Average Medicaid Prescription Medications Payments in Smyrna, TN: $7.59
Avg. Paid
$7.59
Range
$0.00 – $66.28
Total Claims
3,694
Providers
23
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 Smyrna, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Raina Kelly Tomlinson
515 Stonecrest Pkwy Ste 230 |
$0.75 | 13 | 12 |
|
Christopher M. Golden
200 Stonecrest Blvd |
$0.58 | 13 | 13 |
|
James M Fish
300 Stonecrest Blvd Ste 230 |
$0.89 | 14 | 13 |
|
Kyle Jeffrey Beulke
739 President Pl |
$0.00 | 15 | 15 |
|
Anna-Louise O Molette
739 President Pl |
$5.52 | 24 | 12 |
|
Alexis Kylie Spence
200 Stonecrest Blvd |
$0.72 | 25 | 17 |
|
Moses Andre Swauncy
115 Front St |
$0.43 | 27 | 24 |
|
Jacqueline A Peters
301 Wolverine Trl |
$0.36 | 31 | 27 |
|
Adam Richard Cochran
2160 Rock Springs Rd Ste 100 |
$4.44 | 35 | 13 |
|
Matthew D Neuhaus
693 President Pl Ste 103 |
$0.43 | 44 | 37 |
|
William C Mayfield
300 Stonecrest Blvd Ste 200 |
$0.62 | 45 | 40 |
|
Lucinda Lee Motley-Davis
301 Wolverine Trl Ste 201 |
$0.30 | 58 | 49 |
|
Kristal Nichole Reed
309 Quecreek Cir |
$0.46 | 75 | 56 |
|
Jeffrey R Day
300 Stonecrest Blvd Ste 230 |
$0.55 | 84 | 69 |
|
Anitha S Dhar
1702 Rock Springs Road |
$0.92 | 85 | 67 |
|
George Albert Fox
2020 Rock Springs Rd Ste 110 |
$64.97 | 100 | 96 |
|
Mistye Dawnielle Taylor
300 Stonecrest Blvd |
$66.28 | 114 | 107 |
|
Tracy L. Carter
515 Stonecrest Pkwy |
$1.07 | 133 | 122 |
|
Afam C Ikejiani
301 Wolverine Trl |
$48.63 | 170 | 131 |
|
James Allen Sudberry
300 Stonecrest Blvd Ste 255 |
$0.23 | 260 | 183 |
|
Miaschia Bryanna Scott
983 Nissan Dr |
$1.93 | 422 | 373 |
|
Sadia Majid Dar
515 Stonecrest Pkwy |
$1.37 | 664 | 565 |
|
James Jeffrey York
300 Stonecrest Blvd Ste 230 |
$2.57 | 1,243 | 931 |
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 Smyrna, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Smyrna, TN is $7.59 per claim, based on 3,694 claims from 23 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 Smyrna, TN?
There are 23 Medicaid providers offering Prescription Medications related services in Smyrna, TN according to public payment data.
What is the price range for Prescription Medications in Smyrna, TN?
Medicaid reimbursement for Prescription Medications in Smyrna, TN ranges from $0.00 to $66.28 per claim, with an average of $7.59. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Smyrna, TN
Office Visit
Avg $39.51
391,282 claims
Dental Cleaning & Exam
Avg $28.74
327,727 claims
Vaccines & Immunizations
Avg $15.68
151,431 claims
Physical Therapy
Avg $40.49
124,635 claims
Speech Therapy
Avg $43.12
108,711 claims
Emergency Room Visit
Avg $131.91
96,936 claims
Blood Work & Lab Tests
Avg $3.95
87,524 claims
Dental Filling
Avg $64.93
83,688 claims