Average Medicaid Prescription Medications Payments in Fort Payne, AL: $1.23
Avg. Paid
$1.23
Range
$0.00 – $24.14
Total Claims
5,289
Providers
22
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 Fort Payne, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Fort Payne Pediatrics, Llc
1359 Old Water Works Rd Sw |
$0.00 | 1,647 | 1,581 |
|
Ghaith Ajamoughli
1040 Glenn Blvd Sw |
$1.10 | 816 | 670 |
|
Jason Anthony Ham
2202 Jordan Rd Sw Ste 300 |
$0.45 | 815 | 652 |
|
Fort Payne Rhc Corp
415 Medical Center Dr Sw |
$0.00 | 381 | 360 |
|
Monique M. Sherrill
1202 Gault Ave N |
$0.69 | 305 | 243 |
|
Angela Aurora Cunningham
3840 Gault Ave N |
$1.00 | 182 | 120 |
|
Ashley Renee Cole
590 Medical Center Dr |
$1.19 | 166 | 153 |
|
Karen Shelley
200 Medical Center Dr Sw |
$4.42 | 148 | 120 |
|
Kristopher Ross Weemes
550 Medical Center Dr Sw |
$24.14 | 140 | 122 |
|
Shannon Simpson Morgan
200 Medical Center Dr Sw |
$1.27 | 109 | 93 |
|
Haiyden Faith Stubblefield
212 Airport Rd W |
$0.93 | 109 | 96 |
|
Katherine Lynne Hurtt
323 Medical Center Dr Sw |
$0.61 | 98 | 44 |
|
Shannon Hilley
2605 Gault Ave N Ste 200 |
$0.41 | 83 | 73 |
|
Scott Bradley Argo
2202 Jordan Rd Sw Ste 300 |
$0.84 | 78 | 63 |
|
Katie Elise Sewell
212 Airport Road W |
$1.19 | 71 | 69 |
|
Luiz Juan
2605 Gault Ave N Ste 200 |
$0.67 | 43 | 26 |
|
Peter Strogov
1359 Old Water Works Rd Sw |
$0.00 | 27 | 27 |
|
Micah Miranda Hilyer
3840 Gault Ave N |
$0.00 | 16 | 12 |
|
Yulanda Carol Elliott
3840 Gault Ave N |
$0.00 | 15 | 14 |
|
Andrew Hester
1411 Old Water Works Rd Sw |
$7.84 | 14 | 12 |
|
Luz Jovita Crystal
2202 Jordan Road Sw |
$0.09 | 14 | 14 |
|
Kendra Davis Wright
1403 Old Water Works Rd Sw |
$0.44 | 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 Fort Payne, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Fort Payne, AL is $1.23 per claim, based on 5,289 claims from 22 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 Fort Payne, AL?
There are 22 Medicaid providers offering Prescription Medications related services in Fort Payne, AL according to public payment data.
What is the price range for Prescription Medications in Fort Payne, AL?
Medicaid reimbursement for Prescription Medications in Fort Payne, AL ranges from $0.00 to $24.14 per claim, with an average of $1.23. 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
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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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Other Procedures in Fort Payne, AL
Office Visit
Avg $16.20
271,829 claims
Physical Therapy
Avg $54.74
106,562 claims
Vaccines & Immunizations
Avg $14.76
94,650 claims
Emergency Room Visit
Avg $53.88
57,898 claims
Blood Work & Lab Tests
Avg $6.60
46,650 claims
Speech Therapy
Avg $52.03
42,685 claims
Dental Cleaning & Exam
Avg $22.53
38,943 claims
Ambulance Transport
Avg $82.56
26,553 claims