Average Medicaid Prescription Medications Payments in Suffolk, VA: $0.92
Avg. Paid
$0.92
Range
$0.00 โ $75.45
Total Claims
80,709
Providers
21
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 Suffolk, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sentara Hospitals
2800 Godwin Blvd |
$0.15 | 32,746 | 25,181 |
|
Bio-Medical Applications Of Virginia, Inc.
1005 Commercial Ln Ste 100 |
$0.02 | 18,896 | 1,646 |
|
Deowee Dialysis Llc
3009 Corporate Ln Ste 130 |
$0.01 | 11,405 | 760 |
|
Total Renal Care Inc
1039 Champions Way |
$0.05 | 10,271 | 917 |
|
Aaron L Marlow
5838 Harbour View Blvd |
$7.57 | 1,195 | 1,012 |
|
Cynthia Chan Sile
150 Burnetts Way |
$0.58 | 1,183 | 572 |
|
Bio-Medical Applications Of Virginia, Inc.
5140 River Club Dr Ste 100 |
$0.00 | 1,168 | 108 |
|
Commonwealth Of Virginia State Board Of Health
135 Hall Avenue |
$17.53 | 1,026 | 968 |
|
Hui Chen
3910 Bridge Rd Ste 400 |
$1.94 | 713 | 295 |
|
Snehal A. Damle
5838 Harbour View Blvd |
$0.90 | 383 | 220 |
|
Christina Michelle Jackson
2000 Meade Pkwy |
$71.35 | 360 | 326 |
|
Bryan Alan Fox
150 Burnetts Way |
$4.54 | 351 | 328 |
|
Daniel M Atienza
2790 Godwin Blvd Ste 101 |
$0.81 | 222 | 146 |
|
Arthur W Wardell
5818 D Harbour View Blvd |
$2.25 | 159 | 113 |
|
Ayham Deeb
2790 Godwin Blvd Ste 101 |
$0.73 | 152 | 95 |
|
Henry Christopher Demkowski
2000 Meade Pkwy |
$75.45 | 138 | 125 |
|
Jane Marie Derrig
2000 Meade Parkway |
$3.38 | 123 | 87 |
|
James Hugh Henick
150 Burnetts Way Ste 100 |
$2.03 | 103 | 94 |
|
Jessica Bernabe-Bentivoglio
135 Hall Ave |
$0.04 | 42 | 42 |
|
Tobi White Byrd
2790 Godwin Blvd Ste 360 |
$0.00 | 40 | 39 |
|
Anthony Michael Bevilacqua
150 Burnetts Way |
$6.46 | 33 | 33 |
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 Suffolk, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Suffolk, VA is $0.92 per claim, based on 80,709 claims from 21 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 Suffolk, VA?
There are 21 Medicaid providers offering Prescription Medications related services in Suffolk, VA according to public payment data.
What is the price range for Prescription Medications in Suffolk, VA?
Medicaid reimbursement for Prescription Medications in Suffolk, VA ranges from $0.00 to $75.45 per claim, with an average of $0.92. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Prescription Medications in Other Cities
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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
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Tucson, AZ
Avg $24.34
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Other Procedures in Suffolk, VA
Home Health Visit
Avg $135.04
716,483 claims
Non-Emergency Medical Transportation
Avg $29.77
538,578 claims
Office Visit
Avg $44.97
451,809 claims
Blood Work & Lab Tests
Avg $3.26
402,048 claims
Substance Abuse Treatment
Avg $103.59
321,720 claims
Physical Therapy
Avg $73.62
203,872 claims
Emergency Room Visit
Avg $148.34
191,952 claims
Behavioral & Mental Health Therapy
Avg $174.66
147,152 claims