Average Medicaid Prescription Medications Payments in Germantown, TN: $9.11
Avg. Paid
$9.11
Range
$0.00 – $67.43
Total Claims
31,063
Providers
66
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 Germantown, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Apurva Rashmikant Dalal
7656 Poplar Pike |
$8.72 | 8,402 | 5,219 |
|
Bradley G Somer
7945 Wolf River Blvd |
$33.38 | 2,594 | 1,494 |
|
Kurt W Tauer
7945 Wolf River Blvd |
$23.41 | 2,350 | 1,394 |
|
David C Portnoy
7945 Wolf River Blvd |
$1.17 | 1,568 | 909 |
|
Robert K Heck
1400 S Germantown Rd |
$7.29 | 1,253 | 966 |
|
Gang Gary Tian
7945 Wolf River Boulevard |
$0.82 | 1,156 | 715 |
|
Norfleet Buckner Thompson
1400 S Germantown Rd |
$4.58 | 1,071 | 734 |
|
John Carl Hyden
1400 S Germantown Rd |
$9.19 | 755 | 549 |
|
Marc J Mihalko
1400 S Germantown Rd |
$5.31 | 749 | 526 |
|
Mark E Reed
7945 Wolf River Blvd |
$0.66 | 743 | 464 |
|
Darel Louis Davis
8040 Wolf River Blvd Ste 103 |
$2.45 | 712 | 635 |
|
Eric R. Wiedower
7945 Wolf River Blvd |
$13.18 | 634 | 346 |
|
Jason C Chandler
7945 Wolf River Boulevard |
$2.19 | 613 | 368 |
|
The West Clinic, Pllc
7945 Wolf River Blvd |
$6.56 | 585 | 312 |
|
Arnel M Pallera
7945 Wolf River Blvd |
$0.73 | 576 | 372 |
|
Tanya Jones
7691 Poplar Ave |
$0.89 | 557 | 462 |
|
Syed Sameer Nasir
7945 Wolf River Blvd |
$16.71 | 504 | 198 |
|
Robert A Johnson
7945 Wolf River Boulevard |
$0.65 | 488 | 309 |
|
Adam Christopher Elnaggar
7945 Wolf River Blvd |
$0.81 | 482 | 258 |
|
Gregory Vidal
7945 Wolf River Blvd |
$1.65 | 402 | 206 |
|
Darren Lemar Johnson
1695 Neshoba Trace Cv |
$0.00 | 362 | 330 |
|
Santos F Martinez
1400 S Germantown Rd |
$4.79 | 348 | 271 |
|
Todd D Tillmanns
7945 Wolf River Boulevard |
$1.62 | 337 | 203 |
|
Matthew Kyle Bills
1400 S Germantown Rd |
$5.03 | 326 | 231 |
|
Jennifer Mitchell Miller
2120 Exeter Rd Ste 250 |
$2.35 | 287 | 249 |
|
Hilary Khalid
7148 Donnington Dr |
$0.03 | 257 | 243 |
|
Anthony Andrew Mascioli
1400 S Germantown Rd |
$6.53 | 204 | 165 |
|
Daniel Alberto Vaena
7945 Wolf River Blvd |
$0.72 | 184 | 109 |
|
Lauren Hill
1400 S Germantown Rd |
$2.33 | 181 | 160 |
|
Joseph Murphy Gleason
1325 Wolf Park Dr Ste 102 |
$0.00 | 165 | 161 |
|
Ashwini K Jha
7691 Poplar Ave |
$1.11 | 147 | 122 |
|
Abigail R Hill
7656 Poplar Pike |
$0.20 | 140 | 108 |
|
Mark T Jobe
1400 S Germantown Rd |
$5.86 | 137 | 106 |
|
Albert Earle Weeks
7655 Poplar Ave Ste 340 |
$1.75 | 133 | 61 |
|
Tunja Rash
7691 Poplar Ave |
$1.05 | 126 | 100 |
|
Leonard Jefferson Harris
7945 Wolf River Blvd |
$0.25 | 118 | 107 |
|
Wesley Owen
1400 S Germantown Rd |
$8.09 | 116 | 94 |
|
Scott L Baum
7945 Wolf River Blvd |
$0.72 | 116 | 96 |
|
Axel Grothey
7945 Wolf River Blvd |
$0.46 | 99 | 66 |
|
John R Crockarell
1400 S Germantown Rd |
$8.47 | 87 | 65 |
|
Yasmean Maher Taha
9301 Poplar Ave |
$3.74 | 80 | 76 |
|
William M. Mihalko
1400 S Germantown Rd |
$2.62 | 78 | 58 |
|
Andrew H Crenshaw
1400 S Germantown Rd |
$3.49 | 70 | 43 |
|
Liangping Weng
7945 Wolf River Blvd |
$0.21 | 68 | 44 |
|
Linda M Smiley
7945 Wolf River Blvd |
$0.87 | 65 | 46 |
|
Amber June Wade
7945 Wolf River Blvd |
$0.39 | 63 | 29 |
|
Ronald D Lawson
7945 Wolf River Blvd |
$0.94 | 62 | 26 |
|
Ramakrishna Battini
7945 Wolf River Blvd |
$0.72 | 53 | 38 |
|
Jason Porter
7945 Wolf River Blvd |
$0.86 | 49 | 30 |
|
Kristen Thelen
1400 S Germantown Rd |
$7.95 | 48 | 45 |
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 Germantown, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Germantown, TN is $9.11 per claim, based on 31,063 claims from 66 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 Germantown, TN?
There are 66 Medicaid providers offering Prescription Medications related services in Germantown, TN according to public payment data.
What is the price range for Prescription Medications in Germantown, TN?
Medicaid reimbursement for Prescription Medications in Germantown, TN ranges from $0.00 to $67.43 per claim, with an average of $9.11. 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 Germantown, TN
Office Visit
Avg $47.56
547,470 claims
X-Ray
Avg $7.11
477,411 claims
Blood Work & Lab Tests
Avg $3.65
401,601 claims
Physical Therapy
Avg $39.74
211,346 claims
CT Scan (Computed Tomography)
Avg $38.82
203,047 claims
Emergency Room Visit
Avg $102.60
152,110 claims
EKG / ECG (Electrocardiogram)
Avg $3.18
115,229 claims
Vaccines & Immunizations
Avg $16.46
69,231 claims