Average Medicaid Prescription Medications Payments in Oneida, TN: $2.09
Avg. Paid
$2.09
Range
$0.00 – $4.54
Total Claims
8,703
Providers
18
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 Oneida, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Alisha L Shoemaker
19067 Alberta St |
$2.62 | 1,725 | 1,374 |
|
David Bruce Coffey
281 Underpass Drive |
$3.85 | 1,463 | 1,134 |
|
Chelsea Sexton Shelton
460 Industrial Ln |
$1.15 | 1,248 | 973 |
|
Jessica Lynn Sexton
470 Industrial Ln |
$1.87 | 713 | 506 |
|
Cody Alan Pike
18797 Alberta St |
$1.02 | 657 | 567 |
|
Edward W Capparelli
460 Industrial Ln |
$1.23 | 571 | 442 |
|
Stanley Mark Swindell
18797 Alberta St |
$2.31 | 406 | 320 |
|
Lori Yancey-Ellis
19067 Alberta St |
$1.07 | 331 | 271 |
|
Timothy R Bunker
281 Underpass Dr |
$0.96 | 329 | 291 |
|
Ammie S Webb
19536 Alberta St |
$0.58 | 312 | 264 |
|
Trent Wade Cross
20405 Alberta St |
$4.54 | 275 | 216 |
|
Jan Greg Robbins
18797 Alberta St |
$0.00 | 198 | 177 |
|
Heather Danielle Wilson
19536 Alberta St |
$2.84 | 171 | 109 |
|
John Franklin Scates
325 Hc Smith Drive |
$1.18 | 109 | 91 |
|
Kelly Ann Walker
460 Industrial Ln |
$0.54 | 86 | 73 |
|
Evelyn W Smith
281 Underpass Dr |
$4.32 | 47 | 39 |
|
Raelan Duncan
19536 Alberta St |
$0.72 | 45 | 34 |
|
Steven Joshua Thompson
17941 Alberta St |
$0.43 | 17 | 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 Oneida, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Oneida, TN is $2.09 per claim, based on 8,703 claims from 18 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 Oneida, TN?
There are 18 Medicaid providers offering Prescription Medications related services in Oneida, TN according to public payment data.
What is the price range for Prescription Medications in Oneida, TN?
Medicaid reimbursement for Prescription Medications in Oneida, TN ranges from $0.00 to $4.54 per claim, with an average of $2.09. 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
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
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Louisville, KY
Avg $31.67
601,676 claims · 181 providers
New York, NY
Avg $40.26
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San Diego, CA
Avg $27.34
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Tucson, AZ
Avg $24.34
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Other Procedures in Oneida, TN
Office Visit
Avg $35.65
209,327 claims
Blood Work & Lab Tests
Avg $6.68
46,296 claims
Physical Therapy
Avg $23.50
44,399 claims
Ambulance Transport
Avg $39.89
42,074 claims
Emergency Room Visit
Avg $118.66
34,862 claims
Speech Therapy
Avg $39.51
33,749 claims
Psychiatric Evaluation
Avg $49.52
18,467 claims
Eye Exam
Avg $37.37
15,636 claims