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 |
|---|---|---|---|
|
Everett J Horn
800 Rose St Whitney Hendrickson Bldg Ste 331A |
$88.95 | 12 | 12 |
|
Ryan C Hubbard
University Of Kentucky 800 Rose Street |
$0.00 | 13 | 12 |
|
Sean Skinner
800 Rose St |
$4.08 | 13 | 13 |
|
Graysen Robert Petersen-Fitts
3480 Yorkshire Medical Park |
$9.86 | 13 | 12 |
|
Daniel Joseph Hackett
216 Fountain Ct Ste 250 |
$9.69 | 13 | 12 |
|
Shriners Hospitals For Children
110 Conn Ter |
$0.00 | 13 | 12 |
|
Paul Nicholson
1221 S Broadway |
$0.26 | 13 | 13 |
|
Kennedy Marie Garmon
496 Southland Dr |
$24.44 | 14 | 14 |
|
William Crankshaw
University Of Kentucky |
$0.00 | 14 | 12 |
|
Shonda Danielle Mcintyre
100 N Eagle Creek Dr |
$0.28 | 14 | 13 |
|
John Martin Draus
Kentucky Childrens Hospital |
$55.38 | 14 | 12 |
|
Joshua Michael Salyers
1221 S Broadway |
$0.00 | 15 | 13 |
|
Clarice Nicole Sinn
2050 Versailles Rd |
$3,273 | 15 | 12 |
|
Claire Kasberg
160 N Eagle Creek Dr |
$10.19 | 16 | 13 |
|
Wallace L. Huff
3480 Yorkshire Medical Park |
$5.54 | 17 | 17 |
|
Lily Weddle
800 Rose St |
$20.25 | 20 | 20 |
|
Marikate Grogan
496 Southland Dr |
$9.95 | 21 | 16 |
|
Sama Ghali
1000 South Limestone Street |
$0.00 | 21 | 19 |
|
Dan Sotingeanu
1221 S Broadway |
$0.00 | 24 | 15 |
|
Lisa G Highland
1401 Harrodsburg Rd |
$0.59 | 26 | 25 |
|
Martin Haoyuan Yang
800 Rose St Rm M-53 |
$4.58 | 26 | 24 |
|
Kimberly Anne Kaiser
740 S Limestone Street K401 Kentucky Clinic |
$6.13 | 28 | 24 |
|
Robin Lynn Jacobs-Pope
245 Fountain Ct Fl 1 |
$0.74 | 30 | 26 |
|
Mark Samuel Burch
3401 Yorkshire Medical Park |
$5.22 | 33 | 32 |
|
Luke Justin Wilder
4057 Mooncoin Way |
$0.00 | 33 | 29 |
|
Slade Thompson
1221 S Broadway |
$0.00 | 40 | 39 |
|
Stacy Gilkey
1351 Newtown Pike Bldg 1 |
$0.50 | 42 | 28 |
|
Tricia Harvey Jackson
1401 Harrodsburg Rd Ste B165 |
$0.19 | 43 | 37 |
|
Raechel Lee Percy
800 Rose St |
$0.89 | 44 | 43 |
|
Mary Jane Doyle
3101 Richmond Rd |
$0.73 | 47 | 38 |
|
Nikole Funk
2452 Sir Barton Way Ste 303 |
$0.00 | 52 | 50 |
|
William R Allen
4071 Tates Creek Centre Dr |
$56.32 | 53 | 39 |
|
Richard Zackary Unger
740 S Limestone Rm K403 |
$23.34 | 59 | 54 |
|
Crystal Denise Martin
2250 Leestown Rd |
$1.38 | 59 | 36 |
|
Megan Collett
3470 Blazer Pkwy Ste 150 |
$955.59 | 61 | 56 |
|
Samuel Christopher Coy
216 Fountain Ct Ste 250 |
$6.01 | 62 | 55 |
|
Kathleen Isaac
141 N Eagle Creek Dr Ste 200 |
$65.82 | 62 | 60 |
|
Marc Raymond Deshaies
1221 S Broadway |
$1.64 | 64 | 62 |
|
William J. Wood
120 N Eagle Creek Dr |
$531.75 | 64 | 32 |
|
Allison Raymond
1000 S Limestone |
$2.35 | 71 | 67 |
|
Bhawan Yamraj
245 Fountain Ct Ste 120 |
$22.13 | 73 | 70 |
|
Lexington-Fayette Urban-County Health Department
650 Newtown Pike |
$5.05 | 74 | 67 |
|
Osama Sabbagh
120 N Eagle Creek Dr Ste 500 |
$1,238 | 87 | 78 |
|
Tracy Michelle Johnson
1221 S Broadway |
$0.41 | 99 | 95 |
|
Reinhold Munker
800 Rose St |
$3.02 | 103 | 51 |
|
Carolyn S Harris
800 Rose St |
$12.35 | 111 | 88 |
|
Daniel Lim Cuevas
800 Rose St |
$0.00 | 112 | 105 |
|
Jessica Wren Deis
268 Southland Dr Ste 120 |
$56.78 | 115 | 107 |
|
Frank Taddeo
211 Fountain Ct |
$7.80 | 119 | 98 |
|
Patrick Albert Cleeton
University Of Kentucky |
$59.75 | 129 | 98 |
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