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 |
|---|---|---|---|
|
Carson J.P. Frasure
1275 Dick Lonas Rd Unit 101 |
$0.87 | 12 | 12 |
|
Strant Thompson Colwell
501 20Th St |
$2.44 | 12 | 12 |
|
Nadine M Trainer
1025 Childrens Way |
$2,137 | 12 | 12 |
|
Edward Brantley Burns
1819 W Clinch Ave Ste 100 |
$16.62 | 12 | 12 |
|
Hannah Grace Ownby
1819 W Clinch Ave Ste 100 |
$13.63 | 12 | 12 |
|
Mary Elizabeth Johnson Fancher
10238 Hardin Valley Rd |
$0.98 | 12 | 12 |
|
Gloria K Shields
1342 Papermill Pointe Way |
$0.37 | 12 | 12 |
|
Stephen Matthew Fowler
2937 Essary Dr |
$3.32 | 12 | 12 |
|
Jennifer Lynne Jaynes
10857 Hardin Valley Rd |
$0.78 | 13 | 12 |
|
Dennis Clayton Mays
1924 Alcoa Hwy |
$1.82 | 13 | 12 |
|
Kristen Lynn Ploetze
260 Fort Sanders West Blvd |
$17.29 | 13 | 12 |
|
Jennifer Renee Peterson
7506 Oak Ridge Hwy |
$0.79 | 13 | 13 |
|
Jennifer R. Estes
2001 Laurel Ave. Ste. 206 |
$0.51 | 13 | 13 |
|
Jerry K Gouge
2018 Western Ave |
$1.34 | 13 | 12 |
|
Michael Shawn Mitchell
9352 Park West Blvd |
$0.81 | 13 | 13 |
|
Ashely Nicole Raley
7625 Chapman Hwy Ste 107 |
$0.57 | 14 | 13 |
|
Marta Kuniec
10857 Hardin Valley Rd |
$1.98 | 14 | 12 |
|
Dondrea Bostick
2101 Medical Center Way |
$33.43 | 14 | 12 |
|
Chizoba Ngesina
Teamhealth |
$0.00 | 14 | 12 |
|
Bruce Edgar Campbell
5724 Western Ave |
$2.51 | 14 | 14 |
|
Gary Norman Gitschlag
2100 W Clinch Ave |
$0.00 | 14 | 13 |
|
Aleshia Lynn-Ann Lunsford
2018 W Clinch Ave |
$18.00 | 14 | 14 |
|
Kent Rinehart
1819 Clinch Ave Ste 100 |
$9.79 | 14 | 12 |
|
Dawn M. Huff
2018 W Clinch Ave |
$17.62 | 14 | 13 |
|
Evelynn R Baker
100 Tech Center Dr |
$1.17 | 14 | 12 |
|
Zachary Lyon Craig
1716 Falcon Pointe Dr |
$1.04 | 15 | 13 |
|
Jonathan W Angelle
1928 Alcoa Hwy Ste B222 |
$0.00 | 16 | 12 |
|
Melissa A Federici
1342 Papermill Pointe Way |
$0.14 | 16 | 14 |
|
Jennifer Lash Anders
140 Dameron Ave |
$31.50 | 16 | 14 |
|
Samantha Nicole Lansford
1342 Papermill Pointe Way |
$0.81 | 16 | 14 |
|
Dean P Smith
2100 W Clinch Ave |
$0.00 | 16 | 13 |
|
David Caldwell
1600 Accelerator Way Ste 200 |
$0.78 | 17 | 13 |
|
Jairo Alfredo Fortich
140 Market Place Blvd Ste E |
$0.41 | 17 | 12 |
|
Beth Ann Milliner
1431 Centerpoint Blvd |
$0.00 | 17 | 17 |
|
Nitin J Rangnekar
10810 Parkside Drive, G-9 |
$0.00 | 17 | 12 |
|
John M Reynolds
1819 W Clinch Ave Ste 100 |
$6.14 | 18 | 14 |
|
Charles E Adams
1901 W Clinch Ave |
$2.21 | 18 | 18 |
|
Chris Alan Keese
5150 N Broadway St |
$0.44 | 18 | 13 |
|
Jessica H Sholtz
601 College St |
$0.61 | 19 | 12 |
|
Allan Marc Grossman
1915 White Ave |
$0.24 | 19 | 12 |
|
Cathy Mills Hammons
6005 Kingston Pike |
$0.35 | 22 | 12 |
|
Marwin J Martinez
900 E Oak Hill Ave |
$0.90 | 23 | 21 |
|
Amanda Womac-Boling
900 E Oak Hill Ave |
$0.50 | 24 | 19 |
|
Benjamin Michael Chalstrom
5150 N Broadway St |
$0.29 | 24 | 12 |
|
Mary Kathryn Massaro
1934 Alcoa Hwy |
$1.91 | 26 | 26 |
|
Edward D Kim
1928 Alcoa Hwy |
$0.00 | 26 | 24 |
|
Michael David Mcdonald
1901 Clinch Ave |
$0.00 | 27 | 25 |
|
Laura F. Muir
2018 Western Ave |
$1.44 | 27 | 27 |
|
Lori B. Nunley
2018 W Clinch Ave |
$12.68 | 27 | 26 |
|
Mary Ann Hammonds
220 Fort Sanders West Blvd Ste 200 |
$0.79 | 27 | 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 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