Average Medicaid Prescription Medications Payments in Barbourville, KY: $6.32
Avg. Paid
$6.32
Range
$0.00 – $22.57
Total Claims
12,822
Providers
20
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 Barbourville, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Arh Mary Breckinridge Health Services, Inc.
80 Hospital Dr |
$10.45 | 3,657 | 2,872 |
|
Jill M Johnson
Po Box 1150 |
$4.53 | 2,426 | 2,195 |
|
Lorrie Taylor
215 Treuhaft Blvd |
$1.28 | 2,163 | 1,946 |
|
Angie Mossie Ledford
315 Hospital Dr Ste 2 |
$2.59 | 1,737 | 1,499 |
|
Kristy Scearse
80 Hospital Drive |
$16.21 | 918 | 837 |
|
Samantha Corey
80 Hospital Dr |
$1.59 | 389 | 366 |
|
Amy Shelton
315 Hospital Dr Ste 2 |
$7.58 | 271 | 243 |
|
Matthew David Webb
215 N Allison Ave |
$1.81 | 245 | 227 |
|
Teresa Susan Landrum
1927 S Us Highway 25E |
$1.09 | 228 | 203 |
|
Richard A Carter
215 N Allison Ave |
$1.26 | 149 | 118 |
|
Susan M. Hodge
602 Knox St |
$7.13 | 134 | 125 |
|
Amanda Renee Lawson
215 Treuhaft Blvd Ste 3B |
$22.57 | 131 | 124 |
|
Daniel G Bercu
80 Hospital Dr |
$3.93 | 108 | 78 |
|
Sheryl Partin
1927S Us Highway 25E |
$12.43 | 96 | 83 |
|
Kayla Gabbard
1927 S Us Highway 25E |
$2.79 | 68 | 58 |
|
Michelle Louise Broughton
602 Knox St |
$8.92 | 32 | 29 |
|
Lesley N Vaughn
215 N Allison Ave |
$0.88 | 24 | 24 |
|
Heather Nicole Davis
215 Treuhaft Blvd Ste 8 |
$0.00 | 19 | 14 |
|
Melinda Rae Smith
215 Treuhaft Blvd |
$6.97 | 15 | 13 |
|
Cynthia Goodin
602 Knox St |
$2.32 | 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 Barbourville, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Barbourville, KY is $6.32 per claim, based on 12,822 claims from 20 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 Barbourville, KY?
There are 20 Medicaid providers offering Prescription Medications related services in Barbourville, KY according to public payment data.
What is the price range for Prescription Medications in Barbourville, KY?
Medicaid reimbursement for Prescription Medications in Barbourville, KY ranges from $0.00 to $22.57 per claim, with an average of $6.32. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Prescription Medications in Other Cities
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Avg $16.15
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Avg $9.22
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Avg $6.48
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Avg $31.67
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New York, NY
Avg $40.26
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Other Procedures in Barbourville, KY
Office Visit
Avg $31.06
740,254 claims
Blood Work & Lab Tests
Avg $13.52
289,685 claims
Emergency Room Visit
Avg $199.07
63,843 claims
Substance Abuse Treatment
Avg $75.19
61,729 claims
Psychiatric Evaluation
Avg $48.55
56,996 claims
Dental Cleaning & Exam
Avg $32.25
55,523 claims
Vaccines & Immunizations
Avg $12.57
44,322 claims
Urinalysis & Urine Tests
Avg $8.35
31,311 claims