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Based on public Medicaid payment data.

Average Medicaid Prescription Medications Payments in Chattanooga, TN: $9.15

Avg. Paid

$9.15

Range

$0.00 โ€“ $446.56

Total Claims

59,705

Providers

140

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 Chattanooga, TN

Provider Avg. Paid Claims Patients
Nilesh Chiman Patel

251 N Lyerly St

$13.07 8,111 1,262
Nathan E Chamberlain

251 N Lyerly St Ste 100

$20.03 5,135 1,212
Memorial Health Care System Inc.

2525 Desales Ave

$0.24 4,362 2,892
Jonathan M Kerley

2372 Lifestyle Way Ste 152

$0.96 4,137 3,004
Rohit K Gupta

251 N Lyerly St

$1.12 3,545 404
Chattanooga Hamilton County Hospital Authority

975 E Third Street

$0.50 3,144 2,981
Mandeep S Grewal

251 N Lyerly St

$18.57 1,907 627
Donald B Franklin

251 N Lyerly St

$7.72 1,873 226
Brant G Holt

251 N Lyerly St

$29.24 1,762 479
County Of Hamilton

921 E 3Rd St

$0.00 1,561 1,323
Katelyn Diana Anderson

1720 Gunbarrel Rd Ste 400

$2.96 1,489 1,257
Colton Popp

4211 Hixson Pike

$0.00 1,041 1,004
James Terrell Nunally

251 N Lyerly St Ste 300

$51.13 1,030 939
Awilda Marrero Labonne

13 W Kent St Ste 103

$1.03 976 643
Melissa Mcleary Jones

901 Riverfront Pkwy Ste 300

$2.90 910 680
Patrick Carl Grayson

1425 S Moore Rd Ste E

$17.79 788 607
Natasha Elizabeth Ballard

1521 Gunbarrel Rd

$3.26 766 714
Daniel B Herz

979 E 3Rd St

$2.73 712 550
Christopher V Poole

251 N Lyerly St

$21.24 659 173
Christopher Meshberger

251 N Lyerly St Ste 100

$0.00 594 63
Jeremy Reginald Bruce

975 E 3Rd St

$3.75 504 430
Melissa Leann Hall

4355 Highway 58 Ste 101

$0.48 442 357
Robert Quigley

910 Blackford St

$0.02 436 360
Meagan Aiken-Vaphiadis

281 N Lyerly St Ste 100

$1.24 432 361
Jennifer Michelle Daughtrey

5319 Ringgold Rd Ste C

$0.92 424 373
Sam Bazrafshan

4308 Brainerd Rd

$0.13 414 266
Ralph W Stafford

251 N Lyerly St

$27.86 413 87
Shelley L Murphy

1018 Blackford Street

$3.85 401 385
Tamarrah Davis

910 Blackford St

$3.94 380 363
Terriest Vonceile Haire

1032 Mccallie Ave

$0.95 344 318
Patricia Geraghty

2372 Lifestyle Way Ste 152

$0.94 339 281
Brandon A Cincere

979 E 3Rd St

$8.71 334 286
Whitney Irwin Buss

910 Blackford St

$4.25 310 292
Sarah E Sterner

375 East 3Rd St

$3.41 308 295
Jennifer Flanagan Cole

313 Manufacturers Rd

$0.00 304 297
Elise Marie Springer Brown

910 Blackford St

$4.39 296 290
Jesse Joel Coleman

2333 Mccallie Ave

$0.10 290 257
David R Wharton

975 E 3Rd St

$0.16 282 233
Jesse F Doty

979 E. Third Street

$0.00 277 224
Peter John Lund

1809 Gunbarrel Rd

$3.81 255 214
Jack Ewell Greer

901 Riverfront Parkway

$0.00 248 244
John Willis Marshall

2333 Mccallie Ave

$0.26 247 195
Janet Lynn Woods

2525 De Sales Avenue

$0.91 240 196
Ronald W Tompkins

2333 Mccallie Ave

$0.00 237 198
Wendell Moses

900 E 3Rd St

$0.00 236 211
Michael J Seeber

979 E 3Rd St

$1.37 234 214
Kristopher Case Sanders

979 E 3Rd St

$4.33 225 153
Jack M. Rowland

1511 Gunbarrel Rd Ste 111

$0.33 212 201
Matthew Campbell

281 N Lyerly St Ste 100

$3.41 212 170
Claude M Galphin

251 N Lyerly St

$0.00 206 24

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 Chattanooga, TN?

Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Chattanooga, TN is $9.15 per claim, based on 59,705 claims from 140 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 Chattanooga, TN?

There are 140 Medicaid providers offering Prescription Medications related services in Chattanooga, TN according to public payment data.

What is the price range for Prescription Medications in Chattanooga, TN?

Medicaid reimbursement for Prescription Medications in Chattanooga, TN ranges from $0.00 to $446.56 per claim, with an average of $9.15. Private insurance and self-pay costs are typically higher than these Medicaid rates.

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