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 |
|---|---|---|---|
|
Charles Famoyin
302 Wesley St |
$0.36 | 9,029 | 4,877 |
|
Mountain States Health Alliance
400 N State Of Franklin Rd |
$0.25 | 3,681 | 2,898 |
|
Melinda Lee Mcdaniel
378 Marketplace Blvd Ste 5 |
$1.06 | 2,558 | 1,976 |
|
Sarah Elaine Hammons
1301 Sunset Dr Ste 3 |
$0.21 | 2,205 | 1,150 |
|
William Clever
1009 Novus Dr Ste 1A |
$0.15 | 2,044 | 1,704 |
|
Martin Quan Tran
107 Woodlawn Dr |
$0.88 | 1,689 | 150 |
|
Casey Lynn Davis
208 Sunset Dr Ste 340 |
$1.21 | 1,618 | 1,376 |
|
James A Goss
3 Professional Park Dr |
$1.60 | 1,025 | 780 |
|
James M Schultz
401 E Main St |
$1.04 | 943 | 852 |
|
Thatcher Lee Card
1009 Novus Dr Ste 1A |
$0.14 | 603 | 357 |
|
James B Haire
3 Professional Park Dr |
$1.94 | 567 | 444 |
|
Katherine Elizabeth Echevarria
378 Marketplace Dr Ste 5 |
$0.92 | 527 | 446 |
|
Judith L Day
301 Med Tech Pkwy Ste 240 |
$0.92 | 487 | 415 |
|
Borzou Azima
378 Marketplace Dr |
$0.66 | 476 | 372 |
|
Joseph R Hurst
2410 Susannah St |
$12.86 | 380 | 302 |
|
Jeffrey A Hopland
401 E Main St |
$0.48 | 296 | 242 |
|
Alan J Aiken
2410 Susannah St |
$13.80 | 285 | 246 |
|
Mouna Abouamara
408 N State Of Franklin Rd |
$2.69 | 224 | 146 |
|
Jeff R Farrow
310 N State Of Franklin Road |
$2.43 | 208 | 179 |
|
Garik T Misenar
400 N State Of Franklin Rd |
$6.71 | 194 | 184 |
|
Gordon Hoppe
1019 W Oakland Ave |
$1.27 | 152 | 125 |
|
Morgan Wade Mcclain
917 W Walnut St |
$1.12 | 147 | 136 |
|
Tara Vick
325 N State Of Franklin Rd Fl 1 |
$14.59 | 144 | 135 |
|
Dustin Michael Price
2410 Susannah St |
$10.34 | 139 | 117 |
|
Lesli A Taylor
325 N State Of Franklin Rd |
$0.18 | 104 | 96 |
|
Savanna M Whitehead
410 N State Of Franklin Rd Ste 130 |
$0.70 | 102 | 98 |
|
Deanna Hensley
401 E Main St |
$0.95 | 94 | 88 |
|
Larry Dale Waldrop
3 Professional Park Dr Ste 21 |
$1.87 | 92 | 65 |
|
Wilson Pharmacy Inc
523 N State Of Franklin Rd |
$35.11 | 91 | 39 |
|
Kent J Lord
2410 Susannah St |
$7.12 | 90 | 70 |
|
Joseph Mclain
401 E Main St |
$0.64 | 89 | 84 |
|
Samantha Manuel
1021 W Oakland Ave |
$1.19 | 83 | 65 |
|
Mark T Mcquain
2410 Susannah St |
$0.43 | 71 | 64 |
|
William Stacy Melvin
3 Professional Park Dr |
$2.35 | 71 | 55 |
|
Scott C Dulebohn
410 N State Of Franklin Rd |
$0.00 | 69 | 37 |
|
Russell David Koesters
2410 Susannah St |
$12.64 | 66 | 49 |
|
Joshua William Buck
1301 Sunset Dr Ste 3 |
$0.77 | 61 | 58 |
|
Charity Helton
325 N. State Of Franklin Road |
$1.82 | 54 | 49 |
|
Abigail Lee Stiles
2410 Susannah St |
$9.23 | 50 | 39 |
|
Mary Beth Foran Rolen
301 Med Tech Pkwy Ste 120 |
$0.98 | 46 | 42 |
|
Ralph Lee Mills
John Robert Bell Dr |
$2.40 | 43 | 25 |
|
Kayla Beining
401 E Main St |
$0.61 | 42 | 39 |
|
Douglas John Carroll
2410 Susannah St |
$9.10 | 40 | 28 |
|
Nathan D. Salyer
2410 Susannah St |
$2.53 | 39 | 25 |
|
Joseph C Nanney
101 Med Tech Pkwy |
$4.18 | 38 | 37 |
|
Jeffrey O Carlsen
110 Med Tech Pkwy |
$0.00 | 38 | 37 |
|
Amanda Lynn Cardin
1009 Lark St Ste 1A |
$0.06 | 36 | 15 |
|
Justin A Montgomery
378 Marketplace Dr |
$0.63 | 35 | 30 |
|
David Michael Evans
161 Heart Dr Ste B |
$4.13 | 33 | 24 |
|
Elizabeth Ann Honeycutt-Martin
307 Harbor Approach |
$0.67 | 33 | 25 |
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