Average Medicaid Prescription Medications Payments in Waterloo, IA: $15.60
Avg. Paid
$15.60
Range
$0.00 – $326.80
Total Claims
12,196
Providers
43
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 Waterloo, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Vinay Kumar Kantamneni
1753 W Ridgeway Ave |
$0.36 | 2,799 | 151 |
|
Allen Memorial Hospital Corporation
233 Vold Dr |
$52.83 | 2,478 | 2,418 |
|
Gary A Knudson
2710 Saint Francis Dr |
$0.01 | 1,918 | 1,669 |
|
Michael T Letkewicz
3430 Kimball Ave |
$0.00 | 972 | 789 |
|
Cristina B Pasarin
2710 Saint Francis Dr |
$0.19 | 602 | 36 |
|
Michael J Slavin
2710 Saint Francis Dr |
$5.50 | 450 | 52 |
|
Ronald M Kane
2710 Saint Francis Dr |
$0.00 | 364 | 321 |
|
Nicholas J Goetsch
3421 W 9Th St |
$0.00 | 316 | 285 |
|
Peoples Community Health Clinic, Inc.
905 Franklin St |
$0.51 | 236 | 223 |
|
Deanne K Bolhuis
432 King Dr |
$74.31 | 211 | 207 |
|
Frank Edward Hawkins
3254 Kimball Ave |
$2.58 | 186 | 176 |
|
Mary C. Nading
1015 S Hackett Rd |
$14.93 | 183 | 176 |
|
Justin J Elwood
2710 Saint Francis Dr Ste 419 |
$0.00 | 179 | 154 |
|
Tarek Michel Daoud
1753 W Ridgeway Ave |
$3.25 | 177 | 13 |
|
Jyoti Prakash Chowdhury
239 E San Marnan Dr |
$0.10 | 143 | 133 |
|
Richard W. Naylor
2710 Saint Francis Dr |
$0.00 | 116 | 97 |
|
Stacey Marie Marlow Fisher
1825 Logan Ave |
$0.75 | 108 | 100 |
|
Sangeeta Shah
2710 Saint Francis Dr |
$326.80 | 100 | 55 |
|
Jean Marie Hoy
233 Vold Dr |
$1.98 | 96 | 93 |
|
Renal Treatment Centers - Mid-Atlantic, Inc.
1661 W Ridgeway Ave |
$0.00 | 84 | 61 |
|
Jeffrey David Wilkins
1825 Logan Ave |
$1.36 | 46 | 42 |
|
William Paul Fangman
1825 Logan Ave |
$2.19 | 44 | 38 |
|
Stephanie Rose Smith
1631 Logan Ave |
$14.18 | 40 | 37 |
|
Joseph Kwofie
1825 Logan Ave |
$0.28 | 38 | 36 |
|
Gayathry M. Inamdar
2710 Saint Francis Dr |
$0.00 | 31 | 24 |
|
Robert Boyd Bartelt
1631 Logan Ave |
$9.32 | 27 | 26 |
|
Ashar Afzal
3254 Kimball Ave |
$0.70 | 27 | 27 |
|
Kathi K Bower
233 Vold Dr |
$0.01 | 25 | 25 |
|
Robert A. Mott
1825 Logan Ave |
$3.78 | 17 | 16 |
|
Jessica Frana
146 W Dale St |
$0.07 | 16 | 14 |
|
Robert Ansley Roof
3421 West 9Th St |
$0.00 | 14 | 12 |
|
Eric M Dolash
3741 Pheasant Ln |
$10.48 | 14 | 13 |
|
Mary Susan Pruzinsky
2710 Saint Francis Dr |
$0.00 | 14 | 14 |
|
Jane M Keller
3421 W 9Th St |
$0.00 | 14 | 14 |
|
Renal Treatment Centers-Illinois Inc.
3421 W 9Th St |
$0.00 | 13 | 12 |
|
Paul David Shepard
1825 Logan Ave |
$4.01 | 13 | 13 |
|
Covenant Medical Center Inc
3421 W 9Th St |
$0.00 | 13 | 12 |
|
Kathy Ann Bell-Mahler
3421 W 9Th St |
$0.00 | 12 | 12 |
|
Mark Gorsche
1631 Logan Ave |
$11.75 | 12 | 12 |
|
Sandra Elaine Lewis
146 W Dale St |
$76.69 | 12 | 12 |
|
Publio Ortiz
146 W Dale St |
$70.75 | 12 | 12 |
|
Jens Masters Olsen
1825 Logan Ave |
$0.17 | 12 | 12 |
|
Todd K Lawrence
1825 Logan Ave |
$0.40 | 12 | 12 |
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 Waterloo, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Waterloo, IA is $15.60 per claim, based on 12,196 claims from 43 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 Waterloo, IA?
There are 43 Medicaid providers offering Prescription Medications related services in Waterloo, IA according to public payment data.
What is the price range for Prescription Medications in Waterloo, IA?
Medicaid reimbursement for Prescription Medications in Waterloo, IA ranges from $0.00 to $326.80 per claim, with an average of $15.60. 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 Waterloo, IA
Office Visit
Avg $28.16
739,153 claims
Psychiatric Evaluation
Avg $73.45
295,888 claims
Blood Work & Lab Tests
Avg $1.88
292,063 claims
Emergency Room Visit
Avg $132.61
230,395 claims
Behavioral & Mental Health Therapy
Avg $100.02
178,626 claims
Dental Cleaning & Exam
Avg $22.88
146,099 claims
Vaccines & Immunizations
Avg $9.90
141,531 claims
Non-Emergency Medical Transportation
Avg $31.27
140,190 claims