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 |
|---|---|---|---|
|
Planned Parenthood Of Metropolitan Washington Dc
1225 4Th St Ne |
$71.27 | 12 | 12 |
|
Celia Elise Hearren
601 Pennsylvania Ave Nw Bldg Suite900 |
$78.77 | 12 | 12 |
|
Vanessa J. Mcdonald
2041 Georgia Ave Nw |
$0.45 | 12 | 12 |
|
Colleen Peck
1225 4Th St Ne |
$66.21 | 14 | 14 |
|
Ramaseshu P Sarma
2041 Georgia Ave Nw Ste 1700 |
$0.43 | 14 | 14 |
|
Sharon Michelle Dowell
2041 Georgia Ave Nw |
$0.55 | 16 | 13 |
|
Chrysavgi Adamopoulou
110 Irving St Nw |
$0.00 | 16 | 13 |
|
Jeromy Travis Boucher
2150 Pennsylvania Ave Nw |
$0.00 | 16 | 13 |
|
Vishal Bhuva
110 Irving St Nw |
$3.36 | 17 | 15 |
|
Monica Cabrera
3636 16Th St Nw Apt A927 |
$0.03 | 18 | 15 |
|
Mgmc, Llc
3800 Reservoir Rd Nw |
$98.35 | 19 | 12 |
|
Samah Nassereddine
2150 Pennsylvania Ave |
$0.79 | 19 | 15 |
|
Hildred Sarah Rochon
2041 Georgia Ave Nw |
$0.00 | 19 | 12 |
|
Michelle Yvette Rice
765 Kenilworth Ter Ne |
$0.00 | 24 | 24 |
|
Whitman-Walker Clinic, Inc
1525 14Th St Nw |
$0.00 | 26 | 26 |
|
Mary'S Center For Maternal & Child Care
3912 Georgia Ave. Nw |
$0.00 | 26 | 26 |
|
Shila Soleimani
1147 20Th St Nw |
$0.11 | 27 | 18 |
|
Katherine M Mccauley
2300 M St Nw Fl 5 |
$9.18 | 29 | 27 |
|
Michelle Lynn Gaskins Craig
1160 Varnum St Ne |
$0.32 | 33 | 27 |
|
Joel Jonathan Lange
900 23Rd St Nw |
$3.62 | 35 | 26 |
|
Ladawana Sahante Crawford
3240 Stanton Rd Se |
$0.00 | 36 | 36 |
|
Alison Ruth Lesht
3924 Minnesota Ave Ne |
$0.00 | 40 | 40 |
|
Donice Leak
3924 Minnesota Ave Ne |
$0.00 | 42 | 42 |
|
Frank Anthony Spellman
660 Pennsylvania Ave Se |
$326.41 | 43 | 26 |
|
Angela Louise Emmons Brule'
2041 Georgia Ave Nw |
$0.00 | 45 | 36 |
|
Cynthia Ramona Morgan
650 Pennsylvania Ave Se |
$3.71 | 47 | 43 |
|
Megan Ann Murphy
2150 Pennsylvania Ave Nw |
$0.00 | 50 | 50 |
|
Medical Faculty Associates, Inc
2150 Pennsylvania Ave Nw |
$1.06 | 51 | 35 |
|
Kristie Quarles Washington
1101 K St Nw Fl 10 |
$0.00 | 54 | 54 |
|
Bolanle Ariyo
3720 Martin Luther King Jr Ave Se |
$0.00 | 54 | 54 |
|
Amy Elizabeth Bender
1145 19Th St Nw |
$54.63 | 55 | 50 |
|
Zowie Sheena Barnes
1225 4Th St Ne |
$1.18 | 56 | 52 |
|
Toni Pierce
2300 M St Nw Fl 5 |
$5.85 | 62 | 62 |
|
Teresa Doerre
2300 M St Nw Fl 5 |
$9.02 | 63 | 56 |
|
Zada Mason Sanders
3924 Minnesota Ave Ne |
$0.00 | 63 | 63 |
|
De'Ja Alexander
600 W St Nw |
$3.82 | 73 | 53 |
|
Martine Tchinda
3924 Minnesota Ave Ne |
$0.00 | 75 | 75 |
|
Faysal Haroun
2150 Pennsylvania Ave Nw Ste 5-404 |
$0.68 | 83 | 64 |
|
Pamela Susan Lotke
1225 4Th St Ne |
$59.48 | 84 | 79 |
|
Quyen Dinh Chu
2041 Georgia Ave Nw # 2322 |
$0.12 | 90 | 58 |
|
Megan Jane Hollis
1818 H St Nw Ste Mc-C2140 |
$0.00 | 93 | 92 |
|
Community Of Hope, Inc.
4 Atlantic Street Sw |
$0.00 | 106 | 76 |
|
Marc Espy Rankin
3301 New Mexico Ave Nw Ste 248 |
$4.09 | 108 | 105 |
|
Kevin S Smith
2041 Georgia Nwave 1700 |
$218.68 | 126 | 125 |
|
Imad A. Tabbara
2150 Pennsylvania Ave Nw |
$0.70 | 136 | 94 |
|
Robert Steven Siegel
2150 Pennsylvania Ave Nw |
$0.66 | 148 | 114 |
|
Emily Borland
1225 4Th St Ne |
$36.96 | 176 | 115 |
|
Unity Health Care, Inc
4414 Benning Rd Ne |
$0.00 | 178 | 168 |
|
Tori Brown Robinson
3924 Minnesota Ave Ne |
$0.00 | 196 | 196 |
|
Community Of Hope Inc.
2120 Bladensburg Rd Ne |
$0.00 | 206 | 180 |
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