Average Medicaid Prescription Medications Payments in Gadsden, AL: $1.75
Avg. Paid
$1.75
Range
$0.00 – $8.60
Total Claims
14,002
Providers
35
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 Gadsden, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bankimchandra J Patel
503 S 5Th St |
$6.53 | 15 | 14 |
|
James D Smith
100 Medical Center Dr |
$2.40 | 16 | 12 |
|
Sammye L Bradley
313 S 4Th St |
$1.55 | 19 | 19 |
|
Jeffery Michael Bowen
3066 Lakeview Cir |
$0.17 | 28 | 17 |
|
Shawnta Speer Anakwah
705 Goodyear Ave |
$1.65 | 30 | 13 |
|
Virenjan K Narayan
503 S 5Th St |
$3.03 | 39 | 38 |
|
Kurt W Kantzler
215 S 5Th St |
$0.00 | 41 | 24 |
|
Amy L Thornton
1026 Goodyear Ave. |
$1.20 | 48 | 45 |
|
Akil Taherbhai
Doctors Med Care Of Gadsden, P.C. |
$1.00 | 51 | 49 |
|
Malachy Ikechukwu Ijemere
600 S 3Rd St |
$0.69 | 54 | 53 |
|
Dinesh C Parmar
355 S 2Nd St |
$0.31 | 58 | 37 |
|
Myra Bethany Lipscomb
1007 Goodyear Ave |
$0.56 | 66 | 40 |
|
Christopher G Endfinger
1007 Goodyear Ave |
$1.21 | 70 | 67 |
|
Ashvini Sengar
355 S 2Nd St |
$0.23 | 93 | 43 |
|
Joshua Blake Camp
829 Riverbend Dr |
$8.60 | 94 | 92 |
|
Smithson Onyebuchi Ahiabuike
525 S 3Rd St |
$1.36 | 95 | 91 |
|
Sampson Ogbuchi
600 S 3Rd St |
$1.16 | 114 | 98 |
|
Radwan Mallah
600 S 3Rd St |
$1.01 | 125 | 112 |
|
Amy M Gorecki-Kelley
420 North Sixth Street Gadsden |
$0.71 | 191 | 140 |
|
Hannah Dean Dugan
366 E Meighan Blvd |
$0.60 | 227 | 155 |
|
Steven L Bayer
1907 Rainbow Dr |
$1.18 | 237 | 232 |
|
Elquis M. Castillo
705 Goodyear Ave |
$0.76 | 250 | 113 |
|
Megan Allison Lang
829 Riverbend Dr |
$1.25 | 323 | 281 |
|
Hallie H. Mcknight
1007 Goodyear Ave |
$1.01 | 406 | 310 |
|
Tamara Mcgahee
2108 Rainbow Dr |
$1.25 | 456 | 433 |
|
Raymond G Doty
420 N 6Th St |
$1.24 | 498 | 459 |
|
Matthew Brooke Lovato
829 Riverbend Dr |
$8.26 | 534 | 506 |
|
Janie Teresa Teschner
1016 Forrest Ave |
$1.21 | 541 | 508 |
|
Brittany Leann Robbins
3206 W Meighan Blvd |
$1.25 | 625 | 590 |
|
Allie Jones
507 S 4Th St |
$0.96 | 672 | 606 |
|
Kenneth Everette Skelton
829 Riverbend Dr |
$7.80 | 698 | 662 |
|
Eddy Arnold Smith
2108 Rainbow Dr |
$1.19 | 1,076 | 991 |
|
Brandi Malsy
1007 Goodyear Ave |
$0.99 | 1,372 | 1,198 |
|
Mark Jason Cobb
600 S 3Rd St |
$1.15 | 2,226 | 1,784 |
|
James Lombardo
507 S 4Th St |
$1.05 | 2,614 | 2,033 |
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 Gadsden, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Gadsden, AL is $1.75 per claim, based on 14,002 claims from 35 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 Gadsden, AL?
There are 35 Medicaid providers offering Prescription Medications related services in Gadsden, AL according to public payment data.
What is the price range for Prescription Medications in Gadsden, AL?
Medicaid reimbursement for Prescription Medications in Gadsden, AL ranges from $0.00 to $8.60 per claim, with an average of $1.75. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Gadsden, AL
Office Visit
Avg $56.92
364,159 claims
Dental Cleaning & Exam
Avg $23.55
234,566 claims
Psychiatric Evaluation
Avg $64.34
114,843 claims
Blood Work & Lab Tests
Avg $7.57
113,693 claims
Emergency Room Visit
Avg $55.60
100,040 claims
Ambulance Transport
Avg $37.94
62,991 claims
Vaccines & Immunizations
Avg $19.60
56,882 claims
Urinalysis & Urine Tests
Avg $2.10
47,760 claims