Average Medicaid Prescription Medications Payments in Springfield, OH: $1.61
Avg. Paid
$1.61
Range
$0.00 – $86.67
Total Claims
43,413
Providers
37
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, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Community Mercy Health Partners
100 Medical Center Drive |
$0.15 | 16,592 | 9,724 |
|
Sanju Andrew Varghese
2205 N Limestone St |
$0.24 | 9,009 | 791 |
|
Pius Kurian
2315 Derr Rd |
$0.20 | 7,181 | 496 |
|
Ohio Valley Medical Center, Llc
100 W. Main Street |
$0.01 | 3,137 | 2,128 |
|
Betty Huang Tucker
2200 Olympic St |
$8.26 | 1,721 | 1,613 |
|
Filix Kencana
148 W North St |
$0.25 | 697 | 362 |
|
M. Ahsan Ullah
2205 N Limestone St |
$0.02 | 580 | 48 |
|
Amie Dougherty Beals
140 W Main Street |
$0.34 | 565 | 511 |
|
Paul P Chu
2685 E High St |
$2.36 | 413 | 340 |
|
Zaw Min Bo
148 W North St |
$0.38 | 410 | 240 |
|
Ian Martin Thompson
140 W Main St |
$0.33 | 346 | 316 |
|
Omar Ali
1117 E Home Rd |
$2.12 | 323 | 281 |
|
Lindsay Renee Feucht
140 W Main St Ste 100 |
$0.40 | 317 | 271 |
|
Kevin Charles Zartman
2600 N Limestone St Ste 150 |
$0.26 | 254 | 230 |
|
Mackenzie A Engle
651 S Limestone St |
$39.17 | 236 | 126 |
|
Katy Michelle Cardoza
651 S Limestone St |
$46.36 | 175 | 105 |
|
Kamel Abraham
1117 E Home Rd |
$2.35 | 162 | 127 |
|
Jyothi Challa
148 W North St |
$0.02 | 144 | 62 |
|
Daniel Wayne Nesselroade
1821 E High St |
$83.04 | 138 | 136 |
|
David B. Galluch
140 W Main St |
$0.39 | 133 | 122 |
|
Anne Erickson
30 W Mccreight Ave |
$55.90 | 129 | 83 |
|
James Schneller
100 Medical Center Dr |
$0.02 | 119 | 104 |
|
Mary Elizabeth Shaw
529 E Home Rd |
$61.94 | 101 | 98 |
|
Tedros Andom
2253 Olympic St |
$0.05 | 92 | 85 |
|
Springfield Pediatric Dentistry
2200 Olympic Street |
$0.01 | 88 | 87 |
|
David P. Comer
2600 N Limestone St Fl 2 |
$15.05 | 77 | 68 |
|
Shawn Steven Osterholt
1108 Vester Ave |
$0.00 | 63 | 61 |
|
Megan Horsham
100 Medical Center Dr |
$0.25 | 35 | 33 |
|
Eric B. Metz
2600 N Limestone St |
$0.31 | 30 | 28 |
|
Angela Ruth Jackson-Lopez
2638 Ballydoyle Dr |
$86.67 | 27 | 25 |
|
Julie A Harlamert
148 W North St |
$0.01 | 26 | 25 |
|
Dacia Russell Goman
100 Medical Center Dr |
$0.90 | 26 | 26 |
|
Rocking Horse Childrens Health Center
651 S Limestone St |
$0.00 | 16 | 12 |
|
Katheryn Carmichael Morris
1821 E High St |
$26.06 | 13 | 13 |
|
Wade G Smith
1343 N Fountain Blvd |
$0.00 | 13 | 12 |
|
Bethany Paczkowski
100 Medical Center Dr |
$0.07 | 13 | 13 |
|
Brittany N Elsass
651 S Limestone St |
$55.88 | 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, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Springfield, OH is $1.61 per claim, based on 43,413 claims from 37 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, OH?
There are 37 Medicaid providers offering Prescription Medications related services in Springfield, OH according to public payment data.
What is the price range for Prescription Medications in Springfield, OH?
Medicaid reimbursement for Prescription Medications in Springfield, OH ranges from $0.00 to $86.67 per claim, with an average of $1.61. 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, OH
Office Visit
Avg $42.86
811,367 claims
Blood Work & Lab Tests
Avg $7.20
357,330 claims
Emergency Room Visit
Avg $88.57
320,863 claims
Home Health Visit
Avg $51.77
301,207 claims
Substance Abuse Treatment
Avg $104.78
247,438 claims
Psychiatric Evaluation
Avg $64.64
226,139 claims
Dental Cleaning & Exam
Avg $25.04
192,454 claims
Behavioral & Mental Health Therapy
Avg $67.90
172,732 claims