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 |
|---|---|---|---|---|
| Golden, CO | $62.53 | $0.00 – $971.75 | 4,907 | 9 |
| Carson City, NV | $1.78 | $0.01 – $12.66 | 4,879 | 10 |
| Florence, AZ | $0.01 | $0.01 – $0.01 | 4,878 | 1 |
| Martinez, CA | $0.27 | $0.00 – $3.22 | 4,875 | 21 |
| Henryetta, OK | $1.46 | $1.46 – $1.46 | 4,873 | 1 |
| Midfield, AL | $55.57 | $53.14 – $61.59 | 4,836 | 2 |
| Whiteville, NC | $15.08 | $0.00 – $69.47 | 4,817 | 19 |
| Pine Knot, KY | $12.63 | $10.83 – $13.76 | 4,817 | 2 |
| Russell Springs, KY | $11.30 | $0.22 – $13.02 | 4,811 | 7 |
| Great Neck, NY | $534.61 | $0.20 – $862.67 | 4,808 | 15 |
| North Haledon, NJ | $1.98 | $1.98 – $1.98 | 4,800 | 1 |
| Bryan, OH | $2.45 | $0.01 – $94.80 | 4,775 | 5 |
| Shaw, MS | $0.31 | $0.00 – $0.87 | 4,767 | 5 |
| Honesdale, PA | $0.00 | $0.00 – $0.00 | 4,754 | 1 |
| Lake Elsinore, CA | $0.23 | $0.00 – $0.25 | 4,751 | 3 |
| Norman, OK | $3.14 | $0.00 – $24.93 | 4,743 | 37 |
| Gladwin, MI | $0.00 | $0.00 – $0.00 | 4,734 | 1 |
| Bessemer, AL | $1.73 | $0.33 – $48.21 | 4,733 | 13 |
| Sparks, NV | $0.17 | $0.04 – $1.87 | 4,731 | 5 |
| Ashland, OH | $10.97 | $0.00 – $96.26 | 4,730 | 8 |
| Huntington, NY | $4.55 | $0.55 – $16.03 | 4,713 | 6 |
| North Andover, MA | $6.46 | $0.00 – $8.56 | 4,713 | 8 |
| Hayward, WI | $0.16 | $0.00 – $6.03 | 4,703 | 3 |
| Elkhart, IN | $14.85 | $0.00 – $565.32 | 4,698 | 25 |
| Hindman, KY | $8.15 | $1.21 – $10.06 | 4,697 | 5 |
| Hillsboro, OH | $7.86 | $0.00 – $45.80 | 4,695 | 10 |
| Ozark, AL | $2.12 | $0.08 – $3.57 | 4,695 | 6 |
| Jackson Heights, NY | $3.04 | $0.46 – $5.70 | 4,692 | 7 |
| Lillington, NC | $6.14 | $0.08 – $17.15 | 4,685 | 5 |
| Pasadena, MD | $0.79 | $0.38 – $22.21 | 4,675 | 2 |
| Lakeland, FL | $11.56 | $0.00 – $64.80 | 4,662 | 27 |
| Norwalk, CA | $9.32 | $1.59 – $18.68 | 4,659 | 5 |
| Martins Ferry, OH | $0.48 | $0.01 – $0.50 | 4,641 | 3 |
| Encinitas, CA | $14.72 | $11.19 – $60.18 | 4,625 | 3 |
| Oak Hill, WV | $9.19 | $1.30 – $13.04 | 4,621 | 4 |
| Bunkie, LA | $3.76 | $0.00 – $12.16 | 4,619 | 6 |
| Richmond, CA | $0.12 | $0.12 – $0.12 | 4,611 | 1 |
| St Petersburg, FL | $43.71 | $0.00 – $914.70 | 4,587 | 31 |
| Chardon, OH | $0.53 | $0.00 – $7.92 | 4,583 | 6 |
| Milan, TN | $2.36 | $0.44 – $3.48 | 4,583 | 7 |
| Houlton, ME | $8.10 | $7.55 – $17.60 | 4,574 | 2 |
| Espanola, NM | $6.96 | $0.62 – $102.38 | 4,572 | 6 |
| Cumberland, KY | $4.79 | $0.32 – $7.80 | 4,571 | 5 |
| Winnfield, LA | $3.14 | $0.00 – $16.32 | 4,569 | 9 |
| Manchester, OH | $0.48 | $0.48 – $0.48 | 4,566 | 1 |
| Flushing, MI | $0.66 | $0.66 – $0.66 | 4,558 | 1 |
| Geneva, NY | $17.07 | $0.55 – $82.36 | 4,548 | 8 |
| Fayette, MS | $0.51 | $0.00 – $0.90 | 4,534 | 6 |
| Talladega, AL | $1.06 | $0.00 – $6.22 | 4,533 | 15 |
| Centerville, OH | $83.25 | $0.00 – $383.59 | 4,527 | 21 |
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.