Average Medicaid Prescription Medications Payments in Winchester, VA: $10.34
Avg. Paid
$10.34
Range
$0.00 – $1,668
Total Claims
57,397
Providers
28
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 Winchester, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Winchester Medical Center
1840 Amherst St |
$6.85 | 40,677 | 32,905 |
|
Total Renal Care Inc
2301 Valor Dr |
$0.31 | 14,174 | 971 |
|
Waheed S Baksh
1839 West Plaza Drive |
$21.89 | 476 | 363 |
|
David Brandt Essaff
190 Campus Blvd Ste 410 |
$8.24 | 314 | 244 |
|
Alok Gopal
190 Campus Blvd |
$4.02 | 233 | 179 |
|
Jason P Ruggiero
190 Campus Blvd |
$567.30 | 197 | 133 |
|
Lee Resta
400 Campus Blvd Ste 100 |
$57.67 | 140 | 91 |
|
Bio-Medical Applications Of Virginia, Inc.
38 W Jubal Early Dr |
$0.04 | 137 | 12 |
|
Andrew Justin Mcfarland
190 Campus Blvd Ste 320 |
$1,005 | 134 | 104 |
|
Dwight T Kemp
190 Campus Blvd |
$9.47 | 130 | 117 |
|
William A Houck
400 Campus Blvd Ste 100 |
$1.97 | 127 | 78 |
|
Jordan Le Tran
125 Prosperity Dr |
$0.99 | 99 | 26 |
|
Shenandoah Oncology, Pc
400 Campus Blvd Ste 100 |
$1.02 | 92 | 26 |
|
Richard M Ingram
400 Campus Blvd Ste 100 |
$0.93 | 77 | 59 |
|
Matthew Page Jones
400 Campus Blvd Ste 100 |
$0.98 | 66 | 51 |
|
Lindsey Morgan Nordstrom O'Brien
400 Campus Blvd. |
$2.99 | 50 | 36 |
|
Fred Young Kim
1705 Amherst St Ste 201 |
$1.31 | 45 | 40 |
|
Nicholas W Gemma
400 Campus Blvd Ste 100 |
$26.25 | 37 | 26 |
|
Kristen Nicole Williams
1839 W Plaza Dr |
$1.65 | 28 | 25 |
|
Commonwealth Of Virginia State Board Of Health
10 Baker Street |
$10.06 | 27 | 24 |
|
Lisa Pierce
207 Gateway Dr |
$0.63 | 27 | 24 |
|
Mallory Michelle Trayer
1830 Plaza Dr |
$0.00 | 23 | 12 |
|
Gaurav Agarwal
1705 Amherst St Ste 201 |
$0.44 | 16 | 16 |
|
Micah Shawn Crouse
1940 Taylor Dr Apt 6 |
$0.43 | 16 | 14 |
|
Shaina Marie Rubino Loverde
190 Campus Blvd Ste 320 |
$1,019 | 15 | 12 |
|
Retina Associates, Pc
190 Campus Blvd Ste 320 |
$1,668 | 14 | 12 |
|
Richard J Patterson
152 Linden Dr |
$7.14 | 13 | 13 |
|
Stacy Humphreys
1870 Amherst St Ste 2E |
$0.00 | 13 | 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 Winchester, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Winchester, VA is $10.34 per claim, based on 57,397 claims from 28 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 Winchester, VA?
There are 28 Medicaid providers offering Prescription Medications related services in Winchester, VA according to public payment data.
What is the price range for Prescription Medications in Winchester, VA?
Medicaid reimbursement for Prescription Medications in Winchester, VA ranges from $0.00 to $1,668 per claim, with an average of $10.34. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Prescription Medications in Other Cities
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Avg $9.22
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Avg $6.48
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Avg $31.67
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New York, NY
Avg $40.26
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Other Procedures in Winchester, VA
Blood Work & Lab Tests
Avg $7.04
747,108 claims
Substance Abuse Treatment
Avg $15.29
704,284 claims
Office Visit
Avg $50.11
648,385 claims
Home Health Visit
Avg $95.73
307,004 claims
X-Ray
Avg $8.04
266,540 claims
Emergency Room Visit
Avg $131.99
231,446 claims
Physical Therapy
Avg $76.55
220,531 claims
Non-Emergency Medical Transportation
Avg $68.54
193,619 claims