Average Medicaid Prescription Medications Payments in Virginia Beach, VA: $5.73
Avg. Paid
$5.73
Range
$0.00 – $781.61
Total Claims
83,367
Providers
32
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 Virginia Beach, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sentara Hospitals
1060 First Colonial Rd |
$0.22 | 28,770 | 21,888 |
|
Sentara Princess Anne Hospital
2025 Glenn Mitchell Dr |
$0.20 | 25,543 | 19,091 |
|
Renal Treatment Centers - Mid-Atlantic, Inc.
740 Independence Cir |
$0.08 | 7,914 | 575 |
|
Davita Tidewater - Virginia Beach, Llc
1800 Camelot Dr |
$0.01 | 6,947 | 539 |
|
Bio-Medical Applications Of Virginia, Inc.
933 First Colonial Rd Ste 112 |
$0.03 | 5,546 | 462 |
|
Total Renal Care, Inc
3973 Holland Rd |
$0.08 | 1,450 | 87 |
|
Timothy Joseph Hardy
3720 Holland Rd |
$73.06 | 1,331 | 1,270 |
|
Victor Wei Tseng
1717 Will O Wisp Drive |
$0.96 | 690 | 646 |
|
Evelyn Patrease Cooper
828 Healthy Way Ste 330 |
$77.60 | 567 | 539 |
|
Kassi Avent
515 Newtown Rd |
$75.66 | 560 | 533 |
|
Michael Edward Gauthier
2221 Leeward Shore Dr |
$9.57 | 499 | 456 |
|
Yue Zhang
1950 Glenn Mitchell Dr Ste 102 |
$1.11 | 490 | 293 |
|
Kristl Vidya Dorschner Tomlin
1924 Landstown Centre Way |
$74.92 | 428 | 418 |
|
Laura Ann Jackson
1950 Glenn Mitchell Dr Ste 200 |
$423.77 | 413 | 189 |
|
Bio-Medical Applications Of Virginia, Inc.
525 S Independence Blvd Ste 150 |
$0.00 | 391 | 37 |
|
Wayne Alan Chen
1717 Will O Wisp Drive |
$0.53 | 385 | 363 |
|
Kinjal Sohagia
397 Little Neck Rd |
$8.63 | 338 | 276 |
|
Lavanzia S Jones
515 Newtown Rd |
$73.20 | 190 | 181 |
|
Celesteann Bremer
1950 Glenn Mitchell Dr |
$0.51 | 158 | 63 |
|
Laronda D Cole
5701 Cleveland Street, Suite 600 |
$5.54 | 134 | 115 |
|
Virginia Beach Department Of Public Health
4452 Corporation Ln |
$0.82 | 125 | 112 |
|
Aileen Elizabeth Bergen
1800 Camelot Dr Ste 300 |
$5.68 | 113 | 111 |
|
Mid-Atlantic Womens Care Plc
1080 First Colonial Rd Ste 300 |
$53.26 | 107 | 107 |
|
Caitlin Chantal Lugo
1975 Glenn Mitchell Dr Ste 200 |
$82.19 | 65 | 64 |
|
Felix Moses Kirven
5701 Cleveland Street |
$6.32 | 64 | 61 |
|
Jasmine Starr
515 Newtown Rd |
$78.00 | 28 | 26 |
|
Adam T. Lipman
397 Little Neck Rd |
$781.61 | 27 | 14 |
|
Joaquin Tosi
397 Little Neck Rd Ste 202 |
$479.76 | 26 | 25 |
|
Gayatri Kapur
2075 Glenn Mitchell Dr Ste 500 |
$84.26 | 25 | 25 |
|
Paul Douglas Warren
1975 Glenn Mitchell Dr |
$21.81 | 15 | 13 |
|
Tracey O Pennington
5320 Providence Rd |
$5.04 | 15 | 12 |
|
Kevin David Rabie
3720 Holland Rd Ste 100 |
$0.15 | 13 | 13 |
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 Virginia Beach, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Virginia Beach, VA is $5.73 per claim, based on 83,367 claims from 32 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 Virginia Beach, VA?
There are 32 Medicaid providers offering Prescription Medications related services in Virginia Beach, VA according to public payment data.
What is the price range for Prescription Medications in Virginia Beach, VA?
Medicaid reimbursement for Prescription Medications in Virginia Beach, VA ranges from $0.00 to $781.61 per claim, with an average of $5.73. 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 Virginia Beach, VA
Substance Abuse Treatment
Avg $33.68
1,632,068 claims
Home Health Visit
Avg $123.80
1,440,432 claims
Office Visit
Avg $58.40
1,108,476 claims
Non-Emergency Medical Transportation
Avg $24.11
1,083,925 claims
Physical Therapy
Avg $57.25
989,334 claims
Emergency Room Visit
Avg $112.32
613,621 claims
Blood Work & Lab Tests
Avg $15.10
602,483 claims
Speech Therapy
Avg $50.66
505,105 claims