Average Medicaid Prescription Medications Payments in Springfield, IL: $245.09
Avg. Paid
$245.09
Range
$0.00 – $1,483
Total Claims
9,031
Providers
38
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 Springfield, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jesse Tao Buedefeldt-Pollard
421 N 9Th St Bldg Q |
$78.90 | 2,667 | 1,747 |
|
David C Crabtree
2151 W White Oaks Dr |
$0.64 | 1,160 | 640 |
|
Aleksandr Kagan
1025 S 6Th St |
$1,192 | 1,000 | 836 |
|
Nicole R Johnson
3132 Old Jacksonville Rd |
$29.18 | 747 | 594 |
|
Jordan Sestak Bruce
751 N Rutledge St Ste 3100 |
$797.33 | 477 | 253 |
|
Erica E Nelson
415 N 9Th St |
$82.83 | 381 | 274 |
|
Terah Louise Holland
1100 E Lincolnshire Blvd Ste 200 |
$78.44 | 380 | 194 |
|
Timothy M Lenardo
800 N 1St St |
$5.80 | 296 | 249 |
|
Cynthia L Bednarchik
301 N 8Th St |
$2.94 | 239 | 118 |
|
Carlos F Sanchez -Glanville
400 N 9Th St |
$1.51 | 236 | 222 |
|
Cecile E.F. Becker
800 N. 1St Street |
$577.36 | 171 | 104 |
|
Mhd Yahia Zeino
415 N 9Th St |
$75.73 | 111 | 81 |
|
Arturo Garza-Cavazos
415 N 9Th St |
$71.57 | 99 | 64 |
|
Ahmad El Kouzi
751 N Rutledge St |
$569.13 | 96 | 52 |
|
Kaylie Caswell
1100 E Lincolnshire Blvd |
$80.27 | 88 | 59 |
|
Shelly Flagg
400 N 9Th St Fl 2 |
$8.91 | 84 | 67 |
|
Jongjin Anne Martin
415 N 9Th St |
$79.33 | 82 | 60 |
|
Katherine A Hild-Mosley
415 N 9Th St |
$76.10 | 68 | 49 |
|
Rishi Sharma
800 N 1St St |
$12.50 | 61 | 51 |
|
Roberto Levi-D'Ancona
520 N 4Th St |
$0.00 | 57 | 48 |
|
Sean David Hendricks
2020 W Iles Ave |
$546.90 | 55 | 36 |
|
Mark A. Stern
800 N. 1St Street |
$7.11 | 52 | 37 |
|
Jennifer Brennan Nelson
1025 S 6Th St |
$0.97 | 48 | 19 |
|
Mark D. Greatting
800 N. 1St Street |
$6.46 | 44 | 38 |
|
Carrie A West
301 N 8Th St |
$3.88 | 37 | 15 |
|
Abdulrahman Khamiss Rageh
2020 W Iles Ave |
$1,483 | 35 | 28 |
|
Samuel Anthony Grampsas
747 N Rutledge St Fl 5 |
$2.97 | 34 | 19 |
|
Praveen Garg
900 N 1St St |
$0.79 | 32 | 12 |
|
Robert Allen Lowenthal
1025 S 6Th St |
$997.32 | 31 | 27 |
|
David A. Gelber
800 N. 1St Street |
$1.03 | 25 | 13 |
|
Stephani Huston Cox
1000 E Washington |
$51.57 | 22 | 20 |
|
Seth Bires
751 N Rutledge St Ste 3100 |
$829.75 | 21 | 13 |
|
Brett W Wolters
800 N 1St St |
$10.27 | 19 | 12 |
|
Marc R. Dejong
800 N 1St St |
$0.86 | 18 | 15 |
|
David Clayton Tapscott
800 N 1St St |
$8.79 | 18 | 16 |
|
Ramanath Bhandari
1025 S 6Th St |
$1,481 | 14 | 12 |
|
Ross Aaron Moore
701 N 1St St |
$0.00 | 14 | 12 |
|
Rebecca L Saunders
301 N 8Th St |
$74.33 | 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 Springfield, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Springfield, IL is $245.09 per claim, based on 9,031 claims from 38 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 Springfield, IL?
There are 38 Medicaid providers offering Prescription Medications related services in Springfield, IL according to public payment data.
What is the price range for Prescription Medications in Springfield, IL?
Medicaid reimbursement for Prescription Medications in Springfield, IL ranges from $0.00 to $1,483 per claim, with an average of $245.09. 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 Springfield, IL
Blood Work & Lab Tests
Avg $5.40
1,969,993 claims
Office Visit
Avg $38.46
1,154,993 claims
X-Ray
Avg $6.66
606,310 claims
Urinalysis & Urine Tests
Avg $3.01
520,146 claims
Emergency Room Visit
Avg $69.78
490,116 claims
Speech Therapy
Avg $17.02
248,732 claims
CT Scan (Computed Tomography)
Avg $50.70
241,309 claims
Dental Cleaning & Exam
Avg $32.13
212,993 claims