Average Medicaid Prescription Medications Payments in Brentwood, TN: $2.65
Avg. Paid
$2.65
Range
$0.00 – $10.31
Total Claims
11,289
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 Brentwood, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kenneth Michael Homolya
330 Franklin Rd |
$3.11 | 4,936 | 3,214 |
|
Brandon Ross Tolman
1195 Old Hickory Blvd Ste 102 |
$5.63 | 1,082 | 605 |
|
Stuart Jones
317 Seven Springs Way |
$0.23 | 1,077 | 875 |
|
Tanna S Vaughan
330 Seven Springs Way |
$4.33 | 838 | 621 |
|
John Chukwujekwu Nwofia
1805 Williamson Ct |
$2.24 | 763 | 547 |
|
Conrad B Cox
1620 Westgate Cir |
$0.00 | 560 | 503 |
|
Lynsey Danae Morgan
5121 Maryland Way Ste 300 |
$1.05 | 511 | 453 |
|
Cassidy Belew
5410 Maryland Way |
$2.38 | 336 | 304 |
|
Sreedhar Samudrala
1195 Old Hickory Blvd |
$1.15 | 245 | 203 |
|
Joel Lowell Parker
9019 Overlook Blvd Ste C1B |
$0.00 | 200 | 149 |
|
Phylliss Lamora Flowers
5511 Virginia Way |
$0.88 | 142 | 84 |
|
Shelly Marie Hargrove
6688 Nolensville Rd Ste 108 |
$1.32 | 135 | 130 |
|
Cassidy Roland Turner
317 Seven Springs Way Ste 101 |
$0.35 | 102 | 63 |
|
Monica Leigh Davis
1195 Old Hickory Blvd |
$1.18 | 100 | 84 |
|
Melissa R Cook
5511 Virginia Way |
$2.60 | 57 | 50 |
|
Rebekah Patricia Cashin
1208 Choctaw Trl |
$10.15 | 32 | 25 |
|
Jason D Jones
210 Westwood Pl Ste 110 |
$2.91 | 30 | 28 |
|
Aaron James Wenzel
317 Seven Springs Way |
$1.24 | 29 | 24 |
|
Martha Lemons
1195 Old Hickory Blvd Ste 102 |
$0.99 | 27 | 27 |
|
Stacey Leigh Groves
317 Seven Springs Way Ste 101 |
$0.20 | 24 | 22 |
|
George Thomas Morgan
1805 Williamson Court |
$0.11 | 19 | 12 |
|
Rachel Elizabeth Ortiz
5511 Virginia Way |
$1.30 | 15 | 13 |
|
Nancy A Wolfe-Sidberry
5046 Thoroughbred Ln |
$1.18 | 15 | 12 |
|
David Louis Sincavage
9421 Raven Hollow Rd |
$10.31 | 14 | 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 Brentwood, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Brentwood, TN is $2.65 per claim, based on 11,289 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 Brentwood, TN?
There are 24 Medicaid providers offering Prescription Medications related services in Brentwood, TN according to public payment data.
What is the price range for Prescription Medications in Brentwood, TN?
Medicaid reimbursement for Prescription Medications in Brentwood, TN ranges from $0.00 to $10.31 per claim, with an average of $2.65. 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
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 Brentwood, TN
Home Health Visit
Avg $71.49
669,488 claims
Personal Care Services
Avg $114.06
425,587 claims
Blood Work & Lab Tests
Avg $1.61
418,121 claims
Pathology & Lab Services
Avg $37.47
279,372 claims
Office Visit
Avg $37.21
272,272 claims
Dental Cleaning & Exam
Avg $30.01
166,109 claims
Emergency Room Visit
Avg $80.17
96,460 claims
Urinalysis & Urine Tests
Avg $0.61
86,231 claims