Average Medicaid Prescription Medications Payments in Norfolk, VA: $46.71
Avg. Paid
$46.71
Range
$0.01 – $2,019
Total Claims
319,510
Providers
63
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 Norfolk, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sentara Hospitals
600 Gresham Dr |
$0.61 | 61,574 | 43,474 |
|
Childrens Hospital Of The Kings Daughters Inc
601 Childrens Ln |
$6.08 | 61,046 | 52,614 |
|
Sentara Hospitals
830 Kempsville Rd |
$0.22 | 48,411 | 35,927 |
|
Renal Treatment Centers - Mid-Atlantic, Inc.
962 Norfolk Sq |
$0.30 | 30,469 | 2,432 |
|
Bio-Medical Applications Of Virginia, Inc.
6320 N Center Dr Ste 140 |
$0.02 | 27,367 | 2,361 |
|
Bio-Medical Applications Of Virginia, Inc.
5623 Tidewater Dr |
$0.04 | 21,602 | 2,050 |
|
Renal Treatment Centers Mid Atlantic Inc
2201 Colonial Ave |
$0.33 | 16,288 | 1,348 |
|
Total Renal Care Inc
1817 E Little Creek Rd |
$0.07 | 11,815 | 948 |
|
Bio-Medical Applications Of Virginia, Inc.
1902 Omohundro Ave Ste 100 |
$0.13 | 9,071 | 897 |
|
Bon Secours Depaul Medical Center Llc
150 Kingsley Ln |
$0.39 | 8,555 | 6,428 |
|
Renal Treatment Centers Mid Atlantic Inc
420 N Center Dr |
$0.46 | 5,699 | 503 |
|
Rohit Adyanthaya
241 Corporate Blvd |
$1,533 | 1,937 | 1,613 |
|
Charles Maurice Dillard
301 Riverview Ave Ste 501 |
$2,019 | 1,908 | 1,507 |
|
Katrina Marie Lesher
400 Gresham Dr Ste 800 |
$1,917 | 1,799 | 1,644 |
|
Kapil Gopal Kapoor
6160 Kempsville Cir Ste 120B |
$677.37 | 1,572 | 953 |
|
Alan Lewis Wagner
6160 Kempsville Cir Ste 120B |
$729.35 | 1,565 | 1,006 |
|
Brian Shanklin Weaver
814 Kempsville Rd |
$3.33 | 929 | 615 |
|
David M Salib
241 Corporate Blvd |
$1,148 | 869 | 749 |
|
Stephen Scott Davis
825 Fairfax Ave |
$69.98 | 730 | 635 |
|
Michael A Danso
5900 Lake Wright Dr |
$0.86 | 685 | 398 |
|
Thomas A Alberico
5900 Lake Wright Dr |
$0.67 | 640 | 366 |
|
Evan M Berger
6160 Kempsville Cir Ste 120B |
$758.55 | 548 | 373 |
|
Richard Norman Willard
825 Fairfax Ave |
$76.97 | 523 | 481 |
|
David R Peters
891 Norfolk Sq |
$70.65 | 459 | 428 |
|
Brittany Leigh Diehl
825 Fairfax Ave Ste 310 |
$80.73 | 351 | 335 |
|
Boon Cheng Kok
5900 Lake Wright Dr |
$0.63 | 338 | 183 |
|
Thomas Dudley Kimble
825 Fairfax Ave |
$76.49 | 307 | 282 |
|
Beverly Lavern Roberts-Atwater
721 Fairfax Ave |
$501.33 | 264 | 137 |
|
Kristen Alane Mosier
100 Kingsley Ln Ste 200 |
$79.06 | 180 | 173 |
|
Hassan Zakaria
1428 Ashland Cir |
$10.30 | 179 | 141 |
|
Kyzwana N Caves
301 Riverview Ave Ste 3 |
$0.01 | 163 | 161 |
|
Jedrzej Michal Wykretowicz
6251 E Virginia Beach Blvd Ste 200 |
$0.84 | 161 | 109 |
|
Andrew Moore
825 Fairfax Ave Ste 310 |
$68.34 | 142 | 124 |
|
Alaa Al-Dabbagh
6160 Kempsville Cir Ste 120B |
$982.97 | 133 | 96 |
|
Renee Christine Morales
825 Fairfax Ave Ste 310 |
$70.42 | 110 | 92 |
|
Edward R George
5900 Lake Wright Dr |
$0.42 | 97 | 54 |
|
Dana Bartlett Dasher
400 Gresham Dr Ste 800 |
$963.07 | 96 | 69 |
|
Bradley T Butkovich
6160 Kempsville Cir |
$17.53 | 84 | 69 |
|
Burton F Alexander
5900 Lake Wright Dr |
$1.01 | 78 | 52 |
|
Scott J Cross
5900 Lake Wright Dr |
$1.10 | 78 | 59 |
|
Joseph Lane Hudgens
825 Fairfax Ave Ste 310 |
$76.94 | 71 | 64 |
|
Virginia M Stewart
358 Mowbray Arch |
$17.87 | 67 | 60 |
|
Chimere L Clark
1225 W 25Th St Ste 420 |
$0.01 | 62 | 60 |
|
Michael E Lee
5900 Lake Wright Dr |
$0.50 | 58 | 41 |
|
Homechoice Partners Llc
5365 Robin Hood Rd Ste 200 |
$13.54 | 55 | 15 |
|
Elizabeth Baker Golpira
100 Kingsley Ln |
$79.75 | 38 | 37 |
|
Nina Balanchivadze
6251 E Virginia Beach Blvd Ste 200 |
$0.93 | 38 | 24 |
|
Gabrielle Ann Lanzetta
844 Kempsville Rd Ste 104 |
$3.67 | 36 | 35 |
|
Thomas Russell Grant
825 Fairfax Ave |
$75.42 | 34 | 30 |
|
Elliott W Lucas
100 Kingsley Ln |
$46.67 | 29 | 28 |
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 Norfolk, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Norfolk, VA is $46.71 per claim, based on 319,510 claims from 63 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 Norfolk, VA?
There are 63 Medicaid providers offering Prescription Medications related services in Norfolk, VA according to public payment data.
What is the price range for Prescription Medications in Norfolk, VA?
Medicaid reimbursement for Prescription Medications in Norfolk, VA ranges from $0.01 to $2,019 per claim, with an average of $46.71. 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 Norfolk, VA
Blood Work & Lab Tests
Avg $3.48
2,937,593 claims
Office Visit
Avg $78.63
1,771,246 claims
Emergency Room Visit
Avg $130.83
1,218,408 claims
Home Health Visit
Avg $127.59
1,198,941 claims
Physical Therapy
Avg $85.31
852,082 claims
X-Ray
Avg $14.46
677,468 claims
Urinalysis & Urine Tests
Avg $1.59
585,340 claims
Non-Emergency Medical Transportation
Avg $23.92
505,182 claims