Average Medicaid Prescription Medications Payments in Washington, DC: $6.48
Avg. Paid
$6.48
Range
$0.00 – $820.33
Total Claims
675,765
Providers
92
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 Washington, DC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bio-Medical Applications Of Columbia Heights, Inc.
106 Irving St Nw Ste 1400 |
$0.45 | 77,457 | 6,068 |
|
Medstar Washington Hospital Center
110 Irving St Nw |
$9.37 | 76,894 | 56,756 |
|
Dva Healthcare Renal Care Inc
920 Bladensburg Rd Ne |
$0.19 | 43,680 | 3,851 |
|
District Hospital Partners L P
900 23Rd St Nw |
$0.13 | 38,996 | 30,809 |
|
Dva Renal Healthcare Inc
2131 K St Nw |
$0.22 | 36,291 | 2,824 |
|
Bio-Medical Applications Of Southeast Washington, Inc.
4601 Martin Luther King Jr Ave Sw |
$0.23 | 36,291 | 2,837 |
|
Dva Renal Healthcare Inc
3857A Pennsylvania Ave Se |
$0.43 | 36,146 | 3,150 |
|
Dva Healthcare Renal Care Inc
1231 Brentwood Rd Ne |
$0.29 | 35,123 | 2,975 |
|
Children'S Hospital
111 Michigan Ave Nw |
$8.86 | 31,502 | 27,589 |
|
Renal Treatment Centers Mid Atlantic Inc
5155 Lee St Ne |
$0.22 | 29,441 | 2,472 |
|
Howard University Hospital Corp
2041 Georgia Ave Nw |
$0.06 | 25,981 | 19,191 |
|
Bio-Medical Applications Of Northeast D.C., Inc.
1140 Varnum St Ne Ste 105 |
$0.19 | 25,711 | 2,208 |
|
Bio-Medical Applications Of The District Of Columbia, Inc.
11 Dupont Cir Nw |
$0.10 | 23,324 | 1,661 |
|
Renal Treatment Centers Mid Atlantic Inc
5000 Nannie Helen Burroughs Ave Ne |
$0.11 | 23,140 | 1,899 |
|
Medstar - Georgetown Medical Center, Inc.
3800 Reservoir Rd., Nw |
$0.13 | 18,838 | 13,432 |
|
Total Renal Care Inc
1730 Hamlin St Ne |
$0.42 | 17,311 | 1,370 |
|
Total Renal Care Inc
2425 25Th St Se |
$0.26 | 16,654 | 1,452 |
|
Trc - Georgetown Regional Dialysis Llc
810 1St St Ne |
$0.23 | 16,467 | 1,367 |
|
Rai Care Centers Of Dc I, Llc
6411 Chillum Pl Nw |
$0.07 | 15,441 | 1,348 |
|
Bio-Medical Applications Of Anacostia, Inc.
3929 Minnesota Ave Ne |
$0.24 | 10,555 | 969 |
|
Lucy Webb Hayes National Training School For Deaconesses & Missionarie
5255 Loughboro Rd Nw |
$0.02 | 5,333 | 3,876 |
|
Divya Pana Shenoy
1225 4Th St Ne |
$50.37 | 5,189 | 4,917 |
|
Providence Hospital
1150 Varnum St Ne |
$5.43 | 3,989 | 2,949 |
|
Donna Lynn Burkett
1525 14Th St Nw |
$13.51 | 3,417 | 3,094 |
|
Juanita Sonya Bryant
660 Pennsylvania Ave Se |
$820.33 | 3,323 | 2,372 |
|
Not-For-Profit Hospital Corporation
1310 Southern Ave Se |
$0.00 | 2,412 | 1,946 |
|
Capitol Dialysis, Llc
140 Q St Ne |
$12.34 | 2,323 | 642 |
|
Unity Health Care, Inc
3946 Minnesota Ave Ne |
$0.00 | 2,028 | 1,900 |
|
Unity Health Care, Inc.
3020 14Th St Nw |
$0.13 | 1,752 | 1,709 |
|
Unity Health Care, Inc
1500 Galen St Se |
$0.00 | 1,562 | 1,431 |
|
Serina E Floyd
1225 4Th St Ne |
$56.98 | 1,233 | 1,039 |
|
Kimberley Janet Farmer
2041 Georgia Ave Nw Ste 3400 |
$22.81 | 706 | 638 |
|
Total Renal Care, Inc.
2601 18Th St Ne |
$0.16 | 682 | 63 |
|
Evan Henry Argintar
106 Irving St Nw |
$0.38 | 666 | 634 |
|
Unity Health Care, Inc
1251 B Saratoga Ave, Ne |
$0.00 | 554 | 512 |
|
Unity Health Care, Inc
765 Kenilworth Ter Ne |
$0.00 | 520 | 492 |
|
Howard University Dialysis Center Llc
2041 Georgia Ave Nw |
$31.84 | 432 | 122 |
|
Rai Care Centers Of Southeast Dc, Llc
1918 14Th St Se |
$0.30 | 378 | 50 |
|
Marquice Alexander
3924 Minnesota Ave Ne |
$0.00 | 295 | 295 |
|
Asmir Ikram Syed
106 Irving St. Nw. |
$2.53 | 237 | 231 |
|
Unity Health Care, Inc
3240 Stanton Rd Se |
$0.00 | 228 | 205 |
|
Evie Cassandra Landry
Childrens National Hospital- Division Of Otolaryngology |
$21.67 | 220 | 199 |
|
Community Of Hope Inc.
2120 Bladensburg Rd Ne |
$0.00 | 206 | 180 |
|
Tori Brown Robinson
3924 Minnesota Ave Ne |
$0.00 | 196 | 196 |
|
Unity Health Care, Inc
4414 Benning Rd Ne |
$0.00 | 178 | 168 |
|
Emily Borland
1225 4Th St Ne |
$36.96 | 176 | 115 |
|
Robert Steven Siegel
2150 Pennsylvania Ave Nw |
$0.66 | 148 | 114 |
|
Imad A. Tabbara
2150 Pennsylvania Ave Nw |
$0.70 | 136 | 94 |
|
Kevin S Smith
2041 Georgia Nwave 1700 |
$218.68 | 126 | 125 |
|
Marc Espy Rankin
3301 New Mexico Ave Nw Ste 248 |
$4.09 | 108 | 105 |
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 Washington, DC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Washington, DC is $6.48 per claim, based on 675,765 claims from 92 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 Washington, DC?
There are 92 Medicaid providers offering Prescription Medications related services in Washington, DC according to public payment data.
What is the price range for Prescription Medications in Washington, DC?
Medicaid reimbursement for Prescription Medications in Washington, DC ranges from $0.00 to $820.33 per claim, with an average of $6.48. 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
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
Richmond, VA
Avg $24.15
476,311 claims · 71 providers
Other Procedures in Washington, DC
Home Health Visit
Avg $134.65
9,995,071 claims
Behavioral & Mental Health Therapy
Avg $86.63
8,402,752 claims
Office Visit
Avg $76.54
4,461,887 claims
Substance Abuse Treatment
Avg $44.95
3,041,260 claims
Emergency Room Visit
Avg $153.94
2,354,612 claims
Blood Work & Lab Tests
Avg $3.91
2,038,554 claims
Dental Cleaning & Exam
Avg $40.35
1,310,251 claims
Physical Therapy
Avg $77.12
1,280,107 claims