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 |
|---|---|---|---|---|
| Scottsboro, AL | $0.66 | $0.00 – $1.46 | 10,918 | 16 |
| White Plains, NY | $2.37 | $0.29 – $83.63 | 10,905 | 10 |
| Encino, CA | $135.37 | $0.00 – $2,909 | 10,899 | 19 |
| New Albany, IN | $26.58 | $0.00 – $383.18 | 10,880 | 28 |
| Weirton, WV | $14.36 | $0.00 – $62.98 | 10,864 | 9 |
| Corning, NY | $0.04 | $0.02 – $3.25 | 10,848 | 2 |
| Niagara Falls, NY | $1.71 | $0.18 – $704.05 | 10,825 | 4 |
| Los Alamitos, CA | $4.91 | $0.35 – $17.04 | 10,824 | 3 |
| Union Gap, WA | $0.17 | $0.17 – $0.17 | 10,824 | 1 |
| Farmington, ME | $1.91 | $0.21 – $79.24 | 10,819 | 5 |
| Greenville, KY | $17.59 | $0.23 – $62.28 | 10,794 | 9 |
| Iowa City, IA | $210.44 | $0.00 – $733.39 | 10,787 | 41 |
| Mullins, SC | $11.52 | $0.02 – $83.39 | 10,761 | 6 |
| Glenville, NY | $17.73 | $17.73 – $17.73 | 10,758 | 1 |
| Eunice, LA | $2.39 | $0.00 – $45.63 | 10,740 | 15 |
| Cleveland, TX | $1.02 | $0.36 – $8.39 | 10,736 | 6 |
| Booneville, MS | $0.31 | $0.00 – $1.22 | 10,703 | 13 |
| Ronceverte, WV | $49.07 | $0.00 – $52.70 | 10,681 | 4 |
| Maysville, KY | $5.90 | $2.54 – $29.95 | 10,661 | 10 |
| Rancho Cordova, CA | $9.24 | $0.00 – $77.03 | 10,650 | 3 |
| Bay Saint Louis, MS | $0.08 | $0.05 – $0.59 | 10,632 | 2 |
| Monroe, NC | $36.98 | $0.01 – $91.94 | 10,625 | 20 |
| Astoria, NY | $33.54 | $0.09 – $122.88 | 10,589 | 10 |
| Shelton, CT | $0.57 | $0.00 – $64.98 | 10,574 | 5 |
| Santa Clara, CA | $4.13 | $0.82 – $211.51 | 10,565 | 4 |
| Marion, AR | $0.42 | $0.00 – $3.12 | 10,564 | 3 |
| Stockbridge, GA | $1.03 | $0.07 – $12.09 | 10,563 | 8 |
| Linden, NJ | $4.04 | $0.29 – $12.85 | 10,495 | 9 |
| Slidell, LA | $1.94 | $0.00 – $209.24 | 10,481 | 39 |
| Effingham, IL | $57.92 | $0.00 – $1,143 | 10,476 | 5 |
| Woodland Hills, CA | $2.84 | $0.00 – $3.30 | 10,469 | 7 |
| Patchogue, NY | $10.49 | $0.07 – $274.16 | 10,466 | 3 |
| Columbia, MO | $59.55 | $0.00 – $708.85 | 10,449 | 27 |
| Azusa, CA | $15.22 | $15.20 – $17.02 | 10,414 | 2 |
| Miami Gardens, FL | $0.00 | $0.00 – $0.00 | 10,401 | 1 |
| South Miami, FL | $1.04 | $0.00 – $19.02 | 10,388 | 11 |
| Woodbury, NJ | $1.80 | $0.72 – $3.17 | 10,384 | 2 |
| Tunica, MS | $0.27 | $0.27 – $0.27 | 10,370 | 1 |
| Holmdel, NJ | $3.15 | $0.24 – $3.19 | 10,364 | 3 |
| Somerville, NJ | $7.30 | $7.30 – $7.30 | 10,322 | 1 |
| Columbia, KY | $7.58 | $0.17 – $18.18 | 10,310 | 18 |
| Altoona, WI | $0.00 | $0.00 – $0.00 | 10,278 | 2 |
| Bluefield, WV | $27.32 | $0.15 – $32.73 | 10,257 | 6 |
| Amherst, OH | $7.79 | $0.02 – $89.92 | 10,251 | 4 |
| Battle Ground, WA | $0.06 | $0.00 – $0.06 | 10,236 | 2 |
| Quincy, IL | $8.78 | $0.00 – $169.63 | 10,236 | 21 |
| Millington, TN | $1.27 | $0.00 – $2.64 | 10,226 | 14 |
| Paintsville, KY | $5.45 | $0.16 – $10.37 | 10,216 | 19 |
| Belfast, ME | $3.20 | $1.35 – $3.36 | 10,211 | 2 |
| San Pedro, CA | $7.18 | $1.88 – $7.79 | 10,209 | 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.