Average Medicaid Prescription Medications Payments in Knoxville, TN: $14.74
Avg. Paid
$14.74
Range
$0.00 – $2,137
Total Claims
83,286
Providers
217
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 Knoxville, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Yaqub Ali
2001 Laurel Ave |
$0.16 | 5,585 | 489 |
|
Erik M Wendland
320 Park 40 North Blvd |
$0.26 | 3,288 | 297 |
|
Denise Marie Halter
2931 Essary Dr |
$0.02 | 3,102 | 2,285 |
|
Richard Mark Ray
2100 W Clinch Ave |
$0.19 | 2,840 | 1,982 |
|
Francisco G Moreno
501 20Th St |
$0.38 | 2,748 | 2,141 |
|
John Jay Crawford
260 Fort Sanders West Blvd |
$0.06 | 2,552 | 1,959 |
|
Youhanna S Al-Tawil
1975 Town Center Blvd |
$0.00 | 2,512 | 2,261 |
|
Michael J Belmont
2100 W Clinch Ave |
$0.08 | 2,232 | 1,641 |
|
Adolfo J Cuadra
1342 Papermill Pointe Way |
$3.74 | 2,224 | 1,844 |
|
David E Devoid
2100 West Clinch Ave Suite 510 |
$0.02 | 2,075 | 1,812 |
|
Mubashir Mahmood
9303 Park West Blvd Ste 100 |
$5.62 | 2,001 | 1,512 |
|
James Wike
501 20Th St |
$2.22 | 1,911 | 1,471 |
|
Wahid T Hanna
1926 Alcoa Hwy |
$1.01 | 1,872 | 919 |
|
Syed Ahmed
4711 Centerline Dr Ste 100 |
$0.60 | 1,856 | 1,303 |
|
Dante Allen Pappano
2018 W Clinch Ave |
$15.32 | 1,740 | 1,649 |
|
Russel W Rhea
125 Huxley Road |
$2.28 | 1,714 | 1,453 |
|
David C. Linn
1924 Alcoa Hwy |
$0.88 | 1,536 | 1,319 |
|
John P Little
2100 W Clinch Ave Ste 410 |
$0.19 | 1,454 | 798 |
|
James Matthew Wood
531 English Village Way Apt 731 |
$0.00 | 1,226 | 844 |
|
Chad Alan Thornhill
2100 Clinch Avenue Suite 420 |
$0.05 | 1,126 | 955 |
|
Kenneth D. Wicker
2018 W Clinch Ave |
$15.35 | 1,122 | 1,079 |
|
Oscar H. Grandas
1940 Alcoa Hwy |
$0.00 | 1,074 | 768 |
|
Eric Matthew Redmon
11408 Kingston Pike Ste 400 |
$0.28 | 1,060 | 553 |
|
Shannon R Bodiford
2018 Western Ave |
$24.25 | 952 | 800 |
|
Vanessa Adele Thomas
2018 Clinch Ave |
$16.43 | 946 | 907 |
|
Stacy Ann Wason-Fawver
2418 Midway Rd |
$1.28 | 938 | 769 |
|
Michelle B. Hall
2018 Clinch Ave |
$15.54 | 918 | 893 |
|
William Glaze Vaughan
2100 Clinch Ave Ste 510 |
$0.04 | 909 | 720 |
|
Ashley Curl
1128 E Weisgarber Rd Ste 100 |
$4.09 | 873 | 362 |
|
Asif Sultan
2001 Laurel Ave |
$0.00 | 860 | 81 |
|
Michael Alan Chavin
1124 N Broadway St |
$2.35 | 824 | 495 |
|
Brittany Paige Kidwell
4620 Old Broadway St |
$0.96 | 772 | 686 |
|
Eric R Jensen
2100 Clinch Ave Ste 510 |
$0.02 | 737 | 605 |
|
John M Lavelle
1819 Clinch Ave Ste 100 |
$0.60 | 703 | 530 |
|
Janet L Haymore
8635 Middlebrook Pike |
$0.96 | 699 | 566 |
|
Carlos A Angel
2100 Clinch Ave Ste 510 |
$0.05 | 683 | 552 |
|
Ryan L Redman
2018 W Clinch Ave |
$14.47 | 647 | 611 |
|
Kelly Butler Patterson
2018 W Clinch Ave |
$16.00 | 623 | 606 |
|
Michael William Riker
12023 Mallard Bay Dr |
$17.65 | 600 | 572 |
|
Todd W Ussery
1342 Papermill Pointe Way |
$0.50 | 597 | 495 |
|
Eddie Lamaine Brown
4711 Centerline Dr Ste 100 |
$4.15 | 588 | 427 |
|
East Tennessee Children'S Hospital Association Inc.
2018 W Clinch Ave |
$1.36 | 580 | 493 |
|
Alvinia Collins Proffitt
265 Brookview Centre Way |
$0.60 | 567 | 480 |
|
Hesamm Elmi Gharavi
9957 Sherrill Blvd |
$0.72 | 556 | 274 |
|
Cristy Anne Stallings
200 Prosperity Dr |
$0.91 | 551 | 459 |
|
Ross Eric Kerns
9957 Sherrill Blvd |
$0.59 | 539 | 223 |
|
Saji Eapen
1415 Old Weisgarber Rd |
$0.83 | 529 | 262 |
|
Robert W. Hawkins
1422 Old Weisgarber Rd |
$19.06 | 519 | 463 |
|
Lise Christensen
2018 W Clinch Ave |
$17.77 | 503 | 491 |
|
Taylor Boulware Tapscott
1819 Clinch Ave Ste 100 |
$2.39 | 494 | 124 |
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 Knoxville, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Knoxville, TN is $14.74 per claim, based on 83,286 claims from 217 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 Knoxville, TN?
There are 217 Medicaid providers offering Prescription Medications related services in Knoxville, TN according to public payment data.
What is the price range for Prescription Medications in Knoxville, TN?
Medicaid reimbursement for Prescription Medications in Knoxville, TN ranges from $0.00 to $2,137 per claim, with an average of $14.74. 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 Knoxville, TN
Office Visit
Avg $45.18
3,462,740 claims
Blood Work & Lab Tests
Avg $4.36
3,232,027 claims
Case Management Services
Avg $11.55
1,534,932 claims
Emergency Room Visit
Avg $112.38
1,231,223 claims
Ambulance Transport
Avg $34.35
1,208,594 claims
Speech Therapy
Avg $48.14
1,179,507 claims
X-Ray
Avg $5.65
1,112,380 claims
Psychiatric Evaluation
Avg $54.43
1,063,759 claims