Based on public Medicaid payment data.

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
Jonathan Gregory Schoenecker 3601 Tvc	$0.00	12	12
Molly Shine 3601 The Vanderbilt Clinic	$0.00	12	12
Barry S Grimm 3601 The Vanderbilt Clinic	$88.34	12	12
Jonathon Prozan 974 Greerland Dr	$3.74	12	12
Caitlin Jo Brown 300 20Th Ave North	$1.06	12	12
Chelsea Nicole Wolfe 3601 The Vanderbilt Clinic	$2.62	13	13
Kelsey Savage 3601 The Vanderbilt Clini	$8.38	13	13
Gregory Mencio 3601 Tvc	$0.00	13	13
Mack Adam Jenkins 3601 The Vanderbilt Clinic	$0.00	13	12
Vandita Acharya 3601 The Vanderbilt Clinic	$1.61	13	12
Brendan Kyle Lucas 810 Royal Pkwy Ste 110	$0.68	13	13
Katrina Margaret Collins 3601 The Vanderbilt Clinic	$14.54	13	12
Heather Robbins 3601 The Vanderbilt Clinic	$0.44	13	13
Kenzie Robinson Lovingood 926 Main St	$0.83	13	12
Christopher Baron 3601 The Vanderbilt Clinic	$0.00	13	12
John Arthur Morehead 2201 Murphy Ave Ste 407	$0.00	13	12
John D Pitt 3601 The Vanderbilt Clinic	$0.99	14	14
Allison Umfress 3601 The Vanderbilt Clinic	$0.00	14	12
Matthew J Chandler 3441 Dickerson Pike	$0.00	14	12
Kimberly Rice 3404 W End Ave	$1.38	14	14
Kimberly Gran Naftel 3601 The Vanderbilt Clinic	$0.00	14	14
Sharon L Santos 3601 The Vanderbilt Clinic	$0.64	14	12
Melissa Kaufman 3601 The Vanderbilt Clinic	$113.64	14	12
Emily Lynn Widelock 3443 Dickerson Pike Ste 190	$0.89	14	12
John Louis Tate 3601 The Vanderbilt Clinic	$0.00	14	14
Robert Scott Frankenfield 3601 The Vanderbilt Clinic	$0.00	14	12
Michael Hayoun 3443 Dickerson Pike Ste 310	$0.00	14	12
Bethany H. Malone 3601 The Vanderbilt Clinic	$0.00	14	13
Melissa Huscusson Walco 2201 Murphy Ave Ste 110	$0.00	14	12
Fawwaz A Alkayyali 393 Wallace Rd Ste A302	$0.13	15	14
James Hardman Rubright 8 City Blvd Ste 300	$8.46	15	12
Brigid K Marshall 345 23Rd Ave N Ste 350	$667.03	15	12
Anvesh C. Reddy 3601 The Vanderbilt Clinic	$0.00	15	12
Danielle Ann Earls 3601 The Vanderbilt Clinic	$1.09	15	13
Nichole Johnson 2200 Childrens Way # Way7	$0.00	15	12
Carson Meador 391 Wallace Rd	$0.68	15	13
Julie C Stinson-Reynolds 510 Recovery Rd	$5.52	16	12
Patrick Davis 393 Wallace Rd Ste 301	$0.00	16	12
Mack Garrett Goldberg 3601 The Vanderbilt Clinic	$0.00	16	12
Naccolaine Ridgeway 617 S 8Th St	$59.81	16	16
Stephanie Santa Ana 3601 The Vanderbilt Clinic	$0.36	16	13
Gary Duane Singer 2300 Patterson St	$0.00	16	14
Stephanie Hunter Eidson 3601 The Vanderbilt Clinic	$1.94	16	15
Metropolitan Government Of Nashville & Davidson County 2500 Charlotte Ave	$18.28	16	16
Katrina Green 3441 Dickerson Pike	$0.00	16	15
Kevin Kelly 3601 Tvc	$0.00	16	13
Todd Arkava 3441 Dickerson Pike	$0.00	17	15
Caroline Long 3601 The Vanderbilt Clinic	$22.59	17	15
William Neisler Melton 3443 Dickerson Pike Ste 190	$5.95	17	12
Kevin J Bonner 2000 Church St	$1.46	17	14

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.

Average Medicaid Prescription Medications Payments in Nashville, TN: $24.15

Providers Offering Prescription Medications in Nashville, TN

What to Expect: Prescription Medications

Cost Components

Frequently Asked Questions

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Other Procedures in Nashville, TN

Blood Work & Lab Tests

Case Management Services

Office Visit

Emergency Room Visit

X-Ray

Vaccines & Immunizations

Urinalysis & Urine Tests

Psychiatric Evaluation