Average Medicaid Prescription Medications Payments in Pikeville, KY: $25.06
Avg. Paid
$25.06
Range
$0.12 – $812.33
Total Claims
103,877
Providers
34
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 Pikeville, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Pikeville Medical Center Inc
911 Bypass Rd |
$15.73 | 93,283 | 68,312 |
|
Sujata Rao Gutti
515 N Bypass Rd |
$459.28 | 1,991 | 818 |
|
Pike County Health Department
119 River Dr |
$41.35 | 1,531 | 1,386 |
|
Lesley Kyle Bow
484 Tollage Crk |
$4.57 | 1,108 | 869 |
|
Sai P Gutti
515 N Bypass Rd |
$41.99 | 1,015 | 963 |
|
Shirley H Goff
255 Church St Ste 101 |
$34.52 | 506 | 464 |
|
Kristi Hall
484 Tollage Crk |
$0.28 | 452 | 412 |
|
James R. Hager
255 Church St Ste 101 |
$32.14 | 449 | 421 |
|
David Sammons
484 Tollage Crk |
$6.98 | 426 | 410 |
|
Telisha Nichole Prater
484 Tollage Crk |
$0.12 | 367 | 354 |
|
Nicole Elizabeth Isaac
255 Church St Ste 102B |
$37.15 | 344 | 319 |
|
Callie Jo Jervis
255 Church St Ste 101 |
$5.49 | 294 | 280 |
|
Amanda Jo Varney
484 Tollage Crk |
$0.17 | 242 | 231 |
|
Jeremy Clarke Bevins
911 Bypass Rd Bldg A |
$1.85 | 218 | 184 |
|
Michelle Renee Scearse
911 Bypass Rd |
$11.12 | 209 | 185 |
|
Kasandra C Keeslar
255 Church St Ste 102B |
$29.86 | 174 | 121 |
|
Leonor Salamanca Pagtakhan So
156 Island Creek Rd |
$39.56 | 170 | 145 |
|
Sarah Elizabeth Crawford
184 S Mayo Trl |
$51.93 | 162 | 145 |
|
Rebecca Francis
255 Church St Ste 101 |
$0.69 | 137 | 127 |
|
Ahsen Ali Butt
238 Cassidy Blvd |
$2.72 | 104 | 87 |
|
Ashley Nicole Prater
184 S Mayo Trl |
$0.62 | 99 | 90 |
|
Sarah Ann Coleman
156 Island Creek Rd |
$25.61 | 97 | 87 |
|
Katherine Lynn Cornett
484 Tollage Crk |
$9.05 | 86 | 80 |
|
Amanda Nicole Laferty
911 Bypass Rd Bldg A |
$4.91 | 86 | 75 |
|
Alisha Bolen
484 Tollage Crk |
$1.05 | 76 | 72 |
|
Casey Nicole Warf
387 Town Mountain Rd Ste 100 |
$0.53 | 65 | 54 |
|
Erica Blackburn
238 Cassidy Blvd |
$39.53 | 48 | 44 |
|
Joseph A Brown
5425 N Mayo Trl |
$812.33 | 38 | 25 |
|
Bradwell Scott Chaney
126 Trivette Drive |
$0.44 | 24 | 24 |
|
Amy K. Bolling
255 Church St Ste 101 |
$0.43 | 18 | 14 |
|
Anbu K Nadar
911 Bypass Rd Bldg A |
$3.37 | 18 | 12 |
|
Ashley Dawn Branham
178 Douglas Pkwy |
$35.25 | 14 | 13 |
|
Kathryn Lynn Johnson
101 Tiger Way |
$0.48 | 13 | 13 |
|
Bernie Justice
238 Cassidy Blvd |
$36.38 | 13 | 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 Pikeville, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Pikeville, KY is $25.06 per claim, based on 103,877 claims from 34 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 Pikeville, KY?
There are 34 Medicaid providers offering Prescription Medications related services in Pikeville, KY according to public payment data.
What is the price range for Prescription Medications in Pikeville, KY?
Medicaid reimbursement for Prescription Medications in Pikeville, KY ranges from $0.12 to $812.33 per claim, with an average of $25.06. 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 Pikeville, KY
Office Visit
Avg $34.50
1,279,513 claims
Blood Work & Lab Tests
Avg $13.27
1,226,959 claims
Emergency Room Visit
Avg $104.28
349,778 claims
Psychiatric Evaluation
Avg $55.70
290,250 claims
X-Ray
Avg $36.48
249,058 claims
Substance Abuse Treatment
Avg $43.54
225,767 claims
Urinalysis & Urine Tests
Avg $4.44
169,795 claims
Physical Therapy
Avg $23.66
158,566 claims