Average Medicaid Prescription Medications Payments in Sandusky, OH: $13.88
Avg. Paid
$13.88
Range
$0.00 – $54.78
Total Claims
22,603
Providers
22
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 Sandusky, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Firelands Regional Medical Center
1111 Hayes Ave |
$0.14 | 11,808 | 7,190 |
|
Susan Renee Rice
420 Superior St |
$54.78 | 3,014 | 2,063 |
|
Abdul Qadir
1221 Hayes Ave |
$18.94 | 2,448 | 679 |
|
Essam Bashir Elashi
1221 Hayes Ave |
$32.38 | 2,193 | 608 |
|
Firelands Regional Medical Center
904 Pierce St |
$16.96 | 1,718 | 387 |
|
Justin Bice Clemow
2500 W Strub Rd Ste A |
$0.34 | 271 | 230 |
|
Scott Campbell
1101 Decatur St |
$0.03 | 221 | 181 |
|
Amanda Johnson
167 E Washington Row |
$0.73 | 132 | 117 |
|
Erie County Office Of Auditor
420 Superior St |
$0.00 | 132 | 121 |
|
Jared Michael Lizzi
1111 Hayes Ave |
$0.01 | 116 | 100 |
|
Catherine Taylor
2203 Eagles Nest Cir |
$0.01 | 100 | 80 |
|
Adarsh Vennepureddy
417 Quarry Lakes Dr |
$0.00 | 99 | 50 |
|
Vimal Shiv Kumar
2800 Hayes Ave |
$0.52 | 89 | 70 |
|
Timothy D Amidon
1101 Decatur St |
$0.13 | 73 | 59 |
|
Sherif Shawky Zaky
703 Tyler St Ste 352 |
$0.00 | 44 | 38 |
|
John Smith
1101 Decatur St |
$0.00 | 30 | 27 |
|
Jenna Lizzi
2500 W Strub Rd |
$6.84 | 29 | 27 |
|
Alexander A Keister
1111 Hayes Ave |
$0.00 | 26 | 25 |
|
Albert Victorio Vargas
703 Tyler St |
$0.00 | 18 | 15 |
|
Eric James Dudenhoefer
2600 Hayes Ave |
$0.58 | 17 | 17 |
|
Matthew Marion Mccarthy
1111 Hayes Ave |
$0.00 | 13 | 12 |
|
Paul Christopher Laffay
703 Tyler St Ste 150 |
$0.00 | 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 Sandusky, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Sandusky, OH is $13.88 per claim, based on 22,603 claims from 22 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 Sandusky, OH?
There are 22 Medicaid providers offering Prescription Medications related services in Sandusky, OH according to public payment data.
What is the price range for Prescription Medications in Sandusky, OH?
Medicaid reimbursement for Prescription Medications in Sandusky, OH ranges from $0.00 to $54.78 per claim, with an average of $13.88. 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 Sandusky, OH
Office Visit
Avg $42.41
466,031 claims
Home Health Visit
Avg $43.27
438,677 claims
Blood Work & Lab Tests
Avg $5.88
227,097 claims
Emergency Room Visit
Avg $84.02
175,771 claims
Psychiatric Evaluation
Avg $78.08
130,688 claims
Vaccines & Immunizations
Avg $6.81
94,659 claims
Dental Cleaning & Exam
Avg $20.10
94,171 claims
Physical Therapy
Avg $26.02
94,042 claims