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 |
|---|---|---|---|---|
| Ocean City, MD | $4.22 | $2.21 – $4.50 | 2,600 | 3 |
| Okolona, MS | $1.14 | $0.00 – $1.46 | 2,599 | 5 |
| Phenix City, AL | $6.56 | $0.06 – $8.47 | 2,597 | 6 |
| Athens, GA | $3.91 | $0.00 – $22.07 | 2,596 | 12 |
| Morganfield, KY | $6.63 | $4.45 – $39.87 | 2,591 | 3 |
| College Park, GA | $0.02 | $0.02 – $0.02 | 2,585 | 1 |
| Kenansville, NC | $9.30 | $4.21 – $35.50 | 2,584 | 4 |
| Salem, OH | $5.80 | $0.06 – $89.21 | 2,578 | 4 |
| Franklin, LA | $64.69 | $0.00 – $71.57 | 2,576 | 7 |
| Mount Vernon, NY | $1.39 | $0.00 – $5.77 | 2,576 | 4 |
| Oxford, AL | $1.46 | $0.22 – $8.07 | 2,575 | 10 |
| Clackamas, OR | $879.72 | $0.00 – $1,073 | 2,573 | 7 |
| Canal Winchester, OH | $4.83 | $0.21 – $40.34 | 2,568 | 3 |
| Allegan, MI | $0.41 | $0.00 – $52.50 | 2,562 | 3 |
| Buckhannon, WV | $37.09 | $37.09 – $37.09 | 2,562 | 1 |
| Haysi, VA | $0.25 | $0.24 – $0.31 | 2,558 | 2 |
| Rohnert Park, CA | $185.25 | $185.25 – $185.25 | 2,557 | 1 |
| The Woodlands, TX | $14.54 | $0.00 – $173.76 | 2,556 | 12 |
| Charleston, MS | $1.16 | $0.38 – $4.69 | 2,542 | 6 |
| Lewiston, ID | $4.78 | $0.55 – $51.04 | 2,538 | 3 |
| La Follette, TN | $0.53 | $0.00 – $9.23 | 2,530 | 12 |
| Yucaipa, CA | $0.90 | $0.00 – $1.38 | 2,527 | 5 |
| Fairmont, WV | $44.80 | $0.00 – $156.44 | 2,514 | 5 |
| Tell City, IN | $3.37 | $0.38 – $3.44 | 2,510 | 5 |
| Jackson, OH | $0.48 | $0.00 – $2.09 | 2,510 | 7 |
| Medina, TN | $6.61 | $0.16 – $335.79 | 2,510 | 3 |
| California, MD | $12.49 | $0.13 – $122.80 | 2,504 | 3 |
| Dansville, NY | $8.63 | $0.00 – $54.53 | 2,500 | 4 |
| Fayetteville, GA | $51.28 | $0.64 – $66.41 | 2,500 | 2 |
| Anderson, IN | $23.87 | $0.00 – $183.61 | 2,498 | 24 |
| East Syracuse, NY | $267.92 | $1.02 – $632.82 | 2,493 | 14 |
| Springfield, MO | $11.31 | $0.00 – $388.46 | 2,491 | 16 |
| Sleepy Hollow, NY | $25.42 | $25.42 – $25.42 | 2,481 | 1 |
| Lewes, DE | $9.21 | $0.07 – $133.47 | 2,468 | 9 |
| Falmouth, ME | $0.32 | $0.00 – $0.32 | 2,468 | 2 |
| Taft, CA | $5.12 | $1.68 – $6.05 | 2,466 | 4 |
| Calais, ME | $2.82 | $2.82 – $2.82 | 2,460 | 1 |
| Blue Springs, MO | $2.32 | $2.32 – $2.32 | 2,460 | 1 |
| Horse Cave, KY | $18.17 | $18.09 – $19.89 | 2,456 | 2 |
| Palmer, MA | $0.70 | $0.70 – $0.70 | 2,455 | 1 |
| Donna, TX | $1.29 | $0.00 – $1.50 | 2,453 | 7 |
| Ashland, OR | $146.90 | $0.00 – $829.49 | 2,449 | 9 |
| Fort Smith, AR | $3.92 | $0.00 – $13.56 | 2,446 | 14 |
| Bedford, NH | $162.40 | $0.00 – $414.90 | 2,442 | 3 |
| Union, NJ | $354.04 | $0.00 – $776.16 | 2,441 | 8 |
| Las Vegas, NM | $5.85 | $0.15 – $9.65 | 2,438 | 7 |
| West Burlington, IA | $5.98 | $0.00 – $81.25 | 2,438 | 21 |
| Irwindale, CA | $710.51 | $0.76 – $949.57 | 2,437 | 2 |
| Santa Clara, UT | $0.08 | $0.08 – $0.08 | 2,436 | 1 |
| Mount Shasta, CA | $15.86 | $0.00 – $16.00 | 2,432 | 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.