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 |
|---|---|---|---|---|
| Arlington Heights, IL | $335.86 | $0.46 – $1,282 | 1,483 | 3 |
| Maplewood, NJ | $5.79 | $5.69 – $10.79 | 1,484 | 2 |
| Sardis, MS | $0.37 | $0.09 – $0.46 | 1,484 | 3 |
| Dakota Dunes, SD | $142.90 | $0.11 – $359.16 | 1,487 | 9 |
| Ridgecrest, CA | $8.79 | $0.00 – $9.09 | 1,490 | 2 |
| El Cajon, CA | $1.43 | $0.01 – $1.57 | 1,490 | 3 |
| Wyomissing, PA | $14.58 | $13.46 – $16.06 | 1,494 | 2 |
| Smyrna, GA | $1.22 | $0.61 – $3.05 | 1,494 | 3 |
| Opelika, AL | $0.88 | $0.00 – $6.85 | 1,495 | 13 |
| Frisco, TX | $4.63 | $0.00 – $23.98 | 1,500 | 10 |
| Nettleton, MS | $0.42 | $0.24 – $0.72 | 1,500 | 3 |
| Coldwater, OH | $0.12 | $0.00 – $0.12 | 1,510 | 2 |
| Plainfield, IL | $41.71 | $41.71 – $41.71 | 1,512 | 1 |
| Leesburg, AL | $0.83 | $0.30 – $0.84 | 1,512 | 2 |
| Burr Ridge, IL | $9.85 | $9.85 – $9.85 | 1,514 | 1 |
| Farmerville, LA | $0.21 | $0.00 – $0.58 | 1,515 | 6 |
| Longmont, CO | $899.02 | $0.00 – $1,520 | 1,516 | 12 |
| Linwood, NJ | $29.60 | $3.58 – $186.69 | 1,518 | 3 |
| Hyden, KY | $19.19 | $2.06 – $38.76 | 1,518 | 4 |
| Arlington, KY | $7.94 | $7.94 – $7.94 | 1,519 | 1 |
| Williamston, NC | $9.90 | $0.11 – $34.36 | 1,520 | 3 |
| Castro Valley 94546, CA | $3.30 | $3.30 – $3.30 | 1,520 | 1 |
| Logansport, IN | $6.91 | $0.00 – $10.45 | 1,522 | 3 |
| Superior, WI | $0.33 | $0.12 – $4.73 | 1,523 | 2 |
| Tipton, IN | $0.12 | $0.12 – $0.12 | 1,523 | 1 |
| Alameda, CA | $9.13 | $9.13 – $9.13 | 1,524 | 1 |
| Jasper, TX | $3.46 | $3.36 – $4.11 | 1,524 | 2 |
| Canon City, CO | $0.28 | $0.22 – $5.10 | 1,529 | 3 |
| Pitkin, LA | $4.14 | $4.14 – $4.14 | 1,534 | 1 |
| Westland, MI | $0.39 | $0.11 – $6.77 | 1,535 | 4 |
| Lebanon, PA | $46.56 | $0.00 – $469.13 | 1,539 | 3 |
| Waimea, HI | $0.07 | $0.07 – $0.07 | 1,541 | 1 |
| Northbrook, IL | $18.65 | $1.32 – $39.51 | 1,551 | 2 |
| Vanceburg, KY | $1.82 | $0.81 – $11.57 | 1,557 | 3 |
| Raceland, LA | $12.50 | $0.12 – $319.55 | 1,559 | 13 |
| West Memphis, AR | $3.77 | $0.00 – $11.84 | 1,564 | 10 |
| Jefferson, NC | $13.90 | $0.13 – $47.39 | 1,564 | 3 |
| Moss Bluff, LA | $0.93 | $0.81 – $0.94 | 1,569 | 2 |
| Boynton Beach, FL | $37.35 | $0.00 – $775.30 | 1,574 | 13 |
| Massena, NY | $5.26 | $5.26 – $5.26 | 1,578 | 1 |
| Acoma, NM | $4.68 | $4.68 – $4.68 | 1,579 | 1 |
| Yukon, OK | $0.39 | $0.00 – $11.26 | 1,580 | 9 |
| Guttenberg, NJ | $2.61 | $0.70 – $3.12 | 1,580 | 2 |
| Socorro, NM | $6.09 | $0.69 – $9.95 | 1,580 | 3 |
| Columbus, WI | $0.13 | $0.13 – $0.13 | 1,581 | 1 |
| Magnolia, TX | $0.44 | $0.44 – $0.44 | 1,583 | 1 |
| Coal Grove, OH | $31.52 | $0.00 – $33.06 | 1,583 | 3 |
| Wedowee, AL | $0.07 | $0.00 – $0.70 | 1,583 | 3 |
| Page, AZ | $5.63 | $5.63 – $5.63 | 1,587 | 1 |
| Barron, WI | $0.42 | $0.11 – $8.07 | 1,587 | 2 |
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.