Average Medicaid Prescription Medications Payments in Birmingham, AL: $8.80
Avg. Paid
$8.80
Range
$0.00 – $982.90
Total Claims
152,859
Providers
170
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 Birmingham, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tracy F Tindle
2316 7Th Ave S Ste 100 |
$0.39 | 12 | 12 |
|
Jason R Patten
619 19Th St N |
$2.20 | 12 | 12 |
|
Willie L Gilford
1806 Sixth Avenue South |
$0.13 | 12 | 12 |
|
Sandeep Singh Virk
619 19Th St S |
$1.72 | 12 | 12 |
|
Christopher Burnette Gore
810 Saint Vincents Dr |
$0.85 | 13 | 13 |
|
Zachary Cain Mccoy
50 Medical Park Dr E |
$0.86 | 13 | 13 |
|
Katie Covington Smith
1600 7Th Ave S |
$0.50 | 13 | 13 |
|
Birmingham Internal Medicine Associates, Llc
7191 Cahaba Valley Rd |
$1.33 | 13 | 12 |
|
David O Goodwin
420 20Th St N Ste 2200 |
$0.00 | 13 | 13 |
|
Melanie Beth Maddox
3700 Cahaba Beach Rd |
$1.02 | 13 | 13 |
|
Brandy Marie Lackey
500 Cahaba Park Cir Ste 100 |
$0.93 | 13 | 12 |
|
Julie Brown
625 19Th St S |
$0.24 | 13 | 13 |
|
Daniel Mason Avery
817 Princeton Avenue |
$11.66 | 15 | 12 |
|
Kara Shea Huls
1600 7Th Ave S |
$1.49 | 15 | 15 |
|
Jeffrey David Lebensburger
1600 7Th Ave S |
$0.36 | 15 | 12 |
|
Terry Daniel Smith
805 Saint Vincents Dr Ste 100 |
$0.42 | 15 | 13 |
|
Bradley Hill
2700 10Th Ave S Ste 200 |
$3.99 | 15 | 13 |
|
Stephanie Wahl Pool
1600 7Th Ave S |
$1.51 | 16 | 16 |
|
Cindy Jo Campbell
504 Brookwood Blvd |
$1.12 | 16 | 14 |
|
Shameka Danielle Moore
357 Kingston Cir |
$0.00 | 17 | 12 |
|
Richard Mithchell Martindale
1720 University Blvd |
$813.56 | 18 | 12 |
|
Robert Thomason Russell
1600 7Th Ave S # Acc300 |
$0.00 | 18 | 14 |
|
Richard Minton Feist
700 18Th St S Ste 707 |
$982.90 | 20 | 12 |
|
Mellanie S Merrit
619 19Th St S |
$0.26 | 20 | 18 |
|
April Garrigan
619 19Th St S |
$0.50 | 21 | 15 |
|
Scott A Anderson
1600 7Th Ave S |
$0.00 | 22 | 15 |
|
Cyrus Massouleh
50 Medical Park Dr E |
$1.47 | 25 | 25 |
|
Laura Marie Crocker Mitchell
1600 7Th Ave S |
$1.59 | 26 | 26 |
|
Ryan Rebekah Roddy
1600 7Th Ave S |
$1.18 | 28 | 27 |
|
Keely Erin Berry
1600 7Th Ave S |
$1.28 | 28 | 27 |
|
Harold Kim
619 19Th St S |
$1.11 | 28 | 28 |
|
Cheryl Eloise Suttles
22 Inverness Center Pkwy Ste 350 |
$0.61 | 28 | 26 |
|
Wendy Renee Walker
181 W Valley Ave Ste 214 |
$0.36 | 29 | 25 |
|
Debra Jemison
1308 Tuscaloosa Ave Sw |
$34.76 | 29 | 27 |
|
Ryan Paul Roach
805 Saint Vincents Dr Ste 100 |
$0.00 | 29 | 24 |
|
Jason Douglas Booton
619 19Th St S |
$0.00 | 31 | 31 |
|
Emma Wanjiru Mwangi
5892 Trussville Crossings Pkwy |
$0.53 | 31 | 24 |
|
Rene Myers
1717 6Th Ave S |
$0.02 | 32 | 25 |
|
Traci Jester
1600 7Th Ave S |
$0.00 | 32 | 12 |
|
Diana Lorena Montoya Melo
1600 7Th Ave S |
$0.00 | 32 | 12 |
|
Anna Glyn Wall
2452 Ridgemont Dr |
$1.05 | 34 | 32 |
|
Vu Nguyen
1717 6Th Ave S |
$690.49 | 34 | 26 |
|
Amit Momaya
1717 6Th Ave S |
$8.35 | 34 | 12 |
|
Larry Dale Brown
250 State Farm Pkwy |
$519.17 | 34 | 27 |
|
Kate Osei Fuah
1700 6Th Ave S |
$0.68 | 38 | 38 |
|
Nicole Eleana Jones
1600 7Th Ave S Ste 110 |
$1.15 | 39 | 37 |
|
Nova Law
944 18Th St S |
$8.34 | 39 | 37 |
|
Charles R Law
120 Oslo Cir |
$413.77 | 39 | 24 |
|
Maureen A Muecke
2010 Patton Chapel Rd Ste 206 |
$0.66 | 39 | 38 |
|
Hilary Fae Hornbuckle Beason
3690 Grandview Pkwy |
$0.27 | 40 | 38 |
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 Birmingham, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Birmingham, AL is $8.80 per claim, based on 152,859 claims from 170 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 Birmingham, AL?
There are 170 Medicaid providers offering Prescription Medications related services in Birmingham, AL according to public payment data.
What is the price range for Prescription Medications in Birmingham, AL?
Medicaid reimbursement for Prescription Medications in Birmingham, AL ranges from $0.00 to $982.90 per claim, with an average of $8.80. 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 Birmingham, AL
Blood Work & Lab Tests
Avg $7.02
11,525,259 claims
Office Visit
Avg $74.46
1,976,328 claims
Urinalysis & Urine Tests
Avg $3.70
1,952,357 claims
Behavioral & Mental Health Therapy
Avg $60.93
1,487,720 claims
Emergency Room Visit
Avg $80.96
1,417,392 claims
Culture & Microbiology Tests
Avg $6.38
1,389,745 claims
X-Ray
Avg $7.59
810,731 claims
Pathology & Lab Services
Avg $26.99
763,384 claims