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 |
|---|---|---|---|---|
| Dekalb, IL | $53.84 | $12.04 – $66.00 | 1,056 | 3 |
| Barnwell, SC | $45.86 | $5.42 – $86.90 | 1,057 | 5 |
| Dubuque, IA | $12.95 | $0.00 – $72.33 | 1,060 | 8 |
| Newtown, CT | $7.33 | $0.00 – $9.69 | 1,061 | 2 |
| Mount Juliet, TN | $6.67 | $0.00 – $8.73 | 1,063 | 5 |
| Milwaukie, OR | $206.94 | $0.00 – $1,412 | 1,071 | 6 |
| Glen, NH | $0.48 | $0.48 – $0.48 | 1,071 | 1 |
| Whitesburg, TN | $1.05 | $0.66 – $1.09 | 1,072 | 2 |
| Kent, OH | $22.80 | $0.00 – $85.61 | 1,075 | 5 |
| Haynesville, LA | $0.00 | $0.00 – $0.00 | 1,078 | 2 |
| Port St Lucie, FL | $6.69 | $0.00 – $52.04 | 1,079 | 10 |
| Troy, NC | $11.26 | $4.43 – $21.64 | 1,084 | 2 |
| Crystal Lake, IL | $348.65 | $8.78 – $944.55 | 1,087 | 5 |
| Santa Clarita, CA | $208.27 | $208.27 – $208.27 | 1,089 | 1 |
| University Place, WA | $6.42 | $6.42 – $6.42 | 1,091 | 1 |
| Versailles, KY | $12.17 | $5.70 – $13.70 | 1,093 | 4 |
| Ottumwa, IA | $0.25 | $0.00 – $0.56 | 1,095 | 6 |
| Travelers Rest, SC | $0.03 | $0.00 – $1.23 | 1,095 | 2 |
| Pittsburg, CA | $0.10 | $0.00 – $4.82 | 1,096 | 2 |
| Staffordsville, KY | $8.90 | $8.90 – $8.90 | 1,096 | 1 |
| Warren, PA | $6.10 | $0.80 – $271.71 | 1,103 | 3 |
| Spartangburg, SC | $5.25 | $5.25 – $5.25 | 1,104 | 1 |
| Snellville, GA | $1.50 | $0.00 – $13.21 | 1,105 | 5 |
| Jasper, TN | $0.77 | $0.04 – $2.05 | 1,105 | 11 |
| Lewis Center, OH | $1.35 | $0.00 – $2.18 | 1,106 | 2 |
| New Lenox, IL | $1.38 | $0.35 – $67.96 | 1,110 | 2 |
| Minot, ND | $6.22 | $0.00 – $22.64 | 1,110 | 9 |
| Gordonsville, TN | $2.26 | $2.24 – $4.50 | 1,111 | 2 |
| West Hills, CA | $143.48 | $0.00 – $635.91 | 1,112 | 6 |
| Iota, LA | $0.56 | $0.00 – $1.10 | 1,112 | 3 |
| Spooner, WI | $0.07 | $0.07 – $0.07 | 1,112 | 1 |
| Okmulgee, OK | $1.69 | $1.40 – $6.36 | 1,116 | 3 |
| Cleveland Heights, OH | $50.71 | $47.01 – $98.84 | 1,117 | 3 |
| Luling, LA | $1.95 | $0.00 – $6.24 | 1,124 | 7 |
| Sandy Springs, GA | $1.13 | $1.13 – $1.13 | 1,125 | 1 |
| Saint Martinville, LA | $2.74 | $0.00 – $4.21 | 1,126 | 3 |
| Hamtramck, MI | $7.61 | $0.00 – $7.92 | 1,127 | 4 |
| Sulphur Springs, TX | $0.96 | $0.96 – $0.96 | 1,128 | 1 |
| Tumwater, WA | $5.60 | $0.00 – $7.64 | 1,129 | 4 |
| Columbiana, OH | $3.50 | $0.00 – $12.23 | 1,133 | 7 |
| Wauseon, OH | $50.98 | $0.17 – $520.12 | 1,133 | 3 |
| Denison, TX | $3.39 | $1.53 – $4.22 | 1,135 | 4 |
| N Las Vegas, NV | $0.17 | $0.00 – $0.18 | 1,136 | 3 |
| Honaker, VA | $0.17 | $0.14 – $0.99 | 1,136 | 2 |
| Clarksville, IN | $1.30 | $0.47 – $1.42 | 1,138 | 3 |
| Bishopville, SC | $15.87 | $1.89 – $16.03 | 1,141 | 2 |
| Chesterfield, SC | $13.52 | $13.52 – $13.52 | 1,141 | 1 |
| Truth Or Consequences, NM | $1.43 | $1.33 – $1.82 | 1,148 | 2 |
| Fostoria, OH | $0.07 | $0.00 – $0.07 | 1,152 | 2 |
| Livingston, TN | $1.22 | $0.35 – $4.41 | 1,154 | 10 |
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.