Average Medicaid Prescription Medications Payments in Paterson, NJ: $4.34
Avg. Paid
$4.34
Range
$0.18 โ $127.04
Total Claims
147,770
Providers
24
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 โ 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 Paterson, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
St Josephs University Medical Center Inc.
703 Main St |
$2.36 | 59,219 | 48,962 |
|
Simeon Dialysis Llc
11 Getty Ave |
$7.74 | 36,002 | 3,016 |
|
Gammal A Hassanien
606 Broadway |
$0.95 | 11,188 | 9,559 |
|
Luis F Luna
185 6Th Ave Fl 1Er |
$1.46 | 9,450 | 7,990 |
|
Eufaula Dialysis Llc
680 Broadway |
$3.54 | 9,369 | 714 |
|
Samir H Haddad
606 Broadway |
$0.78 | 7,521 | 6,365 |
|
Mohamed Dahhan
606 Broadway |
$0.82 | 4,937 | 4,357 |
|
Marcela C. Marani-Dicovskiy
681 Broadway |
$1.74 | 3,973 | 3,353 |
|
Fred Revoredo
425 15Th Ave |
$1.53 | 1,661 | 1,519 |
|
Simeon Dialysis Llc
703 Main St |
$125.81 | 1,042 | 95 |
|
Denia M. Perez
32 Hine St Ste 103 |
$7.77 | 714 | 652 |
|
Mohammed Amer Moughrabi
91 Main St |
$0.55 | 662 | 597 |
|
Karam Wehbeh
414 Broadway |
$0.89 | 607 | 554 |
|
St Joseph'S Children Hospital
703 Main St |
$1.56 | 450 | 407 |
|
Douaa Khalil
703 Main St |
$0.59 | 278 | 140 |
|
Sohilla Ahmadi
991 Main St |
$0.62 | 147 | 132 |
|
Sherif Azer
91 Main St |
$0.50 | 126 | 112 |
|
Tara Loaiza
91 Main St |
$1.01 | 117 | 106 |
|
Stephanie Wanda Checo Nolasco
606 Broadway |
$0.86 | 86 | 81 |
|
John Saldarriaga
91 Main St |
$0.74 | 81 | 67 |
|
Great Falls Dialysis Llc
498 E 30Th St |
$127.04 | 58 | 23 |
|
Henry Slomowitz
265 E 33Rd Street |
$0.86 | 51 | 39 |
|
Yaira Michelle Valdivieso
703 Main Street |
$0.40 | 16 | 13 |
|
Madhu Hardasmalani
703 Main St |
$0.18 | 15 | 15 |
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 | โ |
| J0120 | Tetracyclin injection | โ | โ | โ |
| J0133 | Acyclovir injection | โ | โ | โ |
| J0202 | Injection, alemtuzumab | โ | โ | โ |
| J0795 | Corticorelin ovine triflutal | โ | โ | โ |
| J1160 | Digoxin injection | โ | โ | โ |
| J1205 | Chlorothiazide sodium inj | โ | โ | โ |
| J1260 | Dolasetron mesylate | โ | โ | โ |
| J1290 | Ecallantide injection | โ | โ | โ |
| J1300 | Eculizumab injection | โ | โ | โ |
| J1301 | Injection, edaravone, 1 mg | โ | โ | โ |
| J1303 | Inj., ravulizumab-cwvz 10 mg | โ | โ | โ |
| J1305 | Inj, evinacumab-dgnb, 5mg | โ | โ | โ |
| J1320 | Amitriptyline injection | โ | โ | โ |
| J1322 | Elosulfase alfa, injection | โ | โ | โ |
| J1327 | Eptifibatide injection | โ | โ | โ |
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 Paterson, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Paterson, NJ is $4.34 per claim, based on 147,770 claims from 24 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 Paterson, NJ?
There are 24 Medicaid providers offering Prescription Medications related services in Paterson, NJ according to public payment data.
What is the price range for Prescription Medications in Paterson, NJ?
Medicaid reimbursement for Prescription Medications in Paterson, NJ ranges from $0.18 to $127.04 per claim, with an average of $4.34. 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 ยท 235 providers
Milwaukee, WI
Avg $9.22
755,550 claims ยท 88 providers
Washington, DC
Avg $6.48
675,765 claims ยท 92 providers
Los Angeles, CA
Avg $61.23
617,979 claims ยท 282 providers
Louisville, KY
Avg $31.67
601,676 claims ยท 181 providers
New York, NY
Avg $40.26
587,024 claims ยท 195 providers
San Diego, CA
Avg $27.34
493,429 claims ยท 162 providers
Tucson, AZ
Avg $24.34
489,015 claims ยท 169 providers
Other Procedures in Paterson, NJ
Office Visit
Avg $53.46
1,424,514 claims
Home Health Visit
Avg $92.04
1,062,162 claims
Blood Work & Lab Tests
Avg $7.64
891,306 claims
Emergency Room Visit
Avg $222.35
847,120 claims
X-Ray
Avg $15.56
373,046 claims
Dental Cleaning & Exam
Avg $19.93
370,627 claims
Urinalysis & Urine Tests
Avg $2.98
321,288 claims
Vaccines & Immunizations
Avg $11.24
317,325 claims