Average Medicaid Prescription Medications Payments in Gallatin, TN: $33.31
Avg. Paid
$33.31
Range
$0.00 – $155.93
Total Claims
6,148
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 Gallatin, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Richard Alan Bennett
437 E Main St |
$55.99 | 1,396 | 1,174 |
|
Robert Winslow Caughey
300 Steam Plant Rd Ste 410 |
$2.04 | 1,231 | 697 |
|
Dianna L Shipley
225 Big Station Camp Blvd |
$0.64 | 902 | 407 |
|
James Andrew Reed
1710 Nashville Pike |
$0.00 | 619 | 605 |
|
Joju Mathews Joseph
270 East Main Street |
$120.80 | 603 | 190 |
|
Tamjeed Ahmed
225 Big Station Camp Blvd Ste 201 |
$0.88 | 351 | 163 |
|
Megan Elizabeth Mason
110 Saint Blaise Rd Ste 200 |
$155.93 | 250 | 75 |
|
John Kerwin Trussell
437 E Main St |
$56.14 | 184 | 145 |
|
Benjamin P. Debelak
253 W Main St |
$2.49 | 128 | 85 |
|
Steven T Riley
648 Hartsville Pike |
$0.13 | 126 | 117 |
|
Ferdinand S Espeleta
1525 Hunt Club Blvd |
$1.74 | 99 | 81 |
|
Brian Edward Koch
270 E Main St Ste 300 |
$2.12 | 60 | 42 |
|
Stephen Matthew Rose
270 E Main St |
$2.53 | 47 | 36 |
|
Nicole Anne Paier Mullan
1443 Long Hollow Pike |
$2.87 | 40 | 28 |
|
Megan Nicole Tackett
648 Hartsville Pike |
$1.21 | 28 | 28 |
|
William G Glover
300 Steam Plant Rd. |
$2.31 | 20 | 13 |
|
Stephanie Lynn Urell
425 E Main St |
$0.92 | 20 | 13 |
|
Amanda Barton
300 Steam Plant Rd. |
$4.09 | 18 | 16 |
|
Anne C Hensley
648 Hartsville Pike |
$0.87 | 14 | 14 |
|
Tanzila Arzu Bashar
648 Hartsville Pike |
$1.69 | 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 Gallatin, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Gallatin, TN is $33.31 per claim, based on 6,148 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 Gallatin, TN?
There are 20 Medicaid providers offering Prescription Medications related services in Gallatin, TN according to public payment data.
What is the price range for Prescription Medications in Gallatin, TN?
Medicaid reimbursement for Prescription Medications in Gallatin, TN ranges from $0.00 to $155.93 per claim, with an average of $33.31. 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
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
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Tucson, AZ
Avg $24.34
489,015 claims · 169 providers
Other Procedures in Gallatin, TN
Office Visit
Avg $40.54
388,382 claims
Dental Cleaning & Exam
Avg $30.26
153,814 claims
Vaccines & Immunizations
Avg $18.16
126,457 claims
Emergency Room Visit
Avg $100.84
101,829 claims
Blood Work & Lab Tests
Avg $3.76
91,320 claims
Ambulance Transport
Avg $50.71
88,640 claims
Psychiatric Evaluation
Avg $70.81
75,442 claims
Nursing Facility Care
Avg $10.56
58,672 claims