Average Medicaid Prescription Medications Payments in Rochester, MN: $146.49
Avg. Paid
$146.49
Range
$0.00 – $907.50
Total Claims
13,688
Providers
45
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 Rochester, MN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mayo Clinic Hospital-Rochester
1216 2Nd St Sw |
$0.63 | 6,601 | 4,962 |
|
Drahomira Sencakova
200 1St St Sw |
$907.50 | 976 | 960 |
|
Samer Abdel-Aziz
5067 55Th St Nw |
$36.81 | 920 | 771 |
|
Kate Wills Hocquard
210 9Th St Se |
$606.28 | 919 | 697 |
|
Eniola O Fagbongbe
200 1St St Sw |
$0.91 | 845 | 705 |
|
Laura Lee Matzke Bitterman
200 1St St Sw |
$0.21 | 429 | 405 |
|
Russell Alan Bergum
2560 2Nd St Sw Ste 120 |
$0.35 | 425 | 392 |
|
Manuel Enrique Sanchez Palacios
5067 55Th St Nw |
$0.00 | 420 | 85 |
|
Rachana Nevile
973 Skyline Dr Sw |
$410.86 | 260 | 206 |
|
Kelly A Jones
1705 Broadway Ave S Ste B |
$0.03 | 247 | 217 |
|
Farha Sayeed Ikramuddin
200 1St St Sw |
$794.03 | 193 | 124 |
|
Luke Law
200 1St St Sw |
$2.52 | 192 | 178 |
|
David A. Mcalpine
1650 4Th St Se |
$1.44 | 183 | 154 |
|
Timothy Mark Herr
210 9Th St Se |
$0.67 | 158 | 154 |
|
Mark Aaron Whealy
200 1St St Sw |
$655.82 | 86 | 78 |
|
Mark Cipriani
200 1St St Sw |
$14.53 | 85 | 53 |
|
Elise Watson Sarvas
200 1St St Sw |
$0.04 | 65 | 62 |
|
Kyle Robert Duchman
200 1St St Sw |
$2.50 | 53 | 37 |
|
Krista M Burke
200 1St St Sw |
$717.20 | 52 | 49 |
|
Fred M Cutrer
200 1St St Sw |
$758.63 | 48 | 44 |
|
Stephanie Jo Steel
200 1St St Sw |
$542.95 | 40 | 30 |
|
Chia-Chun Chiang
200 1St St Sw |
$586.83 | 38 | 26 |
|
Vidhan Chandra
210 9Th St Se |
$2.43 | 37 | 34 |
|
Ivan Garza
200 1St St Sw |
$800.89 | 34 | 33 |
|
Mark James Herr
1650 4Th St Se |
$0.00 | 33 | 27 |
|
Christy L Gossett
200 1St St Sw |
$36.99 | 29 | 12 |
|
Terrie Lynn Fischer
200 1St St Sw |
$674.02 | 27 | 27 |
|
Joshua P Wiedermann
200 1St St Sw |
$0.00 | 27 | 27 |
|
Nicole Youngers
1705 Broadway Ave S |
$1.14 | 26 | 24 |
|
Kelsey Shirley Dowell
200 1St St Sw |
$0.00 | 24 | 24 |
|
Jeffrey S. Brault
200 1St St Sw |
$6.95 | 24 | 24 |
|
Donald F Zimmer
200 1St St Sw |
$0.00 | 16 | 13 |
|
Pelagie Tara Suffrins
210 9Th St Se |
$0.00 | 15 | 14 |
|
Carrie E Robertson
200 1St St Sw |
$844.78 | 15 | 14 |
|
Jennifer Ina Stern
200 1St St Sw |
$882.51 | 14 | 14 |
|
Laura Greenlund
200 1St St Sw |
$7.88 | 14 | 14 |
|
Tam Nguyen Tran
200 1St St Sw |
$0.00 | 14 | 12 |
|
Shelagh A Cofer
200 1St St Sw |
$0.00 | 14 | 13 |
|
Matthew William Tetreault
Mayo Clinic 200 1St St Sw |
$8.20 | 14 | 14 |
|
Steven L Moran
200 1St St Sw |
$0.00 | 14 | 12 |
|
Laura J Orvidas
200 1St St Sw |
$0.00 | 13 | 13 |
|
Kari L Rossow
200 1St St Sw |
$308.65 | 13 | 12 |
|
Kathleen A Augustine
200 1St St Sw |
$886.10 | 12 | 12 |
|
Blaine Evans
210 9Th St Se |
$0.00 | 12 | 12 |
|
Charles Patrick Hannon
200 1St St Sw |
$4.91 | 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 Rochester, MN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Rochester, MN is $146.49 per claim, based on 13,688 claims from 45 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 Rochester, MN?
There are 45 Medicaid providers offering Prescription Medications related services in Rochester, MN according to public payment data.
What is the price range for Prescription Medications in Rochester, MN?
Medicaid reimbursement for Prescription Medications in Rochester, MN ranges from $0.00 to $907.50 per claim, with an average of $146.49. 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 Rochester, MN
Blood Work & Lab Tests
Avg $8.02
724,935 claims
Substance Abuse Treatment
Avg $161.27
481,555 claims
Office Visit
Avg $73.40
314,133 claims
Emergency Room Visit
Avg $154.08
291,969 claims
Non-Emergency Medical Transportation
Avg $21.92
218,514 claims
X-Ray
Avg $9.48
212,589 claims
Ambulance Transport
Avg $242.27
175,972 claims
EKG / ECG (Electrocardiogram)
Avg $7.67
130,505 claims