Average Medicaid Prescription Medications Payments in Saint Paul, MN: $33.06
Avg. Paid
$33.06
Range
$0.00 – $3,417
Total Claims
35,888
Providers
49
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 Paul, MN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sarah E Shefelbine
1020 Bandana Blvd W |
$0.98 | 12 | 12 |
|
Carlton Ross Kimmerle
295 Phalen Blvd |
$0.00 | 12 | 12 |
|
Laura Giegler
1983 Sloan Pl Ste 1 |
$62.82 | 12 | 12 |
|
David Jize Wen
347 Smith Ave N |
$7.93 | 13 | 12 |
|
Shira Klane
671 Vandalia St |
$93.68 | 13 | 12 |
|
Mark Simon Sneider
255 Smith Ave N Ste 100 |
$6.24 | 13 | 12 |
|
Codruta Vizoli-Hoover
671 Vandalia St |
$95.03 | 13 | 13 |
|
Anupama Upadhyaya Nookala
435 Phalen Blvd |
$0.00 | 14 | 13 |
|
Edward Thomas Schaefer
435 Phalen Blvd |
$0.71 | 14 | 14 |
|
Jill Suzanne Gettings
435 Phalen Blvd |
$694.94 | 14 | 13 |
|
Jenna Leroy Wilkinson
640 Jackson St |
$0.00 | 14 | 12 |
|
Kristin Michelle Koller
1165 Arcade St |
$100.44 | 14 | 14 |
|
Marcia Ward
200 University Ave E |
$366.22 | 15 | 12 |
|
Ian-James Malm
1021 Bandana Blvd E Ste 100 |
$6.77 | 16 | 15 |
|
Kaitlyn Elise Vaske-Wright
671 Vandalia St |
$67.89 | 16 | 12 |
|
Andrea L Paulson
200 University Ave E |
$1,169 | 17 | 15 |
|
Lee Yung Schuh
200 University Ave E |
$570.76 | 26 | 26 |
|
Craig H Johnson
280 Smith Ave N Ste 700 |
$6.31 | 26 | 24 |
|
Andrew John Portis
360 Sherman St |
$0.13 | 28 | 24 |
|
Gillette Children'S Specialty Healthcare
200 University Ave E |
$338.76 | 31 | 25 |
|
Keith A Moench
295 Phalen Blvd |
$717.73 | 36 | 25 |
|
Carol Rae Fox
205 S Wabasha St |
$93.45 | 40 | 40 |
|
Stephen Mchale
1021 Bandana Blvd E Ste 100 |
$4.06 | 45 | 44 |
|
Aminat Funmilayo Adedayo
671 Vandalia St |
$101.98 | 47 | 47 |
|
Leslie Ewens
671 Vandalia St |
$106.21 | 51 | 51 |
|
Mariah Cropp
671 Vandalia St |
$102.49 | 58 | 56 |
|
Shelly Stecker
828 Hawthorne St E |
$3,417 | 59 | 51 |
|
Mark E Gormley
200 University Ave E |
$5.68 | 61 | 54 |
|
Jason M Van Valkenburg
640 Jackson St # Mc11102F |
$0.61 | 73 | 58 |
|
Stephen R Wagner
333 Smith Ave N |
$0.16 | 86 | 84 |
|
Gretchen Anne Dutcher
2004 Ford Pkwy |
$114.03 | 87 | 86 |
|
Micah Avner Berman
200 University Ave E |
$0.14 | 92 | 81 |
|
Jason L Moore
45 10Th St W |
$0.11 | 112 | 95 |
|
Kristin Helen Bothun
828 Hawthorne St E |
$0.00 | 194 | 167 |
|
Planned Parenthood Minnesota, North Dakota, South Dakota
671 Vandalia Street |
$98.26 | 217 | 207 |
|
Katy Olson
671 Vandalia St |
$93.99 | 246 | 243 |
|
Sena Kihtir
255 Smith Ave N Ste 100 |
$102.15 | 258 | 240 |
|
Sarah Ann Traxler
671 Vandalia St |
$27.77 | 302 | 296 |
|
William Howard Fredericks
1700 University Ave W Fl 6 |
$1.53 | 329 | 319 |
|
John Charles Zeyer
401 Phalen Blvd |
$1,959 | 369 | 359 |
|
Charmiqua Audrelle Pham
671 Vandalia St |
$93.92 | 437 | 423 |
|
Ivo C Ditah
435 Phalen Blvd |
$0.09 | 450 | 436 |
|
Brianne Barnett Roby
347 Smith Ave N |
$0.11 | 708 | 616 |
|
Todd Michael Hess
280 Smith Ave N |
$5.01 | 727 | 597 |
|
Regions Hospital
640 Jackson St |
$0.46 | 1,044 | 726 |
|
Allina Health System
333 Smith Ave N |
$2.61 | 2,897 | 1,977 |
|
Connie Junling Wang
205 Wabasha St S |
$0.53 | 5,752 | 498 |
|
Islam Khan
205 Wabasha St S |
$0.20 | 10,288 | 766 |
|
Vishal Sagar
401 Phalen Blvd - Ms 41103C |
$0.16 | 10,490 | 781 |
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 Paul, MN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Saint Paul, MN is $33.06 per claim, based on 35,888 claims from 49 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 Paul, MN?
There are 49 Medicaid providers offering Prescription Medications related services in Saint Paul, MN according to public payment data.
What is the price range for Prescription Medications in Saint Paul, MN?
Medicaid reimbursement for Prescription Medications in Saint Paul, MN ranges from $0.00 to $3,417 per claim, with an average of $33.06. 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 Paul, MN
Home Health Visit
Avg $78.16
1,708,936 claims
Blood Work & Lab Tests
Avg $18.48
1,642,043 claims
Case Management Services
Avg $154.70
1,271,971 claims
Substance Abuse Treatment
Avg $156.45
1,054,606 claims
Personal Care Services
Avg $54.99
717,737 claims
Office Visit
Avg $86.72
635,726 claims
Non-Emergency Medical Transportation
Avg $72.25
455,309 claims
Emergency Room Visit
Avg $164.20
394,514 claims