Average Medicaid Prescription Medications Payments in Toledo, OH: $34.15
Avg. Paid
$34.15
Range
$0.00 – $1,190
Total Claims
145,662
Providers
167
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 Toledo, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mercy Health - St Vincent Medical Center Llc
2213 Cherry St |
$6.94 | 52,838 | 30,488 |
|
The Toledo Hospital
2142 N Cove Blvd |
$35.98 | 25,212 | 18,226 |
|
Medical University Of Ohio At Toledo
3000 Arlington Ave |
$3.34 | 17,643 | 9,980 |
|
Greater Toledo Urgent Cares, Llc.
4405 N. Holland-Sylvania Road |
$1.54 | 4,300 | 4,162 |
|
Promedica Central Corporation Of Michigan
100 Madison Ave |
$35.66 | 3,786 | 3,691 |
|
Faizan Hafeez
3020 N Mccord Rd Ste 201 |
$447.46 | 3,311 | 1,686 |
|
Maria A Alfonso-Jaume
1125 Hospital Dr |
$0.21 | 3,218 | 206 |
|
Planned Parenthood Of Greater Ohio
1301 Jefferson Ave |
$83.58 | 2,709 | 2,113 |
|
Joseph N Atallah
4345 Secor Rd |
$0.92 | 2,153 | 1,798 |
|
Nationwide Children'S Hospital Toledo, Llc
2213 Cherry St |
$0.15 | 1,814 | 1,119 |
|
James J Otting
5085 Monroe St |
$4.05 | 1,552 | 1,379 |
|
Glenn P Rothhaas
3900 Sunforest Ct |
$12.82 | 1,444 | 1,229 |
|
Walid Mahmoud
3000 Arlington Ave |
$0.90 | 1,240 | 1,020 |
|
Rashid Khalil
4126 N Holland Sylvania Rd |
$0.05 | 1,198 | 1,058 |
|
Ryan Michael Szepiela
2865 N Reynolds Rd |
$6.35 | 1,113 | 1,060 |
|
Bio-Medical Applications Of Ohio, Inc
1313 Cherry St |
$0.10 | 1,072 | 106 |
|
Amar Nath Goyal
3900 Sunforest Court |
$3.08 | 852 | 701 |
|
Jill Burns
1301 Jefferson Ave |
$89.19 | 823 | 805 |
|
Karen J. Stacey-Erwin
3404 Sylvania Avenue |
$0.12 | 767 | 697 |
|
Nabil A Ebraheim
2409 Cherry St Ste 10 |
$0.13 | 712 | 513 |
|
Michael C Plewa
2213 Cherry St |
$0.03 | 620 | 582 |
|
Mohammed M Ahmed
3020 N Mccord Rd |
$6.61 | 607 | 524 |
|
Ryan Howard Stahl
3404 W Sylvania Ave |
$18.67 | 604 | 572 |
|
Luke Ragan
2865 N Reynolds Rd |
$21.93 | 530 | 472 |
|
Sarah Marie Bennett
1301 Jefferson Ave |
$88.62 | 524 | 502 |
|
Nathan A. Fogt
2409 Cherry St Ste 10 |
$11.56 | 512 | 437 |
|
David J Ledrick
2213 Cherry St |
$0.27 | 498 | 331 |
|
Cletus Payne
4405 N. Holland Sylvania Rd. |
$1.48 | 489 | 464 |
|
Pingching Nick Kwan
3045 Arlington Ave |
$0.02 | 426 | 419 |
|
Ashley N Taylor
1301 Jefferson Ave |
$92.21 | 412 | 405 |
|
Nauman Shahid
4126 N Holland Sylvania Rd |
$0.04 | 404 | 178 |
|
Leonardo Rene Torrente
4405 N Holland Sylvania Rd Ste 101 |
$1.42 | 400 | 378 |
|
Abdul Azim Mustapha
1125 Hospital Dr Fl 1 |
$1.18 | 372 | 320 |
|
Wendy Tscherne
1301 Jefferson Ave |
$84.89 | 358 | 345 |
|
Mahmoud S Mohamed
4417 N Holland Sylvania Rd |
$846.05 | 348 | 323 |
|
Rory T Strugalski
2213 Cherry St |
$16.48 | 342 | 318 |
|
Kelly M Sadowski
301 Morrison Dr |
$54.05 | 327 | 128 |
|
Kevin Jay Tiwari
4235 Secor Rd |
$0.26 | 318 | 268 |
|
Samantha Ayers
4405 N Holland Sylvania Rd |
$0.86 | 279 | 218 |
|
Stanley L Tao
5085 Monroe St |
$1,099 | 265 | 168 |
|
Asher O Smith
2865 N Reynolds Rd Bldg A |
$13.53 | 258 | 206 |
|
De Ante Russ
3000 Arlington Ave |
$0.08 | 251 | 240 |
|
Mamon Y Maiteh
4235 Secor Rd |
$870.85 | 243 | 228 |
|
Mohammad Shalabe
4235 Secor Rd |
$0.92 | 243 | 227 |
|
Paul R Desaint Victor
2213 Cherry St |
$0.12 | 241 | 154 |
|
Zeba Haydar
1301 Jefferson Ave |
$85.69 | 236 | 232 |
|
Kellee R Schweitzer
1125 Hospital Dr |
$0.37 | 232 | 161 |
|
Robin L Beringer
2142 N Cove Blvd |
$94.08 | 232 | 226 |
|
Niraj Shirish Shah
2865 N Reynolds Rd |
$981.38 | 218 | 173 |
|
Gregory Ross Johnston
3930 Sunforest Ct |
$0.21 | 212 | 102 |
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 Toledo, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Toledo, OH is $34.15 per claim, based on 145,662 claims from 167 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 Toledo, OH?
There are 167 Medicaid providers offering Prescription Medications related services in Toledo, OH according to public payment data.
What is the price range for Prescription Medications in Toledo, OH?
Medicaid reimbursement for Prescription Medications in Toledo, OH ranges from $0.00 to $1,190 per claim, with an average of $34.15. 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 Toledo, OH
Blood Work & Lab Tests
Avg $5.48
4,007,495 claims
Office Visit
Avg $54.00
2,678,328 claims
Behavioral & Mental Health Therapy
Avg $95.61
2,310,766 claims
Emergency Room Visit
Avg $93.09
1,886,372 claims
Home Health Visit
Avg $51.14
1,350,077 claims
Substance Abuse Treatment
Avg $102.58
1,129,559 claims
Psychiatric Evaluation
Avg $71.49
981,620 claims
Urinalysis & Urine Tests
Avg $2.28
710,251 claims