Average Medicaid Prescription Medications Payments in Monticello, KY: $8.11
Avg. Paid
$8.11
Range
$0.07 – $45.97
Total Claims
25,045
Providers
30
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 Monticello, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sherrell L Roberts
1 S Creek Dr |
$3.58 | 6,623 | 4,711 |
|
Wayne County Hospital, Inc
166 Hospital St |
$7.67 | 4,521 | 3,947 |
|
Stephanie Southard
166 Hospital St |
$24.07 | 2,676 | 2,423 |
|
Jason T Hicks
1 S Creek Dr Ste 102 |
$9.11 | 1,994 | 1,664 |
|
Matthew T Eaton
1 S Creek Dr Ste 102 |
$10.51 | 1,947 | 1,479 |
|
Raymond Bennett Speck
1 S Creek Dr Ste 102 |
$4.86 | 1,426 | 1,160 |
|
Misty A Cundiff
1 S Creek Dr |
$2.23 | 809 | 724 |
|
Ginger Conn
895 N Main St |
$7.97 | 768 | 682 |
|
Jacob Dudley Coffey
1 S Creek Dr Ste 102606 |
$12.22 | 609 | 575 |
|
Brandy Jackson
895 N Main St |
$1.32 | 598 | 547 |
|
Amy Doris Edwards
268 Rolling Hills Bvld. |
$3.16 | 517 | 467 |
|
Ashleigh Renee Williamson
268 Rolling Hills Blvd |
$0.49 | 507 | 415 |
|
Heather Ann Thompson
1520 N Main St Ste 3 |
$7.79 | 422 | 372 |
|
James Richard Woody
166 Hospital St |
$7.21 | 355 | 347 |
|
Misty Gail Atkinson
1 S Creek Dr Ste 102 |
$7.23 | 260 | 225 |
|
Pamela R. Hancock
63 Breezy Hl |
$3.25 | 217 | 197 |
|
Cory M Ryan
166 Hospital St |
$10.34 | 149 | 134 |
|
Michelle Dennis
126 Franklin Rd |
$15.63 | 96 | 81 |
|
Deanna Neal
166 Hospital St |
$8.07 | 92 | 77 |
|
Stephanie Maggard
126 Franklin Rd |
$21.74 | 91 | 63 |
|
Darin L. Hale
166 Hospital St |
$0.07 | 68 | 67 |
|
Joseph Clay Brown
268 Rolling Hills Blvd. |
$3.57 | 54 | 48 |
|
Christine M Foster
1293 N Main St Ste 102 |
$5.89 | 54 | 45 |
|
Faith Healthcare Inc
126 Franklin Drive |
$0.07 | 41 | 12 |
|
Lake Cumberland District Health Department
39 Jim Hill Service Rd |
$45.97 | 37 | 37 |
|
Emilee Burton Greenwood
1215 N Main St Ste 2 |
$2.02 | 36 | 28 |
|
Amber Dawn Ball
268 Rolling Hills Blvd. |
$6.58 | 34 | 34 |
|
Lora Erin Mobley
166 Hospital St |
$0.67 | 17 | 16 |
|
Bonnie Cardona Stockton
1 S Creek Dr Ste 102 |
$3.27 | 14 | 13 |
|
Sandra Lee Braswell
126 Franklin Drive |
$0.43 | 13 | 13 |
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 Monticello, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Monticello, KY is $8.11 per claim, based on 25,045 claims from 30 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 Monticello, KY?
There are 30 Medicaid providers offering Prescription Medications related services in Monticello, KY according to public payment data.
What is the price range for Prescription Medications in Monticello, KY?
Medicaid reimbursement for Prescription Medications in Monticello, KY ranges from $0.07 to $45.97 per claim, with an average of $8.11. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Prescription Medications in Other Cities
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Avg $16.15
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Avg $9.22
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Avg $6.48
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Los Angeles, CA
Avg $61.23
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Avg $31.67
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New York, NY
Avg $40.26
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San Diego, CA
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Other Procedures in Monticello, KY
Office Visit
Avg $30.61
369,394 claims
Blood Work & Lab Tests
Avg $12.62
184,932 claims
Psychiatric Evaluation
Avg $55.23
131,708 claims
Emergency Room Visit
Avg $135.90
74,762 claims
Physical Therapy
Avg $20.59
64,772 claims
Eye Exam
Avg $47.87
43,337 claims
Chiropractic Care
Avg $15.44
41,256 claims
Dental Cleaning & Exam
Avg $30.85
32,463 claims