Average Medicaid Prescription Medications Payments in London, KY: $14.03
Avg. Paid
$14.03
Range
$0.05 โ $259.88
Total Claims
57,868
Providers
50
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 โ 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 London, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Saint Joseph Health System, Inc
1001 Saint Joseph Ln |
$5.37 | 35,091 | 24,761 |
|
David J Hays
2659 N Laurel Rd |
$0.32 | 1,986 | 1,530 |
|
Munawar Siddiqi
106 Fortress Properties St |
$3.11 | 1,957 | 1,414 |
|
Faith Ozetta Holt
202 W 7Th St Ste 201 |
$0.65 | 1,689 | 1,483 |
|
Chad Mitchell Cooper
929 N Main St |
$0.20 | 1,315 | 1,131 |
|
Stephanie Marie Sumner
100 London Mountain View Dr Fl 1 |
$10.25 | 1,272 | 1,100 |
|
Rick Anthony Pellant
100 London Mountain View Dr Fl 1 |
$3.80 | 1,252 | 1,111 |
|
Kevin Lee Swanner
2135 Highway 30 Byp |
$2.69 | 1,033 | 876 |
|
Alam N Khan
192 London Shopping Ctr |
$259.88 | 920 | 584 |
|
Laura B. Walters
803 Meyers Baker Rd |
$64.69 | 917 | 879 |
|
Johnnie Sue Dell
73 Thompson Poynter Rd |
$1.89 | 862 | 789 |
|
Lisa M Collins
803 Meyers Baker Rd |
$73.07 | 852 | 799 |
|
Rebecca Ann Day
222 N Main St |
$13.97 | 626 | 535 |
|
Teresa Lynn Parker
378 Thompson Poynter Rd |
$1.72 | 597 | 521 |
|
Tommie Lee Fields
73 Thompson Poynter Rd Ste A |
$3.34 | 571 | 498 |
|
Courtney Gale Monaco
100 London Mountain View Dr |
$21.89 | 561 | 455 |
|
Danielle Renee Wynn
1649 Highway 192 W |
$0.85 | 464 | 370 |
|
Amjad Ali Bukhari
192 London Shopping Ctr |
$248.45 | 462 | 294 |
|
Collin E. Ball
160 London Mountain View Dr |
$9.67 | 449 | 354 |
|
Bethany D Ledford
803 Meyers Baker Rd |
$115.45 | 435 | 417 |
|
Crystal Gail Hood
1406 W 5Th St |
$1.06 | 426 | 325 |
|
Ryann Lee Poerio
2645 N Laurel Rd Ste A |
$4.92 | 385 | 345 |
|
Nadine Brock
1675 S Main St |
$23.42 | 381 | 332 |
|
Chelsey Blake Philpot
2135 Highway 30 Byp |
$3.89 | 364 | 297 |
|
Ashwini Anand
1380 Highway 192 E |
$1.90 | 290 | 262 |
|
William Paul Wolfe
94 Dogpatch Trading Ctr |
$1.18 | 282 | 261 |
|
Melissa Owens
803 Meyers Baker Rd |
$62.02 | 268 | 254 |
|
Rebekah Virginia Elaine Cloud
1649 Ky- 192 W |
$4.05 | 236 | 192 |
|
Amber R Weeks
133 Henry Clay Ln |
$3.97 | 236 | 212 |
|
Jackie D Maxey
102 Professional Dr |
$0.76 | 220 | 197 |
|
Adam Kimball Franson
160 London Mountain View Dr |
$4.34 | 219 | 161 |
|
Rebecca J Green
803 Meyers Baker Rd Ste 200 |
$9.02 | 193 | 164 |
|
Mark Roark
195 Commercial Dr Ste 98 |
$10.58 | 160 | 137 |
|
Khalid H Memon
378 Thompson Poynter Rd |
$2.15 | 146 | 125 |
|
Mary Jean Nolan
1649 W. Hwy 192 |
$1.33 | 131 | 120 |
|
Tara Cornella Gray
740 E Laurel Rd |
$0.05 | 110 | 80 |
|
Robin R House
1406 W 5Th St |
$5.91 | 86 | 69 |
|
Karla Gail Maggard
1001 Saint Joseph Ln |
$0.62 | 70 | 37 |
|
Kirbi Alexandria Kersey
1001 Saint Joseph Ln |
$0.24 | 64 | 59 |
|
Heather E Jones
1105 W 5Th St |
$0.18 | 48 | 38 |
|
Stephanie B Manning
2645 N Laurel Rd |
$0.34 | 45 | 36 |
|
Daniel C Albertson
1105 W 5Th St |
$0.27 | 37 | 25 |
|
Ashlee Allen Robinson
934 S Laurel Rd Ste 1 |
$1.90 | 31 | 26 |
|
Makayla Jean Green
1649 Highway 192 W |
$0.30 | 31 | 25 |
|
Amanda Radford
1120 Reuben St |
$1.01 | 25 | 24 |
|
Ariel Leandra Sexton
1105 W 5Th St Ste 3 |
$0.14 | 18 | 12 |
|
Erin Kay Greer
175 City Hill Dr |
$4.36 | 15 | 13 |
|
Skylar Hoskins
450 Hoskins Cemetery Rd |
$0.47 | 14 | 12 |
|
Carmel Hensley
192 London Shopping Ctr Ste 2 |
$0.52 | 14 | 14 |
|
Charles B. Barton
803 Meyers Baker Rd |
$53.64 | 12 | 12 |
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 | โ |
| J0120 | Tetracyclin injection | โ | โ | โ |
| J0133 | Acyclovir injection | โ | โ | โ |
| J0202 | Injection, alemtuzumab | โ | โ | โ |
| J0795 | Corticorelin ovine triflutal | โ | โ | โ |
| J1160 | Digoxin injection | โ | โ | โ |
| J1205 | Chlorothiazide sodium inj | โ | โ | โ |
| J1260 | Dolasetron mesylate | โ | โ | โ |
| J1290 | Ecallantide injection | โ | โ | โ |
| J1300 | Eculizumab injection | โ | โ | โ |
| J1301 | Injection, edaravone, 1 mg | โ | โ | โ |
| J1303 | Inj., ravulizumab-cwvz 10 mg | โ | โ | โ |
| J1305 | Inj, evinacumab-dgnb, 5mg | โ | โ | โ |
| J1320 | Amitriptyline injection | โ | โ | โ |
| J1322 | Elosulfase alfa, injection | โ | โ | โ |
| J1327 | Eptifibatide injection | โ | โ | โ |
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 London, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in London, KY is $14.03 per claim, based on 57,868 claims from 50 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 London, KY?
There are 50 Medicaid providers offering Prescription Medications related services in London, KY according to public payment data.
What is the price range for Prescription Medications in London, KY?
Medicaid reimbursement for Prescription Medications in London, KY ranges from $0.05 to $259.88 per claim, with an average of $14.03. 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 ยท 235 providers
Milwaukee, WI
Avg $9.22
755,550 claims ยท 88 providers
Washington, DC
Avg $6.48
675,765 claims ยท 92 providers
Los Angeles, CA
Avg $61.23
617,979 claims ยท 282 providers
Louisville, KY
Avg $31.67
601,676 claims ยท 181 providers
New York, NY
Avg $40.26
587,024 claims ยท 195 providers
San Diego, CA
Avg $27.34
493,429 claims ยท 162 providers
Tucson, AZ
Avg $24.34
489,015 claims ยท 169 providers
Other Procedures in London, KY
Office Visit
Avg $33.74
1,120,887 claims
Blood Work & Lab Tests
Avg $12.45
597,696 claims
Substance Abuse Treatment
Avg $54.12
328,567 claims
Physical Therapy
Avg $24.35
296,797 claims
Psychiatric Evaluation
Avg $43.43
279,325 claims
Emergency Room Visit
Avg $135.90
207,778 claims
EKG / ECG (Electrocardiogram)
Avg $23.49
130,330 claims
Speech Therapy
Avg $25.10
127,814 claims