Average Medicaid Prescription Medications Payments in Portland, OR: $107.82
Avg. Paid
$107.82
Range
$0.00 โ $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 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 Portland, OR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kirk Elliot Whetstone
1836 Ne 7Th Ave Ste 206 |
$0.00 | 12 | 12 |
|
Craig Steven Haggett
3727 Ne Martin Luther King Jr Blvd |
$58.00 | 12 | 12 |
|
Peter Stanley Jones
3181 Sw Sam Jackson Park Rd. |
$0.00 | 12 | 12 |
|
Maria Joy Nelson
3181 Sw Sam Jackson Park Rd |
$0.00 | 12 | 12 |
|
Tony V Ho
265 N Broadway St |
$1.12 | 13 | 12 |
|
Christina Joy Flaxel
3375 Sw Terwilliger Blvd |
$822.73 | 13 | 12 |
|
Robert Joe Steelman
3181 Sw Sam Jackson Park Rd |
$0.00 | 13 | 13 |
|
Sheldon Rhee Fox
9135 Sw Barnes Rd Ste 761 |
$6.80 | 13 | 12 |
|
Nan Bryan Schreitz
3231 Se 50Th Ave |
$32.19 | 13 | 12 |
|
Eli Klovee-Smith
10123 Se Market St |
$0.00 | 13 | 12 |
|
Ross Emery Bryan
3181 Sw Sam Jackson Park Rd |
$0.00 | 13 | 12 |
|
Katherine J Dodson
1040 Nw 22Nd Ave |
$678.54 | 14 | 12 |
|
Thomas Sangchul Hwang
3375 Sw Terwilliger Blvd |
$553.28 | 14 | 12 |
|
Andrew Bryant Shinabarger
2800 N Vancouver Ave |
$0.00 | 14 | 13 |
|
James P Cuyler
1849 Nw Kearney St |
$0.00 | 14 | 13 |
|
Paul J Delporto
3181 Sw Sam Jackson Park Rd |
$2.01 | 14 | 12 |
|
George Apostolopoulos
9155 Sw Barnes Rd Ste 420 |
$0.00 | 14 | 12 |
|
Patrick L Hanley
10000 Se Main St |
$8.55 | 14 | 12 |
|
Kristine Franke
12511 Sw 68Th Ave |
$74.10 | 15 | 13 |
|
Dayna Hamm Pridgen
1050 Sw 6Th Ave Ste 1100 |
$5.20 | 15 | 13 |
|
Andrea Mancini
3727 Ne Martin Luther King Jr Blvd |
$49.20 | 15 | 12 |
|
Linda Ijeoma Okereke
3600 N Interstate Ave Ofc |
$0.47 | 15 | 15 |
|
William Goodhue
3181 Sw Sam Jackson Park Rd |
$8.42 | 15 | 13 |
|
Alyssa Covelli Colwill
3181 Sw Sam Jackson Park Rd |
$0.00 | 15 | 12 |
|
Joni Pedersen
1608 Se Ankeny St |
$62.70 | 15 | 12 |
|
Jerry L Lawrence
11705 Nw Timberview Ln |
$0.00 | 15 | 13 |
|
Lena Crandell
3231 Se 50Th Ave |
$63.80 | 15 | 12 |
|
Shung L Nip
10123 Se Market St |
$0.00 | 16 | 14 |
|
David C Sheridan
3181 Sw Sam Jackson Park Rd |
$0.00 | 16 | 12 |
|
Erin Ashton Salinas
9555 Sw Barnes Rd |
$1.38 | 16 | 12 |
|
Jacqueline Munch Brady
3181 Sw Sam Jackson Park Rd |
$0.00 | 16 | 12 |
|
Lucille Rose Tower Glick
501 N Graham St Ste 550 |
$75.44 | 17 | 17 |
|
John Daniel Ng
3375 Sw Terwilliger Blvd |
$0.00 | 17 | 17 |
|
Regan Mon Look
265 N Broadway St |
$0.72 | 18 | 13 |
|
Gregory Peary Stafford
10102 Ne Glisan St |
$0.00 | 18 | 15 |
|
Robert Charles Lufkin
5050 Ne Hoyt St Ste 256 |
$0.86 | 19 | 13 |
|
Jermaine Foster
3181 Sw Sam Jackson Park Rd |
$0.00 | 19 | 15 |
|
Ryland Kagan
3181 Sw Sam Jackson Park Rd |
$0.00 | 20 | 12 |
|
Barbara Eileen Lazio
3181 Sw Sam Jackson Park Rd |
$0.00 | 21 | 13 |
|
Steven Donald Mcgaughey
Ohsu Doernbecher |
$0.00 | 21 | 12 |
|
Brooke M Madden
6640 Sw Redwood Ln |
$514.54 | 23 | 12 |
|
Annameika Eve Goldring
3181 S.W. Sam Jackson Park Rd. |
$0.00 | 24 | 24 |
|
Bryce Bederka
501 N Graham St Ste 200 |
$0.00 | 25 | 25 |
|
Jessica Leigh Zaman
3727 Ne Martin Luther King Jr Blvd |
$13.33 | 25 | 25 |
|
Cassandra Evelyn Hodge
9701 Sw Barnes Rd Ste 200 |
$68.13 | 26 | 26 |
|
Shane Christopher Kim
1130 Nw 22Nd Ave Ste 420 |
$0.00 | 26 | 24 |
|
Adam J Mirarchi
3181 Sw Sam Jackson Park Rd |
$0.00 | 26 | 25 |
|
Michael Paul Petrovich
3181 Sw Sam Jackson Park Rd |
$0.00 | 27 | 27 |
|
Kevin L Dean
10123 Se Market St |
$0.00 | 27 | 26 |
|
Ahmed M. Raslan
3181 Sw Sam Jackson Road |
$0.00 | 28 | 12 |
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 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 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 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