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Based on public Medicaid payment data.

Average Medicaid Prescription Medications Payments in Cullman, AL: $5.00

Avg. Paid

$5.00

Range

$0.00 โ€“ $605.65

Total Claims

12,620

Providers

30

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 Cullman, AL

Provider Avg. Paid Claims Patients
Stephanie T Williams

1800 Al Highway 157

$0.69 5,443 5,027
James V Thomas

1908 Cherokee Ave Sw

$0.07 1,785 1,130
Richard Payne Dodd

1701 Main Ave Sw Ste A

$9.10 1,025 912
Thomas B Oliver

1701 Main Ave Sw

$9.81 601 548
Justin Wilson

408 Clark St Ne

$1.62 562 267
Minh Huu Nguyen Huynh

1912 Al Highway 157

$0.71 465 413
Patrick S. Baldwin

1912 Alabama Highway 157

$0.83 412 395
Thomas Blubaugh

1908 Cherokee Ave Sw

$4.59 395 265
John Eugene Songer

1800 Al Highway 157

$3.78 298 197
Joseph Rayburn Jowers

1800 Al Highway 157

$16.26 262 228
Ryan C Pettit

1958 Al Highway 157

$0.74 218 139
Thomas Stephen Christian

1912 Al Highway 157

$1.06 172 146
Ryan Glenn Mcmorries

1912 Al Highway 157

$1.51 172 154
Cullman Internal Medicine, Pc

1890 Al Highway 157

$0.01 140 128
Peter Albert Crisologo

1912 Alabama Hwy 157

$0.00 103 51
Cullman Primary Care, Pc

1800 Al Highway 157 Ste 101

$6.81 74 69
Bahador M Tafazoli

1890 Al Highway 157

$4.59 63 34
James Andrew Hinson

101 2Nd Ave Se

$3.34 57 29
Robert W. Smith

210 Main Ave Sw

$1.61 56 52
Christopher C Laganke

1809 Kress Street

$605.65 55 50
Gary Keith Morton

1912 Al Highway 157

$0.00 48 39
Stacey S Varden

1890 Al Highway 157 Ste 300

$0.96 47 43
Advantage Family Care Inc

1311 2Nd Ave Sw Ste A

$0.00 44 43
Harry Sandoval Yu

1750 Al Highway 157

$0.59 31 26
David W Cosgrove

1912 Al Highway 157

$0.00 18 12
Leigha Weaver Lentini

1705 Main Ave Sw Ste B

$0.76 18 17
Jeremy Verbon Stidham

1890 Al Highway 157

$0.00 17 12
Neal Steil

1912 Al Highway 157

$0.96 14 12
Urgent Care Center, Llc

1701 Main Ave Sw

$14.14 13 13
Connor Andrew Ojard

1938 Al Highway 157

$2.86 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 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 Cullman, AL?

Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Cullman, AL is $5.00 per claim, based on 12,620 claims from 30 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 Cullman, AL?

There are 30 Medicaid providers offering Prescription Medications related services in Cullman, AL according to public payment data.

What is the price range for Prescription Medications in Cullman, AL?

Medicaid reimbursement for Prescription Medications in Cullman, AL ranges from $0.00 to $605.65 per claim, with an average of $5.00. Private insurance and self-pay costs are typically higher than these Medicaid rates.

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