Average Medicaid Prescription Medications Payments in Southfield, MI: $136.29
Avg. Paid
$136.29
Range
$0.00 – $910.27
Total Claims
21,564
Providers
24
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 Southfield, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Vhs Physicians Of Michigan
29201 Telegraph Rd Ste 404N |
$7.33 | 6,492 | 6,241 |
|
Southfield City Urgent Care Pc
23832 Southfield Rd |
$0.75 | 3,891 | 3,780 |
|
Harold Weiss Md&Mark Haimann Md&Joel Miller Md&Susan Malinowski Md
29201 Telegraph Rd |
$910.27 | 2,915 | 2,743 |
|
Ascension Providence Hosptial
16001 W 9 Mile Rd |
$23.88 | 1,746 | 1,739 |
|
Northland Family Planning P.C.
24450 Evergreen Rd |
$74.61 | 1,154 | 1,148 |
|
Northwest Detroit Dialysis Center Llc
21000 Northwestern Hwy |
$88.75 | 1,004 | 269 |
|
Southfield Family Practice Pllc
22972 Lahser Road |
$5.16 | 956 | 923 |
|
Renal Treatment Centers-Illinois Inc.
23857 Greenfield Rd |
$0.00 | 852 | 84 |
|
Michigan Orthopaedic Surgeons Pllc
26025 Lahser Rd Fl 2 |
$10.72 | 774 | 765 |
|
Dva Healthcare Renal Care Inc
18544 W 8 Mile Rd |
$0.12 | 719 | 89 |
|
Laina Feinstein Md Pc
29829 Telegraph Rd |
$3.79 | 552 | 503 |
|
Novahealth Urgent Care Of Southfield
25775 W 10 Mile Rd Ste B |
$0.74 | 96 | 91 |
|
Bayan K Al-Ali
16001 W 9 Mile Rd |
$2.16 | 74 | 74 |
|
Chiu Yuen To
29275 Northwestern Hwy |
$0.00 | 62 | 58 |
|
Dhia Louis Yousif Md
28437 Greenfield Rd |
$11.95 | 53 | 31 |
|
Express Med Urgent Care, Pllc
19725 W 12 Mile Rd |
$1.03 | 42 | 42 |
|
Robert J Ference
26206 W 12 Mile Rd Ste 200 |
$6.25 | 30 | 27 |
|
Northwest Detroit Dialysis Center Llc
25664 Lahser Rd |
$48.38 | 30 | 12 |
|
Straith Hospital For Special Surgery
23901 Lahser Rd |
$4.84 | 28 | 24 |
|
Vk Internal Medicine, Pc
24777 Greenfield Rd |
$0.06 | 28 | 25 |
|
Wook Kim Md Pc
29877 Telegraph Rd |
$3.32 | 24 | 24 |
|
Ascension Providence Hospital
16001 W 9 Mile Rd |
$0.12 | 16 | 12 |
|
Bethesida Wholestic Center Pllc
21411 Civic Center Dr Ste 102 |
$0.05 | 14 | 12 |
|
Northland Radiology Inc
20905 Greenfield Rd |
$2.40 | 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 Southfield, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Southfield, MI is $136.29 per claim, based on 21,564 claims from 24 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 Southfield, MI?
There are 24 Medicaid providers offering Prescription Medications related services in Southfield, MI according to public payment data.
What is the price range for Prescription Medications in Southfield, MI?
Medicaid reimbursement for Prescription Medications in Southfield, MI ranges from $0.00 to $910.27 per claim, with an average of $136.29. 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 Southfield, MI
Office Visit
Avg $55.84
1,378,505 claims
Home Health Visit
Avg $122.52
1,142,511 claims
X-Ray
Avg $7.39
705,616 claims
Emergency Room Visit
Avg $68.59
552,834 claims
Dental Cleaning & Exam
Avg $34.62
293,522 claims
Vaccines & Immunizations
Avg $10.03
236,550 claims
Behavioral & Mental Health Therapy
Avg $50.22
193,259 claims
Ultrasound
Avg $28.76
182,197 claims