Based on public Medicaid payment data.

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

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
Noah Bernhardson 1 Barnes Jewish Hospital Plz	$0.00	12	12
Julie Kathryn Mcmanemy 1 Childrens Pl	$7.17	12	12
Elizabeth Orene Schmidt 1 Barnes Jewish Hospital Plz	$80.50	12	12
Sherri J. Dobner 2345 Dougherty Ferry Rd	$0.00	13	12
Jeremy Phillippe Broadnax 12700 Southfork Rd Ste 155	$0.00	13	13
Heather Welch 1225 S Grand Blvd	$6.36	14	12
Jordan Harp 10010 Kennerly Rd	$0.00	14	12
Paul F Austin 1 Childrens Pl	$8.55	16	16
Alexander Beyzer 10420 Old Olive Street Rd Ste 305	$1.18	18	12
Ashley Tusevljak 845 N New Ballas Ct	$1.07	19	14
Abigail Booker Cosgrove 1 Barnes Jew Hosp Plz	$0.00	19	12
Kelsey Hoehn 607 S New Ballas Rd Ste 3100	$37.60	19	17
Catherine Marie Bridgetts 1 Barnes Jewish Hospital Plz	$0.00	21	14
Tram T Wallen 1 Parkview Pl # 6800-P	$72.71	24	24
Cynthia L Montana 517 S Euclid Ave	$1.02	25	25
Steven J Granberg 13131 Tesson Ferry Rd	$0.03	26	26
Robert A. Duerr 12700 Southfork Rd Ste 10	$0.00	28	27
Charles S Grimshaw 11125 Dunn Rd Ste 301	$2.92	29	25
Pawan S Sethi 12700 Southfork Rd Ste 153	$0.00	30	24
Maggie Lee Dwiggins 4901 Forest Park Ave	$74.26	32	29
Jacques S Van Ryn 11125 Dunn Rd Ste 301	$2.23	35	25
Susan M Bender 4251 Forest Park Ave	$106.71	35	30
David James Le 4352 Manchester Ave	$0.98	37	29
Chad E Schmitz 4921 Parkview Pl	$4.16	38	38
Gonzalo Matzumura Umemoto 1 Barnes Jewish Hospital Plz	$0.00	45	12
Peter John Oppelt 4921 Parkview Pl	$0.81	45	26
Hossein Asghari 1225 S Grand Blvd	$0.00	50	25
Morey A Blinder 4500 Forest Park Ave	$0.00	59	39
Julia M Lange 1 Barnes Jewish Hospital Plz	$6.84	61	51
Colleen Patricia Mcnicholas 4901 Forest Park Ave Ste 710	$32.79	62	33
Satish Vundyala Reddy 1 Barnes Jewish Hospital Plz	$0.26	62	55
Dayna Evans Bronson 12634 Olive Blvd	$5.81	62	60
Hubert Santiago Swana 1 Barnes Jewish Hospital Plz	$0.00	68	64
Shabbir H Safdar 4921 Parkview Pl	$0.00	74	41
Laura Baldridge 10586 Sunset Pines Ct	$2.05	78	59
Margaret E. Baum 2220 Lemp Ave	$68.22	83	60
Aninda B Acharya 3009 N Ballas Rd Ste 102B	$1,239	88	63
Paul James Garvin 10004 Kennerly Rd	$0.00	91	81
Alisa Kindig 3844 S Lindbergh Blvd Ste 210	$56.73	99	93
Aliasgar Husaini Dalal 11125 Dunn Rd Ste 301	$4.11	102	91
Jonathan Mizrahi 1 Barnes Jewish Hospital Plz	$0.62	102	61
Rajyalakshmi Gadi 10010 Kennerly Rd	$0.00	118	12
Matthew Steven Miller 1226 Olive St	$0.52	118	81
Bhajanlal S Dara 777 S New Ballas Rd Ste 328W	$0.00	121	49
Denise Michelle Sarver Willers 4901 Forest Park Ave	$47.59	124	122
Jeffrey Jay Olson 4921 Parkview Pl	$9.97	125	121
Raksha Soora 1031 Bellevue Ave Ste 400	$81.80	140	135
Niranjan Narain Singh 1035 Bellevue Ave Ste 500	$445.59	149	86
Constance Shannon Pfingstag 4625 Lindell Blvd Fl 2	$59.98	186	173
Frank Joseph O'Brien 4921 Parkview Pl	$0.00	195	48

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.

Average Medicaid Prescription Medications Payments in Saint Louis, MO: $10.33

Providers Offering Prescription Medications in Saint Louis, MO

What to Expect: Prescription Medications

Cost Components

Frequently Asked Questions

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Other Procedures in Saint Louis, MO

Office Visit

Behavioral & Mental Health Therapy

Emergency Room Visit

X-Ray

Blood Work & Lab Tests

Home Health Visit

Substance Abuse Treatment

EKG / ECG (Electrocardiogram)