Average Medicaid Prescription Medications Payments in Westerville, OH: $24.48
Avg. Paid
$24.48
Range
$0.00 – $990.50
Total Claims
29,695
Providers
28
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 Westerville, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mount Carmel Health System
500 S Cleveland Ave |
$0.27 | 11,348 | 7,255 |
|
Joshua Edwin Bitter
595 Copeland Mill Rd Ste 2D |
$0.14 | 5,183 | 416 |
|
Bio-Medical Applications Of Ohio, Inc.
477 Cooper Rd Ste 140 |
$0.21 | 3,732 | 345 |
|
Robert Murithi
501 W Schrock Rd |
$0.25 | 3,465 | 304 |
|
Vinay Mulkanoor
595 Copeland Mill Rd Ste 2D |
$0.10 | 2,259 | 229 |
|
Gregory Michael Figg
300 Polaris Pkwy |
$0.62 | 894 | 834 |
|
Juan Francisco Lebron
575 Charring Cross Dr |
$990.50 | 660 | 601 |
|
Nichole Marie Runyon
655 Africa Rd |
$87.87 | 615 | 534 |
|
Osu Wexner Medical Center Ambulatory Surgery Center
6100 N Hamilton Rd Suite 2D |
$0.00 | 570 | 377 |
|
Stephanie E. Ladson-Wofford
595 Copeland Mill Rd |
$0.00 | 163 | 13 |
|
Robert E Gould
450 Alkyre Run Ste 360 |
$5.75 | 159 | 123 |
|
Ketul K Shah
300 Polaris Pkwy Ste 2300 |
$1.94 | 96 | 78 |
|
Krista Kugajevsky Olson
500 S Cleveland Ave |
$0.42 | 74 | 65 |
|
Loren Leidheiser
500 S Cleveland Ave |
$0.05 | 71 | 65 |
|
Paul Steven Robinson
575 Copeland Mill Rd |
$0.22 | 65 | 48 |
|
Heather Healy
500 S Cleveland Ave |
$0.03 | 57 | 55 |
|
Keith R Smith
500 S Cleveland Ave |
$0.00 | 41 | 40 |
|
Robert J. Day
932 Valleyview Dr |
$0.02 | 38 | 38 |
|
Mohamed Tunkara
500 S Cleveland Ave |
$0.00 | 30 | 29 |
|
Ryan C Rauck
6100 N Hamilton Rd Ste 1B |
$0.00 | 30 | 24 |
|
Brandon J Chandos
495 Cooper Rd Ste 212 |
$452.55 | 26 | 12 |
|
Shakir Sarwar
300 Polaris Pkwy |
$0.09 | 23 | 12 |
|
David Michael Painter
500 S Cleveland Ave |
$1.68 | 19 | 18 |
|
Timothy Lee Miller
6100 N Hamilton Rd |
$0.00 | 17 | 15 |
|
James V Falk
500 S Cleveland Ave |
$1.90 | 17 | 13 |
|
Karen D'Angelo
495 Cooper Rd |
$1.12 | 16 | 12 |
|
Saulius Ivanauskas
6476 Scioto Ct |
$0.00 | 14 | 13 |
|
Brent Mok
500 S Cleveland Ave |
$0.00 | 13 | 13 |
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 Westerville, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Westerville, OH is $24.48 per claim, based on 29,695 claims from 28 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 Westerville, OH?
There are 28 Medicaid providers offering Prescription Medications related services in Westerville, OH according to public payment data.
What is the price range for Prescription Medications in Westerville, OH?
Medicaid reimbursement for Prescription Medications in Westerville, OH ranges from $0.00 to $990.50 per claim, with an average of $24.48. 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
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 Westerville, OH
Home Health Visit
Avg $53.03
1,155,652 claims
Office Visit
Avg $58.21
585,772 claims
Blood Work & Lab Tests
Avg $3.36
282,970 claims
Durable Medical Equipment (DME)
Avg $34.13
268,628 claims
Emergency Room Visit
Avg $94.20
239,848 claims
Physical Therapy
Avg $19.38
166,895 claims
Psychiatric Evaluation
Avg $73.32
118,006 claims
Dental Cleaning & Exam
Avg $26.39
88,323 claims