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 |
|---|---|---|---|---|
| Florence, MS | $0.02 | $0.00 – $0.04 | 2,736 | 4 |
| Varnville, SC | $6.34 | $0.36 – $80.56 | 2,733 | 3 |
| Seminary, MS | $0.63 | $0.63 – $0.63 | 2,731 | 1 |
| Hazel Park, MI | $6.22 | $1.36 – $36.33 | 2,727 | 3 |
| Rockingham, NC | $33.66 | $0.27 – $51.23 | 2,726 | 7 |
| Pleasant View, TN | $2.87 | $0.08 – $6.16 | 2,726 | 6 |
| Laguna Woods, CA | $169.98 | $0.38 – $1,246 | 2,725 | 2 |
| Beattyville, KY | $20.01 | $0.11 – $25.91 | 2,722 | 3 |
| Cortlandt Manor, NY | $0.27 | $0.27 – $0.27 | 2,720 | 1 |
| Mountainside, NJ | $0.00 | $0.00 – $0.00 | 2,708 | 1 |
| Springboro, OH | $4.72 | $1.11 – $4.81 | 2,704 | 4 |
| Mountain City, TN | $0.94 | $0.03 – $2.35 | 2,697 | 4 |
| Sewell, NJ | $16.07 | $0.00 – $269.82 | 2,691 | 8 |
| Dry Prong, LA | $0.72 | $0.00 – $0.78 | 2,691 | 3 |
| Dry Ridge, KY | $12.97 | $0.47 – $14.16 | 2,681 | 5 |
| Dorchester, MA | $29.10 | $0.21 – $204.28 | 2,680 | 6 |
| Ridgefield, NJ | $53.26 | $53.26 – $53.26 | 2,677 | 1 |
| Pullman, WA | $23.38 | $0.08 – $23.49 | 2,674 | 2 |
| Saint Marys, OH | $0.26 | $0.26 – $0.26 | 2,671 | 1 |
| Scottsbluff, NE | $15.63 | $0.00 – $266.08 | 2,669 | 5 |
| Cornettsville, KY | $9.85 | $2.65 – $10.63 | 2,669 | 2 |
| Rutherfordton, NC | $24.02 | $1.22 – $69.97 | 2,667 | 7 |
| Wasco, CA | $0.55 | $0.00 – $5.03 | 2,663 | 4 |
| Chesterfield, MI | $0.14 | $0.14 – $0.14 | 2,661 | 1 |
| Lexington, NC | $15.68 | $7.19 – $45.47 | 2,661 | 4 |
| Meadville, MS | $0.08 | $0.00 – $1.56 | 2,659 | 5 |
| Obetz, OH | $2.22 | $2.22 – $2.22 | 2,658 | 1 |
| Prairie Du Sac, WI | $0.00 | $0.00 – $0.00 | 2,655 | 1 |
| Frenchburg, KY | $4.60 | $0.52 – $18.26 | 2,654 | 6 |
| East Meadow, NY | $0.80 | $0.16 – $7.98 | 2,651 | 4 |
| Claremont, NH | $6.71 | $6.71 – $6.71 | 2,649 | 1 |
| Moody, AL | $0.61 | $0.38 – $0.77 | 2,643 | 9 |
| Franklin Park, NJ | $0.00 | $0.00 – $0.00 | 2,641 | 1 |
| Wichita Falls, TX | $1.72 | $0.00 – $13.56 | 2,639 | 17 |
| La Joya, TX | $0.31 | $0.29 – $0.50 | 2,639 | 3 |
| Killen, AL | $1.16 | $0.90 – $1.56 | 2,638 | 4 |
| San Pablo, CA | $5.08 | $0.00 – $94.89 | 2,637 | 3 |
| Rochester, NH | $1.80 | $0.00 – $1.83 | 2,634 | 3 |
| Mount Morris, MI | $9.22 | $0.00 – $11.21 | 2,632 | 3 |
| Brentwood, MO | $59.78 | $3.55 – $1,067 | 2,630 | 2 |
| Belleville, IL | $6.41 | $0.99 – $8.42 | 2,626 | 7 |
| Cambridge City, IN | $7.33 | $3.74 – $7.35 | 2,624 | 2 |
| Crown Point, IN | $166.73 | $0.00 – $333.88 | 2,620 | 7 |
| Plantersville, MS | $1.83 | $0.62 – $3.31 | 2,620 | 3 |
| Van Wert, OH | $9.51 | $0.27 – $87.88 | 2,616 | 4 |
| South Point, OH | $6.03 | $0.26 – $10.64 | 2,611 | 5 |
| Rexburg, ID | $1.57 | $0.00 – $3.50 | 2,610 | 8 |
| Clinton, NC | $3.27 | $0.00 – $5.25 | 2,608 | 5 |
| Plainview, NY | $114.02 | $6.95 – $596.02 | 2,608 | 4 |
| Burley, ID | $5.19 | $0.00 – $5.22 | 2,603 | 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.