Average Medicaid Prescription Medications Payments in Franklin, TN: $123.40
Avg. Paid
$123.40
Range
$0.00 – $972.76
Total Claims
9,021
Providers
20
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 Franklin, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michele Lee Augustin
1345 W Main St |
$1.15 | 1,801 | 1,578 |
|
Ashish Soni
4323 Carothers Pkwy Ste 501 |
$3.91 | 1,449 | 123 |
|
Optum Pharmacy 705, Llc
1893 General George Patton Dr Ste 106 |
$972.76 | 1,127 | 902 |
|
Paul Austin Thomas
4323 Carothers Pkwy Ste 201 |
$0.32 | 1,035 | 734 |
|
Michael B Bell
3000 Edward Curd Ln |
$5.03 | 931 | 759 |
|
Zachary Robert Kalb
3000 Edward Curd Ln |
$0.99 | 805 | 608 |
|
Christie Michelle Rice
720 Cool Springs Blvd Ste 500 |
$2.29 | 568 | 502 |
|
Jamil Auvy Hossain
1909 Mallory Ln Ste 201 |
$0.27 | 463 | 218 |
|
Jeffrey L Mitchell
1909 Mallory Ln Ste 100 |
$0.27 | 214 | 107 |
|
Elisa Runions
6550 Carothers Pkwy |
$0.86 | 203 | 175 |
|
Cary Charles Register
6550 Carothers Pkwy Ste 225 |
$2.18 | 171 | 152 |
|
Thomas Garitty
330 Mayfield Dr Ste A14 |
$0.00 | 68 | 68 |
|
Roger J Blandford
3000 Edward Curd Ln |
$0.39 | 60 | 55 |
|
Jeffrey Ian Kutsikovich
3000 Edward Curd Ln |
$0.00 | 27 | 26 |
|
Julie Means
4488 Carothers Pkwy Ste 300 |
$0.50 | 23 | 14 |
|
Emily E Mason
4323 Carothers Pkwy Ste 201 |
$10.92 | 21 | 18 |
|
Katherine Elizabeth Richardson
3000 Edward Curd Ln |
$0.63 | 15 | 13 |
|
Patrick Martin
625 Bakers Bridge Ave Ste 101 |
$70.70 | 14 | 13 |
|
Douglas A Eastham
3000 Edward Curd Ln |
$0.28 | 14 | 13 |
|
Todd M Gee
3000 Edward Curd Ln |
$0.77 | 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 Franklin, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Franklin, TN is $123.40 per claim, based on 9,021 claims from 20 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 Franklin, TN?
There are 20 Medicaid providers offering Prescription Medications related services in Franklin, TN according to public payment data.
What is the price range for Prescription Medications in Franklin, TN?
Medicaid reimbursement for Prescription Medications in Franklin, TN ranges from $0.00 to $972.76 per claim, with an average of $123.40. 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 Franklin, TN
Behavioral & Mental Health Therapy
Avg $92.87
1,141,017 claims
Case Management Services
Avg $20.09
930,698 claims
Office Visit
Avg $44.55
343,086 claims
Psychiatric Evaluation
Avg $68.99
272,378 claims
Speech Therapy
Avg $39.28
152,610 claims
Physical Therapy
Avg $34.84
136,334 claims
Blood Work & Lab Tests
Avg $3.63
121,647 claims
Dental Cleaning & Exam
Avg $29.23
118,480 claims