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 |
|---|---|---|---|
|
Elizabeth A Smith
5901 N Lidgerwood St |
$0.12 | 12 | 12 |
|
Jessica Erin Weinstein
427 S Bernard St |
$1,237 | 12 | 12 |
|
Stacey Noel Boomer
322 W North River Dr |
$1.16 | 12 | 12 |
|
Lisa L.B. Kunz
5901 N Lidgerwood St Ste 126 |
$0.47 | 12 | 12 |
|
William F. Nelson
551 E Hawthorne Rd |
$0.69 | 13 | 13 |
|
Sarah Louise Shogren
605 E Holland Ave Ste 112 |
$4.96 | 13 | 13 |
|
Joshua P Landsverk
203 N Washington St Ste 300 |
$0.80 | 14 | 14 |
|
Rebecca Dixon
322 W North River Dr |
$2.98 | 14 | 14 |
|
Holly Carpenter
105 W 8Th Ave Ste 6020 |
$7.54 | 14 | 14 |
|
Brandi Eppers
421 S Division St |
$2.49 | 16 | 16 |
|
David Owen Hornby
5901 N Lidgerwood St Ste 126 |
$0.14 | 19 | 19 |
|
Brenen Swofford
605 E Holland Ave Ste 100 |
$0.65 | 20 | 14 |
|
Hakan Kaya
601 S Sherman St |
$1.42 | 22 | 13 |
|
Bryce Justin Barker
400 E 5Th Ave |
$0.54 | 26 | 24 |
|
Nathan E. Sneddon
9715 N Nevada St |
$0.73 | 29 | 26 |
|
Scott Edward Grosse
801 W 5Th Ave Ste 323 |
$1.13 | 41 | 40 |
|
Jason Herron Jones
427 S Bernard St |
$1,490 | 42 | 42 |
|
Demetria F Tennefoss
123 E Indiana Ave |
$0.00 | 43 | 43 |
|
Laura A Bonneau
820 S Mcclellan St Ste 300 |
$6.85 | 61 | 56 |
|
Brian Petersen
801 S Stevens St |
$6.98 | 70 | 68 |
|
Mei Dong
601 S Sherman St |
$1.16 | 74 | 47 |
|
Jason A Romriell
601 W 5Th Ave Ste 400 |
$9.00 | 82 | 75 |
|
Shelly Lee
427 S Bernard St |
$1,074 | 83 | 80 |
|
Peter James Schlegel
601 S Sherman St |
$0.89 | 99 | 59 |
|
Kawal Dinsa Chester
605 E Holland Ave |
$0.90 | 105 | 71 |
|
Laura S Fralich
730 N Hamilton St |
$14.61 | 139 | 131 |
|
Garen Blanchard
400 E 5Th Ave |
$12.08 | 149 | 145 |
|
Michael W Schucker
400 E 5Th Ave |
$0.40 | 167 | 162 |
|
Estenys Delvalle-Lavada
5625 N Wall St Ste 100 |
$13.99 | 171 | 164 |
|
Joseph Paul Kincaid
408 W 25Th Ave |
$0.25 | 174 | 168 |
|
Dallin Joseph Andersen
427 S Bernard St |
$1,385 | 180 | 177 |
|
Shannoah Lynn May
123 E Indiana Ave |
$16.19 | 216 | 205 |
|
Inland Northwest Renal Care Group, Llc
610 S Sherman St Ste 101 |
$0.00 | 241 | 38 |
|
Steven Douglas Hansen
801 W 5Th Ave Ste 323 |
$728.79 | 317 | 254 |
|
Arvind Chaudhry
6001 North Mayfair |
$1.43 | 340 | 189 |
|
Hailey Bjerkestrand
123 E Indiana Ave |
$13.61 | 359 | 328 |
|
Luis Felipe Pary
105 W 8Th Ave |
$681.96 | 405 | 274 |
|
Christopher Kenneth Yang
510 S Cowley St |
$1,264 | 415 | 385 |
|
Eric Robert Anderson
400 E 5Th Ave |
$0.31 | 515 | 470 |
|
Andrew Glenn Cheek
427 S Bernard St |
$908.14 | 537 | 523 |
|
Ghassan S Nemri
3124 S Regal St |
$0.31 | 553 | 416 |
|
Sharon Mcevoy
123 E Indiana Ave |
$16.41 | 620 | 601 |
|
Saritha Chandini Thumma
601 S Sherman St |
$0.97 | 639 | 338 |
|
Loren S Jack
427 S Bernard St |
$1,119 | 658 | 598 |
|
Ellen Olson
123 E Indiana Ave |
$5.56 | 784 | 734 |
|
Robert Samuel Wirthlin
427 S Bernard St |
$1,221 | 794 | 733 |
|
Tracy Worley
123 E Indiana Ave |
$10.16 | 864 | 849 |
|
Karen Stanek
1315 N Division St |
$636.56 | 1,039 | 734 |
|
Benjamin Israel Howie
104 W 5Th Ave Ste 200W |
$10.34 | 1,202 | 1,160 |
|
Srivalli Gopaluni
605 E Holland Ave |
$0.95 | 1,204 | 694 |
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