Average Medicaid Prescription Medications Payments in Omaha, NE: $50.13
Avg. Paid
$50.13
Range
$0.00 – $763.22
Total Claims
34,448
Providers
83
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 Omaha, NE
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nebraska Medical Center
987400 Nebraska Medical Ctr |
$25.21 | 9,383 | 7,663 |
|
Alegent Health Bergan Mercy Health System
7500 Mercy Rd |
$5.11 | 5,232 | 4,380 |
|
Alegent Health Immanuel Medical Center
6901 N 72Nd St |
$8.41 | 3,848 | 3,247 |
|
Children'S Hospital & Medical Center
8200 Dodge St |
$23.85 | 3,408 | 3,076 |
|
Father Flanagan'S Boys' Home
555 N 30Th St |
$9.60 | 2,730 | 2,678 |
|
Karen L. Bremer
601 N 30Th St |
$383.34 | 1,117 | 578 |
|
Children'S Hospital & Medical Center
110 N 175Th St Ste 1600 |
$19.68 | 1,029 | 1,022 |
|
Nebraska Methodist Hospital
8303 Dodge Street |
$10.69 | 848 | 671 |
|
Thomas A. Franco
16120 W Dodge Rd |
$763.22 | 763 | 687 |
|
Chad Allen Whyte
4242 Farnam St |
$246.78 | 449 | 210 |
|
Austin Duerksen
13340 California St Ste 201 |
$0.64 | 411 | 331 |
|
James F Pietro
625 N 144Th Ave |
$0.17 | 369 | 272 |
|
Alegent Creighton Health
16901 Lakeside Hills Ct |
$10.20 | 344 | 323 |
|
Damian Apollo
7500 Mercy Rd |
$0.01 | 329 | 294 |
|
Ryan Kirk Sewell
720 N 129Th St |
$36.58 | 270 | 257 |
|
Jason Bradford Untrauer
4014 Leavenworth St |
$0.07 | 207 | 171 |
|
Adam Robinson
984125 Nebraska Medical Ctr |
$0.08 | 187 | 146 |
|
Amy Hellman
4242 Farnam St |
$182.02 | 181 | 99 |
|
Richard Mack Tempero
7205 W Center Rd Ste 103 |
$1.28 | 175 | 156 |
|
Karen Ann Tucker
111 N 175Th St Ste 1600 |
$0.00 | 170 | 154 |
|
Dialysis Clinic Inc.
3316 Dodge St |
$13.00 | 148 | 38 |
|
Dva Renal Healthcare Inc
13014 W Dodge Rd |
$0.00 | 142 | 13 |
|
Daniel James Wehrmann
8200 Dodge St |
$3.93 | 141 | 131 |
|
Elizabeth Maria Augustine Hartman
4242 Farnam St Ste 650 |
$456.77 | 130 | 122 |
|
Tyler Allen Johnson
8200 Dodge St |
$0.23 | 122 | 113 |
|
Melissa Lynn St. Germain
982185 Nebraska Medical Ctr |
$1.94 | 118 | 113 |
|
Valmont P Desa
988102 Nebraska Medical Ctr |
$69.12 | 108 | 102 |
|
Chad A Shuff
6901 N 72Nd St |
$0.00 | 106 | 93 |
|
Michael Evan Jacobson
8303 Dodge St |
$0.00 | 104 | 98 |
|
Brent David Timperley
982055 Nebraska Medical Ctr |
$0.00 | 102 | 81 |
|
Nebraska Orthopaedic Hospital Llc
2808 South 143Rd Plaza |
$1.78 | 90 | 90 |
|
Kelly Lynn Mullins
13609 California St |
$1.04 | 88 | 81 |
|
Heather Jeanette Gomes
555 N 30Th St |
$0.25 | 82 | 78 |
|
Eric Spencer West
982185 Nebraska Medical Center Omaha |
$0.89 | 81 | 75 |
|
Michael Lee Beadnell
18710 L St |
$2.88 | 80 | 77 |
|
Saleem Jafilan
600 S 42Nd St |
$0.02 | 66 | 65 |
|
Kari J Pokorski
110 N 175Th St Ste 1000 |
$1.35 | 65 | 63 |
|
Darin Lee Kotil
14450 Eagle Run Drive |
$0.00 | 65 | 64 |
|
Gangadasu Reddy
601 N 30Th St |
$0.00 | 61 | 51 |
|
Brian Conroy
16909 Lakeside Hills Ct |
$5.14 | 57 | 57 |
|
Samer Ibrahim Renno
6901 N 72Nd St |
$1.05 | 48 | 37 |
|
Kimberly S Castor
3105 N 93Rd St |
$25.23 | 44 | 38 |
|
Dwight T Jones
Emile 42Nd St |
$5.94 | 43 | 41 |
|
John F Hanson
981150 Nebraska Medical Ctr |
$0.00 | 42 | 27 |
|
Hyvacs, Llc
10004 S 152Nd St |
$0.00 | 42 | 38 |
|
Inaganti Mastan Shah
6901 N 72Nd St |
$0.77 | 40 | 24 |
|
Andrew Steve Huang-Pacheco
3306 N 164Th St |
$339.21 | 37 | 34 |
|
Shreya Jagadish Shetty
601 N 30Th St Creighton University |
$0.00 | 33 | 27 |
|
Jane M. Carnazzo
4224 S 50Th St |
$1.02 | 33 | 29 |
|
Peter A Crane
2725 S 144Th St Ste 212 |
$1.14 | 31 | 26 |
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 Omaha, NE?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Omaha, NE is $50.13 per claim, based on 34,448 claims from 83 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 Omaha, NE?
There are 83 Medicaid providers offering Prescription Medications related services in Omaha, NE according to public payment data.
What is the price range for Prescription Medications in Omaha, NE?
Medicaid reimbursement for Prescription Medications in Omaha, NE ranges from $0.00 to $763.22 per claim, with an average of $50.13. 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 Omaha, NE
Office Visit
Avg $62.03
1,855,047 claims
Blood Work & Lab Tests
Avg $8.27
967,116 claims
Dental Cleaning & Exam
Avg $25.58
930,232 claims
Emergency Room Visit
Avg $105.42
797,205 claims
Psychiatric Evaluation
Avg $101.13
593,020 claims
X-Ray
Avg $19.11
516,907 claims
Physical Therapy
Avg $30.03
500,717 claims
Vaccines & Immunizations
Avg $14.36
356,541 claims