Average Medicaid Prescription Medications Payments in Richmond, VA: $24.15
Avg. Paid
$24.15
Range
$0.00 – $1,110
Total Claims
476,311
Providers
71
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 Richmond, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Virginia Commonwealth University Health System Authority
1250 E Marshall St |
$37.84 | 142,894 | 99,766 |
|
Chippenham & Johnston-Willis Hospitals Inc
7101 Jahnke Rd |
$0.22 | 59,201 | 40,758 |
|
Bon Secours St. Mary'S Hospital Of Richmond Llc
5801 Bremo Rd |
$0.54 | 56,886 | 41,971 |
|
Hca Health Services Of Virginia Inc
1602 Skipwith Rd |
$0.52 | 32,536 | 24,835 |
|
Bon Secours-Richmond Community Hospital Llc
1500 N 28Th St |
$8.44 | 32,046 | 22,885 |
|
Rai Care Centers Of Virginia I, Llc
3407 W Broad St |
$0.10 | 29,168 | 2,534 |
|
Total Renal Care Inc
913 N 25Th St |
$0.23 | 27,457 | 1,741 |
|
Dva Renal Healthcare Inc
5270 Chamberlayne Rd |
$0.52 | 16,029 | 1,094 |
|
Rai Care Centers Of Virginia I, Llc
2521 Mechanicsville Tpke |
$0.21 | 14,235 | 1,207 |
|
Dva Healthcare Renal Care Inc
671 Hioaks Rd |
$0.64 | 13,025 | 910 |
|
East End Dialysis Center Inc
2201 E Main St |
$0.17 | 12,873 | 845 |
|
Livingston Dialysis Llc
4900 Forest Hill Ave |
$0.09 | 12,671 | 861 |
|
Dva Healthcare Renal Care Inc
8813 Three Chopt Rd |
$0.22 | 4,064 | 279 |
|
Nansen Dialysis, Llc
7001 W Broad St |
$0.06 | 3,804 | 297 |
|
Janice Lynn Gibson-Neale
101 Cowardin Ave |
$75.86 | 2,427 | 2,302 |
|
The Virginia League For Planned Parenthood
201 N. Hamilton St |
$80.21 | 2,203 | 2,101 |
|
Juan Antonio Astruc
8720 Stony Point Pkwy Ste 105 |
$868.20 | 1,918 | 1,044 |
|
David Jonathan Jacobs
400 Westhampton Sta |
$1,048 | 1,424 | 1,268 |
|
Shanthi Sangeetha Ramesh
201 N Hamilton St |
$76.47 | 1,384 | 1,323 |
|
John Stewart O'Keefe
8720 Stony Point Pkwy Ste 105 |
$709.09 | 939 | 548 |
|
Commonwealth Of Virginia State Board Of Health
400 E Cary St |
$2.21 | 889 | 729 |
|
Bryan Schwent
8720 Stony Point Pkwy Ste 105 |
$631.04 | 864 | 515 |
|
Ara-Richmond Dialysis Llc
5320 Patterson Ave |
$9.77 | 701 | 174 |
|
Rupal M Patel
1250 E Marshall St |
$11.99 | 613 | 552 |
|
James S Cook
2105 E Parham Rd |
$0.28 | 535 | 453 |
|
Westhampton Regional Dialysis Center Llc
500 E Laburnum Ave |
$3.02 | 455 | 90 |
|
Rodney Harry Cowans
719 N 25Th St |
$1.81 | 443 | 390 |
|
Candice Parkins
1400 N Laburnum Ave |
$67.38 | 405 | 359 |
|
Julie Purisima
7101 Jahnke Rd Ste 1054 |
$77.92 | 358 | 336 |
|
Ryan F Deasy
400 Westhampton Sta |
$861.53 | 337 | 286 |
|
Crippled Children'S Hospital
2924 Brook Rd |
$0.02 | 328 | 307 |
|
Catherine Brannon Ham
11958 W Broad St |
$215.42 | 315 | 116 |
|
Jessica Leigh Tucker
6900 Forest Ave |
$0.11 | 278 | 212 |
|
Nicolas Maxymiv
1250 E. Marshall St. |
$1.26 | 251 | 239 |
|
Marlena Simpson Halstead
7101 Jahnke Rd |
$70.29 | 241 | 222 |
|
James Lewis Combs
7301 Forest Ave |
$827.38 | 198 | 144 |
|
Gordon Vincent Dalton
5899 Bremo Rd |
$12.93 | 193 | 169 |
|
Clifford T Hepper
5899 Bremo Rd |
$10.02 | 163 | 159 |
|
Byron Scott Ladd
7301 Forest Ave |
$1,012 | 149 | 117 |
|
Erin Wisman
201 N Hamilton St |
$71.61 | 126 | 118 |
|
Lockett Wootton Garnett
5899 Bremo Rd |
$12.14 | 119 | 111 |
|
Dustin Chase Dyer
1501 Maple Ave Ste 200 |
$13.79 | 97 | 91 |
|
Randal John West
9101 Stony Point Dr Ste 3300 |
$1.14 | 88 | 38 |
|
Thomas Lee Jenkins
8720 Stony Point Pkwy Ste 105 |
$1,110 | 78 | 50 |
|
Daniel Chrisopher Martin
7650 E Parham Rd |
$1.45 | 73 | 64 |
|
Yaoming Gu
1630 Wilkes Ridge Pkwy Ste 203 |
$1.18 | 71 | 56 |
|
Anuradha Naidu-Mccown
7101 Jahnke Rd |
$7.89 | 64 | 32 |
|
Sanjay Shashikant Desai
7650 E Parham Rd |
$13.51 | 58 | 55 |
|
Kenneth R Zaslav
7858 Shrader Rd |
$5.56 | 53 | 52 |
|
Ara-South Laburnum Dialysis Llc
4817 S Laburnum Ave |
$0.00 | 50 | 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 Richmond, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Richmond, VA is $24.15 per claim, based on 476,311 claims from 71 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 Richmond, VA?
There are 71 Medicaid providers offering Prescription Medications related services in Richmond, VA according to public payment data.
What is the price range for Prescription Medications in Richmond, VA?
Medicaid reimbursement for Prescription Medications in Richmond, VA ranges from $0.00 to $1,110 per claim, with an average of $24.15. 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 Richmond, VA
Blood Work & Lab Tests
Avg $4.30
4,017,522 claims
Non-Emergency Medical Transportation
Avg $26.22
2,907,745 claims
Office Visit
Avg $68.82
2,636,996 claims
Substance Abuse Treatment
Avg $53.32
2,490,009 claims
Behavioral & Mental Health Therapy
Avg $179.96
2,168,703 claims
Emergency Room Visit
Avg $137.78
2,065,177 claims
X-Ray
Avg $7.41
1,597,204 claims
Physical Therapy
Avg $84.50
1,259,338 claims