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 |
|---|---|---|---|
|
Michael Allon
2000 6Th Ave S |
$0.38 | 25,260 | 1,883 |
|
Gaurav Jain
1717 6Th Ave S |
$0.24 | 17,118 | 1,258 |
|
Emmy Bell
1717 6Th Ave S |
$0.54 | 13,775 | 1,108 |
|
Vinay Narasimha Krishna
619 19Th St S |
$0.32 | 10,245 | 731 |
|
Denyse Thornley-Brown
1717 6Th Ave S |
$0.39 | 8,991 | 586 |
|
Ryan Matthew Almeida
619 19Th St S |
$4.22 | 6,717 | 4,374 |
|
American Family Care, Llc
1680 Montgomery Hwy |
$0.00 | 6,330 | 5,869 |
|
Jefferson County Board Of Health
1400 6Th Ave S |
$52.53 | 6,099 | 5,430 |
|
Jefferson County Board Of Health
601 West Blvd |
$48.02 | 5,255 | 4,712 |
|
Jared Michael Cook
625 19Th St S |
$0.42 | 5,245 | 429 |
|
Claretha Lyas
1717 6Th Ave S |
$0.56 | 4,690 | 406 |
|
Julie Kanter Washko
2000 6Th Ave S |
$0.91 | 2,567 | 1,421 |
|
Quoc P Tran
1801 Gadsden Hwy |
$2.19 | 2,038 | 1,435 |
|
Alian Al-Balas
1717 6Th Ave S |
$0.17 | 1,844 | 64 |
|
Kennieth Charles Mccollough
1201 11Th Ave S Ste 200 |
$9.62 | 1,319 | 879 |
|
Faith Danielle Gosa
1700 6Th Ave S |
$0.74 | 1,316 | 1,192 |
|
Brian Kulbersh
1940 Elmer J Bissell Rd |
$0.00 | 1,262 | 1,026 |
|
Philip Daniel S Rosen
1940 Elmer J Bissell Rd |
$0.00 | 1,098 | 792 |
|
Nicholas James Smith
1940 Elmer J. Bissell Road |
$0.00 | 1,046 | 817 |
|
Laine Mcdonald
1717 6Th Ave S |
$0.64 | 1,034 | 929 |
|
Jefferson County Board Of Health
601 West Blvd |
$49.50 | 1,030 | 871 |
|
Joseph Roland Luc Frenette
5057 Pinnacle Sq |
$13.29 | 1,020 | 898 |
|
William Hunter Garrett
805 Saint Vincents Dr Ste 100 |
$7.70 | 1,014 | 656 |
|
Lee M Hilliard
1600 7Th Ave S |
$0.56 | 1,005 | 782 |
|
Brian Jeffery Wiatrak
1940 Elmer J. Bissell Road |
$0.01 | 919 | 753 |
|
Kathlyn Powell
1717 6Th Ave S |
$0.75 | 849 | 585 |
|
Don Earl Mccormick
840 Montclair Rd |
$0.60 | 820 | 745 |
|
Jeffrey J Fuller
250 State Farm Pkwy |
$245.99 | 800 | 390 |
|
Kelly Elise Hill
4515 Southlake Pkwy |
$1.05 | 793 | 398 |
|
Norman Winn Gayle Seay
619 19Th St S |
$0.72 | 746 | 75 |
|
Timothy Todd Fleenor
619 19Th St S |
$1.36 | 723 | 712 |
|
Robert Pearlman
2000 6Th Ave S |
$1.40 | 672 | 514 |
|
Kimberly Paige Burns
50 Medical Park Dr E |
$1.28 | 637 | 514 |
|
Diamond Vrocher
1806 Sixth Avenue South |
$5.18 | 631 | 486 |
|
Jefferson County Board Of Health
1400 6Th Ave S |
$53.05 | 583 | 550 |
|
Amber Bozeman
Medical 50 Medical Park East Dr. |
$5.95 | 571 | 498 |
|
David M Kitchens
619 19Th Street South |
$0.00 | 547 | 439 |
|
Candace Osborn Smith
50 Medical Park E Drive |
$1.41 | 522 | 499 |
|
Jose Ramon Mestre
1023 22Nd St S |
$0.00 | 505 | 168 |
|
Jennifer Dudney Davidson
1000 19Th St S |
$0.01 | 485 | 296 |
|
James William Custis
3911 10Th Ave S |
$1.41 | 475 | 452 |
|
Jeffrey Harris Flannery
6930 Cahaba Valley Rd |
$0.99 | 443 | 229 |
|
Victor E. Mendoza
5130 Cyrus Cir |
$13.02 | 437 | 405 |
|
James Richard Gramling
5890 Valley Rd Ste 200 |
$0.54 | 413 | 235 |
|
Jesanna Carolan Cooper
832 Princeton Ave Sw |
$55.46 | 405 | 314 |
|
Jones Mcclellan King
625 19Th St S |
$1.34 | 371 | 291 |
|
David P Denney
3523 Rockcliff Cir |
$0.83 | 363 | 322 |
|
William Peyton Shirley
5406 Highway 280 |
$0.00 | 359 | 287 |
|
Jerry Matthew Digman
1600 7Th Ave S Ste 110 |
$1.25 | 343 | 338 |
|
Colette Jackson
1000 19Th St S |
$0.00 | 322 | 213 |
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