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Based on public Medicaid payment data.

Average Medicaid Prescription Medications Payments in Bowling Green, KY: $8.87

Avg. Paid

$8.87

Range

$0.00 โ€“ $60.69

Total Claims

130,489

Providers

61

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 โ€” 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 Bowling Green, KY

Provider Avg. Paid Claims Patients
Bowling Green-Warren County Community Hospital Corporation

250 Park St

$10.79 78,927 60,013
Greenview Hospital, Inc.

1801 Ashley Cir

$5.18 19,879 17,237
Rodney Ross Miller

165 Natchez Trace Ave Ste 205

$4.86 4,084 3,191
Julia Christine Caldwell

1048 Ashley St Ste 102

$4.12 2,895 2,538
Christian Unick

165 Natchez Trace Ave

$4.85 2,480 2,115
Daniel Reynolds

165 Natchez Trace Ave

$4.38 2,474 2,079
Robert Shane Riley

165 Natchez Trace Ave

$9.48 1,949 1,818
Total Renal Care Inc

391 Suwannee Trail St

$0.04 1,921 104
Dele Ogunyemi

250 Park St

$6.46 1,734 1,332
James Ralph Heltsley

165 Natchez Trace Ave

$9.68 1,677 1,563
Interventional Pain Specialists Of Bowling Green Plc

165 Natchez Trace Ave

$15.14 1,594 1,559
Sameer Badarudeen

825 2Nd Ave Ste C2

$4.82 1,524 1,273
Rasesh Desai

825 2Nd Ave Ste C2

$4.84 1,380 1,168
Robert Wood Byrd

1725 Mcintosh St

$5.41 951 850
Erin Marr

2724 Nashville Rd

$2.57 908 759
Gregg A Malmquist

165 Natchez Trace Ave

$9.24 669 639
Christopher M Patton

165 Natchez Trace Ave

$8.11 641 581
Shelly Geary

730 Fairview Ave Ste B3

$8.75 557 472
Ramarao Venkata Pasupuleti

440 High St

$2.12 457 394
Medhat N. Grace

1225 Fairway St

$34.56 435 377
Vidya Seshadri

201 Park St

$1.18 389 211
Kirk A Fee

165 Natchez Trace Ave

$8.35 301 284
Heidi Denise Estes

4863 Scottsville Rd Ste B

$0.75 204 162
Ashley Oakes Towe

421 Us 31W Byp

$30.65 187 173
Seth Landon King

165 Natchez Trace Ave

$8.44 179 167
Kayla Johnson Kuzma

2530 Scottsville Rd Ste 112

$0.89 179 147
Keith D Morrison

165 Natchez Trace Ave

$5.98 177 165
Adrienne Lynn Brown Tinch

6807 Louisville Rd

$2.52 175 142
Annette Lynn Carpenter

5796 Nashville Rd

$1.25 170 160
David B Richards

165 Natchez Trace Ave

$8.58 155 148
Kathy Howard

201 Park St

$60.69 126 116
Valeriya Ivanovna Barko

1225 Fairway St

$4.60 121 98
Melinda Hargrove

1801 Ashley Cir

$0.66 113 105
Lori A. Walton

6807 Louisville Rd

$1.24 106 97
Lori Ann Jackson

990 Wilkinson Trce

$0.57 72 57
Kristin Alyce Lee

201 Park St

$0.38 58 31
Amy Hudson

2508 Scottsville Rd Ste 104

$0.70 54 41
Kathryn M. Lewis

427 Us 31W Byp Ste 204

$1.05 49 45
John T Burch

165 Natchez Trace Ave

$12.60 47 42
Laura G. Harmon

6807 Louisville Rd

$1.00 43 40
Judy L Stevens

1830 Destiny Ln

$1.92 40 28
Haley C Pace

5796 Nashville Rd

$0.42 38 31
Jacqueline Nicole Wise

225 Natchez Trace Ave

$9.35 31 26
Steve Duleh

1801 Ashley Cir

$0.00 29 25
Stevie Eaton

5796 Nashville Rd

$1.64 28 27
Angela Clark

427 Us 31W Byp

$0.36 28 25
Mackenzie Carey

225 Natchez Trace Ave

$13.04 27 27
Sarah Lynn Shouse

2724 Nashville Rd

$0.81 26 25
Jessica N. Daffron

6807 Louisville Rd

$1.59 26 26
Kelly Kilburn Mcbrayer

165 Natchez Trace Ave Ste 205

$0.71 18 16

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 โ€”
J0120 Tetracyclin injection โ€” โ€” โ€”
J0133 Acyclovir injection โ€” โ€” โ€”
J0202 Injection, alemtuzumab โ€” โ€” โ€”
J0795 Corticorelin ovine triflutal โ€” โ€” โ€”
J1160 Digoxin injection โ€” โ€” โ€”
J1205 Chlorothiazide sodium inj โ€” โ€” โ€”
J1260 Dolasetron mesylate โ€” โ€” โ€”
J1290 Ecallantide injection โ€” โ€” โ€”
J1300 Eculizumab injection โ€” โ€” โ€”
J1301 Injection, edaravone, 1 mg โ€” โ€” โ€”
J1303 Inj., ravulizumab-cwvz 10 mg โ€” โ€” โ€”
J1305 Inj, evinacumab-dgnb, 5mg โ€” โ€” โ€”
J1320 Amitriptyline injection โ€” โ€” โ€”
J1322 Elosulfase alfa, injection โ€” โ€” โ€”
J1327 Eptifibatide injection โ€” โ€” โ€”

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 Bowling Green, KY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Bowling Green, KY is $8.87 per claim, based on 130,489 claims from 61 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 Bowling Green, KY?

There are 61 Medicaid providers offering Prescription Medications related services in Bowling Green, KY according to public payment data.

What is the price range for Prescription Medications in Bowling Green, KY?

Medicaid reimbursement for Prescription Medications in Bowling Green, KY ranges from $0.00 to $60.69 per claim, with an average of $8.87. Private insurance and self-pay costs are typically higher than these Medicaid rates.

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