Based on public Medicaid payment data.
Average Medicaid Prescription Medications Payments
Typical Medicaid Prescription Medications reimbursement across 5,304 cities
Avg. Medicaid Paid
$28.35
Price Range
$0.00 – $2,704
Total Claims
61.1M
Cities
5304
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.
About This Procedure
Prescription drug costs and pharmacy services covered under Medicaid. Includes brand-name and generic medications across all therapeutic categories.
Why do these costs look low?
These figures represent Medicaid reimbursement rates — the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.
Costs by City
| City | Avg. Paid | Min / Max | Claims | Providers |
|---|---|---|---|---|
| Rogers, AR | $27.99 | $0.00 – $40.80 | 219 | 4 |
| Gunnison, CO | $7.56 | $0.96 – $21.91 | 219 | 2 |
| La Verne, CA | $0.16 | $0.13 – $0.46 | 219 | 3 |
| Enid, OK | $6.03 | $0.00 – $10.88 | 220 | 7 |
| South Euclid, OH | $357.07 | $0.10 – $553.16 | 220 | 2 |
| Salem, AR | $0.71 | $0.71 – $0.71 | 222 | 1 |
| Reform, AL | $0.63 | $0.00 – $0.72 | 222 | 3 |
| Saint George, UT | $171.42 | $0.00 – $397.30 | 223 | 5 |
| Hamburg, AR | $0.66 | $0.66 – $0.66 | 223 | 1 |
| Broadlands, VA | $0.96 | $0.96 – $0.96 | 223 | 1 |
| Sinajana, GU | $1,614 | $1,181 – $1,723 | 224 | 2 |
| Hot Springs National Park, AR | $14.23 | $14.23 – $14.23 | 225 | 1 |
| Niantic, CT | $6.90 | $6.90 – $6.90 | 226 | 1 |
| Lebec, CA | $11.33 | $11.33 – $11.33 | 226 | 1 |
| Pollocksville, NC | $101.04 | $101.04 – $101.04 | 226 | 1 |
| Dublin, CA | $860.54 | $26.20 – $1,323 | 227 | 2 |
| Little Canada, MN | $94.58 | $94.58 – $94.58 | 227 | 1 |
| Altus, OK | $5.84 | $0.00 – $11.26 | 228 | 3 |
| Dickinson, ND | $11.39 | $0.66 – $19.39 | 228 | 5 |
| Piney Flats, TN | $0.73 | $0.62 – $0.92 | 229 | 4 |
| Foley, AL | $2.18 | $0.11 – $5.91 | 230 | 2 |
| Hillsborough, NC | $0.38 | $0.00 – $4.56 | 230 | 2 |
| Wlliamsburg, KY | $2.42 | $2.42 – $2.42 | 230 | 1 |
| Jenks, OK | $0.57 | $0.00 – $7.60 | 231 | 5 |
| Shenandoah, TX | $1.27 | $0.03 – $3.98 | 231 | 6 |
| Bethalto, IL | $1.03 | $1.03 – $1.03 | 232 | 1 |
| Poplarville, MS | $0.76 | $0.15 – $5.60 | 232 | 2 |
| Harned, KY | $1.53 | $1.53 – $1.53 | 232 | 1 |
| Sunny Isl Bch, FL | $903.75 | $903.75 – $903.75 | 233 | 1 |
| East Stroudsburg, PA | $0.96 | $0.00 – $2.29 | 234 | 2 |
| Eastman, GA | $0.20 | $0.20 – $0.20 | 234 | 1 |
| Winfield, TN | $1.10 | $1.10 – $1.10 | 234 | 1 |
| Branson, MO | $0.19 | $0.06 – $2.59 | 236 | 2 |
| Moline, IL | $16.83 | $0.00 – $46.77 | 236 | 8 |
| Norco, CA | $0.00 | $0.00 – $0.07 | 236 | 2 |
| Berkeley Heights, NJ | $8.53 | $0.38 – $23.29 | 236 | 2 |
| Freeburn, KY | $0.59 | $0.59 – $0.59 | 236 | 1 |
| Proctorville, OH | $17.70 | $17.70 – $17.70 | 237 | 1 |
| Georgetown, DE | $2.00 | $0.21 – $3.07 | 237 | 3 |
| Liberty, NC | $0.12 | $0.11 – $0.31 | 237 | 2 |
| Dover, TN | $0.62 | $0.38 – $0.88 | 238 | 2 |
| Bryant, AR | $2.62 | $2.62 – $2.62 | 238 | 1 |
| Gurnee, IL | $52.73 | $6.34 – $85.52 | 239 | 5 |
| Pleasant Hill, CA | $5.68 | $0.00 – $9.24 | 239 | 2 |
| Sheldon, IA | $0.00 | $0.00 – $0.00 | 239 | 1 |
| Cheyenne, WY | $1.09 | $0.00 – $2.18 | 240 | 5 |
| Rantoul, IL | $28.00 | $28.00 – $28.00 | 240 | 1 |
| Mocksville, NC | $4.40 | $0.00 – $8.75 | 240 | 4 |
| Evarts, KY | $13.09 | $13.09 – $13.09 | 240 | 1 |
| Paris, PA | $0.47 | $0.47 – $0.47 | 240 | 1 |
Cost Components
National averages for each billing code in this procedure category. Sorted by claim volume.
| 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 averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.