Average Medicaid Prescription Medications Payments in Atlanta, GA: $19.85
Avg. Paid
$19.85
Range
$0.00 – $1,096
Total Claims
168,617
Providers
44
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 Atlanta, GA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Scottish Rite Childrens Medical Ctr
1001 Johnson Ferry Rd Ne |
$16.84 | 74,846 | 63,212 |
|
Arthur M. Blank Hospital, Inc.
2220 N Druid Hills Rd Ne |
$27.66 | 70,554 | 60,269 |
|
Total Renal Care Inc
1575 Northside Dr Nw |
$0.10 | 8,066 | 970 |
|
Dva Healthcare Renal Care Inc
2685 Metropolitan Pkwy Sw |
$4.08 | 3,106 | 381 |
|
Holton Dialysis Clinic, Llc
231 14Th St Nw |
$0.52 | 2,006 | 179 |
|
Dialysis Clinic Inc.
870 Northside Drive |
$4.37 | 1,763 | 275 |
|
Dva Renal Healthcare Inc
567 North Ave Ne |
$0.00 | 997 | 90 |
|
Anna Rebecca Cruz
59 Executive Park S |
$4.92 | 784 | 731 |
|
Shanda Hill Clayton
275 Collier Rd Nw Ste 100C |
$82.80 | 774 | 744 |
|
Jamaine Rupert Thomas
5505 Peachtree Dunwoody Rd Ste 600 |
$2.11 | 749 | 487 |
|
The Emory Clinic Inc
21 Ortho Ln |
$0.00 | 601 | 480 |
|
Taylor Cohen Michaeli
1465 Howell Mill Rd Nw Ste 300A |
$0.24 | 534 | 288 |
|
Jason Thomas Gillon
1001 Johnson Ferry Rd |
$6.39 | 488 | 235 |
|
Dane Andrew Iams
1800 Howell Mill Rd Nw Ste 200 |
$6.29 | 459 | 88 |
|
Keith J Handler
5665 New Northside Dr Nw |
$2.37 | 414 | 363 |
|
Grady Memorial Hospital Corporation
80 Jesse Hill Jr Dr, Se |
$26.15 | 357 | 353 |
|
Alexandria Scott Nix
1055 Howell Mill Rd Nw |
$0.69 | 355 | 304 |
|
Thao Minh Nguyen
1645 Tullie Cir Ne |
$0.00 | 305 | 300 |
|
Southside Medical Center, Inc.
1046 Ridge Ave Sw |
$2.22 | 274 | 241 |
|
Courtney Allen
1645 Tullie Cir Ne |
$0.00 | 189 | 187 |
|
Caroline N Lee
691 14Th St Nw Ste E |
$2.11 | 152 | 111 |
|
Logan Burgess
1364 Clifton Road, Ne |
$3.85 | 145 | 134 |
|
Susan Snouse
2001 Peachtree Rd Ne |
$7.52 | 88 | 78 |
|
Christine Marie Danforth
2720 Metropolitan Pkwy Sw |
$0.91 | 80 | 68 |
|
Steven Lee Lanski
1405 Clifton Rd Ne |
$5.64 | 69 | 66 |
|
The Emory Clinic Inc
1365 Clifton Rd Ne |
$0.00 | 60 | 43 |
|
Jonathan Michael Davis
240 N Highland Ave Ne |
$1.67 | 56 | 55 |
|
Andre J Roy
59 Executive Park South Ne |
$4.70 | 46 | 43 |
|
Neil Daniel Cella
1364 Clifton Rd Ne |
$0.00 | 40 | 25 |
|
Ilene Brenner
880 Drewry St Ne |
$0.52 | 28 | 26 |
|
John Michael Fennessy
303 Parkway Drive, Ne |
$2.26 | 26 | 26 |
|
Benjamin George Banapoor
1364 Clifton Rd Ne |
$0.00 | 24 | 24 |
|
Kenna Healy Ellis
1968 Peachtree Rd Nw |
$0.00 | 24 | 24 |
|
Ryan J. Whitted
3225 Cumberland Blvd Se Ste 800 |
$1,096 | 18 | 17 |
|
Raymond E Gutierrez
5505 Roswell Rd |
$0.00 | 18 | 16 |
|
Kimberly Clark
1364 Clifton Rd Ne |
$2.54 | 17 | 12 |
|
William Bryan May
5665 New Northside Dr |
$2.14 | 14 | 12 |
|
Brian Joseph Finnegan
5665 New Northside Dr Nw |
$1.24 | 14 | 14 |
|
Christina Bellin
105 Collier Rd Nw |
$3.83 | 14 | 13 |
|
Charles Lapeyre Thompson
3225 Cumberland Blvd Se |
$0.00 | 14 | 14 |
|
Kalvin Ladelle Nathaniel
5665 New Northside Dr |
$1.50 | 13 | 13 |
|
John Robert Conatser
5780 Peachtree Dunwoody Rd Ste 295 |
$89.24 | 12 | 12 |
|
Samuel Byron Milton
1441 Clifton Rd Ne |
$219.29 | 12 | 12 |
|
Rumm M Morag
550 Peachtree St Ne |
$0.00 | 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 Atlanta, GA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Atlanta, GA is $19.85 per claim, based on 168,617 claims from 44 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 Atlanta, GA?
There are 44 Medicaid providers offering Prescription Medications related services in Atlanta, GA according to public payment data.
What is the price range for Prescription Medications in Atlanta, GA?
Medicaid reimbursement for Prescription Medications in Atlanta, GA ranges from $0.00 to $1,096 per claim, with an average of $19.85. 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 Atlanta, GA
Non-Emergency Medical Transportation
Avg $10.41
3,368,719 claims
Emergency Room Visit
Avg $261.11
1,736,171 claims
Office Visit
Avg $65.00
1,497,277 claims
Blood Work & Lab Tests
Avg $9.49
1,059,338 claims
X-Ray
Avg $19.60
1,038,179 claims
Ultrasound
Avg $89.22
645,444 claims
Physical Therapy
Avg $100.84
350,460 claims
EKG / ECG (Electrocardiogram)
Avg $11.82
326,821 claims