Average Medicaid Prescription Medications Payments in Morgantown, WV: $85.45
Avg. Paid
$85.45
Range
$0.00 – $738.16
Total Claims
76,708
Providers
25
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 Morgantown, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
West Virginia University Hospitals, Inc
1 Medical Center Drive |
$92.98 | 65,817 | 49,277 |
|
Monongalia County General Hospital Company
1200 Jd Anderson Drive |
$2.05 | 5,034 | 3,942 |
|
West Virginia University Medical Corporation
1 Medical Center Drive |
$9.70 | 3,225 | 2,590 |
|
Heather Dawn Hickman
1 Medical Center Dr |
$432.74 | 497 | 317 |
|
Hussein Jaffal
1 Medical Center Dr |
$0.63 | 427 | 369 |
|
Tiffany D Lannan
1 Stadium Drive |
$510.17 | 319 | 196 |
|
William Carr Mcbee
1200 J D Anderson Dr |
$0.65 | 224 | 168 |
|
Johnathan Edward Castano
1 Medical Center Dr |
$0.61 | 138 | 115 |
|
Andrew Wall
1 Medical Center Dr |
$6.56 | 128 | 107 |
|
Lauren O'Malley
2342 Lakeside Ests |
$4.86 | 125 | 118 |
|
John P Lubicky
1 Stadium Dr |
$1.10 | 121 | 105 |
|
Brian A Braxton
284 Palisades Dr |
$0.01 | 121 | 117 |
|
Bryan W Danhires
1 Stadium Drive |
$0.48 | 87 | 67 |
|
Cynthia Denise Parks
7000 Coomb'S Farm Drive |
$0.44 | 87 | 78 |
|
Sharon Marie Titchnell
1000 Mon Health Medical Park Dr Ste 1201 |
$0.89 | 70 | 66 |
|
Cardinal Pediatrics Pllc
1247 Suncrest Towne Centre |
$0.73 | 64 | 25 |
|
Monongalia County Health Department
453 Van Voorhis Rd |
$62.06 | 59 | 56 |
|
Monongalia County General Hospital Company
2000 Mon Health Medical Park Dr Ste 2300 |
$3.16 | 37 | 14 |
|
Steven Walter Coutras
1 Medical Center Drive |
$0.95 | 30 | 12 |
|
Melissa Warren Jung
1 Medical Center Dr |
$0.94 | 28 | 27 |
|
Damian Hegsted
1 Medical Center Drive, Room 7400 |
$0.00 | 17 | 12 |
|
Zebula Michael Reed
One Medical Center Drive, Hsc |
$0.00 | 15 | 12 |
|
Scott Meester
1 Medical Center Dr |
$1.03 | 13 | 12 |
|
Deborah Thoren Mowery
1160 Van Voorhis Rd |
$738.16 | 13 | 12 |
|
John Harold Marsh
1200 J D Anderson Dr |
$3.18 | 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 | — |
| 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 Morgantown, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Morgantown, WV is $85.45 per claim, based on 76,708 claims from 25 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 Morgantown, WV?
There are 25 Medicaid providers offering Prescription Medications related services in Morgantown, WV according to public payment data.
What is the price range for Prescription Medications in Morgantown, WV?
Medicaid reimbursement for Prescription Medications in Morgantown, WV ranges from $0.00 to $738.16 per claim, with an average of $85.45. 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 Morgantown, WV
Office Visit
Avg $57.74
1,496,546 claims
Blood Work & Lab Tests
Avg $20.32
849,320 claims
Home Health Visit
Avg $284.88
599,513 claims
Emergency Room Visit
Avg $113.42
545,130 claims
X-Ray
Avg $12.84
460,030 claims
EKG / ECG (Electrocardiogram)
Avg $11.35
321,934 claims
Substance Abuse Treatment
Avg $159.08
269,823 claims
Personal Care Services
Avg $421.16
250,769 claims