Average Medicaid Prescription Medications Payments in Decatur, AL: $6.24
Avg. Paid
$6.24
Range
$0.00 – $76.21
Total Claims
14,780
Providers
29
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 Decatur, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kim Harbin
2941 Point Mallard Pkwy Se |
$1.30 | 3,929 | 3,639 |
|
Jerry Edward Robbins
2941 Point Mallard Pkwy Se Ste N |
$1.27 | 3,219 | 2,985 |
|
Crystal Leann Landrum
1501 7Th St Se Ste A |
$0.73 | 2,209 | 1,984 |
|
Me'Lissa R Young-Harkins
1802 Presbyterian Dr Sw |
$1.03 | 1,075 | 794 |
|
Reginald Dwain Gladish
1216 Somerville Road Se |
$76.21 | 1,006 | 212 |
|
Naveen Thomas Lobo
1310 14Th Ave Se |
$0.32 | 685 | 422 |
|
Stephanie Michelle Saint
1310 14Th Ave Se |
$2.67 | 624 | 482 |
|
Sammy F Becdach
1107 14Th Ave Se |
$0.73 | 375 | 155 |
|
Tiffanie Marshall Mcguire
2042 Beltline Rd Sw Ste B101 |
$0.00 | 362 | 109 |
|
Jeremy Keith Urban
1103 16Th Ave Se |
$0.94 | 317 | 233 |
|
Anna Dumas
1874 Beltline Rd Sw |
$0.57 | 312 | 227 |
|
Robert Stacy Tapscott
1103 16Th Ave Se |
$5.00 | 95 | 78 |
|
Heather Rakesh Shah
1107 14Th Ave Se Ste 200 |
$0.60 | 78 | 42 |
|
Michael D. Dick
2828 Highway 31 S |
$0.00 | 64 | 57 |
|
Jaime Leighann Corcoran
2422 Danville Rd Sw Ste E |
$0.88 | 63 | 58 |
|
Michael Lee Putman
1874 Beltline Rd Sw |
$1.63 | 58 | 49 |
|
Richard Scott Sharp
1103 16Th Ave Se |
$3.22 | 36 | 27 |
|
Amanda Kay Anderson
4218 Highway 31 South |
$0.84 | 33 | 32 |
|
John Peter Kaliszak
1201 7Th St Se |
$0.99 | 31 | 29 |
|
Gene Edward Walker
1201 7Th St Se |
$1.78 | 28 | 28 |
|
Kristi Deanna Marlin
1201 7Th St Se |
$0.00 | 27 | 27 |
|
Tom-Meka Michele Archinard
1201 7Th St Se |
$0.11 | 26 | 25 |
|
Katie Ann Holt
1201 Somerville Rd Se Ste 1 |
$0.80 | 26 | 13 |
|
Tammie S Smith
1115 Beltline Rd Se Ste 400 |
$0.00 | 19 | 13 |
|
James E Posey
801 Church St Ne |
$0.44 | 19 | 12 |
|
Kevin Dion Campbell
2828 Highway 31 S Ste 107 |
$0.77 | 18 | 16 |
|
Mila T. Riehl
2215 Mallard Ln Se |
$0.00 | 16 | 13 |
|
John Hardisty
1201 7Th St Se |
$0.00 | 16 | 14 |
|
Kimberly M Young
1813 Beltline Rd Sw |
$4.44 | 14 | 13 |
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 Decatur, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Decatur, AL is $6.24 per claim, based on 14,780 claims from 29 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 Decatur, AL?
There are 29 Medicaid providers offering Prescription Medications related services in Decatur, AL according to public payment data.
What is the price range for Prescription Medications in Decatur, AL?
Medicaid reimbursement for Prescription Medications in Decatur, AL ranges from $0.00 to $76.21 per claim, with an average of $6.24. 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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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
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Louisville, KY
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 Decatur, AL
Office Visit
Avg $39.95
336,311 claims
Behavioral & Mental Health Therapy
Avg $55.34
181,784 claims
Psychiatric Evaluation
Avg $79.81
172,293 claims
Physical Therapy
Avg $23.23
153,971 claims
Dental Cleaning & Exam
Avg $23.50
114,089 claims
Blood Work & Lab Tests
Avg $7.90
79,935 claims
Case Management Services
Avg $117.16
70,977 claims
Emergency Room Visit
Avg $54.32
68,321 claims