Average Medicaid Prescription Medications Payments in Cookeville, TN: $1.74
Avg. Paid
$1.74
Range
$0.00 – $9.09
Total Claims
19,651
Providers
57
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 Cookeville, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Wanda Faye Keagle
586 S Jefferson Ave Ste L |
$2.02 | 5,096 | 4,343 |
|
Pushpendra K Jain
225 N Willow Ave Ste 3 |
$1.69 | 3,599 | 2,433 |
|
Stacie Rothfus
562 W Main St |
$1.27 | 885 | 732 |
|
Blake Huddleston
340 N Cedar Ave |
$0.72 | 799 | 693 |
|
Scarlett Erica Garland
225 N Willow Ave |
$1.33 | 738 | 641 |
|
Kimber Janine Logan
315 N Washington Ave |
$1.80 | 611 | 422 |
|
Jenny Kennedy Cooper
1330 Neal St Ste D |
$1.22 | 574 | 504 |
|
Michael Palma Casal
1080 Neal St. |
$0.01 | 570 | 476 |
|
Linda A Gouker
562 W Main St |
$0.85 | 539 | 482 |
|
Landon Sears
1265 Interstate Dr Ste 101 |
$0.73 | 535 | 490 |
|
Gregory J Roberts
105 S Willow Ave |
$4.21 | 446 | 325 |
|
Kaitlyn Brooke Mashburn
1080 Neal St Ste 300 |
$0.77 | 379 | 333 |
|
Pardeep K Sharma
221 N Oak Ave |
$0.25 | 367 | 267 |
|
Johnna Sprague
620 S. Jefferson Ave |
$1.16 | 331 | 303 |
|
Kenneth A Grinspun
105 S Willow Ave |
$6.96 | 306 | 253 |
|
Whitney Lachele Matthews
851 S Willow Ave Ste 112 |
$0.80 | 280 | 169 |
|
Robin Sichala
435 N Cedar Ave |
$0.56 | 273 | 228 |
|
John M Turnbull
105 S Willow Ave |
$4.65 | 271 | 196 |
|
Marcy Michelle Little
701 County Services Dr |
$0.83 | 264 | 241 |
|
Hunter A Stenzel
1080 Neal St Ste 103 |
$2.81 | 247 | 211 |
|
Aspen Mcdonald
435 N Cedar Ave |
$0.70 | 228 | 209 |
|
Brittany B Denaro
1125 Perimeter Park Dr Ste 200 |
$0.00 | 213 | 132 |
|
Katherine Little
1101 Neal St |
$0.97 | 183 | 126 |
|
Christopher Delk
228 W 4Th St Ste 200 |
$1.34 | 181 | 167 |
|
Adam Jones
1 Medical Center Blvd |
$1.28 | 159 | 147 |
|
Satya Narayan Chakrabarty
435 N Cedar Ave |
$8.15 | 158 | 108 |
|
Charity Krista Zoodsma
222 W 4Th St Ste 201 |
$0.65 | 133 | 116 |
|
Halli Paige Haywood
562 W Main St |
$2.15 | 100 | 69 |
|
Brian Samuel
1 Medical Center Blvd |
$2.35 | 96 | 88 |
|
Maria Teresa Servida Ramos
758 S Willow Ave |
$1.54 | 87 | 77 |
|
Breanna Jane Meadows
225 N Willow Ave Ste 3 |
$0.54 | 82 | 75 |
|
Ashley Lauren Mobley
320 N Oak Ave |
$2.54 | 82 | 50 |
|
Billy Derek Worley
105 S Willow Ave |
$4.53 | 80 | 69 |
|
Ricky Allen Smith
320 N Oak Ave |
$0.00 | 69 | 53 |
|
Lee S Moore
320 N Oak Ave |
$3.38 | 69 | 39 |
|
Joseph C Archer
105 S Willow Ave |
$6.58 | 66 | 62 |
|
Joshua Dragan
562 W Main St |
$1.20 | 63 | 56 |
|
Caitlin Locke
340 N Cedar Ave |
$0.69 | 47 | 43 |
|
Shawn Paul Stachler
105 S Willow Ave |
$5.61 | 44 | 42 |
|
Jessie Lee Tompkins
435 N Cedar Ave |
$0.88 | 40 | 38 |
|
Michael Anton Pahl
335 W Spring St |
$6.36 | 39 | 36 |
|
Ashlynn Taylor Butler
758 S Willow Ave |
$1.26 | 38 | 29 |
|
Philip A Elizondo
105 S Willow Ave |
$0.33 | 32 | 26 |
|
Charles T Huddleston
203 N Cedar Ave |
$0.00 | 32 | 26 |
|
Jennifer L Mabry
228 W 4Th St |
$0.35 | 29 | 29 |
|
Rebecca Jones
100 W 3Rd St |
$1.97 | 27 | 25 |
|
Robert E Paasche
1 Medical Center Blvd |
$0.42 | 17 | 14 |
|
Lucas Tyler Pittman
340 N Cedar Ave |
$0.49 | 17 | 12 |
|
Bert E Geer
100 W 3Rd St |
$0.00 | 16 | 12 |
|
Lisa A Wheeler
315 N Washington Ave |
$0.49 | 16 | 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 | — |
| 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 Cookeville, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Cookeville, TN is $1.74 per claim, based on 19,651 claims from 57 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 Cookeville, TN?
There are 57 Medicaid providers offering Prescription Medications related services in Cookeville, TN according to public payment data.
What is the price range for Prescription Medications in Cookeville, TN?
Medicaid reimbursement for Prescription Medications in Cookeville, TN ranges from $0.00 to $9.09 per claim, with an average of $1.74. 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
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Avg $9.22
755,550 claims · 88 providers
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Avg $6.48
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Los Angeles, CA
Avg $61.23
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Avg $31.67
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New York, NY
Avg $40.26
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San Diego, CA
Avg $27.34
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Avg $24.34
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Other Procedures in Cookeville, TN
Office Visit
Avg $38.32
1,005,828 claims
Home Health Visit
Avg $70.87
344,852 claims
Personal Care Services
Avg $124.74
336,719 claims
Vaccines & Immunizations
Avg $15.04
247,680 claims
Blood Work & Lab Tests
Avg $3.34
237,762 claims
Psychiatric Evaluation
Avg $39.29
214,740 claims
Ambulance Transport
Avg $28.54
201,109 claims
Dental Cleaning & Exam
Avg $29.79
194,191 claims