Average Medicaid Prescription Medications Payments in Phoenix, AZ: $16.15
Avg. Paid
$16.15
Range
$0.00 – $2,162
Total Claims
844,810
Providers
235
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 Phoenix, AZ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Phoenix Children'S Hospital
1919 E Thomas Rd |
$50.15 | 107,252 | 96,284 |
|
Banner - University Medical Center Phoenix
1111 E Mcdowell Rd |
$1.97 | 104,020 | 74,233 |
|
Honorhealth
250 E Dunlap Ave |
$20.80 | 73,182 | 49,964 |
|
Banner Estrella Medical Center
9201 W Thomas Rd |
$0.07 | 69,108 | 59,427 |
|
Dignity Health
350 W Thomas Rd |
$1.80 | 66,241 | 54,438 |
|
Maricopa County Special Health Care District
2601 E Roosevelt St |
$0.26 | 58,458 | 50,513 |
|
Honorhealth
19829 N 27Th Ave |
$0.01 | 47,200 | 38,120 |
|
Vhs Of Phoenix Inc
2000 W Bethany Home Rd |
$0.02 | 35,169 | 30,873 |
|
Southwest Kidney Davita Dialysis Partners Llc
4845 W Mcdowell Rd |
$0.00 | 33,962 | 2,737 |
|
Southwest Kidney Davita Dialysis Partners Llc
337 E Coronado Rd |
$0.00 | 25,303 | 2,065 |
|
Southwest Kidney Davita Dialysis Partners, Llc
3540 E Baseline Rd |
$0.00 | 22,648 | 1,840 |
|
Southwest Kidney Davita Dialysis Partners Llc
8410 W Thomas Rd |
$0.00 | 22,229 | 1,810 |
|
Vhs Acquisition Subsidiary Number 1 Inc
3929 E Bell Rd |
$0.03 | 18,490 | 15,733 |
|
Total Renal Care Inc
5115 E Thomas Rd |
$0.24 | 13,300 | 1,123 |
|
Douglas L Cunningham
4350 N 19Th Ave |
$2.36 | 10,300 | 8,264 |
|
Steven Mark Siwek
20333 N 19Th Ave Ste 100 |
$0.51 | 9,926 | 8,716 |
|
Surgical Specialty Hospital Of Arizona, Llc
6501 N 19Th Ave |
$0.00 | 9,359 | 7,157 |
|
Mayo Clinic Arizona
5777 E Mayo Blvd |
$0.04 | 8,493 | 6,338 |
|
Honorhealth
33400 N 32Nd Ave |
$0.03 | 8,293 | 6,769 |
|
Coram Alternate Site Services, Inc.
4601 E Hilton Ave Ste 105 |
$5.29 | 8,034 | 4,462 |
|
St Lukes Medical Center Lp
1800 E Van Buren St |
$0.02 | 7,062 | 5,570 |
|
David K Towns
5501 N 19Th Ave Ste 103 |
$2.46 | 6,352 | 5,198 |
|
Maricopa County Special Health Care District
2525 E Roosevelt St |
$249.41 | 4,842 | 1,620 |
|
Minesh Ramesh Zaveri
1401 N 24Th St Ste 100 |
$0.69 | 3,776 | 3,063 |
|
Ramoun Dante Jones
9250 W Thomas Rd |
$0.70 | 3,505 | 3,021 |
|
Orthopedic And Surgical Specialty Company, Llc
750 N 40Th St |
$0.00 | 3,002 | 2,681 |
|
Chhavi Manchanda
3815 E Bell Rd |
$4.93 | 2,917 | 2,614 |
|
Todd W Turley
2525 W Greenway Rd Ste 125 |
$0.47 | 2,709 | 2,335 |
|
Mountain Park Health Center
6601 W Thomas Rd |
$0.03 | 2,600 | 2,425 |
|
Ankit Patel
1641 E Osborn Rd Ste 6 |
$2.80 | 2,584 | 2,092 |
|
Maricopa County Special Health Care District
2525 E Roosevelt St |
$0.00 | 2,330 | 2,247 |
|
Mountain Park Health Center
3830 E Van Buren St |
$0.00 | 2,005 | 1,849 |
|
Guillermo Moguel-Cobos
240 W Thomas Rd |
$554.10 | 1,993 | 1,774 |
|
Renal Care Group Arizona, Llc
4502 W Indian School Rd Ste A4 |
$0.00 | 1,714 | 178 |
|
Mountain Park Health Center
635 E. Baseline Rd. |
$0.00 | 1,669 | 1,556 |
|
Robert Lipot Gallai
2330 N 75Th Ave |
$68.95 | 1,600 | 1,372 |
|
Hetal C Shah
4700 N 51St Ave Ste 5 |
$70.92 | 1,541 | 1,511 |
|
Abram Hans Burgher
2525 W Greenway Rd Ste 125 |
$0.23 | 1,522 | 1,288 |
|
Bio-Medical Applications Of Arizona, Llc
5546 W Roosevelt St Ste 1 |
$0.00 | 1,516 | 154 |
|
Jarrett Michael Leathem
2525 W Greenway Rd Ste 125 |
$0.62 | 1,514 | 1,354 |
|
Vhs Of Arrowhead, Inc.
1930 E Thomas Rd |
$0.00 | 1,451 | 1,281 |
|
Kandi Gamerdinger
300 W Clarendon Ave |
$0.06 | 1,422 | 599 |
|
Matthew Webb Doust
3900 E Camelback Rd |
$0.45 | 1,404 | 1,250 |
|
Scottsdale Healthcare Hospitals
33423 N 32Nd Ave |
$0.00 | 1,235 | 1,124 |
|
Fatima G. Raffoul
8410 W Thomas Rd |
$82.97 | 1,035 | 1,029 |
|
Steven Issa Sayegh
333 W Thomas Rd |
$7.70 | 1,008 | 938 |
|
Kelly D Krohn
18444 N 25Th Ave Ste 210 |
$354.14 | 1,004 | 942 |
|
Lisa Anne Apolinar
2901 N Central Ave Ste 160 |
$366.88 | 991 | 708 |
|
Kerry Knievel
240 W Thomas Rd |
$836.74 | 987 | 891 |
|
Mountain Park Health Center
303 E Baseline Rd |
$0.09 | 853 | 804 |
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 Phoenix, AZ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Phoenix, AZ is $16.15 per claim, based on 844,810 claims from 235 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 Phoenix, AZ?
There are 235 Medicaid providers offering Prescription Medications related services in Phoenix, AZ according to public payment data.
What is the price range for Prescription Medications in Phoenix, AZ?
Medicaid reimbursement for Prescription Medications in Phoenix, AZ ranges from $0.00 to $2,162 per claim, with an average of $16.15. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Prescription Medications in Other Cities
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
Richmond, VA
Avg $24.15
476,311 claims · 71 providers
Other Procedures in Phoenix, AZ
Blood Work & Lab Tests
Avg $4.07
28,642,228 claims
Case Management Services
Avg $37.73
14,607,817 claims
Office Visit
Avg $47.53
13,269,420 claims
Substance Abuse Treatment
Avg $94.34
10,076,493 claims
Personal Care Services
Avg $130.72
9,443,796 claims
Non-Emergency Medical Transportation
Avg $10.65
6,526,097 claims
Urinalysis & Urine Tests
Avg $1.58
4,901,181 claims
Behavioral & Mental Health Therapy
Avg $123.66
4,416,857 claims