Average Medicaid Prescription Medications Payments in Thornton, CO: $22.20
Avg. Paid
$22.20
Range
$0.00 โ $265.97
Total Claims
7,664
Providers
25
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 โ 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 Thornton, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Amar Patel
9351 Grant St Ste 490 |
$21.60 | 1,802 | 1,421 |
|
Tam Minh Nguyen
9351 Grant St Ste 490 |
$0.77 | 1,457 | 1,250 |
|
Eiko T Browning
8820 Huron St |
$0.79 | 563 | 381 |
|
Praveena Reddy Solipuram
8820 Huron St |
$0.89 | 548 | 368 |
|
Daniel T Chin
8820 Huron St |
$0.80 | 443 | 293 |
|
Paul Stefan Leo
9005 Grant St Ste 200 |
$265.97 | 365 | 268 |
|
Stephen M Volin
9195 Grant St |
$48.72 | 357 | 314 |
|
Thomas R. Dietrich
9191 Grant St. |
$0.00 | 296 | 243 |
|
Britt B Newsome
9195 Grant St Ste 225 |
$0.00 | 288 | 25 |
|
George A. Leimbach
9025 Grant St |
$0.33 | 222 | 199 |
|
Meaghan M. Mercer
9191 Grant St |
$0.00 | 199 | 185 |
|
Vernon L Naake
9195 Grant St |
$70.26 | 188 | 168 |
|
Nicholas Dutton-Swain
9191 Grant St. |
$0.00 | 164 | 156 |
|
Jessie Alexandra Swan
9191 Grant Street |
$0.00 | 152 | 143 |
|
Christopher David Schultz
9191 Grant St |
$0.00 | 124 | 75 |
|
Julianna Batizy-Morley
9191 Grant St. |
$0.00 | 121 | 112 |
|
Michael Cain
9005 Grant St Ste 200 |
$6.19 | 79 | 64 |
|
Robert Trommeter
9191 Grant St |
$0.00 | 70 | 62 |
|
Christopher L Isaacs
9005 Grant St |
$11.96 | 49 | 46 |
|
Thomas Roger Paluska
9191 Grant St |
$0.00 | 40 | 39 |
|
Christopher M Bannigan
9191 Grant St |
$0.00 | 39 | 38 |
|
Aaron T Baxter
9195 Grant St |
$0.00 | 29 | 15 |
|
Melissa M. Azer
9191 Grant St. |
$0.00 | 27 | 25 |
|
Jayashree Swetha Nakkana
8990 Washington St |
$0.00 | 25 | 25 |
|
Andrew Ronald Klutman
9191 Grant St |
$0.00 | 17 | 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 | โ |
| J0120 | Tetracyclin injection | โ | โ | โ |
| J0133 | Acyclovir injection | โ | โ | โ |
| J0202 | Injection, alemtuzumab | โ | โ | โ |
| J0795 | Corticorelin ovine triflutal | โ | โ | โ |
| J1160 | Digoxin injection | โ | โ | โ |
| J1205 | Chlorothiazide sodium inj | โ | โ | โ |
| J1260 | Dolasetron mesylate | โ | โ | โ |
| J1290 | Ecallantide injection | โ | โ | โ |
| J1300 | Eculizumab injection | โ | โ | โ |
| J1301 | Injection, edaravone, 1 mg | โ | โ | โ |
| J1303 | Inj., ravulizumab-cwvz 10 mg | โ | โ | โ |
| J1305 | Inj, evinacumab-dgnb, 5mg | โ | โ | โ |
| J1320 | Amitriptyline injection | โ | โ | โ |
| J1322 | Elosulfase alfa, injection | โ | โ | โ |
| J1327 | Eptifibatide injection | โ | โ | โ |
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 Thornton, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Thornton, CO is $22.20 per claim, based on 7,664 claims from 25 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 Thornton, CO?
There are 25 Medicaid providers offering Prescription Medications related services in Thornton, CO according to public payment data.
What is the price range for Prescription Medications in Thornton, CO?
Medicaid reimbursement for Prescription Medications in Thornton, CO ranges from $0.00 to $265.97 per claim, with an average of $22.20. 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 ยท 235 providers
Milwaukee, WI
Avg $9.22
755,550 claims ยท 88 providers
Washington, DC
Avg $6.48
675,765 claims ยท 92 providers
Los Angeles, CA
Avg $61.23
617,979 claims ยท 282 providers
Louisville, KY
Avg $31.67
601,676 claims ยท 181 providers
New York, NY
Avg $40.26
587,024 claims ยท 195 providers
San Diego, CA
Avg $27.34
493,429 claims ยท 162 providers
Tucson, AZ
Avg $24.34
489,015 claims ยท 169 providers
Other Procedures in Thornton, CO
Office Visit
Avg $80.71
511,979 claims
Substance Abuse Treatment
Avg $141.40
394,423 claims
Vaccines & Immunizations
Avg $13.17
275,669 claims
Emergency Room Visit
Avg $101.39
261,243 claims
Dental Cleaning & Exam
Avg $31.36
253,765 claims
Personal Care Services
Avg $43.93
248,660 claims
Blood Work & Lab Tests
Avg $6.52
248,291 claims
Speech Therapy
Avg $7.99
239,521 claims