Average Medicaid Prescription Medications Payments in Nashville, TN: $24.15
Avg. Paid
$24.15
Range
$0.00 – $887.57
Total Claims
129,877
Providers
279
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 Nashville, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Thomas A. Golper
3601 The Vanderbilt Clinic |
$0.23 | 11,158 | 936 |
|
Vanderbilt University Medical Center
1211 Medical Center Drive |
$38.56 | 10,812 | 8,314 |
|
Marquetta Larneita Faulkner
1005 Dr. D. B. Todd Jr. Blvd |
$3.13 | 7,313 | 776 |
|
Jay Werkhaven
3601 Tvc |
$0.00 | 5,773 | 5,061 |
|
Victor W Isaac
3441 Dickerson Pike |
$10.67 | 5,640 | 3,970 |
|
Amy S. Whigham
3601 Tvc |
$0.00 | 5,485 | 4,812 |
|
Frank Wadsworth Virgin
3601 Tvc |
$0.01 | 4,624 | 3,991 |
|
Julia Lewis
3601 Tvc |
$0.11 | 4,358 | 371 |
|
Adel Saleh
3601 The Vanderbilt Clinic |
$14.52 | 3,615 | 471 |
|
Michael Howard Gold
2000 Richard Jones Rd |
$1.70 | 3,364 | 2,324 |
|
Lyndy J Wilcox
3601 The Vanderbilt Clinic |
$0.00 | 3,355 | 2,659 |
|
James David Phillips
3601 The Vanderbilt Clinic |
$0.00 | 3,125 | 2,757 |
|
Joanna Ethel Tahsio Shaw-Kaikai
2500 Charlotte Ave |
$15.57 | 3,007 | 2,350 |
|
Christopher Wootten
2601 Tvc |
$0.02 | 2,599 | 2,156 |
|
Said Attoussi
476 Harding Pl |
$2.12 | 2,421 | 2,017 |
|
Ryan Hale Belcher
2200 Childrens Way Fl 7 |
$0.00 | 2,417 | 2,129 |
|
Dana S Thompson
250 25Th Ave N |
$10.92 | 1,766 | 934 |
|
Neil Sanghani
D-3100 Medical Ctr N |
$0.26 | 1,674 | 151 |
|
Nader Sattari Bahri
2300 Patterson St |
$4.20 | 1,639 | 154 |
|
Kevin Michael Dale
3601 The Vanderbilt Clinic |
$0.15 | 1,357 | 1,047 |
|
Miranda Winn
4220 Harding Pike |
$0.46 | 1,156 | 678 |
|
Andrew Charles Cressman
1912 Charlotte Ave |
$6.40 | 1,137 | 836 |
|
Michael Darren Hawkins
3601 The Vanderbilt Clinic |
$88.56 | 1,105 | 1,054 |
|
Jamie Amber Thompson
3320 Perimeter Hill Dr |
$0.32 | 1,057 | 847 |
|
Darian Eugene Reddick
5700 Temple Rd Ste 301 |
$321.09 | 981 | 373 |
|
Lauren Ashley Ball
2801 Charlotte Ave |
$1.32 | 930 | 616 |
|
Clara R. Womack
393 Wallace Rd Ste 301 |
$38.09 | 887 | 233 |
|
Edward C Perdue
8120 Sawyer Brown Rd |
$0.02 | 826 | 795 |
|
Heather Ryan Karnes
4220 Harding Pike |
$1.53 | 808 | 674 |
|
Scott Blair Coffey
1412 County Hospital Rd |
$1.28 | 805 | 686 |
|
David Adam West
5435 Edmondson Pike |
$0.36 | 790 | 644 |
|
Lauren Johnson
3601 The Vanderbilt Clinic |
$1.77 | 693 | 605 |
|
Lucy Elaine Sturdivant
3601 The Vanderbilt Clinic |
$2.29 | 669 | 449 |
|
Dana Lawrence Duff
8 City Blvd |
$4.57 | 667 | 504 |
|
Habib Doss
2004 Hayes St Ste 350 |
$0.85 | 665 | 361 |
|
Sandra Golamco
2001 Charlotte Ave Ste 205 |
$1.12 | 660 | 522 |
|
Amanda Genco
926 Main St |
$1.26 | 629 | 549 |
|
Douglass Brooks Clayton
2200 Childrens Way |
$0.39 | 628 | 595 |
|
John Mark Oliver
3601 The Vanderbilt Clinic |
$867.41 | 594 | 365 |
|
Melissa Johnson
3601 The Vanderbilt Clinic |
$0.00 | 566 | 530 |
|
Trey Brown
3601 The Vanderbilt Clinic |
$17.56 | 554 | 342 |
|
Lindsey A Cope
3200 W End Ave |
$5.24 | 548 | 481 |
|
Jason Andrew Jones
2011 Murphy Ave Ste 603 |
$8.51 | 537 | 462 |
|
Angie C Riddle
2412 Lebanon Pike |
$0.89 | 515 | 420 |
|
David A Reichstein
345 23Rd Ave N |
$648.77 | 487 | 282 |
|
Patrick Alan Stansbury
24 White Bridge Rd |
$0.18 | 466 | 389 |
|
Ashlee Lynn Suddeath
526 8Th Ave S |
$1.47 | 465 | 426 |
|
Chasity Wood
3200 W End Ave |
$3.53 | 465 | 408 |
|
John Tyler Hearn
2400 Patterson St Ste 100 |
$1.71 | 464 | 391 |
|
Jamie P. Dwyer
3601 The Vanderbilt Clinic |
$0.10 | 421 | 37 |
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 Nashville, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Nashville, TN is $24.15 per claim, based on 129,877 claims from 279 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 Nashville, TN?
There are 279 Medicaid providers offering Prescription Medications related services in Nashville, TN according to public payment data.
What is the price range for Prescription Medications in Nashville, TN?
Medicaid reimbursement for Prescription Medications in Nashville, TN ranges from $0.00 to $887.57 per claim, with an average of $24.15. 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 Nashville, TN
Blood Work & Lab Tests
Avg $8.25
7,785,390 claims
Case Management Services
Avg $197.77
5,117,343 claims
Office Visit
Avg $46.51
4,188,840 claims
Emergency Room Visit
Avg $115.01
1,887,270 claims
X-Ray
Avg $6.44
1,428,718 claims
Vaccines & Immunizations
Avg $12.95
1,374,325 claims
Urinalysis & Urine Tests
Avg $2.86
953,202 claims
Psychiatric Evaluation
Avg $58.51
924,083 claims