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 |
|---|---|---|---|---|
| Middlebury, CT | $181.34 | $0.03 – $424.27 | 3,359 | 12 |
| Erwin, TN | $0.65 | $0.00 – $3.32 | 3,349 | 9 |
| Lufkin, TX | $32.07 | $0.00 – $72.37 | 3,347 | 10 |
| Morehead City, NC | $7.47 | $0.00 – $14.72 | 3,344 | 15 |
| Suitland, MD | $2.29 | $0.25 – $92.62 | 3,342 | 4 |
| Gridley, CA | $5.79 | $0.00 – $5.83 | 3,338 | 3 |
| Ironwood, MI | $6.61 | $0.00 – $26.83 | 3,335 | 3 |
| Hudson, WI | $0.07 | $0.00 – $0.11 | 3,332 | 4 |
| Loveland, OH | $0.67 | $0.20 – $0.68 | 3,330 | 2 |
| Kernersville, NC | $8.65 | $0.06 – $29.16 | 3,327 | 12 |
| Asheboro, NC | $8.70 | $0.00 – $34.27 | 3,326 | 11 |
| Marysville, OH | $2.77 | $0.00 – $29.21 | 3,325 | 9 |
| Watertown, WI | $0.00 | $0.00 – $0.00 | 3,316 | 1 |
| Paris, KY | $9.94 | $9.66 – $43.89 | 3,315 | 2 |
| Waupaca, WI | $0.02 | $0.02 – $0.02 | 3,314 | 1 |
| Hillside, NJ | $4.31 | $4.31 – $4.31 | 3,311 | 1 |
| Hendersonville, TN | $1.68 | $0.00 – $17.68 | 3,308 | 13 |
| Bettendorf, IA | $11.58 | $1.68 – $73.48 | 3,308 | 8 |
| Paintsvile, KY | $4.37 | $4.37 – $4.37 | 3,307 | 1 |
| Muscle Shoals, AL | $1.71 | $0.26 – $4.74 | 3,306 | 17 |
| Jamestown, NC | $0.83 | $0.37 – $0.83 | 3,297 | 2 |
| Corvallis, OR | $355.09 | $0.00 – $1,359 | 3,296 | 15 |
| Chippewa Falls, WI | $0.00 | $0.00 – $0.00 | 3,293 | 3 |
| Towson, MD | $19.47 | $0.00 – $76.27 | 3,289 | 9 |
| Trumbull, CT | $318.56 | $0.00 – $863.78 | 3,287 | 14 |
| Bay Springs, MS | $1.63 | $0.00 – $5.57 | 3,286 | 6 |
| Norwich, NY | $7.92 | $7.92 – $7.92 | 3,275 | 1 |
| Aberdeen, MS | $0.06 | $0.00 – $0.39 | 3,275 | 5 |
| Eldorado, IL | $0.00 | $0.00 – $0.00 | 3,274 | 3 |
| Fort Mill, SC | $0.38 | $0.16 – $3.34 | 3,273 | 3 |
| Parsons, TN | $0.95 | $0.74 – $1.85 | 3,250 | 4 |
| Oak Lawn, IL | $29.07 | $0.00 – $1,333 | 3,247 | 11 |
| Greenville, OH | $8.26 | $0.14 – $99.68 | 3,239 | 6 |
| Homestead, FL | $13.69 | $0.02 – $39.88 | 3,239 | 5 |
| Catonsville, MD | $25.90 | $6.52 – $35.33 | 3,238 | 6 |
| Taunton, MA | $23.43 | $0.00 – $1,085 | 3,234 | 3 |
| Mcminnville, TN | $3.07 | $0.00 – $7.52 | 3,232 | 12 |
| Powell, TN | $0.55 | $0.00 – $2.94 | 3,230 | 10 |
| West Palm Beach, FL | $18.36 | $0.00 – $340.17 | 3,227 | 19 |
| Gahanna, OH | $601.02 | $0.00 – $802.37 | 3,224 | 9 |
| Chester, PA | $0.01 | $0.00 – $0.64 | 3,223 | 4 |
| Cheshire, CT | $244.38 | $0.00 – $840.15 | 3,221 | 8 |
| San Sebastian, PR | $0.00 | $0.00 – $0.00 | 3,216 | 1 |
| Hollis, NY | $18.05 | $16.93 – $34.31 | 3,214 | 3 |
| Oxford, NC | $31.28 | $0.02 – $81.37 | 3,209 | 11 |
| Chino Hills, CA | $3.64 | $0.00 – $12.29 | 3,204 | 4 |
| Bethesda, MD | $2.62 | $0.42 – $7.50 | 3,193 | 3 |
| Morton, MS | $0.31 | $0.00 – $2.81 | 3,185 | 7 |
| Ridgeway, VA | $0.81 | $0.00 – $0.82 | 3,179 | 2 |
| Venice, FL | $928.79 | $0.04 – $1,282 | 3,168 | 4 |
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.