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 |
|---|---|---|---|---|
| Bellingham, WA | $9.48 | $0.00 – $1,083 | 107,989 | 21 |
| Hackensack, NJ | $44.29 | $0.75 – $97.97 | 107,923 | 9 |
| Stamford, CT | $4.11 | $0.01 – $58.79 | 107,630 | 17 |
| Buffalo, NY | $6.89 | $0.00 – $95.27 | 105,786 | 42 |
| Farmington Hills, MI | $105.14 | $0.00 – $512.40 | 104,624 | 16 |
| Flushing, NY | $7.54 | $0.00 – $372.88 | 104,285 | 38 |
| Pikeville, KY | $25.06 | $0.12 – $812.33 | 103,877 | 34 |
| Fontana, CA | $3.37 | $0.00 – $1,357 | 103,784 | 23 |
| Richland, WA | $8.56 | $0.01 – $36.92 | 103,229 | 11 |
| Bangor, ME | $86.32 | $0.00 – $1,256 | 102,723 | 21 |
| New Orleans, LA | $38.19 | $0.00 – $1,357 | 100,985 | 224 |
| Alexandria, VA | $4.09 | $0.09 – $1,208 | 100,648 | 15 |
| Charleston, WV | $138.57 | $0.07 – $2,056 | 100,538 | 44 |
| Gulfport, MS | $18.85 | $0.00 – $59.75 | 100,017 | 15 |
| Fort Wayne, IN | $45.09 | $0.00 – $1,264 | 99,395 | 142 |
| Santa Rosa, CA | $321.90 | $0.00 – $1,964 | 99,020 | 28 |
| Paducah, KY | $14.09 | $0.00 – $315.24 | 97,885 | 50 |
| Renton, WA | $33.33 | $0.41 – $1,015 | 97,042 | 10 |
| Cleveland, MS | $1.15 | $0.00 – $21.96 | 95,284 | 24 |
| Gilbert, AZ | $4.42 | $0.00 – $1,353 | 95,280 | 29 |
| Muskegon, MI | $11.79 | $0.00 – $1,269 | 95,257 | 15 |
| Anchorage, AK | $19.65 | $0.00 – $679.21 | 94,655 | 28 |
| Lake Charles, LA | $7.32 | $0.00 – $826.10 | 94,334 | 116 |
| Puyallup, WA | $1.78 | $0.03 – $950.21 | 94,331 | 18 |
| Huntington, WV | $51.32 | $0.00 – $600.25 | 94,250 | 35 |
| El Centro, CA | $5.96 | $0.00 – $16.90 | 93,952 | 31 |
| Billings, MT | $1.17 | $0.00 – $70.52 | 90,713 | 10 |
| Norwich, CT | $11.14 | $0.00 – $328.82 | 90,573 | 14 |
| Glendale, WI | $23.01 | $0.00 – $1,353 | 90,193 | 6 |
| Racine, WI | $0.90 | $0.01 – $75.66 | 89,801 | 5 |
| Rochester, NY | $53.52 | $0.00 – $1,128 | 89,574 | 85 |
| Danville, VA | $8.59 | $0.00 – $694.88 | 89,269 | 28 |
| Glendale, CA | $34.22 | $0.00 – $534.54 | 88,688 | 48 |
| Las Cruces, NM | $15.60 | $0.10 – $465.41 | 88,490 | 47 |
| New Britain, CT | $24.06 | $0.00 – $418.30 | 88,187 | 15 |
| Canton, OH | $23.63 | $0.00 – $1,174 | 88,078 | 65 |
| Hemet, CA | $1.99 | $0.00 – $47.53 | 86,878 | 15 |
| Gainesville, GA | $1.62 | $0.00 – $3.64 | 86,639 | 6 |
| Dallas, TX | $18.48 | $0.00 – $715.61 | 86,247 | 127 |
| New Brunswick, NJ | $30.20 | $1.54 – $1,071 | 85,261 | 10 |
| Vineland, NJ | $30.84 | $0.00 – $392.92 | 84,861 | 17 |
| Edgewood, KY | $7.44 | $0.08 – $11.85 | 84,476 | 7 |
| Downey, CA | $8.56 | $0.00 – $124.45 | 84,305 | 20 |
| Rayville, LA | $0.34 | $0.00 – $1.45 | 83,577 | 25 |
| Virginia Beach, VA | $5.73 | $0.00 – $781.61 | 83,367 | 32 |
| Knoxville, TN | $14.74 | $0.00 – $2,137 | 83,286 | 217 |
| Southaven, MS | $3.09 | $0.00 – $34.76 | 83,062 | 25 |
| Lancaster, CA | $24.44 | $0.00 – $578.21 | 82,094 | 19 |
| Little Rock, AR | $25.17 | $0.00 – $757.43 | 81,987 | 62 |
| San Francisco, CA | $33.66 | $0.00 – $2,592 | 81,516 | 67 |
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.