Average Medicaid Prescription Medications Payments in Cleveland, TN: $6.31
Avg. Paid
$6.31
Range
$0.00 – $17.41
Total Claims
31,651
Providers
44
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 Cleveland, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gary J Voytik
3913 Georgetown Rd Nw |
$17.41 | 7,877 | 6,318 |
|
Lisa Condra Swafford
4021 Keith St Nw |
$2.68 | 7,312 | 6,349 |
|
Jennifer Dawn Mchenry
1940 Westland Dr Sw |
$2.57 | 7,147 | 6,334 |
|
Charles Rudolph
170 Mouse Creek Rd Nw |
$2.99 | 2,281 | 2,064 |
|
Jateum Mauree Blackburn
2253 Chambliss Ave Nw Ste 400 |
$3.06 | 1,632 | 1,346 |
|
Paul E Pinson
3917 Georgetown Rd Nw |
$0.40 | 714 | 499 |
|
Tyler Russell Archer
102 Dunhill Pl Nw |
$2.68 | 648 | 529 |
|
Jeanie Marie Van Akkeren
862 Callen Ln Nw Ste 110 |
$0.55 | 511 | 371 |
|
Jessi Marri Steve
170 Mouse Creek Rd Nw |
$2.09 | 448 | 336 |
|
Brandon Kyle West
2700 Westside Dr Nw Ste 301 |
$16.10 | 430 | 360 |
|
Azhar Sheikh
1060 William Way Nw |
$0.38 | 264 | 238 |
|
Timothy Keith Crumpler
2650 Executive Park Nw |
$0.64 | 242 | 213 |
|
Reagin Farley Rhodes
3917 Georgetown Rd Nw |
$1.67 | 214 | 170 |
|
An L Tran
2390 N. Ocoee St. |
$0.66 | 197 | 97 |
|
Courtney Renee Harris
102 Dunhill Pl Nw |
$2.61 | 186 | 153 |
|
Kristy Alese Henegar
1420 Fritz St Se |
$0.68 | 144 | 128 |
|
Andrea Michelle Keith
400 Stuart Rd Ne Ste 1 |
$0.83 | 138 | 128 |
|
Paul Grayson Smith
2121 N Ocoee St |
$0.25 | 132 | 50 |
|
John Stewart Carden
3372 Keith St Nw |
$0.90 | 126 | 103 |
|
Donna Robinson
645 Paul Huff Pkwy Nw Ste 105 |
$1.21 | 99 | 82 |
|
Jaclyn Nicole Botterbush
110 Dunhill Pl Nw |
$0.59 | 97 | 75 |
|
Mary Frances Mcdaniel
862 Callen Ln Nw |
$0.47 | 94 | 69 |
|
Paul H Bacon
33 Mouse Creek Rd Nw |
$0.00 | 94 | 91 |
|
Mark T Pollard
1494 Stuart Rd Ne |
$3.17 | 74 | 67 |
|
Angela Marie Coates
2650 Executive Park Nw |
$1.13 | 59 | 24 |
|
Micole Andreia Lafforgue
3917 Georgetown Rd Nw |
$2.38 | 52 | 42 |
|
Urgent Care Centers Of East Tennessee, P.C.
4021 Keith St Nw |
$0.00 | 51 | 50 |
|
James Madison Torrence
254 Broad St Sw |
$0.80 | 48 | 41 |
|
Jennifer Aubrey Kilby
4220 Ocoee St N |
$2.67 | 41 | 33 |
|
Calvin Richard Kurz
2305 Chambliss Ave Nw |
$0.62 | 35 | 29 |
|
Anna Kathleen Carden
2650 Executive Park Nw |
$2.30 | 32 | 28 |
|
Ajitkumar Kemkar
2625 Executive Park Nw |
$0.24 | 31 | 24 |
|
Michelle N Albonetti Walker
2700 Westside Dr Nw Ste 103 |
$4.09 | 28 | 24 |
|
Barry Schulman
52 Mouse Creek Rd Nw |
$0.16 | 21 | 14 |
|
Sunny Q Thibodeaux
1060 Peerless Xing Nw Ste 101 |
$1.25 | 20 | 19 |
|
Chelsea Danielle Massey
2700 Executive Park Nw |
$1.13 | 19 | 15 |
|
Brenda A Snowman
2550 Business Park Dr Ne |
$2.11 | 18 | 12 |
|
Jeffrey Lynn Miller
2650 Executive Park Nw |
$0.00 | 16 | 16 |
|
Gerard K Mazza
2725 Keith St Nw |
$0.31 | 15 | 12 |
|
Ashlee Dennise Downey
1060 William Way Nw |
$0.76 | 14 | 12 |
|
Matthew Plott
2305 Chambliss Ave Nw |
$0.00 | 13 | 12 |
|
Albert Anthony Clairmont
2700 Westside Dr Nw |
$0.00 | 13 | 13 |
|
Ann Marie Morgan
2650 Executive Park Nw |
$2.61 | 12 | 12 |
|
Ryan Patrick Wilson
150 Stuart Xing Ne |
$0.00 | 12 | 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 Cleveland, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Cleveland, TN is $6.31 per claim, based on 31,651 claims from 44 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 Cleveland, TN?
There are 44 Medicaid providers offering Prescription Medications related services in Cleveland, TN according to public payment data.
What is the price range for Prescription Medications in Cleveland, TN?
Medicaid reimbursement for Prescription Medications in Cleveland, TN ranges from $0.00 to $17.41 per claim, with an average of $6.31. 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 Cleveland, TN
Office Visit
Avg $35.43
771,865 claims
Psychiatric Evaluation
Avg $57.27
405,200 claims
Blood Work & Lab Tests
Avg $4.36
280,543 claims
Vaccines & Immunizations
Avg $14.22
161,949 claims
Non-Emergency Medical Transportation
Avg $2.46
139,729 claims
Emergency Room Visit
Avg $88.19
134,309 claims
Home Health Visit
Avg $53.34
131,514 claims
Physical Therapy
Avg $25.59
118,232 claims