Average Medicaid Prescription Medications Payments in Hampton, VA: $3.06
Avg. Paid
$3.06
Range
$0.02 – $454.11
Total Claims
71,757
Providers
24
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 Hampton, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sentara Hospitals
3000 Coliseum Dr |
$0.18 | 41,066 | 30,822 |
|
Total Renal Care Inc
501 Butler Farm Rd Ste A |
$0.02 | 14,915 | 1,122 |
|
Jericho Dialysis, Llc
5 W Mercury Blvd |
$0.03 | 10,078 | 824 |
|
Rai Care Centers Of Virginia I, Llc
3319 W Mercury Blvd |
$0.11 | 2,872 | 292 |
|
Nicholas K Sablan
901 Enterprise Pkwy |
$6.22 | 535 | 463 |
|
Bryant R. Ramirez
4000 Coliseum Dr |
$454.11 | 397 | 188 |
|
Scott Kruger
3000 Coliseum Dr |
$0.84 | 380 | 196 |
|
Benjamin David Gensler
901 Enterprise Pkwy Ste 900 |
$9.44 | 259 | 232 |
|
Commonwealth Of Virginia State Board Of Health
3130 Victoria Blvd |
$6.99 | 224 | 189 |
|
Robert Middleton Hill
2115 Executive Dr |
$84.19 | 190 | 190 |
|
Khalil B Dahdah
501 Butler Farm Rd |
$0.61 | 153 | 122 |
|
Colin M Kingston
901 Enterprise Pkwy Ste 900 |
$5.80 | 148 | 129 |
|
Mark T Fleming
3000 Coliseum Dr |
$0.80 | 107 | 68 |
|
Kevin Anthony Dimauro
901 Enterprise Pkwy Ste 900 |
$5.99 | 86 | 75 |
|
David J Kobulnicky
3000 Coliseum Dr Ste 104 |
$0.90 | 65 | 38 |
|
Robert M Campolattaro
901 Enterprise Parkway |
$5.11 | 57 | 51 |
|
Jessica L Johnson
2240 Coliseum Dr |
$42.74 | 57 | 51 |
|
Elizabeth J Willoughby
2304 W Mercury Blvd |
$64.61 | 40 | 36 |
|
Amanda K Watkins
901 Enterprise Pkwy Ste 900 |
$4.84 | 40 | 40 |
|
Bruce Walter Reid
304 Marcella Rd |
$4.38 | 29 | 24 |
|
Tidewater Orthopaedic Associates Inc
901 Enterprise Pkwy Ste 900 |
$3.62 | 17 | 16 |
|
Omer Mujahid Ali
3000 Coliseum Dr Ste 104 |
$0.66 | 16 | 12 |
|
Kevin Matthew Mckelvey
77 Nealy Ave |
$1.26 | 14 | 14 |
|
Robert Charles Mason
Tidewater Orthopaedics |
$5.27 | 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 Hampton, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Hampton, VA is $3.06 per claim, based on 71,757 claims from 24 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 Hampton, VA?
There are 24 Medicaid providers offering Prescription Medications related services in Hampton, VA according to public payment data.
What is the price range for Prescription Medications in Hampton, VA?
Medicaid reimbursement for Prescription Medications in Hampton, VA ranges from $0.02 to $454.11 per claim, with an average of $3.06. 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 Hampton, VA
Non-Emergency Medical Transportation
Avg $19.03
880,362 claims
Office Visit
Avg $59.16
496,065 claims
Behavioral & Mental Health Therapy
Avg $199.00
391,475 claims
Emergency Room Visit
Avg $131.74
387,050 claims
Blood Work & Lab Tests
Avg $4.54
369,065 claims
Substance Abuse Treatment
Avg $104.01
364,655 claims
Physical Therapy
Avg $103.32
313,986 claims
Dental Cleaning & Exam
Avg $24.94
245,938 claims