Average Medicaid Prescription Medications Payments in Portsmouth, OH: $18.10
Avg. Paid
$18.10
Range
$0.00 – $98.02
Total Claims
35,657
Providers
37
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 Portsmouth, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Southern Ohio Medical Center
1805 27Th Street |
$21.18 | 25,471 | 16,887 |
|
David Charles Greiner
820 Chillicothe St |
$0.46 | 3,441 | 2,486 |
|
Portsmouth Hospital Corporation
1901 Argonne Rd |
$0.47 | 2,254 | 1,728 |
|
Reena P Samuel
1711 27Th St Ste 301 |
$69.10 | 766 | 190 |
|
Dialysis Clinic Inc.
1207 17Th St |
$0.19 | 470 | 76 |
|
George W Shahade
1611 27Th St Ste 202 |
$0.00 | 391 | 371 |
|
Kevin Wolfe
2001 Scioto Trl |
$1.29 | 301 | 278 |
|
Christopher G. Belton
1711 27Th St Ste 102 |
$0.01 | 292 | 218 |
|
Jared Carson Bentley
1711 27Th St Ste 102 |
$0.00 | 248 | 168 |
|
Christopher W Schmidt
1735 27Th St |
$0.01 | 241 | 219 |
|
Gerardo Dumlao Trinidad
1729 Kinneys Ln Ste 102 |
$0.05 | 234 | 151 |
|
Nicole Ashley Brown
605 Washington St |
$91.26 | 214 | 194 |
|
Ernesto E Banalagay
1711 27Th St |
$98.02 | 170 | 37 |
|
Laura Sova
1611 27Th St Ste 302 |
$76.19 | 137 | 119 |
|
Brandon David Bomsta
1735 27Th St |
$0.14 | 119 | 108 |
|
Charles Chu-Li Wong
1729 Kinneys Lane |
$0.00 | 118 | 109 |
|
Ryan Francis Sandlin
1729 27Th St |
$0.01 | 114 | 97 |
|
Joseph Daniel Bushek
1735 27Th St |
$0.49 | 107 | 88 |
|
Nicholas Scott Toppins
1405 11Th St |
$0.98 | 70 | 65 |
|
Andrew Lenox Barlow
1805 27Th St |
$0.00 | 67 | 57 |
|
Jason Cheatham
1805 27Th St |
$0.04 | 58 | 51 |
|
City Of Portsmouth
605 Washington St |
$0.00 | 41 | 35 |
|
Gretchen R Horner
1711 27Th St Ste 102 |
$80.85 | 34 | 12 |
|
Daniel Hudson
1901 Argonne Rd |
$4.95 | 33 | 31 |
|
Ron Jeffrey Miller
1611 27Th St Ste 201 |
$0.12 | 31 | 24 |
|
Darren Chad Adams
1735 27Th St Ste 202 |
$0.00 | 27 | 24 |
|
Kevin Dillon Macdonald
1805 27Th St |
$8.74 | 27 | 19 |
|
Tiffany L. Harris
1729 27Th St |
$0.00 | 26 | 26 |
|
Carolyn L Berry-Pettit
621 Broadway St |
$0.00 | 25 | 13 |
|
Wyatt Mingus
1901 Argonne Rd |
$0.45 | 23 | 16 |
|
Diana Lynn Burns
411 Court St |
$2.04 | 23 | 13 |
|
Thomas Lutfallah Khoury
1711 27Th St |
$0.00 | 17 | 13 |
|
Bridget M Ehrhart-Bennett
902 Gallia St |
$4.02 | 16 | 12 |
|
Diana Elaine Young
1735 27Th St Ste 202 |
$0.01 | 14 | 14 |
|
Jay Mohamad Hamze
1711 27Th St Ste 206 |
$0.00 | 13 | 13 |
|
Julie Marie Ross
1901 Argonne Rd |
$0.45 | 12 | 12 |
|
Matthew Ray Harcha
1805 27Th St |
$0.00 | 12 | 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 | — |
| 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 Portsmouth, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Portsmouth, OH is $18.10 per claim, based on 35,657 claims from 37 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 Portsmouth, OH?
There are 37 Medicaid providers offering Prescription Medications related services in Portsmouth, OH according to public payment data.
What is the price range for Prescription Medications in Portsmouth, OH?
Medicaid reimbursement for Prescription Medications in Portsmouth, OH ranges from $0.00 to $98.02 per claim, with an average of $18.10. 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
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Tucson, AZ
Avg $24.34
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Other Procedures in Portsmouth, OH
Substance Abuse Treatment
Avg $118.94
1,451,815 claims
Office Visit
Avg $49.74
1,198,712 claims
Blood Work & Lab Tests
Avg $8.57
986,373 claims
Behavioral & Mental Health Therapy
Avg $64.96
919,588 claims
Ambulance Transport
Avg $48.23
384,343 claims
Psychiatric Evaluation
Avg $70.72
367,038 claims
X-Ray
Avg $10.69
363,100 claims
Emergency Room Visit
Avg $95.84
313,734 claims