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 |
|---|---|---|---|
|
Kristen M Roberts
4405 N Holland Sylvania Rd |
$1.02 | 12 | 12 |
|
Jessica Wilson-Sobb
2142 N Cove Blvd |
$0.00 | 12 | 12 |
|
Krzysztof A Kostrzewski
4126 N Holland Sylvania Rd Ste 220 |
$4.29 | 12 | 12 |
|
Megan Yant
2244 Collingwood Blvd |
$94.50 | 12 | 12 |
|
Thomas Williman
2213 Cherry St |
$0.00 | 12 | 12 |
|
Karen Moteller Adams-Ferguson
4895 Monroe St |
$0.00 | 12 | 12 |
|
Ahmed M El-Zawahry
1000 Regency Ct Ste 210 |
$5.62 | 13 | 13 |
|
Erica Goldberger
3000 Arlington Ave Stop 1088 |
$0.15 | 13 | 12 |
|
Charles King Dabbs
2865 N Reynolds Rd |
$634.44 | 13 | 12 |
|
Megan Lutz
3045 Arlington Ave |
$83.41 | 13 | 13 |
|
David M Johnson
2213 Cherry St |
$0.00 | 13 | 12 |
|
Russell Maxon
2142 N Cove Blvd |
$0.00 | 13 | 13 |
|
Jianlin Tang
3000 Arlington Ave Ste 2C |
$0.00 | 13 | 12 |
|
Vithal B Shendge
3000 Arlington Ave |
$5.00 | 13 | 12 |
|
David Ervin
2865 N Reynolds Rd |
$27.88 | 14 | 14 |
|
Saleem Shahzad Zafar
3355 Meijer Dr |
$0.00 | 14 | 13 |
|
Brooke R Bellman
2150 W Central Ave |
$98.19 | 14 | 14 |
|
Mark V. Boswell
1125 Hospital Dr |
$0.00 | 14 | 12 |
|
Nicholas Anthony Boraggina
2213 Cherry St |
$0.00 | 14 | 13 |
|
Thomas Kopp
2222 Cherry St |
$0.00 | 14 | 14 |
|
Anil Kumar Gupta
2865 N Reynolds Rd |
$18.16 | 14 | 12 |
|
Nezam Ibrahim Altorok
3125 Transverse Dr |
$16.31 | 15 | 13 |
|
Kalynah Zychowicz
2244 Collingwood Blvd |
$75.60 | 15 | 12 |
|
Omar Ali Khan
3355 Meijer Dr |
$0.00 | 16 | 13 |
|
Mehmood Rashid
2130 W Central Ave Ste 102103 |
$651.25 | 16 | 12 |
|
James J Kiyak
2213 Franklin Ave |
$18.61 | 16 | 16 |
|
Courtney Erin Keel
2213 Cherry St |
$0.11 | 16 | 14 |
|
Kathy Zeller
2213 Cherry St |
$0.00 | 16 | 16 |
|
Sameer Awni Al-Shweiki
3740 W Sylvania Ave |
$1,190 | 17 | 13 |
|
William S Krost
2213 Cherry St |
$0.00 | 17 | 17 |
|
Emily Digiovanni
1301 Jefferson Ave |
$72.79 | 17 | 17 |
|
Noor A Pirzada
2130 W. Central Avenue |
$413.16 | 17 | 12 |
|
William Preston Saunders
3000 Arlington Ave |
$0.02 | 17 | 17 |
|
Angela Marie Ross
3125 Transverse Dr Ste L |
$1.28 | 17 | 15 |
|
David Solarz
3000 Arlington Ave |
$0.00 | 17 | 17 |
|
Kamran Haydar
3000 Arlington Ave |
$3.19 | 18 | 16 |
|
Daniel Lee Trumbull
2121 Hughes Dr Ste 710 |
$7.62 | 19 | 18 |
|
Benjamin Boothby
2409 Cherry St Ste 10 |
$13.13 | 19 | 13 |
|
Makenzie Karissa Mansfield
5923 Renaissance Pl |
$0.00 | 19 | 18 |
|
Anthony D Atkins
2244 Collingwood Blvd |
$0.32 | 20 | 14 |
|
Neighborhood Health Association Of Toledo, Inc.
1415 Jefferson Ave |
$0.00 | 23 | 13 |
|
Amy Lynn Ramey
2142 N Cove Blvd |
$0.01 | 24 | 24 |
|
Candy Marie Babb
2830 Sherbrooke Rd |
$1.74 | 24 | 12 |
|
Michael S Omori
2213 Cherry St |
$0.00 | 25 | 24 |
|
Ahmed B Arshad
3949 Sunforest Ct Ste 105 |
$475.34 | 26 | 12 |
|
Cheryl A Mcgarry
3909 Woodley Rd |
$407.10 | 26 | 13 |
|
Kellen Thomas Bannon
2213 Cherry St |
$0.00 | 27 | 24 |
|
John Vernon Houghtaling
2865 N Reynolds Rd |
$13.11 | 27 | 26 |
|
Jason Bryant Lester
2213 Cherry St |
$0.00 | 28 | 24 |
|
Mark Bustillo
2142 N Cove Blvd |
$0.28 | 30 | 29 |
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