Average Medicaid Prescription Medications Payments in Portland, OR: $107.82
Avg. Paid
$107.82
Range
$0.00 – $1,156
Total Claims
45,604
Providers
139
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 Portland, OR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Oregon Health & Science University
3181 Sw Sam Jackson Park Rd |
$0.23 | 10,716 | 8,322 |
|
Legacy Emanuel Hospital & Health Center
2801 N Gantenbein Ave |
$0.28 | 8,255 | 6,969 |
|
Elise Anderson
5050 Ne Hoyt St |
$362.86 | 1,959 | 966 |
|
Ajay Wanchu
10101 Se Main St Ste 2011 |
$6.85 | 1,764 | 1,374 |
|
Paulina Good
3181 Sw Sam Jackson Park Rd |
$247.27 | 1,363 | 470 |
|
Farzaneh Khezri
9135 Sw Barnes Rd Ste 461 |
$432.75 | 1,099 | 540 |
|
Hemangini J. Thakar
3303 Sw Bond Ave |
$0.01 | 1,002 | 874 |
|
Carol Jeanne Macarthur
3181 Sw Sam Jackson Park Rd |
$0.05 | 917 | 851 |
|
Planned Parenthood Of The Columbia/Willamette, Inc.
3727 Ne Martin Luther King Jr Blvd |
$11.03 | 915 | 896 |
|
Jonathan Yoken
10819 Se Stark St |
$1,069 | 892 | 766 |
|
Rina Shapiro
3727 Ne Martin Luther King Jr Blvd |
$14.33 | 873 | 863 |
|
Virginia Whitney
9427 Sw Barnes Rd |
$378.53 | 861 | 404 |
|
Henry Alexander Milczuk
3181 Sw Sam Jackson Park Rd |
$0.09 | 754 | 712 |
|
Judith E. Manchio
3727 Ne Mlk Jr Blvd |
$15.57 | 686 | 664 |
|
Mallik N Tella
10123 Se Market St |
$0.00 | 679 | 618 |
|
Patrick S O'Hollaren
9427 Sw Barnes Rd Ste 395 |
$0.00 | 648 | 640 |
|
Michael Sukmin Lee
5440 Sw Westgate Dr Ste 217 |
$605.41 | 648 | 479 |
|
Christopher Estes
10000 Se Main St |
$2.46 | 504 | 320 |
|
Legacy Good Samaritan Hospital And Medical Center
1015 Nw 22Nd Ave |
$0.07 | 496 | 397 |
|
Brian Tsi-Wah Chan-Kai
10819 Se Stark St |
$776.94 | 455 | 362 |
|
Wenlan Zhang
5440 Sw Westgate Dr Ste 217 |
$551.67 | 448 | 323 |
|
May Chi Lau
3181 Sw Sam Jackson Park Rd |
$214.01 | 443 | 438 |
|
Cory Vernon Carlston
10000 Se Main St Ste 250 |
$0.14 | 416 | 349 |
|
Herbert A Krob
9135 Sw Barnes Rd Ste 461 |
$366.51 | 392 | 185 |
|
James Christopher Austin
3181 Sw Sam Jackson Park Rd |
$0.00 | 377 | 351 |
|
Jazmyn Nicole Price
1002 Se 54Th Ave |
$51.71 | 323 | 287 |
|
Dylan Martin Dean
3181 Sw Sam Jackson Park Road |
$0.00 | 322 | 215 |
|
Scott Preston Beyer
2222 Nw Lovejoy St Ste 419 |
$9.62 | 288 | 262 |
|
Raymond Bernard Tucker
8931 Se Foster Rd |
$0.09 | 278 | 269 |
|
Casey Allison Seideman
3181 Sw Sam Jackson Park Rd |
$0.00 | 261 | 252 |
|
Miranda K. Devine
3181 Sw Sam Jackson Park Rd |
$0.00 | 251 | 199 |
|
John B Aspros
700 Ne Multnomah St |
$0.00 | 213 | 82 |
|
Michele Patricia Megregian
3181 Sw Sam Jackson Park Rd |
$59.53 | 207 | 168 |
|
Sarah Leah Hecht
3181 Sw Sam Jackson Park Rd |
$0.00 | 205 | 200 |
|
Chad Byars
10150 Se 32Nd Ave |
$0.00 | 194 | 185 |
|
Paul Clint Jones
8305 Se Monterey Ave #101 |
$1.69 | 184 | 161 |
|
Tracy Williams Sax
5050 Ne Hoyt St |
$476.79 | 180 | 91 |
|
Option Care At Legacy Health Llc
16195 Sw 72Nd Avenue |
$21.80 | 178 | 52 |
|
Mehrdad Malihi
11786 Sw Barnes Rd Ste 270 |
$782.95 | 176 | 95 |
|
Alexander D Lapidus
10150 Se 32Nd Ave |
$0.00 | 169 | 44 |
|
Sirichai Pasadhika
3375 Sw Terwilliger Blvd |
$1,156 | 155 | 142 |
|
Brooke M Su-Velez
3181 Sw Sam Jackson Park Rd |
$7.73 | 143 | 142 |
|
Megan Susanne Heisey
6924 Ne Sandy Blvd |
$0.09 | 136 | 136 |
|
James Meeker
Oregon Health & Science University |
$0.09 | 135 | 118 |
|
Spencer Hsiao-Yang Shao
265 N Broadway St |
$0.99 | 129 | 88 |
|
Apurva K Patel
5440 Sw Westgate Dr Ste 217 |
$845.96 | 125 | 104 |
|
Peter Auerbach
501 N Graham St |
$0.08 | 121 | 114 |
|
Leila Carre-Smith
3036 Ne Mlk Jr Blvd |
$67.68 | 121 | 120 |
|
Kimberly Marie Mauer
3181 Sw Sam Jackson Park Rd |
$391.99 | 116 | 81 |
|
Elizabeth Paula Banks
3727 Ne Martin Luther King Jr Blvd |
$84.09 | 116 | 116 |
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 Portland, OR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Portland, OR is $107.82 per claim, based on 45,604 claims from 139 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 Portland, OR?
There are 139 Medicaid providers offering Prescription Medications related services in Portland, OR according to public payment data.
What is the price range for Prescription Medications in Portland, OR?
Medicaid reimbursement for Prescription Medications in Portland, OR ranges from $0.00 to $1,156 per claim, with an average of $107.82. 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 Portland, OR
Non-Emergency Medical Transportation
Avg $8.52
8,218,690 claims
Substance Abuse Treatment
Avg $37.53
6,780,611 claims
Blood Work & Lab Tests
Avg $8.81
4,391,828 claims
Office Visit
Avg $73.00
3,294,065 claims
Emergency Room Visit
Avg $158.80
1,692,627 claims
Psychiatric Evaluation
Avg $127.77
1,060,187 claims
Dental Cleaning & Exam
Avg $24.43
966,509 claims
X-Ray
Avg $8.73
762,377 claims