | 6,605 | 5,830 |
|
Mounir Y Abdelshahid
346 Roseville Ave |
$42.21 | 4,483 | 4,090 |
|
Balazs Galdi
140 Bergen St |
$9.77 | 1,425 | 1,328 |
|
Javier Ricardo Ponce
654 Mount Prospect Ave Ste 301 |
$0.36 | 1,024 | 723 |
|
Todd P. Stitik
90 Bergen St |
$1.57 | 668 | 582 |
|
Luis Garay
495 N 13Th St |
$14.87 | 437 | 387 |
|
Marc Preston Roberts
559 Broad St |
$16.42 | 367 | 351 |
|
Norma Lesta
1 Gateway Ctr Ste 2600 |
$0.81 | 337 | 320 |
|
Vistacare Continuum Services, Llc
300 Broadway |
$0.00 | 270 | 78 |
|
Idalissie Altagracia Peguero
550 Broad St Ste 606 |
$0.92 | 243 | 202 |
|
Firas Qaqa
111 Central Ave |
$0.57 | 103 | 73 |
|
Thomas R Ortiz
465 Mt. Prospect Ave. |
$0.45 | 40 | 40 |
|
Joseph Anthony Ippolito
90 Bergen St |
$4.07 | 27 | 23 |
|
Samir Vinodkumar Joshi
201 Lyons Ave |
$1.46 | 15 | 12 |
|
John William Neal
205 S Orange Ave |
$6.53 | 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 Newark, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Newark, NJ is $16.43 per claim, based on 178,904 claims from 22 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 Newark, NJ?
There are 22 Medicaid providers offering Prescription Medications related services in Newark, NJ according to public payment data.
What is the price range for Prescription Medications in Newark, NJ?
Medicaid reimbursement for Prescription Medications in Newark, NJ ranges from $0.00 to $56.43 per claim, with an average of $16.43. 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 Newark, NJ
Office Visit
Avg $61.77
2,237,116 claims
Blood Work & Lab Tests
Avg $7.22
2,053,105 claims
Emergency Room Visit
Avg $253.51
1,339,209 claims
Dental Cleaning & Exam
Avg $21.79
974,768 claims
X-Ray
Avg $29.87
603,867 claims
Ambulance Transport
Avg $87.48
530,189 claims
Vaccines & Immunizations
Avg $14.38
499,308 claims
Substance Abuse Treatment
Avg $117.53
456,003 claims