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 |
|---|---|---|---|---|
| Lebanon, OH | $8.06 | $0.01 – $40.38 | 859 | 5 |
| Paradise, CA | $24.01 | $5.32 – $24.28 | 860 | 2 |
| Belzoni, MS | $0.00 | $0.00 – $0.23 | 862 | 5 |
| Fairfield Township, OH | $15.81 | $0.82 – $17.73 | 866 | 3 |
| Coventry Township, OH | $178.16 | $178.16 – $178.16 | 866 | 1 |
| Belvidere, TN | $0.87 | $0.87 – $0.87 | 867 | 1 |
| Mt Pleasant, UT | $5.64 | $5.64 – $5.64 | 868 | 1 |
| East Brunswick, NJ | $0.01 | $0.00 – $0.01 | 868 | 2 |
| Beaver, PA | $17.63 | $17.63 – $17.63 | 870 | 1 |
| Walnut, MS | $1.35 | $0.00 – $1.56 | 870 | 3 |
| Ashdown, AR | $13.29 | $0.05 – $34.17 | 871 | 4 |
| Collinwood, TN | $0.54 | $0.54 – $0.54 | 873 | 1 |
| Wickenburg, AZ | $0.04 | $0.04 – $0.04 | 875 | 1 |
| St Cloud, MN | $151.28 | $0.58 – $338.74 | 877 | 5 |
| Waynesboro, VA | $15.09 | $12.02 – $77.71 | 878 | 2 |
| Wellington, FL | $0.25 | $0.04 – $1.11 | 878 | 3 |
| Draper, UT | $0.37 | $0.00 – $0.86 | 881 | 5 |
| Marion, AL | $0.02 | $0.02 – $0.02 | 881 | 1 |
| Millbrook, AL | $0.39 | $0.29 – $0.93 | 881 | 4 |
| Sherman, TX | $117.17 | $0.00 – $518.99 | 882 | 9 |
| Sunrise, FL | $0.64 | $0.00 – $4.69 | 883 | 6 |
| Ontario, OR | $2.35 | $1.30 – $6.05 | 883 | 2 |
| Bentonville, AR | $11.69 | $0.00 – $32.88 | 884 | 6 |
| Grants Pass, OR | $6.89 | $0.00 – $76.82 | 886 | 19 |
| Sandpoint, ID | $1.14 | $0.94 – $5.60 | 886 | 2 |
| Altamonte Springs, FL | $9.59 | $0.00 – $654.25 | 890 | 3 |
| Waupun, WI | $0.01 | $0.01 – $0.01 | 891 | 1 |
| Greenbrier, TN | $4.56 | $4.24 – $21.83 | 892 | 2 |
| Lancaster, MA | $827.71 | $827.71 – $827.71 | 894 | 1 |
| Kings Mountain, NC | $2.89 | $0.00 – $4.11 | 898 | 4 |
| Glastonbury, CT | $14.00 | $0.24 – $28.90 | 900 | 3 |
| Lake Station, IN | $0.01 | $0.01 – $0.01 | 901 | 1 |
| College Station, TX | $0.92 | $0.66 – $3.54 | 903 | 8 |
| Miramar Beach, FL | $5.96 | $0.06 – $15.11 | 904 | 3 |
| Marshalltown, IA | $273.25 | $0.00 – $310.92 | 905 | 5 |
| Portage, IN | $6.86 | $3.08 – $18.35 | 905 | 2 |
| Fergus Falls, MN | $9.74 | $0.00 – $13.17 | 905 | 4 |
| Eastpointe, MI | $1.86 | $0.20 – $26.12 | 905 | 4 |
| Pineville, WV | $0.04 | $0.00 – $0.54 | 905 | 3 |
| Johnstown, PA | $8.29 | $1.21 – $14.79 | 906 | 5 |
| Frederiksted, VI | $72.89 | $72.89 – $72.89 | 907 | 1 |
| Clarkrange, TN | $0.80 | $0.80 – $0.80 | 908 | 1 |
| Lawrenceville, NJ | $13.27 | $2.96 – $42.36 | 909 | 2 |
| Magnolia, AR | $0.37 | $0.00 – $25.77 | 909 | 2 |
| Clifton, TN | $0.43 | $0.43 – $0.54 | 909 | 2 |
| Brighton, CO | $0.76 | $0.00 – $24.00 | 911 | 7 |
| Marlborough, MA | $13.98 | $1.78 – $30.81 | 911 | 2 |
| Woburn, MA | $190.51 | $5.31 – $410.01 | 912 | 3 |
| Cherokee, AL | $1.54 | $1.51 – $1.76 | 913 | 2 |
| Mason City, IA | $2.85 | $0.00 – $16.29 | 914 | 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.