Average Medicaid Prescription Medications Payments in Rockville, MD: $45.85
Avg. Paid
$45.85
Range
$0.00 – $1,493
Total Claims
16,347
Providers
21
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 Rockville, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Renal Treatment Centers - Mid-Atlantic, Inc.
15204 Omega Dr |
$0.65 | 6,003 | 546 |
|
Minuteclinic Llc
7955 Tuckerman Ln |
$12.20 | 2,041 | 1,642 |
|
Arthritis And Rheumatism Associates Pc
14995 Shady Grove Rd Ste 250 |
$2.77 | 1,790 | 1,701 |
|
James Xunhai Xu
6000 Executive Blvd |
$0.89 | 1,229 | 333 |
|
Advanced Dialysis Center, Llc
299 Hurley Ave |
$38.70 | 962 | 323 |
|
Adventist Healthcare, Inc.
9901 Medical Center Dr |
$0.47 | 834 | 664 |
|
Brownwood Dialysis Llc
5544 Norbeck Rd |
$0.18 | 833 | 75 |
|
Harcart Health Holdings, Llc
12220 Rockville Pike |
$0.03 | 629 | 340 |
|
Quoc Anh Nguyen
726 Rockville Pike |
$4.49 | 493 | 435 |
|
Vinay N Desai
600 Jefferson Plz Ste 320 |
$1,493 | 432 | 294 |
|
Potomac Oncology & Hematology, Llc
6000 Executive Blvd |
$7.57 | 414 | 147 |
|
Lauren Burns Capurata
9715 Medical Center Dr Ste 330 |
$81.93 | 238 | 232 |
|
Elliot R Goldstein Md & Joel R Schulman Md Pa
6000 Executive Blvd |
$25.75 | 149 | 136 |
|
Capitol Orthopaedics And Rehabilitation, Llc
6000 Executive Blvd |
$8.32 | 148 | 137 |
|
Choudry, Ijaz And Ali P.A.
11119 Rockville Pike |
$10.79 | 41 | 29 |
|
Better Life Pain Clinic, Pllc
14804 Physicians Ln Ste 121 |
$0.00 | 37 | 27 |
|
The Retina Group Of Washington, Pllc
600 Jefferson Plz Ste 320 |
$62.66 | 18 | 13 |
|
Amanda Joy Johnson
1992 Lancashire Dr |
$0.00 | 15 | 15 |
|
Chelsea Dekle
100 Park Ave Ste 108A |
$0.19 | 15 | 12 |
|
Pankaj Lal
11119 Rockville Pike |
$8.73 | 13 | 12 |
|
Alexandria Leigh Lundell
14995 Shady Grove Rd Ste 350 |
$1.09 | 13 | 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 Rockville, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Rockville, MD is $45.85 per claim, based on 16,347 claims from 21 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 Rockville, MD?
There are 21 Medicaid providers offering Prescription Medications related services in Rockville, MD according to public payment data.
What is the price range for Prescription Medications in Rockville, MD?
Medicaid reimbursement for Prescription Medications in Rockville, MD ranges from $0.00 to $1,493 per claim, with an average of $45.85. 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 Rockville, MD
Blood Work & Lab Tests
Avg $8.43
2,753,216 claims
Office Visit
Avg $58.07
1,282,599 claims
Speech Therapy
Avg $33.38
415,869 claims
Emergency Room Visit
Avg $80.12
400,930 claims
Physical Therapy
Avg $45.79
335,793 claims
Urinalysis & Urine Tests
Avg $5.23
328,329 claims
Dental Cleaning & Exam
Avg $40.37
313,432 claims
Case Management Services
Avg $142.76
277,184 claims