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 |
|---|---|---|---|
|
Elizabeth A Palmer
6222 Ne 74Th St # 354915 |
$0.00 | 12 | 12 |
|
Ashlin Mountjoy
1801 Nw Market St Ste 403 |
$10.47 | 12 | 12 |
|
Margo Cohen
2001 E Madison St |
$46.59 | 12 | 12 |
|
Jill Marie Watt
2001 E Madison St |
$16.62 | 13 | 13 |
|
Elena Michelle Wagner
1100 Ninth Ave |
$3.59 | 13 | 13 |
|
Sarah Nicole Herrington
3815 S Edmunds St Apt B |
$64.50 | 13 | 13 |
|
Christopher N Hein
601 Broadway Ste 600 |
$7.88 | 14 | 13 |
|
Sebastian Sander
4311 11Th Ave Ne Ste 200 |
$8.14 | 14 | 14 |
|
Carson Burns
4800 Sand Point Way Ne |
$0.00 | 14 | 14 |
|
Tuong T Nguyen
1101 Madison St |
$566.04 | 15 | 14 |
|
Raima Mahmuda Amin
1959 Ne Pacific St. |
$867.10 | 15 | 12 |
|
Anna Alston
2001 E Madison St |
$23.58 | 15 | 15 |
|
Hsuan Y Lu
550 17Th Ave Ste 540 |
$638.41 | 15 | 12 |
|
Robert S. Clawson
10330 Meridian Ave N |
$5.02 | 16 | 15 |
|
Lindsey Ngoc Nguyen
4311 11Th Ave Ne Ste 200 |
$0.88 | 16 | 16 |
|
David N Drucker
1530 N 115Th St |
$740.03 | 17 | 12 |
|
Lynn Kovacevich
515 Minor Ave |
$7.75 | 17 | 13 |
|
Osama Amro
515 Minor Ave |
$182.20 | 24 | 24 |
|
Michael Keith Pickens
4800 Sand Point Way Ne |
$0.00 | 24 | 24 |
|
Sharon R Zeh
2001 E. Madison |
$28.80 | 25 | 25 |
|
Lauren Elise Tabar
2001 E Madison St |
$21.00 | 28 | 27 |
|
Patrick Thien Nguyen
7500 Seward Park Ave S |
$1,263 | 29 | 28 |
|
Angeli Mayadev
550 17Th Ave |
$396.17 | 30 | 27 |
|
Ian Pacey Boydstun
332 Ne Northgate Way |
$0.00 | 35 | 27 |
|
Rico Rodriguez
Medex Northwest 4311 11Th Avenue Ne, Suite 200 |
$0.00 | 39 | 39 |
|
Cindy Chunshin Tai
1101 Madison St Ste 800 |
$3.76 | 44 | 39 |
|
Erin Hurley Waters
1229 Madison St |
$0.00 | 44 | 40 |
|
Swedish Health Services
550 17Th Ave Fl 6 |
$0.00 | 53 | 46 |
|
Michael Shane Erickson
550 16Th Ave Ste 100 |
$5.09 | 56 | 54 |
|
Alexa Wash Proctor
4060 E Stevens Way |
$16.89 | 57 | 54 |
|
Zhihong Zhang
825 Eastlake Ave E |
$0.72 | 57 | 52 |
|
Cynthia Coo Chua
325 9Th Ave |
$0.87 | 58 | 30 |
|
Aditi M. Grandy
10330 Meridian Ave N |
$17.53 | 62 | 62 |
|
Katherine E Coan Cella
2001 E Madison St |
$17.73 | 67 | 67 |
|
Shayne Summers Yocum
325 9Th Ave |
$10.95 | 70 | 68 |
|
Jennifer Lange Martinson
509 Olive Way, |
$23.70 | 75 | 74 |
|
Julie R Utter
2001 East Madison |
$35.97 | 78 | 77 |
|
Scott S Yang
4800 Sand Point Way Ne |
$0.00 | 81 | 52 |
|
Erin Elizabeth Morton
325 9Th Ave |
$1.29 | 105 | 104 |
|
Jewel Mcneil
1629 N 45Th St |
$45.74 | 108 | 108 |
|
Erica Lauren Nunez
5020 Roosevelt Way Ne Ste 1 |
$27.14 | 114 | 104 |
|
Kimberley Chastain
2111 N Northgate Way Ste 218 |
$41.53 | 119 | 116 |
|
Chante Concepcion
450 Alaskan Way S Ste 200 |
$17.34 | 137 | 135 |
|
Audrey Korn
9942 8Th Ave Sw |
$43.33 | 146 | 145 |
|
Deborah Ruth Marcus
2001 E Madison St |
$17.83 | 158 | 156 |
|
Ariel Tyring
325 9Th Ave # 359608 |
$799.02 | 168 | 134 |
|
Christine Elizabeth Carlson
3307 3Rd Ave W |
$29.42 | 186 | 181 |
|
Mikhaila Barg Reudink
2001 E Madison St |
$34.18 | 209 | 206 |
|
Total Renal Care Inc
125 16Th Ave E |
$0.14 | 266 | 24 |
|
Tierney S Mcquaid
1200 N Northgate Way |
$22.06 | 267 | 265 |
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