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 |
|---|---|---|---|---|
| Blountville, TN | $1.35 | $1.35 – $1.35 | 987 | 1 |
| Mt Prospect, IL | $1,150 | $1,150 – $1,150 | 987 | 1 |
| Wright Patterson Afb, OH | $0.07 | $0.00 – $0.09 | 988 | 6 |
| Rio Piedras, PR | $0.19 | $0.19 – $0.19 | 992 | 1 |
| Fife, WA | $0.02 | $0.02 – $0.02 | 994 | 1 |
| Chicago Heights, IL | $4.49 | $0.01 – $33.60 | 995 | 6 |
| Saint Clairsville, OH | $63.14 | $0.14 – $82.98 | 996 | 6 |
| Hickory Flat, MS | $0.22 | $0.05 – $0.25 | 998 | 2 |
| Benton, KY | $5.59 | $1.04 – $40.39 | 999 | 4 |
| Mansfield Center, CT | $4.89 | $4.89 – $4.89 | 999 | 1 |
| Ferriday, LA | $2.33 | $0.00 – $3.36 | 999 | 6 |
| Southlake, TX | $6.10 | $0.13 – $20.08 | 1,002 | 7 |
| Sturbridge, MA | $5.36 | $5.36 – $5.36 | 1,002 | 1 |
| Marion, KY | $7.78 | $2.69 – $13.00 | 1,003 | 6 |
| Charlestown, IN | $1.63 | $1.63 – $1.75 | 1,005 | 2 |
| Brooksville, FL | $4.28 | $0.00 – $4.56 | 1,006 | 3 |
| Needles, CA | $3.12 | $2.62 – $5.67 | 1,008 | 2 |
| Coalinga, CA | $1.56 | $0.00 – $4.38 | 1,011 | 4 |
| Corryton, TN | $0.94 | $0.92 – $1.20 | 1,012 | 3 |
| Litchfield Park, AZ | $0.01 | $0.01 – $0.01 | 1,013 | 1 |
| Uniondale, NY | $99.12 | $99.12 – $99.12 | 1,013 | 1 |
| Wisner, LA | $0.00 | $0.00 – $0.00 | 1,014 | 4 |
| Destin, FL | $1.13 | $0.39 – $2.38 | 1,017 | 3 |
| Sipsey, AL | $0.90 | $0.90 – $0.90 | 1,019 | 1 |
| Richland Center, WI | $0.08 | $0.08 – $0.08 | 1,020 | 1 |
| Burkesville, KY | $8.43 | $0.00 – $33.51 | 1,021 | 6 |
| Spiro, OK | $0.49 | $0.49 – $0.49 | 1,021 | 1 |
| Eaton Rapids, MI | $0.00 | $0.00 – $0.00 | 1,021 | 1 |
| La Habra, CA | $2.21 | $0.04 – $73.97 | 1,022 | 2 |
| Hamilton, NY | $1.06 | $0.14 – $1.71 | 1,023 | 3 |
| Jacksonville Beach, FL | $41.50 | $15.70 – $42.26 | 1,028 | 3 |
| Los Fresnos, TX | $1.19 | $1.19 – $1.19 | 1,029 | 1 |
| Quincy, FL | $7.55 | $1.50 – $36.14 | 1,032 | 4 |
| Troutdale, OR | $1,177 | $1,177 – $1,177 | 1,032 | 1 |
| Iron River, MI | $0.00 | $0.00 – $0.00 | 1,035 | 1 |
| Carthage, NY | $19.51 | $0.00 – $64.93 | 1,035 | 3 |
| Glasgow, MT | $1.07 | $1.07 – $1.07 | 1,036 | 1 |
| Florida, PR | $0.01 | $0.01 – $0.01 | 1,036 | 1 |
| Millburn, NJ | $1,033 | $98.14 – $1,143 | 1,038 | 3 |
| West Liberty, KY | $4.59 | $0.72 – $10.27 | 1,039 | 4 |
| Hollandale, MS | $0.77 | $0.00 – $0.83 | 1,040 | 3 |
| Fairborn, OH | $4.25 | $0.06 – $4.97 | 1,041 | 3 |
| Delavan, WI | $15.74 | $15.74 – $15.74 | 1,043 | 1 |
| Stanford, KY | $15.93 | $0.81 – $16.19 | 1,047 | 2 |
| Bernie, MO | $0.00 | $0.00 – $0.00 | 1,048 | 1 |
| Pearland, TX | $4.51 | $0.21 – $71.53 | 1,051 | 6 |
| Orange Park, FL | $6.78 | $0.00 – $37.36 | 1,052 | 8 |
| Antlers, OK | $2.25 | $0.00 – $12.00 | 1,052 | 3 |
| Franklin, IN | $1.40 | $0.02 – $8.99 | 1,055 | 6 |
| Sumner, MS | $0.57 | $0.57 – $0.57 | 1,055 | 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.