Average Medicaid Prescription Medications Payments in Syracuse, NY: $6.90
Avg. Paid
$6.90
Range
$0.00 – $640.83
Total Claims
57,321
Providers
29
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 Syracuse, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Suny Health Science Center At Syracuse
750 E Adams St |
$4.47 | 25,788 | 23,674 |
|
St Josephs Hospital Health Center
301 Prospect Ave |
$0.04 | 15,142 | 13,943 |
|
Crouse Health Hospital, Inc.
736 Irving Ave |
$0.01 | 12,413 | 11,386 |
|
Syracuse Model Neighborhood Facility, Inc
301 Slocum Ave |
$12.45 | 1,683 | 1,683 |
|
Frankie B Quarles
819 S Salina St |
$1.97 | 339 | 334 |
|
Hom P Neupane
90 Presidential Plz |
$4.70 | 326 | 306 |
|
Olivia Suzanne Dixon
4900 Broad Rd |
$46.61 | 262 | 143 |
|
Ioana Medrea
90 Presidential Plz Fl 4 |
$640.83 | 261 | 135 |
|
Linnea L. Wittick
750 E Adams St |
$0.00 | 179 | 172 |
|
Claudine T Ward
750 E Adams St |
$373.75 | 166 | 143 |
|
Judith Behney Dowling
421 Montgomery St Fl 9 |
$30.59 | 140 | 132 |
|
Diane Elliott Meszko
421 Montgomery St Fl 9 |
$30.85 | 131 | 117 |
|
James Alan Lemley
5719 Widewaters Pkwy |
$15.45 | 92 | 92 |
|
Rachel L Sperber
1120 E Genesee St |
$8.21 | 49 | 12 |
|
Barbara Ellen Teich-Visco
421 Montgomery St Fl 9 |
$14.58 | 43 | 27 |
|
Dana L Karash
1120 E Genesee St |
$37.45 | 43 | 42 |
|
Mary Scozzari
736 Irving Ave |
$8.78 | 42 | 40 |
|
Ted J Triana
311 Green St |
$0.01 | 34 | 25 |
|
Beth-Ann Ollivierre-Baptiste
750 E Adams St |
$4.23 | 31 | 25 |
|
Kara Walker
750 E Adams St |
$10.97 | 27 | 27 |
|
Lawson Ryan Smart
5719 Widewaters Pkwy |
$11.05 | 25 | 24 |
|
P. Sebastian Thomas
750 E Adams St |
$9.07 | 15 | 15 |
|
Caroline Berrios
819 S Salina St |
$6.67 | 15 | 15 |
|
Michael T Clarke
5719 Widewaters Pkwy |
$11.52 | 13 | 13 |
|
Brad Raphael
5719 Widewaters Pkwy |
$11.21 | 13 | 13 |
|
Melanie J Lape Pitts
90 Presidential Plz |
$26.84 | 13 | 13 |
|
Kathleen Lynn Gere
600 E Genesee St |
$34.79 | 12 | 12 |
|
Trent Peppard
750 East Adams St |
$0.00 | 12 | 12 |
|
Angela M Pericozzi
750 E Adams St |
$0.13 | 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 Syracuse, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Syracuse, NY is $6.90 per claim, based on 57,321 claims from 29 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 Syracuse, NY?
There are 29 Medicaid providers offering Prescription Medications related services in Syracuse, NY according to public payment data.
What is the price range for Prescription Medications in Syracuse, NY?
Medicaid reimbursement for Prescription Medications in Syracuse, NY ranges from $0.00 to $640.83 per claim, with an average of $6.90. 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 Syracuse, NY
Office Visit
Avg $84.69
1,665,939 claims
Home Health Visit
Avg $141.48
1,490,559 claims
Blood Work & Lab Tests
Avg $11.75
1,425,614 claims
Psychiatric Evaluation
Avg $119.44
1,038,180 claims
Substance Abuse Treatment
Avg $62.37
1,023,428 claims
Emergency Room Visit
Avg $125.62
815,459 claims
Physical Therapy
Avg $66.66
496,488 claims
Case Management Services
Avg $215.74
389,365 claims