Average Medicaid Prescription Medications Payments in Wilmington, DE: $35.70
Avg. Paid
$35.70
Range
$0.00 – $1,118
Total Claims
30,337
Providers
31
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 Wilmington, DE
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Christiana Care Health Services, Inc.
501 W 14Th St |
$6.96 | 13,940 | 8,064 |
|
The Nemours Foundation
1600 Rockland Rd |
$1.83 | 4,584 | 3,993 |
|
Regional Orthopaedic Associates, Pa
1941 Limestone Rd Ste 101 |
$2.08 | 2,779 | 2,226 |
|
The Nemours Foundation
1600 Rockland Rd |
$49.24 | 1,698 | 1,449 |
|
Planned Parenthood Of Delaware, Inc.
625 N Shipley St. |
$26.13 | 1,572 | 1,408 |
|
Wellness Medical Care Llc
6 Sharpley Rd |
$3.06 | 1,132 | 526 |
|
St. Francis Hospital Inc.
701 N Clayton St |
$3.63 | 765 | 516 |
|
Steven Michael Bojarski
6 Sharpley Rd |
$0.15 | 650 | 266 |
|
Eye Physicians & Surgeons, Pa
1207 N Scott St |
$1,118 | 556 | 443 |
|
Grossinger Neuropain Specialists, Pa
4100 Dawnbrook Dr |
$0.01 | 386 | 246 |
|
Chee Houe Woo
405 Silverside Rd Ste 104 |
$0.20 | 307 | 250 |
|
Richard J. Schmidt
A.I. Dupont Hospital For Children |
$3.95 | 279 | 249 |
|
Pasquale Fucci
1815 W 13Th St |
$0.32 | 214 | 146 |
|
Brandywine Medical Associates, Inc.
1815 W 13Th St |
$4.50 | 202 | 137 |
|
Retinovitreous Associates Ltd
1523 Concord Pike Ste 101 |
$1,065 | 201 | 155 |
|
Heather C Nardone
1600 Rockland Rd |
$4.18 | 150 | 129 |
|
Nicole Leigh Aaronson
1600 Rockland Rd |
$4.40 | 146 | 131 |
|
Precision Care & Wellness, Llc
4001 Miller Rd Ste 1 |
$0.58 | 141 | 115 |
|
Thomas E Stephens
1802 W 4Th St |
$0.00 | 139 | 127 |
|
William John Parkes
1600 Rockland Rd |
$4.55 | 122 | 118 |
|
Medexpress, Inc - Delaware
2722 Concord Pike |
$0.00 | 62 | 43 |
|
Jenna Wright Briddell
1600 Rockland Rd |
$3.69 | 59 | 50 |
|
Sriniketh Sundar
405 Silverside Rd Ste 104 |
$1.49 | 42 | 41 |
|
Andrew Emmanuel Bluher
1600 Rockland Rd |
$5.48 | 41 | 36 |
|
Peter M Witherell
3411 Silverside Road |
$0.17 | 38 | 24 |
|
Larry R Glazerman
625 N Shipley St |
$2.36 | 28 | 25 |
|
Rachel A Maher
2036 Foulk Rd |
$8.73 | 26 | 25 |
|
Peter C Minneci
1600 Rockland Rd |
$0.00 | 26 | 26 |
|
Kirk W. Reichard
A.I. Dupont Hospital For Children |
$8.53 | 22 | 21 |
|
Matthew Cully
1600 Rockland Rd |
$1.68 | 17 | 14 |
|
Puneeta Ramachandra
1600 Rockland Rd |
$4.97 | 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 Wilmington, DE?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Wilmington, DE is $35.70 per claim, based on 30,337 claims from 31 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 Wilmington, DE?
There are 31 Medicaid providers offering Prescription Medications related services in Wilmington, DE according to public payment data.
What is the price range for Prescription Medications in Wilmington, DE?
Medicaid reimbursement for Prescription Medications in Wilmington, DE ranges from $0.00 to $1,118 per claim, with an average of $35.70. 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
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Tucson, AZ
Avg $24.34
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Other Procedures in Wilmington, DE
Personal Care Services
Avg $113.14
1,523,473 claims
Office Visit
Avg $55.68
1,174,146 claims
Substance Abuse Treatment
Avg $14.51
1,110,493 claims
Vaccines & Immunizations
Avg $9.43
497,265 claims
Dental Cleaning & Exam
Avg $47.53
375,713 claims
Emergency Room Visit
Avg $187.07
346,985 claims
Physical Therapy
Avg $30.41
305,435 claims
Psychiatric Evaluation
Avg $47.31
297,416 claims