Average Medicaid Prescription Medications Payments in Seattle, WA: $25.86
Avg. Paid
$25.86
Range
$0.00 – $1,263
Total Claims
360,308
Providers
77
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 Seattle, WA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Swedish Health Services
747 Broadway |
$0.49 | 103,259 | 79,170 |
|
University Of Washington
1959 Ne Pacific St |
$18.27 | 73,369 | 61,374 |
|
Harborview Medical Center
325 9Th Ave |
$19.03 | 47,924 | 40,076 |
|
Seattle Children'S Hospital
4800 Sand Point Way Ne |
$3.19 | 43,988 | 37,795 |
|
Virginia Mason Medical Center
925 Seneca St |
$33.13 | 19,957 | 14,390 |
|
Fred Hutchinson Cancer Center
825 Eastlake Ave E |
$27.65 | 13,619 | 8,223 |
|
Swedish Health Services
500 17Th Ave |
$0.16 | 10,605 | 8,782 |
|
Northwest Kidney Centers
715 Alder St |
$17.49 | 8,979 | 1,354 |
|
Uw Medicine Northwest
1550 North 115Th Street |
$0.04 | 8,574 | 7,499 |
|
Seattle Children'S Hospital
4800 Sand Point Way Ne |
$33.89 | 4,751 | 1,306 |
|
Northwest Kidney Centers
2150 N 107Th St Ste 105 |
$14.98 | 3,940 | 635 |
|
Erin Nicole Berry
2001 E Madison St |
$20.60 | 3,379 | 3,316 |
|
Renal Treatment Centers West Inc
2615 Sw Trenton St |
$0.00 | 3,140 | 207 |
|
Dongmei Liu
550 17Th Ave, |
$744.13 | 2,186 | 1,958 |
|
Northwest Kidney Centers
4401 S Trenton St |
$0.05 | 1,444 | 154 |
|
Beverly Zedene Kohler
2001 E Madison St |
$29.16 | 1,027 | 1,020 |
|
Kelly Bui
1145 Broadway |
$1,100 | 989 | 828 |
|
Paul B Griggs
332 Ne Northgate Way |
$842.66 | 872 | 765 |
|
Jerry Wei
550 17Th Ave Ste 400 |
$824.24 | 859 | 795 |
|
Katelan Hauck Longfellow
1959 Ne Pacific St |
$697.88 | 772 | 515 |
|
Lavonne Michelle Searle
450 Alaskan Way S Ste 200 |
$20.77 | 719 | 698 |
|
Clay Kilpatrick
2001 E Madison St |
$25.43 | 577 | 565 |
|
Caroline Broadbent
2001 E Madison St |
$28.70 | 509 | 498 |
|
Aliscia Rose Lindeke
401 Broadway, Suite 2075 |
$28.14 | 463 | 448 |
|
Swathi Namburi
1221 Madison St |
$0.73 | 457 | 318 |
|
Dominic J Femiano
3800 Montlake Blvd |
$12.61 | 373 | 357 |
|
Sharel C Ongchin
1530 N 115Th St |
$990.43 | 315 | 263 |
|
Tierney S Mcquaid
1200 N Northgate Way |
$22.06 | 267 | 265 |
|
Total Renal Care Inc
125 16Th Ave E |
$0.14 | 266 | 24 |
|
Mikhaila Barg Reudink
2001 E Madison St |
$34.18 | 209 | 206 |
|
Christine Elizabeth Carlson
3307 3Rd Ave W |
$29.42 | 186 | 181 |
|
Ariel Tyring
325 9Th Ave # 359608 |
$799.02 | 168 | 134 |
|
Deborah Ruth Marcus
2001 E Madison St |
$17.83 | 158 | 156 |
|
Audrey Korn
9942 8Th Ave Sw |
$43.33 | 146 | 145 |
|
Chante Concepcion
450 Alaskan Way S Ste 200 |
$17.34 | 137 | 135 |
|
Kimberley Chastain
2111 N Northgate Way Ste 218 |
$41.53 | 119 | 116 |
|
Erica Lauren Nunez
5020 Roosevelt Way Ne Ste 1 |
$27.14 | 114 | 104 |
|
Jewel Mcneil
1629 N 45Th St |
$45.74 | 108 | 108 |
|
Erin Elizabeth Morton
325 9Th Ave |
$1.29 | 105 | 104 |
|
Scott S Yang
4800 Sand Point Way Ne |
$0.00 | 81 | 52 |
|
Julie R Utter
2001 East Madison |
$35.97 | 78 | 77 |
|
Jennifer Lange Martinson
509 Olive Way, |
$23.70 | 75 | 74 |
|
Shayne Summers Yocum
325 9Th Ave |
$10.95 | 70 | 68 |
|
Katherine E Coan Cella
2001 E Madison St |
$17.73 | 67 | 67 |
|
Aditi M. Grandy
10330 Meridian Ave N |
$17.53 | 62 | 62 |
|
Cynthia Coo Chua
325 9Th Ave |
$0.87 | 58 | 30 |
|
Alexa Wash Proctor
4060 E Stevens Way |
$16.89 | 57 | 54 |
|
Zhihong Zhang
825 Eastlake Ave E |
$0.72 | 57 | 52 |
|
Michael Shane Erickson
550 16Th Ave Ste 100 |
$5.09 | 56 | 54 |
|
Swedish Health Services
550 17Th Ave Fl 6 |
$0.00 | 53 | 46 |
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 Seattle, WA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Seattle, WA is $25.86 per claim, based on 360,308 claims from 77 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 Seattle, WA?
There are 77 Medicaid providers offering Prescription Medications related services in Seattle, WA according to public payment data.
What is the price range for Prescription Medications in Seattle, WA?
Medicaid reimbursement for Prescription Medications in Seattle, WA ranges from $0.00 to $1,263 per claim, with an average of $25.86. 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 Seattle, WA
Blood Work & Lab Tests
Avg $6.58
14,710,002 claims
Substance Abuse Treatment
Avg $5.11
4,506,327 claims
Office Visit
Avg $64.74
3,147,175 claims
Urinalysis & Urine Tests
Avg $3.83
1,793,429 claims
Emergency Room Visit
Avg $91.01
1,579,665 claims
Culture & Microbiology Tests
Avg $5.06
1,284,482 claims
X-Ray
Avg $5.81
1,243,950 claims
Dental Cleaning & Exam
Avg $28.42
1,026,751 claims