Average Medicaid Prescription Medications Payments in Augusta, GA: $5.72
Avg. Paid
$5.72
Range
$0.00 – $83.01
Total Claims
12,680
Providers
24
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 Augusta, GA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Au Medical Center, Inc
1120 15Th St |
$1.18 | 7,757 | 6,149 |
|
Doctors Hospital Of Augusta Llc
3651 Wheeler Rd |
$0.06 | 2,240 | 1,645 |
|
University Health Services,Inc
1350 Walton Way |
$0.01 | 1,055 | 873 |
|
Bianca Alexandra Forte
1120 15Th St |
$83.01 | 696 | 694 |
|
Vincent Ogochukwu Okpala
1120 15T St. |
$6.96 | 178 | 170 |
|
Kelli Ann Rummings
1120 15Th St |
$7.10 | 144 | 137 |
|
Merwin Severtson
1120 15Th St |
$13.04 | 100 | 86 |
|
Mohamad Masoumy
1120 15Th St |
$0.05 | 88 | 65 |
|
Miriam Yvette Atkins
3696 Wheeler Rd |
$0.95 | 66 | 50 |
|
Ricaurte Antonio Solis
1120 15Th St |
$1.63 | 61 | 56 |
|
Larry B. Mellick
1120 15Th St |
$1.34 | 38 | 37 |
|
Brent Hammal Limbaugh
1303 Dantignac St Ste 1000 |
$0.64 | 33 | 25 |
|
Robin Phillips
1120 15Th St |
$53.16 | 28 | 24 |
|
Mustafa Musa Nimir
1120 15Th St Ae-3042 |
$0.24 | 27 | 18 |
|
Jedidiah Amos Ballard
1120 15Th St |
$3.50 | 26 | 25 |
|
Benjamin Jordan
840 Stevens Creek Rd |
$0.14 | 26 | 26 |
|
Eugene Mitchell Long
3696 Wheeler Rd |
$0.93 | 18 | 12 |
|
Bilal Fiaz
1459 Laney Walker Blvd |
$0.00 | 17 | 14 |
|
David C Krupp
1120 15Th St |
$0.00 | 16 | 13 |
|
Clement Anyanwu
1459 Laney Walker Blvd |
$2.15 | 14 | 14 |
|
Clinton James Palmer
1120 15Th St |
$1.01 | 14 | 12 |
|
Shannon Stinson
1350 Walton Way |
$1.50 | 14 | 12 |
|
Samantha Myers Newman
3651 Wheeler Rd |
$0.00 | 12 | 12 |
|
Sunita Jena
1120 15Th St |
$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 Augusta, GA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Augusta, GA is $5.72 per claim, based on 12,680 claims from 24 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 Augusta, GA?
There are 24 Medicaid providers offering Prescription Medications related services in Augusta, GA according to public payment data.
What is the price range for Prescription Medications in Augusta, GA?
Medicaid reimbursement for Prescription Medications in Augusta, GA ranges from $0.00 to $83.01 per claim, with an average of $5.72. 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 Augusta, GA
Emergency Room Visit
Avg $86.72
458,179 claims
Office Visit
Avg $68.85
354,572 claims
Blood Work & Lab Tests
Avg $16.72
329,400 claims
Case Management Services
Avg $200.19
260,981 claims
Home Health Visit
Avg $77.42
208,511 claims
Dental Cleaning & Exam
Avg $30.13
185,377 claims
X-Ray
Avg $12.62
143,411 claims
Urinalysis & Urine Tests
Avg $14.66
128,071 claims