Average Medicaid Prescription Medications Payments in Jackson, KY: $8.55
Avg. Paid
$8.55
Range
$0.61 – $36.20
Total Claims
32,780
Providers
25
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 Jackson, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jackson Hospital Corporation
540 Jett Dr |
$0.93 | 11,870 | 10,247 |
|
June Elizabeth Abadilla
12 Jackson Hts |
$9.58 | 3,312 | 2,662 |
|
Rebecca Mae Holbrook-Watkins
424 Jett Dr |
$19.25 | 2,893 | 2,165 |
|
Melecio G Abordo
12 Jackson Hts |
$6.90 | 2,698 | 1,721 |
|
Heather R Banks
1484 Lakeside Dr |
$14.18 | 1,701 | 1,510 |
|
Cynthia Prather Bell
832 Highway 15 N |
$17.15 | 1,661 | 1,378 |
|
James B West
1484 Lakeside Dr |
$8.99 | 1,412 | 1,251 |
|
Jennifer Lynn Dickey
1484 Lakeside Dr |
$14.05 | 1,103 | 970 |
|
Carl Gross
540 Jett Dr |
$10.89 | 975 | 833 |
|
Betty Faye Noble
832 Highway 15 N |
$18.76 | 850 | 750 |
|
Madison Haley Trent
1550 Highway 15 S Ste 240 |
$11.05 | 612 | 547 |
|
Allison Michelle Manning
1484 Lakeside Drive |
$4.00 | 552 | 493 |
|
Kelsea B Combs
1484 Lakeside Dr |
$11.17 | 502 | 452 |
|
Brittney Denise Herald
540 Jett Dr |
$25.02 | 410 | 376 |
|
Alan K Sloas
1484 Lakeside Dr |
$16.90 | 389 | 367 |
|
Scotty Dwayne Combs
1484 Lakeside Dr |
$12.45 | 338 | 308 |
|
Jerry Lee Campbell
1550 Highway 15 S Ste 240 |
$3.35 | 311 | 266 |
|
Courtney Brooke Addison
1484 Lakeside Dr |
$17.85 | 306 | 285 |
|
Amanda J. Blackburn
1484 Lakeside Dr |
$20.17 | 293 | 274 |
|
Aaron William Johnson
540 Jett Dr |
$3.29 | 280 | 227 |
|
George Edward Burnette
424 Jett Dr |
$36.20 | 111 | 78 |
|
Edgar A D Mendoza
1484 Lakeside Drive |
$27.21 | 107 | 96 |
|
Crystal Dawn Meyer
1484 Lakeside Dr |
$1.93 | 54 | 52 |
|
Beverly Dawn Ellis
1484 Lakeside Drive |
$0.61 | 26 | 25 |
|
Laken Nickell
1484 Lakeside Dr |
$0.85 | 14 | 14 |
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 Jackson, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Jackson, KY is $8.55 per claim, based on 32,780 claims from 25 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 Jackson, KY?
There are 25 Medicaid providers offering Prescription Medications related services in Jackson, KY according to public payment data.
What is the price range for Prescription Medications in Jackson, KY?
Medicaid reimbursement for Prescription Medications in Jackson, KY ranges from $0.61 to $36.20 per claim, with an average of $8.55. 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 Jackson, KY
Office Visit
Avg $32.51
398,710 claims
Blood Work & Lab Tests
Avg $13.61
389,444 claims
Psychiatric Evaluation
Avg $34.33
140,271 claims
Emergency Room Visit
Avg $159.82
130,882 claims
Durable Medical Equipment (DME)
Avg $32.72
86,884 claims
X-Ray
Avg $27.82
46,891 claims
Ambulance Transport
Avg $38.00
42,162 claims
Physical Therapy
Avg $18.51
38,746 claims