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 |
|---|---|---|---|---|
| Merced, CA | $23.99 | $0.00 – $1,059 | 31,049 | 24 |
| Germantown, TN | $9.11 | $0.00 – $67.43 | 31,063 | 66 |
| Tuscaloosa, AL | $0.64 | $0.00 – $11.67 | 31,175 | 41 |
| Whittier, CA | $181.16 | $0.00 – $2,933 | 31,177 | 12 |
| Show Low, AZ | $0.91 | $0.83 – $0.91 | 31,317 | 2 |
| Anniston, AL | $1.45 | $0.00 – $18.00 | 31,388 | 44 |
| Marietta, OH | $23.74 | $0.02 – $360.77 | 31,414 | 22 |
| Conway, SC | $7.88 | $0.21 – $353.22 | 31,443 | 24 |
| Carmichael, CA | $3.57 | $0.00 – $18.17 | 31,458 | 18 |
| Jasper, AL | $1.04 | $0.00 – $21.05 | 31,465 | 27 |
| French Camp, CA | $135.39 | $0.38 – $200.33 | 31,475 | 10 |
| San Mateo, CA | $44.10 | $0.09 – $93.75 | 31,511 | 4 |
| Clovis, CA | $1.26 | $0.00 – $2.88 | 31,546 | 20 |
| Manteca, CA | $814.56 | $2.83 – $3,516 | 31,552 | 6 |
| Oklahoma City, OK | $11.09 | $0.00 – $1,192 | 31,628 | 135 |
| Cleveland, TN | $6.31 | $0.00 – $17.41 | 31,651 | 44 |
| Culpeper, VA | $0.49 | $0.03 – $9.87 | 31,687 | 3 |
| Johnson City, TN | $1.25 | $0.00 – $35.11 | 31,693 | 74 |
| Derby, CT | $0.00 | $0.00 – $0.00 | 31,738 | 1 |
| Long Island City, NY | $268.10 | $2.24 – $1,248 | 31,795 | 2 |
| Brawley, CA | $7.38 | $0.00 – $8.04 | 31,812 | 14 |
| Pennsauken, NJ | $13.21 | $0.00 – $15.51 | 31,897 | 2 |
| Ripley, MS | $0.52 | $0.00 – $2.16 | 32,038 | 14 |
| Murray, KY | $4.44 | $0.22 – $39.25 | 32,094 | 28 |
| Pleasant Prairie, WI | $0.16 | $0.16 – $0.16 | 32,097 | 1 |
| Houma, LA | $18.99 | $0.00 – $75.60 | 32,164 | 68 |
| Merrillville, IN | $22.54 | $0.00 – $896.36 | 32,277 | 23 |
| Bristol, CT | $2.68 | $0.00 – $290.19 | 32,340 | 8 |
| Prescott, AZ | $4.33 | $0.27 – $221.31 | 32,362 | 13 |
| Nogales, AZ | $0.03 | $0.00 – $11.03 | 32,380 | 7 |
| Tampa, FL | $4.51 | $0.00 – $746.91 | 32,382 | 84 |
| Montclair, CA | $0.68 | $0.00 – $1.70 | 32,390 | 7 |
| Manchester, NH | $6.20 | $0.00 – $536.88 | 32,563 | 15 |
| Abingdon, VA | $0.36 | $0.00 – $85.20 | 32,668 | 14 |
| Kirkland, WA | $12.33 | $12.02 – $16.10 | 32,720 | 2 |
| Jackson, KY | $8.55 | $0.61 – $36.20 | 32,780 | 25 |
| Palmer, AK | $5.64 | $0.00 – $5.70 | 32,789 | 4 |
| San Juan, PR | $446.04 | $0.34 – $1,343 | 32,851 | 13 |
| Mineola, NY | $21.38 | $0.55 – $169.85 | 32,874 | 5 |
| Sells, AZ | $0.12 | $0.00 – $179.40 | 32,877 | 2 |
| Ogden, UT | $24.93 | $0.00 – $1,292 | 32,945 | 16 |
| Fayetteville, NC | $12.70 | $0.00 – $241.17 | 33,024 | 83 |
| Hopewell, VA | $0.21 | $0.10 – $0.86 | 33,063 | 3 |
| Hazard, KY | $9.41 | $0.04 – $44.94 | 33,179 | 52 |
| New Bedford, MA | $6.16 | $0.11 – $61.80 | 33,185 | 8 |
| Banning, CA | $1.65 | $0.00 – $3.10 | 33,301 | 5 |
| Mechanicsville, VA | $0.86 | $0.00 – $23.07 | 33,407 | 10 |
| Oshkosh, WI | $1.14 | $0.00 – $458.29 | 33,478 | 8 |
| Chinle, AZ | $0.00 | $0.00 – $0.00 | 33,501 | 1 |
| Canton, MS | $0.34 | $0.00 – $64.90 | 33,510 | 13 |
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.