Average Medicaid Prescription Medications Payments in Johnson City, TN: $1.25
Avg. Paid
$1.25
Range
$0.00 – $35.11
Total Claims
31,693
Providers
74
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 Johnson City, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kristin Bounds Righi
3 Professional Park Dr Ste 21 |
$0.84 | 13 | 12 |
|
Nathaniel J Lee
1319 Sunset Dr |
$0.42 | 13 | 12 |
|
Randall L Belt
378 Marketplace Dr |
$0.00 | 14 | 12 |
|
Micah A Mcfaddin
2410 Susannah St |
$7.23 | 14 | 12 |
|
Steven T. Haywood
1120 Skyline Dr |
$0.03 | 15 | 13 |
|
Brandon Green
410 N State Of Franklin Rd |
$0.00 | 15 | 12 |
|
Natalie Bateson
310 N State Of Franklin Rd Ste 303 |
$1.67 | 15 | 12 |
|
Heather Bishop
2244 Boones Creek Rd |
$1.51 | 15 | 12 |
|
Madison B. Ellison
2410 Susannah St |
$7.44 | 15 | 13 |
|
Everett Vincent Baker
2410 Susannah St |
$12.12 | 16 | 14 |
|
Brit Edwin Bowers
801 Sunset Dr |
$0.00 | 16 | 14 |
|
Alvin L Murphy
2410 Susannah St |
$5.73 | 17 | 14 |
|
Michael J Allshouse
325 N State Of Franklin Rd Fl 3 |
$7.31 | 18 | 12 |
|
Andrew Townsend
301 Med Tech Pkwy Ste 180 |
$0.47 | 18 | 14 |
|
Richard K Mcdavid
3114 Browns Mill Rd |
$0.14 | 18 | 15 |
|
Kimberly Ramos Rowland
107 Colony St |
$0.58 | 19 | 12 |
|
Shannon N Emmert
401 E Main St |
$0.52 | 19 | 17 |
|
Julie Kay Gilliam
411 Princeton Rd |
$0.18 | 21 | 12 |
|
Cynthia P Partain
3019 Peoples St # Condo300 |
$4.52 | 25 | 15 |
|
Thomas W Gill
2410 Susannah St |
$9.22 | 27 | 24 |
|
Maria Carmina Castillo Garcia
310 N State Of Franklin Rd |
$2.04 | 28 | 25 |
|
Michael Eugene Sutherland
325 N. State Of Franklin |
$0.88 | 29 | 24 |
|
Rita Elizabeth Treanor Plemmons Winfield
316 Marketplace Dr |
$0.94 | 30 | 29 |
|
Bianca N Smith
101 Med Tech Pkwy Ste 200 |
$0.78 | 32 | 26 |
|
David Michael Evans
161 Heart Dr Ste B |
$4.13 | 33 | 24 |
|
Elizabeth Ann Honeycutt-Martin
307 Harbor Approach |
$0.67 | 33 | 25 |
|
Justin A Montgomery
378 Marketplace Dr |
$0.63 | 35 | 30 |
|
Amanda Lynn Cardin
1009 Lark St Ste 1A |
$0.06 | 36 | 15 |
|
Joseph C Nanney
101 Med Tech Pkwy |
$4.18 | 38 | 37 |
|
Jeffrey O Carlsen
110 Med Tech Pkwy |
$0.00 | 38 | 37 |
|
Nathan D. Salyer
2410 Susannah St |
$2.53 | 39 | 25 |
|
Douglas John Carroll
2410 Susannah St |
$9.10 | 40 | 28 |
|
Kayla Beining
401 E Main St |
$0.61 | 42 | 39 |
|
Ralph Lee Mills
John Robert Bell Dr |
$2.40 | 43 | 25 |
|
Mary Beth Foran Rolen
301 Med Tech Pkwy Ste 120 |
$0.98 | 46 | 42 |
|
Abigail Lee Stiles
2410 Susannah St |
$9.23 | 50 | 39 |
|
Charity Helton
325 N. State Of Franklin Road |
$1.82 | 54 | 49 |
|
Joshua William Buck
1301 Sunset Dr Ste 3 |
$0.77 | 61 | 58 |
|
Russell David Koesters
2410 Susannah St |
$12.64 | 66 | 49 |
|
Scott C Dulebohn
410 N State Of Franklin Rd |
$0.00 | 69 | 37 |
|
Mark T Mcquain
2410 Susannah St |
$0.43 | 71 | 64 |
|
William Stacy Melvin
3 Professional Park Dr |
$2.35 | 71 | 55 |
|
Samantha Manuel
1021 W Oakland Ave |
$1.19 | 83 | 65 |
|
Joseph Mclain
401 E Main St |
$0.64 | 89 | 84 |
|
Kent J Lord
2410 Susannah St |
$7.12 | 90 | 70 |
|
Wilson Pharmacy Inc
523 N State Of Franklin Rd |
$35.11 | 91 | 39 |
|
Larry Dale Waldrop
3 Professional Park Dr Ste 21 |
$1.87 | 92 | 65 |
|
Deanna Hensley
401 E Main St |
$0.95 | 94 | 88 |
|
Savanna M Whitehead
410 N State Of Franklin Rd Ste 130 |
$0.70 | 102 | 98 |
|
Lesli A Taylor
325 N State Of Franklin Rd |
$0.18 | 104 | 96 |
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 Johnson City, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Johnson City, TN is $1.25 per claim, based on 31,693 claims from 74 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 Johnson City, TN?
There are 74 Medicaid providers offering Prescription Medications related services in Johnson City, TN according to public payment data.
What is the price range for Prescription Medications in Johnson City, TN?
Medicaid reimbursement for Prescription Medications in Johnson City, TN ranges from $0.00 to $35.11 per claim, with an average of $1.25. 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 Johnson City, TN
Office Visit
Avg $41.00
1,254,454 claims
Blood Work & Lab Tests
Avg $6.13
810,124 claims
Ambulance Transport
Avg $19.77
356,576 claims
Non-Emergency Medical Transportation
Avg $5.44
345,590 claims
Emergency Room Visit
Avg $90.83
331,961 claims
Psychiatric Evaluation
Avg $39.41
315,792 claims
Home Health Visit
Avg $80.06
306,249 claims
Nursing Facility Care
Avg $9.59
243,361 claims