Average Medicaid Prescription Medications Payments in Gallipolis, OH: $51.53
Avg. Paid
$51.53
Range
$0.00 – $707.89
Total Claims
18,830
Providers
26
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 Gallipolis, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Holzer Hospital Foundation
100 Jackson Pike |
$25.07 | 14,907 | 11,504 |
|
Gregory J. Mickunas
90 Jackson Pike |
$0.30 | 1,061 | 912 |
|
Amanda Nichole Mcconnell Mack
90 Jackson Pike |
$707.89 | 778 | 630 |
|
Latasha Alvaro
499 Jackson Pike Ste D |
$86.47 | 344 | 320 |
|
Louis Arsenio Gerena
100 Jackson Pike |
$3.51 | 260 | 255 |
|
Ajay K. Kottapalli
100 Jackson Pike |
$0.36 | 214 | 201 |
|
Ben Daniel O'Kelly
100 Jackson Pike |
$0.05 | 167 | 158 |
|
Adam Robert Martin Alley
420 Silver Bridge Plz |
$0.06 | 144 | 138 |
|
Charles D Crigger
90 Jackson Pike |
$0.01 | 118 | 113 |
|
Nathan A Clark
100 Jackson Pike |
$13.81 | 111 | 106 |
|
Holzer Clinic, Llc
100 Jackson Pike |
$61.89 | 104 | 94 |
|
Charles Bishop
100 Jackson Pike |
$0.09 | 93 | 84 |
|
Nirav N Parekh
100 Jackson Pike |
$16.69 | 81 | 75 |
|
Jeri S. Kitchen
100 Jackson Pike |
$34.73 | 73 | 70 |
|
Brett Allen Jones
100 Jackson Pike |
$0.88 | 53 | 53 |
|
Clyde Rorrer
90 Jackson Pike |
$0.00 | 51 | 46 |
|
Stephanie Dawn Dewitt
100 Jackson Pike |
$0.01 | 43 | 39 |
|
Khawaja K. Hamid
170 Jackson Pike |
$0.03 | 40 | 24 |
|
Charles E Zierenberg
Holzer Clinic, Llc |
$0.09 | 37 | 37 |
|
Pradeep K. Kandula
100 Jackson Pike |
$0.00 | 29 | 16 |
|
Andrew Martin
100 Jackson Pike |
$36.27 | 26 | 26 |
|
Amy N. Hendrix
100 Jackson Pike |
$36.27 | 26 | 26 |
|
Adam Ritchie
100 Jackson Pike |
$37.85 | 25 | 25 |
|
Michael A Correal
90 Jackson Pike |
$0.08 | 18 | 13 |
|
Jonathan Mathis
100 Jackson Pike |
$0.03 | 15 | 12 |
|
Renuka Kandula
100 Jackson Pike |
$0.00 | 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 Gallipolis, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Gallipolis, OH is $51.53 per claim, based on 18,830 claims from 26 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 Gallipolis, OH?
There are 26 Medicaid providers offering Prescription Medications related services in Gallipolis, OH according to public payment data.
What is the price range for Prescription Medications in Gallipolis, OH?
Medicaid reimbursement for Prescription Medications in Gallipolis, OH ranges from $0.00 to $707.89 per claim, with an average of $51.53. 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
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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 Gallipolis, OH
Office Visit
Avg $43.81
613,861 claims
Blood Work & Lab Tests
Avg $7.31
522,117 claims
Emergency Room Visit
Avg $100.16
166,202 claims
X-Ray
Avg $10.19
165,624 claims
Substance Abuse Treatment
Avg $144.92
94,115 claims
Urinalysis & Urine Tests
Avg $6.80
87,072 claims
Psychiatric Evaluation
Avg $49.08
79,265 claims
CT Scan (Computed Tomography)
Avg $98.27
76,335 claims