Average Medicaid Prescription Medications Payments in Saint Louis, MO: $10.33
Avg. Paid
$10.33
Range
$0.00 – $1,624
Total Claims
113,900
Providers
81
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 Saint Louis, MO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Christian C Nwankwo
10004 Kennerly Rd |
$0.18 | 18,937 | 1,834 |
|
Kabeya Mwintshi
10004 Kennerly Rd |
$0.00 | 15,615 | 1,383 |
|
Marcos Rothstein
4921 Parkview Pl |
$0.02 | 14,025 | 3,687 |
|
Daniel W Coyne
4921 Parkview Pl |
$0.38 | 12,432 | 3,293 |
|
Gurpreet Padda
5203 Chippewa St |
$1.76 | 7,468 | 4,570 |
|
Sangeeta Pande
11125 Dunn Rd |
$0.55 | 6,292 | 609 |
|
Marie D Philipneri
915 N Grand Blvd |
$0.45 | 5,809 | 568 |
|
Paul S Catanzaro
10007 Kennerly Rd Ste B |
$0.51 | 5,564 | 3,206 |
|
Uladzislau Naidzionak
6420 Clayton Rd |
$4.62 | 4,988 | 2,586 |
|
Daniel Schwarze
2821 N Ballas Rd |
$19.96 | 3,095 | 1,765 |
|
Tony L Chien
2821 N Ballas Rd Ste C20 |
$9.77 | 2,968 | 2,363 |
|
Herbert Norman Shapiro
6150 Oakland Ave |
$0.01 | 2,428 | 1,350 |
|
James Alvin Davis
10 Barnes West Dr |
$1.59 | 1,886 | 569 |
|
Suresh Mathew
11125 Dunn Rd |
$0.00 | 1,344 | 107 |
|
Lauren Marie Howdeshell
5203 Chippewa St Ste 301 |
$1.89 | 889 | 597 |
|
Stephen D Schmidt
1070 Old Des Peres Rd |
$0.23 | 872 | 710 |
|
Manasa Madhuri Metireddy
10 Barnes West Dr |
$0.26 | 809 | 257 |
|
Charbel Chafic Khoury
4921 Parkview Pl |
$0.14 | 766 | 223 |
|
Mark Dayton Belcher
4116 Von Talge Rd |
$1.95 | 702 | 417 |
|
Richard S. Gahn
12345 W Bend Dr |
$0.82 | 568 | 365 |
|
Esther Copeland
3863A Gravois Ave |
$0.38 | 447 | 355 |
|
Sierra Nicole Burgin
615 S New Ballas Rd |
$36.68 | 374 | 306 |
|
Hugh G Berry
1031 Bellevue Ave Ste 310 |
$0.02 | 359 | 337 |
|
Lizette Alvarez
3009 N Ballas Rd |
$444.99 | 359 | 320 |
|
Harris Chauhdry Sultan
517 S Euclid Ave |
$762.62 | 358 | 213 |
|
Tingting Li
4921 Parkview Pl |
$5.08 | 344 | 88 |
|
Nabil H Tauk
10004 Kennerly Rd |
$0.00 | 303 | 25 |
|
David L Eisenberg
4901 Forest Park Ave |
$76.28 | 235 | 220 |
|
Christopher Norcross Miller
1 Barnes Jewish Hospital Plz |
$0.03 | 209 | 198 |
|
Kevin A Coleman
13131 Tesson Ferry Rd |
$0.05 | 205 | 199 |
|
Christopher Kwan Hwang
517 S Euclid Ave |
$1,624 | 202 | 194 |
|
Frank Joseph O'Brien
4921 Parkview Pl |
$0.00 | 195 | 48 |
|
Constance Shannon Pfingstag
4625 Lindell Blvd Fl 2 |
$59.98 | 186 | 173 |
|
Niranjan Narain Singh
1035 Bellevue Ave Ste 500 |
$445.59 | 149 | 86 |
|
Raksha Soora
1031 Bellevue Ave Ste 400 |
$81.80 | 140 | 135 |
|
Jeffrey Jay Olson
4921 Parkview Pl |
$9.97 | 125 | 121 |
|
Denise Michelle Sarver Willers
4901 Forest Park Ave |
$47.59 | 124 | 122 |
|
Bhajanlal S Dara
777 S New Ballas Rd Ste 328W |
$0.00 | 121 | 49 |
|
Rajyalakshmi Gadi
10010 Kennerly Rd |
$0.00 | 118 | 12 |
|
Matthew Steven Miller
1226 Olive St |
$0.52 | 118 | 81 |
|
Aliasgar Husaini Dalal
11125 Dunn Rd Ste 301 |
$4.11 | 102 | 91 |
|
Jonathan Mizrahi
1 Barnes Jewish Hospital Plz |
$0.62 | 102 | 61 |
|
Alisa Kindig
3844 S Lindbergh Blvd Ste 210 |
$56.73 | 99 | 93 |
|
Paul James Garvin
10004 Kennerly Rd |
$0.00 | 91 | 81 |
|
Aninda B Acharya
3009 N Ballas Rd Ste 102B |
$1,239 | 88 | 63 |
|
Margaret E. Baum
2220 Lemp Ave |
$68.22 | 83 | 60 |
|
Laura Baldridge
10586 Sunset Pines Ct |
$2.05 | 78 | 59 |
|
Shabbir H Safdar
4921 Parkview Pl |
$0.00 | 74 | 41 |
|
Hubert Santiago Swana
1 Barnes Jewish Hospital Plz |
$0.00 | 68 | 64 |
|
Satish Vundyala Reddy
1 Barnes Jewish Hospital Plz |
$0.26 | 62 | 55 |
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 Saint Louis, MO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Saint Louis, MO is $10.33 per claim, based on 113,900 claims from 81 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 Saint Louis, MO?
There are 81 Medicaid providers offering Prescription Medications related services in Saint Louis, MO according to public payment data.
What is the price range for Prescription Medications in Saint Louis, MO?
Medicaid reimbursement for Prescription Medications in Saint Louis, MO ranges from $0.00 to $1,624 per claim, with an average of $10.33. 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 Saint Louis, MO
Office Visit
Avg $61.54
2,573,779 claims
Behavioral & Mental Health Therapy
Avg $92.81
2,183,655 claims
Emergency Room Visit
Avg $128.84
1,505,298 claims
X-Ray
Avg $8.09
1,400,446 claims
Blood Work & Lab Tests
Avg $29.33
1,334,001 claims
Home Health Visit
Avg $111.76
658,871 claims
Substance Abuse Treatment
Avg $58.36
590,079 claims
EKG / ECG (Electrocardiogram)
Avg $13.59
515,605 claims