Average Medicaid Prescription Medications Payments in Warren, MI: $2.01
Avg. Paid
$2.01
Range
$0.00 – $10.42
Total Claims
73,482
Providers
24
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 Warren, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Henry Ford Health Macomb Oakland Hospital
11800 E 12 Mile Rd |
$0.04 | 38,248 | 33,602 |
|
Michigan Surgery Specialists, P.C.
11012 E 13 Mile Rd Ste 112 |
$8.28 | 11,215 | 10,346 |
|
Southeast Michigan Surgical Hospital, Llc
21230 Dequindre Rd |
$0.00 | 7,309 | 6,720 |
|
Hoover Urgent Care Of Warren Pllc
26000 Hoover Rd |
$1.47 | 4,062 | 3,949 |
|
Medcare Inc
2243 E 12 Mile Rd |
$6.96 | 3,942 | 3,442 |
|
Dolora Pain Management Associates, Pc
27301 Schoenherr Rd |
$1.67 | 2,382 | 2,012 |
|
Ascension Medical Group Michigan
11900 E 12 Mile Rd Ste 210 |
$3.78 | 1,840 | 1,701 |
|
The Pain Center Usa Pllc
27423 Van Dyke Ave |
$0.08 | 1,252 | 1,226 |
|
Laith Nafil Md Pllc
31200 Dequindre Rd |
$0.53 | 1,242 | 1,167 |
|
Barry S. Meyer,D.O., P.C.
23423 Ryan Rd |
$5.58 | 503 | 457 |
|
Universal Clinic And Urgent Care Pc
4600 E 14 Mile Rd |
$2.83 | 414 | 400 |
|
Sudad Louis Md Pllc
31500 Dequindre Rd Ste 500 |
$4.78 | 367 | 362 |
|
Reverence Home Health & Hospice, Llc
28120 Dequindre Rd |
$10.42 | 124 | 25 |
|
Warren Urgent Care Pc
31700 Van Dyke Ave |
$0.54 | 123 | 123 |
|
Henry Ford Health Macomb-Oakland Hospital
11800 E 12 Mile Rd |
$2.66 | 99 | 99 |
|
Renal Treatment Centers-Illinois Inc.
28295 Schoenherr Rd |
$0.00 | 85 | 12 |
|
Mendelson Orthopedics Pc
5504 E 12 Mile Rd Ste 200 |
$8.65 | 73 | 69 |
|
Ascension Medical Group Michigan
28000 Dequindre Road |
$3.14 | 56 | 51 |
|
Zaki Consultants Pllc
31200 Dequindre Rd |
$0.09 | 52 | 47 |
|
Verdi Oncology Michigan Pc
11900 E 12 Mile Rd Ste 308 |
$1.42 | 27 | 12 |
|
Michigan Compassionate Care L.L.C.
28401 Hoover Rd |
$1.60 | 22 | 20 |
|
Martin Quiroga Pc
27101 Schoenherr Rd Ste 200 |
$0.37 | 17 | 14 |
|
Ascension Medical Group Michigan
28000 Dequindre Road |
$5.47 | 14 | 14 |
|
Charles G Kissel Dpm Pc
29433 Ryan Rd |
$0.11 | 14 | 14 |
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 Warren, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Warren, MI is $2.01 per claim, based on 73,482 claims from 24 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 Warren, MI?
There are 24 Medicaid providers offering Prescription Medications related services in Warren, MI according to public payment data.
What is the price range for Prescription Medications in Warren, MI?
Medicaid reimbursement for Prescription Medications in Warren, MI ranges from $0.00 to $10.42 per claim, with an average of $2.01. 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 Warren, MI
Office Visit
Avg $59.97
1,025,133 claims
Blood Work & Lab Tests
Avg $5.64
410,849 claims
Ambulance Transport
Avg $110.25
375,004 claims
Dental Cleaning & Exam
Avg $34.33
266,180 claims
Physical Therapy
Avg $24.46
257,050 claims
X-Ray
Avg $12.32
240,339 claims
Vaccines & Immunizations
Avg $7.51
224,312 claims
Emergency Room Visit
Avg $188.70
203,746 claims