Average Medicaid Prescription Medications Payments in Lexington, KY: $52.93
Avg. Paid
$52.93
Range
$0.00 – $3,273
Total Claims
353,008
Providers
108
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 Lexington, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
University Of Kentucky
800 Rose St |
$25.69 | 181,777 | 137,744 |
|
Baptist Healthcare System, Inc
1740 Nicholasville Rd |
$2.40 | 40,716 | 27,872 |
|
Saint Joseph Health System, Inc
150 N Eagle Creek Dr |
$4.80 | 36,782 | 27,515 |
|
Saint Joseph Health System, Inc
1 Saint Joseph Dr |
$4.81 | 25,843 | 20,054 |
|
Abdolreza Rabiee
1221 S Broadway |
$8.01 | 8,308 | 7,760 |
|
Scott-Wilson, Inc.
2380 Fortune Drive |
$163.66 | 7,235 | 641 |
|
Mazhar Rasul
204 Somersly Pl |
$6.06 | 5,639 | 4,079 |
|
Brandon Erik Gish
1207 S Broadway |
$5.81 | 4,262 | 3,650 |
|
John William Kitchens
120 N Eagle Creek Dr |
$666.55 | 3,527 | 1,820 |
|
Timothy T Mims
2443 Sir Barton Way Ste 275 |
$1.83 | 2,641 | 2,416 |
|
Blake Isernhagen
120 N Eagle Creek Dr |
$785.24 | 2,595 | 1,366 |
|
Danesh Mazloomdoost
101 N Eagle Creek Dr |
$0.07 | 2,481 | 1,452 |
|
Total Renal Care Inc
1745 Alysheba Way |
$2.09 | 2,279 | 517 |
|
Miguel A Busquets
120 N Eagle Creek Dr Ste 500 |
$697.66 | 1,993 | 1,021 |
|
Belinda L Shirkey
120 N Eagle Creek Dr |
$710.23 | 1,808 | 940 |
|
Aaron M Ricca
120 N Eagle Creek Dr Ste 500 |
$566.42 | 1,481 | 843 |
|
Jack Lynn Hollins
120 N Eagle Creek Dr Ste 500 |
$506.27 | 1,300 | 625 |
|
Lyndsay Collette
1221 S Broadway |
$66.12 | 1,262 | 1,209 |
|
Michael Lowell Blackburn
3480 Yorkshire Medical Park |
$5.51 | 1,180 | 1,047 |
|
Richard A Lingreen
2416 Regency Rd |
$7.17 | 1,123 | 1,011 |
|
Amy Patricia Hurley
800 Rose St Whitney Hendrickson Bldg Ste 331A |
$22.22 | 944 | 850 |
|
Todd Jordan Purkiss
120 N Eagle Creek Dr |
$599.27 | 937 | 526 |
|
Oliver C James
120 Prosperous Pl Ste 102 |
$2.62 | 912 | 828 |
|
Sarah Beth Brown
2040 Harrodsburg Rd Ste 200 |
$31.39 | 845 | 511 |
|
Christopher Mallard
2400 Greatstone Pt Ste A100 |
$0.25 | 836 | 602 |
|
Kossa Diomande
100 Funkhouser Building |
$1.50 | 822 | 801 |
|
Warren F. Chumley
1021 Majestic Drive |
$449.36 | 816 | 392 |
|
Shawn T Milburn
101 Prosperous Pl Ste 300 |
$2.17 | 737 | 679 |
|
Salem Hanna
211 Fountain Ct Ste 340 |
$10.00 | 735 | 682 |
|
Daniel Colby Newsome
3205 Summit Square |
$5.38 | 725 | 631 |
|
Ashley Moore Mercer
1775 Alysheba Way |
$482.86 | 631 | 305 |
|
Kandace Marie Wall
1792 Alysheba Way |
$2.69 | 601 | 495 |
|
Joanna L Santiesteban
160 N Eagle Creek Dr Ste 400 |
$77.24 | 480 | 454 |
|
Shivani Varakantam Reddy
120 N Eagle Creek Dr Ste 500 |
$931.24 | 461 | 353 |
|
Nicole Anne Everman
3470 Blazer Pkwy Ste 150 |
$698.97 | 457 | 332 |
|
Romulo Jc Albuquerque
University Of Kentucky & Affiliates |
$1,285 | 436 | 416 |
|
Angelia F Thompson
3290 Blazer Pkwy Ste 100 |
$1,040 | 389 | 271 |
|
Megan Danielle Hensley
1000 S Limestone |
$1.57 | 349 | 306 |
|
Ashley Jean Sachs
1000 S Limestone |
$9.89 | 333 | 293 |
|
Susan Combs
576 E Third St |
$14.57 | 328 | 303 |
|
Stuart Thomas Cowley
310 S Limestone Ste A102 |
$8.20 | 306 | 292 |
|
Jerrod T Mccarty
800 Rose St |
$0.72 | 304 | 259 |
|
Travis Bridges
101 N Eagle Creek Dr |
$0.06 | 278 | 149 |
|
Stephanie K Pridemore
740 S Limestone Ste C300 |
$9.12 | 278 | 248 |
|
Kathryn Lauren Hayes
1221 S Broadway |
$20.01 | 229 | 185 |
|
Jessica Dawn Blackburn
3101 Richmond Rd |
$29.17 | 228 | 208 |
|
Ricky D. Isernhagen
120 N Eagle Creek Dr |
$651.71 | 228 | 113 |
|
Jason Lunsford
1060 Goodwin Dr Ste 110 |
$26.61 | 220 | 189 |
|
Peter D Wright
2416 Regency Rd |
$0.08 | 195 | 176 |
|
Danielle Elizabeth Clark
1221 S Broadway |
$5.96 | 188 | 172 |
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 Lexington, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Lexington, KY is $52.93 per claim, based on 353,008 claims from 108 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 Lexington, KY?
There are 108 Medicaid providers offering Prescription Medications related services in Lexington, KY according to public payment data.
What is the price range for Prescription Medications in Lexington, KY?
Medicaid reimbursement for Prescription Medications in Lexington, KY ranges from $0.00 to $3,273 per claim, with an average of $52.93. 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 Lexington, KY
Blood Work & Lab Tests
Avg $14.22
4,452,973 claims
Office Visit
Avg $40.42
4,343,155 claims
Emergency Room Visit
Avg $156.12
2,128,548 claims
X-Ray
Avg $27.62
1,657,833 claims
Psychiatric Evaluation
Avg $54.73
1,162,452 claims
Physical Therapy
Avg $62.23
1,009,326 claims
Substance Abuse Treatment
Avg $82.19
953,868 claims
Dental Cleaning & Exam
Avg $36.91
818,313 claims