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 |
|---|---|---|---|---|
| Peru, IL | $527.61 | $10.70 – $690.44 | 396 | 3 |
| Morrison, TN | $0.67 | $0.67 – $0.67 | 396 | 1 |
| Camp Lejeune, NC | $4.36 | $0.00 – $17.02 | 397 | 7 |
| Benicia, CA | $24.51 | $6.78 – $32.56 | 397 | 2 |
| Greenville, PA | $1.06 | $0.00 – $1.10 | 398 | 2 |
| Graham, WA | $0.00 | $0.00 – $0.00 | 398 | 1 |
| Springville, CA | $0.04 | $0.04 – $0.04 | 398 | 1 |
| Watertown, SD | $29.17 | $0.07 – $37.64 | 399 | 2 |
| Afton, OK | $0.95 | $0.95 – $0.95 | 399 | 1 |
| Washington, MO | $468.54 | $1.90 – $683.12 | 400 | 2 |
| La Grange, IL | $15.33 | $15.33 – $15.33 | 400 | 1 |
| Saluda, SC | $12.77 | $12.77 – $12.77 | 400 | 1 |
| Calumet, MI | $10.33 | $10.33 – $10.33 | 400 | 1 |
| Davenport, FL | $2.10 | $0.00 – $26.29 | 401 | 6 |
| Del Rio, TX | $2.63 | $0.12 – $7.31 | 401 | 3 |
| Thorndale, PA | $0.00 | $0.00 – $0.00 | 402 | 1 |
| Clifton Park, NY | $2,704 | $5.95 – $2,937 | 403 | 2 |
| Wake Forest, NC | $1.89 | $0.09 – $19.10 | 403 | 4 |
| South Windsor, CT | $3.19 | $0.00 – $3.41 | 403 | 3 |
| Carroll, IA | $1.56 | $1.56 – $1.56 | 403 | 1 |
| Floral Park, NY | $1.87 | $0.13 – $7.36 | 403 | 2 |
| Foxboro, MA | $237.71 | $237.71 – $237.71 | 405 | 1 |
| Claremore, OK | $1.61 | $0.00 – $15.22 | 405 | 7 |
| Oliver Springs, TN | $6.78 | $6.78 – $6.78 | 405 | 1 |
| Leland, MS | $0.04 | $0.00 – $0.56 | 405 | 4 |
| Bridgeport, MI | $68.67 | $68.67 – $68.67 | 405 | 1 |
| Siler City, NC | $6.58 | $6.58 – $6.58 | 406 | 1 |
| Fort Carson, CO | $38.09 | $0.01 – $71.46 | 406 | 3 |
| Chambersburg, PA | $0.00 | $0.00 – $0.00 | 408 | 2 |
| Desloge, MO | $0.09 | $0.09 – $0.09 | 408 | 1 |
| Sedalia, MO | $0.22 | $0.00 – $0.46 | 409 | 2 |
| Butler, KY | $9.35 | $1.74 – $11.08 | 409 | 3 |
| Twentynine Palms, CA | $0.64 | $0.00 – $1.92 | 410 | 3 |
| Temple Terrace, FL | $1.27 | $0.00 – $4.29 | 412 | 5 |
| Pikesville, MD | $3.20 | $0.00 – $39.91 | 412 | 2 |
| Napoleon, OH | $0.03 | $0.03 – $0.03 | 412 | 1 |
| Jacksonville, AL | $0.85 | $0.61 – $1.18 | 413 | 4 |
| Deville, LA | $0.00 | $0.00 – $0.00 | 413 | 2 |
| Mt Sterling, IL | $0.00 | $0.00 – $0.00 | 414 | 1 |
| Livingston, TX | $48.29 | $1.58 – $67.61 | 415 | 3 |
| Chatsworth, GA | $0.71 | $0.13 – $1.68 | 415 | 4 |
| Danielson, CT | $64.79 | $55.73 – $72.37 | 415 | 2 |
| Mayodan, NC | $1.79 | $0.00 – $6.27 | 415 | 3 |
| Fort Madison, IA | $5.88 | $0.00 – $83.16 | 416 | 4 |
| Gillette, WY | $0.94 | $0.00 – $6.50 | 418 | 6 |
| Cicero, IL | $2.40 | $1.28 – $18.60 | 418 | 2 |
| Canton, MI | $0.75 | $0.40 – $1.95 | 419 | 4 |
| Laplace, LA | $0.27 | $0.27 – $0.27 | 420 | 1 |
| Porcupine, SD | $322.00 | $322.00 – $322.00 | 420 | 1 |
| Madison, WV | $12.57 | $0.86 – $25.17 | 422 | 5 |
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.