Average Medicaid Prescription Medications Payments in Somerset, KY: $9.83
Avg. Paid
$9.83
Range
$0.04 – $105.98
Total Claims
34,400
Providers
40
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 Somerset, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lake Cumberland Regional Hospital Llc
305 Langdon Street |
$11.48 | 16,183 | 13,290 |
|
Catherine Stroud Martin
Va Lexington Health Care |
$1.75 | 2,806 | 2,265 |
|
Dennis U Anciro
754 S Hwy 27 |
$8.95 | 1,862 | 1,616 |
|
Christopher J Miller
117 Tradepark Dr |
$0.61 | 1,699 | 1,339 |
|
Rhonda Kelly
6470 S Highway 27 |
$10.32 | 1,586 | 1,361 |
|
Diana Linda Phelps
115 Tradepark Dr Ste B |
$16.18 | 1,577 | 1,288 |
|
N Mullai
401 Bogle St |
$6.41 | 1,198 | 450 |
|
Beverly Sue Shook
350 Langdon Street |
$6.30 | 1,157 | 1,000 |
|
Jeffrey T Schnell
117 Tradepark Dr |
$0.57 | 775 | 677 |
|
Pamela M Jensen-Stanley
117 Tradepark Dr |
$0.49 | 763 | 607 |
|
Patrick F Jenkins
350 Hospital Way |
$0.14 | 608 | 494 |
|
Giovannie Eugenio-Anciro
754 S Hwy 27 |
$2.34 | 531 | 480 |
|
Denita K Mcdonald
200 Belmont Ave |
$11.06 | 479 | 439 |
|
Cassie A Floyd Tyner
341 Bogle St Ste A |
$31.50 | 358 | 322 |
|
Alisha J Cooley
6470 S Highway 27 |
$1.84 | 336 | 261 |
|
Shannon Renee Schnell
117 Tradepark Dr |
$1.66 | 281 | 236 |
|
Amanda Megan Kohut
117 Tradepark Dr |
$0.17 | 253 | 208 |
|
Richard Burns Cunningham
353 Bogle St |
$12.18 | 251 | 220 |
|
Misty R Goldson
600 Monticello St Ste 1 |
$7.73 | 227 | 212 |
|
Juanita Buffy House
333 Bogle St |
$76.63 | 190 | 186 |
|
Ashley N Beckley
333 Bogle St |
$105.98 | 144 | 136 |
|
Jerry Thomas Roberts
117 Tradepark Dr |
$1.94 | 136 | 120 |
|
Valorie Marlow
200 Norfleet Dr |
$1.07 | 111 | 101 |
|
Ibraiz Iqbal
104 Hardin Ln |
$1.91 | 101 | 90 |
|
Lake Cumberland District Health Department
45 Roberts St |
$44.21 | 96 | 91 |
|
Alianne S Tilley-Hicks
333 Bogle St |
$73.66 | 87 | 86 |
|
Cynthia M Patterson
333 Bogle St |
$58.55 | 86 | 83 |
|
Natalee L Neikirk
95 Bogle Office Park Dr |
$0.39 | 86 | 37 |
|
Jonathan E Moore
117 Tradepark Dr |
$0.84 | 84 | 70 |
|
Sarah Elizabeth Brown
2520 S Highway 27 Ste 1 |
$0.74 | 81 | 78 |
|
Amanda Sexton
607 Clifty St |
$8.28 | 77 | 57 |
|
Robin Shawn Goff
350 Hospital Way |
$9.29 | 62 | 60 |
|
Mackenzie Cupp
150 N Highway 27 |
$0.04 | 32 | 30 |
|
Shianne Autumn Burton
23 Eury Ln |
$0.24 | 16 | 13 |
|
Jenniffer Baker
754 S Highway 27 |
$2.82 | 15 | 14 |
|
Donald Brent Cherry
850 Hail Knob Rd |
$0.88 | 14 | 14 |
|
Chrystal Daugherty
6470 S Highway 27 |
$0.77 | 14 | 14 |
|
Robert Bryan Bemiss
350 Hospital Way |
$18.74 | 13 | 13 |
|
Jessica Lamb
298 Bogle St Ste B |
$36.96 | 13 | 12 |
|
Jeana Lee Keith
6470 S Highway 27 |
$0.40 | 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 Somerset, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Somerset, KY is $9.83 per claim, based on 34,400 claims from 40 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 Somerset, KY?
There are 40 Medicaid providers offering Prescription Medications related services in Somerset, KY according to public payment data.
What is the price range for Prescription Medications in Somerset, KY?
Medicaid reimbursement for Prescription Medications in Somerset, KY ranges from $0.04 to $105.98 per claim, with an average of $9.83. 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 Somerset, KY
Office Visit
Avg $36.93
986,284 claims
Psychiatric Evaluation
Avg $59.24
948,676 claims
Blood Work & Lab Tests
Avg $9.54
630,941 claims
Physical Therapy
Avg $97.34
524,540 claims
Substance Abuse Treatment
Avg $133.37
507,692 claims
Home Health Visit
Avg $177.24
473,664 claims
Case Management Services
Avg $300.90
265,532 claims
Dental Cleaning & Exam
Avg $37.41
229,101 claims