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 |
|---|---|---|---|---|
| Suffolk, VA | $0.92 | $0.00 – $75.45 | 80,709 | 21 |
| Long Beach, CA | $35.13 | $0.00 – $3,564 | 79,302 | 53 |
| Rocky Mount, NC | $3.03 | $0.00 – $26.59 | 79,261 | 28 |
| Worcester, MA | $32.41 | $0.27 – $896.41 | 79,126 | 37 |
| Madera, CA | $2.48 | $0.00 – $15.90 | 79,057 | 53 |
| Chandler, AZ | $6.79 | $0.00 – $718.94 | 78,740 | 39 |
| Shreveport, LA | $8.96 | $0.00 – $412.77 | 78,689 | 183 |
| Jersey City, NJ | $6.45 | $0.00 – $93.42 | 78,232 | 32 |
| Columbus, MS | $9.23 | $0.00 – $619.80 | 77,852 | 28 |
| Youngstown, OH | $8.83 | $0.00 – $1,231 | 77,572 | 49 |
| Olympia, WA | $7.78 | $0.08 – $975.54 | 77,452 | 21 |
| Meridian, MS | $2.35 | $0.00 – $74.36 | 77,119 | 48 |
| Rancho Mirage, CA | $23.79 | $0.02 – $675.14 | 76,804 | 19 |
| Morgantown, WV | $85.45 | $0.00 – $738.16 | 76,708 | 25 |
| Neptune, NJ | $11.55 | $3.45 – $49.24 | 76,370 | 5 |
| Lynchburg, VA | $4.77 | $0.09 – $651.74 | 75,751 | 28 |
| Ventura, CA | $48.18 | $0.00 – $1,260 | 75,692 | 19 |
| Pontiac, MI | $1.62 | $0.00 – $65.76 | 75,684 | 14 |
| Vallejo, CA | $37.21 | $0.00 – $1,706 | 75,126 | 12 |
| Fredericksburg, VA | $0.93 | $0.01 – $74.02 | 75,026 | 23 |
| Philadelphia, PA | $25.26 | $0.00 – $1,216 | 75,022 | 93 |
| Farmington, NM | $31.30 | $0.11 – $1,042 | 74,784 | 24 |
| Murrieta, CA | $3.47 | $0.00 – $21.23 | 74,661 | 14 |
| Visalia, CA | $14.80 | $0.00 – $146.92 | 74,400 | 41 |
| Torrance, CA | $32.15 | $0.00 – $1,620 | 74,058 | 34 |
| Everett, WA | $20.02 | $0.00 – $941.18 | 73,707 | 30 |
| Lansing, MI | $30.27 | $0.12 – $740.89 | 73,492 | 18 |
| Warren, MI | $2.01 | $0.00 – $10.42 | 73,482 | 24 |
| Garden Grove, CA | $7.27 | $0.09 – $362.19 | 73,068 | 14 |
| Chesapeake, VA | $14.61 | $0.00 – $883.58 | 72,855 | 22 |
| Monroe, LA | $2.86 | $0.00 – $317.00 | 72,788 | 138 |
| Apple Valley, CA | $2.13 | $0.00 – $132.86 | 72,759 | 15 |
| Upland, CA | $51.21 | $0.05 – $2,140 | 72,218 | 17 |
| New London, CT | $11.29 | $0.00 – $435.28 | 71,766 | 8 |
| Hampton, VA | $3.06 | $0.02 – $454.11 | 71,757 | 24 |
| El Paso, TX | $13.73 | $0.00 – $1,440 | 71,295 | 104 |
| Palm Springs, CA | $38.13 | $0.00 – $57.50 | 70,987 | 10 |
| Denver, CO | $70.34 | $0.00 – $2,470 | 70,420 | 142 |
| Petersburg, VA | $0.29 | $0.01 – $19.96 | 70,148 | 11 |
| San Leandro, CA | $41.16 | $0.01 – $2,615 | 69,842 | 15 |
| Greenville, MS | $13.29 | $0.00 – $45.73 | 69,750 | 35 |
| Teaneck, NJ | $53.06 | $0.41 – $1,055 | 69,394 | 10 |
| Miami, FL | $12.21 | $0.00 – $571.87 | 68,466 | 127 |
| Elizabethtown, KY | $4.10 | $0.00 – $20.70 | 68,430 | 26 |
| Augusta, ME | $25.53 | $0.03 – $85.50 | 68,313 | 6 |
| Port Huron, MI | $13.22 | $0.00 – $1,821 | 68,281 | 12 |
| Palm Desert, CA | $26.71 | $0.07 – $2,112 | 67,985 | 14 |
| Corinth, MS | $0.59 | $0.00 – $80.36 | 67,813 | 50 |
| Appleton, WI | $9.50 | $0.00 – $933.42 | 67,755 | 16 |
| Martinsville, VA | $0.36 | $0.03 – $10.34 | 67,271 | 18 |
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.