Based on public Medicaid payment data.

Average Medicaid Prescription Medications Payments in Philadelphia, PA: $25.26

Avg. Paid

$25.26

Range

$0.00 – $1,216

Total Claims

75,022

Providers

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 Philadelphia, PA

Provider	Avg. Paid	Claims	Patients
Andrew Mealin 10800 Knights Rd	$2.34	12	12
Michael Joseph Pickett Broad And Vine	$0.06	12	12
Trisha L Acri 7198 Castor Ave	$0.00	13	12
Jayne Henderson Brown 4510 Frankford Ave	$0.00	13	13
Nitin Goyal 3400 Spruce St	$0.00	13	12
Tenet Healthsystem St. Christopher'S Hospital For Children, Llc Erie Avenue @ Front St.	$0.34	13	13
Jennifer Marin 34Th & Civic Center Blvd	$0.00	14	13
Gabrielle Faith Einstein Morrow 1020 Sansome Street	$0.00	15	13
Andrea Marie Leyland 6404 Roosevelt Blvd	$0.01	15	14
Thane A Blinman 34Th & Civic Center Blvd	$16.40	15	14
Parth Patel 111 S 11Th St	$0.00	15	12
Svetlana Harel 160 E Erie Ave	$0.00	17	15
Sue Y Lee 5501 Old York Road	$0.00	20	17
Adison Weseloh 1800 Lombard Street	$1.30	21	15
Jean Marie Ann Rinnan 160 E Erie Ave	$0.00	22	13
Dorota Maria Pazdrowska-Chowdhry 160 E Erie Ave	$0.00	22	20
Ahpaffs,Llc 1010 W Lehigh Ave	$0.00	25	25
Betsy Lee 3400 Spruce St	$0.10	26	24
Eric Lusinski 160 E Erie Ave	$0.00	27	19
Muhammad Masood Khalid 245 N 15Th St	$0.00	28	26
Xi Lin Jing 3401 N Broad St	$0.06	28	24
Sechin Jain 3400 Spruce Street	$33.62	28	26
Joy Alison Cooper 3400 Spruce St	$664.39	29	29
Richard Joseph Clark 160 E Erie Ave	$0.00	29	27
Gregg Gabriel Martyak 1015 Walnut St Ste 801	$0.00	30	26
Jeremiah Bush 4636 Woodland Ave	$1.51	38	37
City Of Phila Trustee Acting By The Brd Of Dir Of City Trusts 840 Walnut St	$0.61	40	38
Kassandra Petit 5201 Haverford Ave	$85.50	41	41
Chh Community Health 8835 Germantown Ave	$0.00	41	37
Jared J Liebman 5401 Old York Rd	$0.00	44	26
Ryan Stephen Mcguire 230 N Broad St	$0.40	47	39
Luca Zatreanu 10160 Bustleton Ave	$1,216	49	38
Catherine Burdett 160 E Erie Ave	$0.00	51	42
Rebekah Varzally 10800 Knights Rd	$0.01	52	32
Luis Ledesma Gamboa 3401 N Broad St	$0.00	56	55
Charlotta Swain 5401 Old York Rd	$0.00	62	62
Angela Woo Jung Kim 160 E Erie Ave	$0.00	63	48
Jefferson Health - Northeast 4900 Frankford Ave	$0.02	64	53
Presbyterian Medical Center Of The University Of Pennsylvania Health S 51 N 39Th St	$0.00	67	54
Bassem Ragheb George 230 N Broad St	$21.85	67	59
Teerin Meckmongkol 245 N 15Th St	$42.86	84	65
Kathleen M Nishida 4510 Frankford Ave	$0.00	89	89
Lauren A Carr 160 E Erie Ave	$0.00	90	80
Nazareth Hospital 2601 Holme Ave	$0.02	94	92
Pramath Nath 160 E Erie Ave	$0.00	97	79
David Alan Zwillenberg 3601 A Street	$0.00	105	96
John Tio Saludades 3509 N Broad St	$0.00	114	97
Geoffrey Everett 160 E Erie Ave	$0.00	117	106
Stephen Gray 100 E Lehigh Ave	$0.00	123	119
Alexander Gaitanis 5501 Old York Rd Ste 1	$6.47	144	73

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 Philadelphia, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Philadelphia, PA is $25.26 per claim, based on 75,022 claims from 93 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 Philadelphia, PA?

There are 93 Medicaid providers offering Prescription Medications related services in Philadelphia, PA according to public payment data.

What is the price range for Prescription Medications in Philadelphia, PA?

Medicaid reimbursement for Prescription Medications in Philadelphia, PA ranges from $0.00 to $1,216 per claim, with an average of $25.26. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Prescription Medications Payments in Philadelphia, PA: $25.26

Providers Offering Prescription Medications in Philadelphia, PA

What to Expect: Prescription Medications

Cost Components

Frequently Asked Questions

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Office Visit

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Emergency Room Visit

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