Average Medicaid Prescription Medications Payments in Prestonsburg, KY: $9.30
Avg. Paid
$9.30
Range
$0.00 – $74.94
Total Claims
25,592
Providers
29
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 Prestonsburg, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tracey Hedrick-Hamilton
147 N Highland Ave |
$8.56 | 6,924 | 5,534 |
|
Arh Tug Valley Health Services, Inc.
5000 Ky Route 321 |
$6.99 | 6,822 | 5,377 |
|
Highlands Hospital Corp
5000 Ky Route 321 |
$5.25 | 4,085 | 3,378 |
|
Kristen Bentley Jones
5000 Ky Route 321 Ste 4139 |
$11.34 | 2,224 | 1,615 |
|
Robert Nathan Royalty
5000 Ky Route 321 |
$14.33 | 1,990 | 1,609 |
|
Krista L. Jackson
5000 Ky Route 321 |
$8.96 | 588 | 404 |
|
Krissy L Marcum
104 S Front Ave |
$69.73 | 399 | 388 |
|
David Seth Adams
1279 Old Abbott Mountain Rd |
$0.34 | 379 | 343 |
|
Susie Michelle Howard
4851 Ky Route 321 |
$5.74 | 378 | 361 |
|
James A Dalton
1279 Old Abbott Mountain Rd |
$0.31 | 310 | 247 |
|
Joshua Timothy Minix
5000 Ky Route 321 Ste 3141 |
$0.92 | 229 | 196 |
|
Tonya Ann Gibson
1709 Ky Route 321 |
$74.94 | 196 | 189 |
|
Lora Leigh Conley
535 N Lake Dr |
$4.05 | 175 | 159 |
|
Rachel Nicole Cole
79 Sparrow St |
$0.70 | 166 | 160 |
|
Cara Gailynn Mccoy
1709 Ky Route 321 |
$1.09 | 137 | 124 |
|
Jayme Lynn Rice
5000 Ky Route 321 |
$11.08 | 125 | 101 |
|
Martha A Stephens
4851 Ky Route 321 |
$0.42 | 99 | 92 |
|
Amanda Marie Helton
5230 Ky Route 321 Ste 4 |
$0.36 | 77 | 72 |
|
Louisa Elizabeth Farley
286 Us Highway 23 N |
$0.60 | 57 | 56 |
|
Jessica Lee Branham
104 S Front Ave |
$62.55 | 42 | 40 |
|
Maudella Grace Jones
154 N Lake Dr |
$10.18 | 35 | 27 |
|
Jonathan Mark Tackett
1279 Old Abbott Mountain Rd |
$0.69 | 30 | 30 |
|
Ashley Conley
400 University Dr Ste 211A |
$0.41 | 26 | 26 |
|
Natalie Glime
5311 Ky Route 321 Ste 7 |
$0.71 | 25 | 24 |
|
Jody Michael Johnson
5000 Ky Route 321 |
$0.00 | 17 | 15 |
|
April Prater
5000 Ky Route 321 |
$1.48 | 16 | 12 |
|
Matthew Kyle Turner
400 University Dr |
$0.74 | 16 | 16 |
|
Carla M Brown
4851 Ky Route 321 |
$0.42 | 13 | 12 |
|
Christopher M Bailey
400 University Dr |
$2.02 | 12 | 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 Prestonsburg, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Prestonsburg, KY is $9.30 per claim, based on 25,592 claims from 29 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 Prestonsburg, KY?
There are 29 Medicaid providers offering Prescription Medications related services in Prestonsburg, KY according to public payment data.
What is the price range for Prescription Medications in Prestonsburg, KY?
Medicaid reimbursement for Prescription Medications in Prestonsburg, KY ranges from $0.00 to $74.94 per claim, with an average of $9.30. 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
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Avg $9.22
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Avg $6.48
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Avg $31.67
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New York, NY
Avg $40.26
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San Diego, CA
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Other Procedures in Prestonsburg, KY
Psychiatric Evaluation
Avg $57.42
1,166,008 claims
Office Visit
Avg $36.84
889,997 claims
Blood Work & Lab Tests
Avg $10.88
539,849 claims
Substance Abuse Treatment
Avg $64.31
347,061 claims
Home Health Visit
Avg $102.83
345,431 claims
Behavioral & Mental Health Therapy
Avg $150.21
341,524 claims
Physical Therapy
Avg $63.45
255,460 claims
Case Management Services
Avg $310.04
123,130 claims