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.
Prescription Medications in Other Cities
Phoenix, AZ
Avg $16.15
844,810 claims ยท 235 providers
Milwaukee, WI
Avg $9.22
755,550 claims ยท 88 providers
Washington, DC
Avg $6.48
675,765 claims ยท 92 providers
Los Angeles, CA
Avg $61.23
617,979 claims ยท 282 providers
Louisville, KY
Avg $31.67
601,676 claims ยท 181 providers
New York, NY
Avg $40.26
587,024 claims ยท 195 providers
San Diego, CA
Avg $27.34
493,429 claims ยท 162 providers
Tucson, AZ
Avg $24.34
489,015 claims ยท 169 providers
Other Procedures in Roanoke, VA
Office Visit
Avg $63.08
1,419,537 claims
Substance Abuse Treatment
Avg $44.31
1,236,004 claims
Blood Work & Lab Tests
Avg $5.46
1,046,555 claims
Behavioral & Mental Health Therapy
Avg $119.20
914,013 claims
Emergency Room Visit
Avg $113.17
568,599 claims
Psychiatric Evaluation
Avg $71.61
465,691 claims
X-Ray
Avg $9.06
397,089 claims
Home Health Visit
Avg $74.87
351,003 claims