Average Medicaid Prescription Medications Payments in Springfield, MA: $27.54
Avg. Paid
$27.54
Range
$0.00 – $1,464
Total Claims
133,110
Providers
41
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, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Baystate Medical Center Inc
759 Chestnut St |
$15.06 | 89,490 | 72,426 |
|
The Mercy Hospital Inc
271 Carew St |
$1.78 | 32,015 | 23,917 |
|
Paul Azimov
3640 Main St Ste 102 |
$4.22 | 2,176 | 2,125 |
|
Donald R Griger
3377 Main St |
$6.49 | 1,281 | 1,049 |
|
Tavish Nanda
759 Chestnut Street |
$600.40 | 1,170 | 618 |
|
Peter A. Michaud
300 Birnie Avenue |
$4.17 | 1,094 | 1,060 |
|
Emilio M Melchionna
300 Carew St |
$335.81 | 998 | 583 |
|
Christopher Wolf
175 Carew Street |
$0.09 | 620 | 610 |
|
Shilpa Gulati
3640 Main St Ste 201 |
$803.98 | 520 | 488 |
|
The Shriners' Hospital For Children
516 Carew St |
$5.71 | 414 | 390 |
|
Sara Poindexter
759 Chestnut St |
$55.96 | 408 | 321 |
|
Michael R Sorrell
299 Carew St Ste 323 |
$173.09 | 380 | 214 |
|
Hari Mylvaganam
3640 Main St Ste 201 |
$775.22 | 322 | 308 |
|
Tapestry Health Systems
1985 Main St Ste I |
$24.07 | 314 | 312 |
|
Loyd A Tomlinson
175 Carew St Ste 250 |
$0.10 | 285 | 274 |
|
Michael J Germain
100 Wason Ave |
$134.29 | 261 | 203 |
|
David Ryan Lally
3640 Main St |
$1,034 | 253 | 243 |
|
Lisa Marie Ferreira
516 Carew St |
$6.19 | 185 | 162 |
|
Antonio Valentin
3377 Main St |
$8.67 | 133 | 120 |
|
Baystate Medical Center Inc
211 Carando Dr |
$0.63 | 89 | 75 |
|
Barbara A Greco
100 Wason Ave |
$139.84 | 86 | 80 |
|
Christa Batista
300 Birnie Ave Ste 201 |
$4.45 | 77 | 67 |
|
Stephen J. Kelly
300 Birnie Ave |
$7.95 | 76 | 76 |
|
Peter Hakim
759 Chestnut St |
$0.00 | 52 | 45 |
|
Shaji Daniel
100 Wason Ave |
$175.73 | 50 | 45 |
|
Ronald J Gailun
3640 Main St |
$830.23 | 40 | 38 |
|
Rebecca Russ Soares
3640 Main St Ste 201 |
$1,343 | 39 | 39 |
|
Rani U Athreya
100 Wason Ave Ste 360 |
$174.08 | 38 | 38 |
|
Demetrios Sotiropoulos
175 Carew St Ste 250 |
$6.78 | 35 | 30 |
|
Adele C. Hill
305 Bicentennial Hwy |
$0.78 | 27 | 27 |
|
Afc Physicians Of Massachusetts, Pc
415 Cooley St |
$0.87 | 25 | 25 |
|
Sidney L Kahn Iv
3500 Main St |
$0.37 | 24 | 24 |
|
Louis Michael Adler
300 Birnie Ave |
$4.79 | 24 | 24 |
|
Jordan N. Greenbaum
300 Birnie Ave |
$4.09 | 18 | 18 |
|
Alison Leeadele Branner
3300 Main St Ste 4D |
$0.00 | 14 | 14 |
|
Andrew Lam
3640 Main St |
$1,464 | 14 | 14 |
|
Anastasia M. Hallisey
3300 Main St |
$0.00 | 13 | 13 |
|
Karen Mckee
759 Chestnut St |
$65.77 | 13 | 13 |
|
Joshua Walterscheid
759 Chestnut St |
$0.00 | 13 | 13 |
|
Jennie Garver
300 Birnie Ave Ste 301 |
$6.53 | 12 | 12 |
|
Caring Health Center, Inc.
1049 Main Street |
$5.00 | 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, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Springfield, MA is $27.54 per claim, based on 133,110 claims from 41 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, MA?
There are 41 Medicaid providers offering Prescription Medications related services in Springfield, MA according to public payment data.
What is the price range for Prescription Medications in Springfield, MA?
Medicaid reimbursement for Prescription Medications in Springfield, MA ranges from $0.00 to $1,464 per claim, with an average of $27.54. 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, MA
Substance Abuse Treatment
Avg $20.44
8,386,620 claims
Office Visit
Avg $71.94
2,654,243 claims
Blood Work & Lab Tests
Avg $7.91
2,608,014 claims
Psychiatric Evaluation
Avg $77.04
2,573,099 claims
Behavioral & Mental Health Therapy
Avg $146.55
1,190,715 claims
Emergency Room Visit
Avg $119.65
960,403 claims
Non-Emergency Medical Transportation
Avg $22.82
911,143 claims
Personal Care Services
Avg $86.61
764,746 claims