Average Medicaid Prescription Medications Payments in Spokane, WA: $21.68
Avg. Paid
$21.68
Range
$0.00 – $1,490
Total Claims
260,273
Providers
59
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 Spokane, WA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Providence Health & Services - Wa
101 W 8Th Ave |
$0.11 | 89,794 | 73,299 |
|
Multicare Health System
800 W 5Th Ave |
$0.49 | 67,697 | 56,025 |
|
Providence Health & Services - Washington
5633 N Lidgerwood St |
$0.09 | 54,400 | 45,037 |
|
Isd Renal Inc
7701 N Division St |
$0.05 | 13,960 | 946 |
|
Isd Renal Inc
601 W 5Th Ave |
$0.22 | 9,723 | 756 |
|
Shriners Hospitals For Children
911 W 5Th Ave |
$0.63 | 4,714 | 4,349 |
|
Denise Bayuszik
123 E Indiana Ave |
$10.50 | 3,112 | 2,990 |
|
David R Greeley
1520 W 3Rd Ave Ste 101 |
$718.02 | 1,669 | 1,314 |
|
Jamie Lee Lewis
3124 S Regal St |
$0.50 | 1,574 | 1,160 |
|
Srivalli Gopaluni
605 E Holland Ave |
$0.95 | 1,204 | 694 |
|
Benjamin Israel Howie
104 W 5Th Ave Ste 200W |
$10.34 | 1,202 | 1,160 |
|
Karen Stanek
1315 N Division St |
$636.56 | 1,039 | 734 |
|
Tracy Worley
123 E Indiana Ave |
$10.16 | 864 | 849 |
|
Robert Samuel Wirthlin
427 S Bernard St |
$1,221 | 794 | 733 |
|
Ellen Olson
123 E Indiana Ave |
$5.56 | 784 | 734 |
|
Loren S Jack
427 S Bernard St |
$1,119 | 658 | 598 |
|
Saritha Chandini Thumma
601 S Sherman St |
$0.97 | 639 | 338 |
|
Sharon Mcevoy
123 E Indiana Ave |
$16.41 | 620 | 601 |
|
Ghassan S Nemri
3124 S Regal St |
$0.31 | 553 | 416 |
|
Andrew Glenn Cheek
427 S Bernard St |
$908.14 | 537 | 523 |
|
Eric Robert Anderson
400 E 5Th Ave |
$0.31 | 515 | 470 |
|
Christopher Kenneth Yang
510 S Cowley St |
$1,264 | 415 | 385 |
|
Luis Felipe Pary
105 W 8Th Ave |
$681.96 | 405 | 274 |
|
Hailey Bjerkestrand
123 E Indiana Ave |
$13.61 | 359 | 328 |
|
Arvind Chaudhry
6001 North Mayfair |
$1.43 | 340 | 189 |
|
Steven Douglas Hansen
801 W 5Th Ave Ste 323 |
$728.79 | 317 | 254 |
|
Inland Northwest Renal Care Group, Llc
610 S Sherman St Ste 101 |
$0.00 | 241 | 38 |
|
Shannoah Lynn May
123 E Indiana Ave |
$16.19 | 216 | 205 |
|
Dallin Joseph Andersen
427 S Bernard St |
$1,385 | 180 | 177 |
|
Joseph Paul Kincaid
408 W 25Th Ave |
$0.25 | 174 | 168 |
|
Estenys Delvalle-Lavada
5625 N Wall St Ste 100 |
$13.99 | 171 | 164 |
|
Michael W Schucker
400 E 5Th Ave |
$0.40 | 167 | 162 |
|
Garen Blanchard
400 E 5Th Ave |
$12.08 | 149 | 145 |
|
Laura S Fralich
730 N Hamilton St |
$14.61 | 139 | 131 |
|
Kawal Dinsa Chester
605 E Holland Ave |
$0.90 | 105 | 71 |
|
Peter James Schlegel
601 S Sherman St |
$0.89 | 99 | 59 |
|
Shelly Lee
427 S Bernard St |
$1,074 | 83 | 80 |
|
Jason A Romriell
601 W 5Th Ave Ste 400 |
$9.00 | 82 | 75 |
|
Mei Dong
601 S Sherman St |
$1.16 | 74 | 47 |
|
Brian Petersen
801 S Stevens St |
$6.98 | 70 | 68 |
|
Laura A Bonneau
820 S Mcclellan St Ste 300 |
$6.85 | 61 | 56 |
|
Demetria F Tennefoss
123 E Indiana Ave |
$0.00 | 43 | 43 |
|
Jason Herron Jones
427 S Bernard St |
$1,490 | 42 | 42 |
|
Scott Edward Grosse
801 W 5Th Ave Ste 323 |
$1.13 | 41 | 40 |
|
Nathan E. Sneddon
9715 N Nevada St |
$0.73 | 29 | 26 |
|
Bryce Justin Barker
400 E 5Th Ave |
$0.54 | 26 | 24 |
|
Hakan Kaya
601 S Sherman St |
$1.42 | 22 | 13 |
|
Brenen Swofford
605 E Holland Ave Ste 100 |
$0.65 | 20 | 14 |
|
David Owen Hornby
5901 N Lidgerwood St Ste 126 |
$0.14 | 19 | 19 |
|
Brandi Eppers
421 S Division St |
$2.49 | 16 | 16 |
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 Spokane, WA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Spokane, WA is $21.68 per claim, based on 260,273 claims from 59 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 Spokane, WA?
There are 59 Medicaid providers offering Prescription Medications related services in Spokane, WA according to public payment data.
What is the price range for Prescription Medications in Spokane, WA?
Medicaid reimbursement for Prescription Medications in Spokane, WA ranges from $0.00 to $1,490 per claim, with an average of $21.68. 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 Spokane, WA
Office Visit
Avg $54.17
2,408,136 claims
Blood Work & Lab Tests
Avg $7.66
1,799,747 claims
Substance Abuse Treatment
Avg $48.18
1,200,554 claims
Psychiatric Evaluation
Avg $36.11
1,126,669 claims
Physical Therapy
Avg $39.41
986,231 claims
Emergency Room Visit
Avg $83.78
932,048 claims
Dental Cleaning & Exam
Avg $27.80
850,093 claims
X-Ray
Avg $4.64
532,173 claims