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Based on public Medicaid payment data.

Average Medicaid Prescription Medications Payments in Roanoke, VA: $21.65

Avg. Paid

$21.65

Range

$0.00 โ€“ $2,253

Total Claims

159,256

Providers

48

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 โ€” 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 Roanoke, VA

Provider Avg. Paid Claims Patients
Carilion Medical Center

1906 Belleview Ave Se

$0.80 96,000 75,662
Fresenius Medical Care Roanoke Valley Dialysis, Llc

1326 7Th St Ne

$0.13 25,755 2,075
Fresenius Medical Care Roanoke Valley Dialysis, Llc

331 Hershberger Rd

$0.14 11,101 832
Robert Braden Dunmire

2030 Stephenson Ave Sw

$1.52 8,603 745
Murray E Joiner

2726 Electric Road

$0.88 6,626 4,998
Fresenius Medical Care Roanoke Valley Dialysis, Llc

404 Mcclanahan St Sw

$0.01 1,848 189
Cyrus E Bakhit

1316 S Jefferson St

$0.92 1,774 1,431
Gary Joe Harpold

3 Riverside Cir

$516.67 1,191 601
Suzan R Merten

2013 Jefferson St Sw

$0.70 1,131 701
Timothy R Byrnes

5296 Peters Creek Rd

$1,431 800 745
Amanda Lynn Gillespie-Twardy

2013 Jefferson St Sw Fl 2

$0.63 714 470
Vadim Dushkin

3 Riverside Cir

$750.52 583 439
Jeri L Lantz

3 Riverside Cir

$83.67 440 428
Linda T Kirilenko

2331 Franklin Rd Sw

$0.38 297 278
Sarah Bekri Carrigan

3 Riverside Cir

$776.71 256 180
Mark D Kochenderfer

2013 Jefferson St Sw

$27.53 236 156
Eliud Irizarry Claudio

3 Riverside Cir

$588.69 223 128
Anna Mackin

1819 Electric Rd Ste 1B

$1,039 182 165
Vistar Eye Center, Inc

707 S Jefferson St

$2,253 172 171
Mikhail Bekarev

3 Riverside Cir

$0.91 145 133
Roanoke Valley Healthcare Partners, Llc

602 Brandon Ave Sw

$0.94 128 104
Commonwealth Of Virginia State Board Of Health

1502 Williamson Rd Ne

$7.70 117 111
Matthew R Skelton

2013 Jefferson St Sw

$0.77 81 51
Justin Louis Weppner

2331 Franklin Rd Sw

$1,075 70 50
Murillo Adrados

2331 Franklin Rd Sw

$0.64 68 62
Christopher David Sutton

4035 Electric Rd

$0.93 64 58
Uyen Viet Le

1906 Belleview Ave Se

$0.01 63 63
Padmaja V Mallidi

2013 Jefferson St Sw

$0.81 61 51
Gregory Bull

3 Riverside Cir

$823.36 55 43
Marion Witt Thomas

3 Riverside Cir

$906.22 55 45
Jorge Garcia

1906 Belleview Ave Se

$84.62 45 44
Stephen F Cromer

2331 Franklin Rd Sw

$0.67 39 37
Craig Dwight Hartranft

5296 Peters Creek Rd

$329.16 31 24
Christopher Michael Sullivan

1906 Belleview Ave Se

$80.48 30 29
Ralph Allen Blackwood

3 Riverside Circle

$85.22 29 29
Benjamin Ray Coobs

2331 Franklin Rd Sw

$0.62 28 25
Bradley J Goad

6701 Peters Creek Rd Ste 110

$0.46 27 27
Christopher Kenyon John

2331 Franklin Rd Sw

$0.88 26 25
Carilion Emergency Services, Inc.

1906 Belleview Ave Se

$1.34 25 24
Rachelle Ann Dykstra

1906 Belleview Ave Se

$1.18 25 25
Alyssa Brooke Watkins

3 Riverside Cir

$90.30 18 18
Charlene L Meyer

3 Riverside Cir

$75.48 15 14
Lindsey Mckissick White

1906 Belleview Ave Se

$1.05 15 12
Elizabeth Smith Mccuin

902 S Jefferson St

$72.54 14 13
Katrina Lee Weaver

4348 Electric Rd

$0.00 13 12
Megan Carter

1215 3Rd St Sw

$63.88 13 13
Jaclyn Denise Nunziato James

3 Riverside Cir

$88.35 12 12
Sherri Jo Lilly

2726 Electric Rd

$0.92 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 โ€”
J0120 Tetracyclin injection โ€” โ€” โ€”
J0133 Acyclovir injection โ€” โ€” โ€”
J0202 Injection, alemtuzumab โ€” โ€” โ€”
J0795 Corticorelin ovine triflutal โ€” โ€” โ€”
J1160 Digoxin injection โ€” โ€” โ€”
J1205 Chlorothiazide sodium inj โ€” โ€” โ€”
J1260 Dolasetron mesylate โ€” โ€” โ€”
J1290 Ecallantide injection โ€” โ€” โ€”
J1300 Eculizumab injection โ€” โ€” โ€”
J1301 Injection, edaravone, 1 mg โ€” โ€” โ€”
J1303 Inj., ravulizumab-cwvz 10 mg โ€” โ€” โ€”
J1305 Inj, evinacumab-dgnb, 5mg โ€” โ€” โ€”
J1320 Amitriptyline injection โ€” โ€” โ€”
J1322 Elosulfase alfa, injection โ€” โ€” โ€”
J1327 Eptifibatide injection โ€” โ€” โ€”

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 Roanoke, VA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Roanoke, VA is $21.65 per claim, based on 159,256 claims from 48 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 Roanoke, VA?

There are 48 Medicaid providers offering Prescription Medications related services in Roanoke, VA according to public payment data.

What is the price range for Prescription Medications in Roanoke, VA?

Medicaid reimbursement for Prescription Medications in Roanoke, VA ranges from $0.00 to $2,253 per claim, with an average of $21.65. Private insurance and self-pay costs are typically higher than these Medicaid rates.

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