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 |
|---|---|---|---|---|
| Beaverton, AL | $0.24 | $0.24 – $0.24 | 1,811 | 1 |
| Plover, WI | $0.00 | $0.00 – $0.00 | 1,809 | 1 |
| Compton, CA | $23.53 | $23.53 – $23.53 | 1,804 | 1 |
| Linden, AL | $0.62 | $0.01 – $0.89 | 1,796 | 3 |
| Ames, IA | $69.54 | $0.00 – $516.24 | 1,795 | 16 |
| Alamo, TN | $1.66 | $0.37 – $2.73 | 1,794 | 5 |
| Hackettstown, NJ | $1.18 | $1.18 – $1.18 | 1,793 | 1 |
| Haverhill, MA | $10.66 | $1.69 – $12.82 | 1,792 | 6 |
| Williamson, WV | $15.27 | $0.03 – $36.42 | 1,791 | 7 |
| Hilton Head Island, SC | $0.10 | $0.10 – $0.10 | 1,787 | 1 |
| New Port Richey, FL | $0.52 | $0.14 – $22.62 | 1,786 | 4 |
| Annandale, NJ | $268.47 | $0.66 – $272.91 | 1,780 | 2 |
| Corydon, IN | $0.73 | $0.10 – $8.07 | 1,778 | 4 |
| Jeremiah, KY | $8.22 | $8.22 – $8.22 | 1,778 | 1 |
| Orange, NJ | $0.00 | $0.00 – $0.00 | 1,776 | 1 |
| San Ysidro, CA | $16.81 | $0.00 – $18.13 | 1,775 | 3 |
| Abbeville, AL | $0.10 | $0.00 – $0.37 | 1,773 | 3 |
| Spencer, WV | $19.99 | $0.00 – $44.31 | 1,770 | 6 |
| Grand Island, NE | $16.68 | $3.93 – $17.76 | 1,763 | 2 |
| Marlette, MI | $0.00 | $0.00 – $0.00 | 1,762 | 1 |
| Ceres, CA | $14.60 | $4.51 – $86.47 | 1,759 | 3 |
| New Smyrna Beach, FL | $8.84 | $3.34 – $9.62 | 1,757 | 3 |
| Kingstree, SC | $9.54 | $0.00 – $81.56 | 1,757 | 4 |
| Brewton, AL | $0.43 | $0.01 – $1.82 | 1,757 | 10 |
| Bruce, MS | $0.34 | $0.15 – $0.35 | 1,751 | 2 |
| Powderly, KY | $6.04 | $0.66 – $28.70 | 1,745 | 9 |
| Harrisburg, PA | $0.01 | $0.00 – $1.64 | 1,743 | 3 |
| Boulder, CO | $665.13 | $0.00 – $856.29 | 1,742 | 7 |
| Menifee, CA | $1,344 | $1,222 – $1,427 | 1,742 | 2 |
| Malta, NY | $0.03 | $0.03 – $0.03 | 1,740 | 1 |
| Needham, MA | $52.08 | $0.85 – $1,187 | 1,737 | 2 |
| Pittsburg, KS | $4.92 | $0.00 – $99.83 | 1,736 | 6 |
| Greenville, TX | $5.68 | $0.48 – $9.41 | 1,733 | 5 |
| Elkton, MD | $13.49 | $0.10 – $85.50 | 1,731 | 7 |
| Herrin, IL | $1.88 | $0.00 – $20.00 | 1,729 | 6 |
| Winter Haven, FL | $18.42 | $0.00 – $566.02 | 1,728 | 10 |
| Derby, NY | $78.60 | $78.60 – $78.60 | 1,722 | 1 |
| Belleview, FL | $3.98 | $3.98 – $3.98 | 1,719 | 1 |
| Alton, TX | $2.03 | $2.03 – $2.03 | 1,718 | 1 |
| New London, WI | $0.03 | $0.03 – $0.03 | 1,715 | 1 |
| Paramus, NJ | $6.83 | $0.00 – $69.92 | 1,713 | 10 |
| Massapequa, NY | $637.43 | $493.50 – $726.34 | 1,710 | 2 |
| Autaugaville, AL | $19.08 | $19.08 – $19.08 | 1,710 | 1 |
| Weymouth, MA | $256.21 | $59.90 – $387.84 | 1,709 | 2 |
| Marion, IL | $591.25 | $0.00 – $738.46 | 1,708 | 4 |
| Statesboro, GA | $2.60 | $0.56 – $2.89 | 1,708 | 2 |
| Plantation, FL | $2.42 | $0.00 – $38.59 | 1,703 | 11 |
| York, AL | $2.29 | $0.03 – $3.74 | 1,696 | 3 |
| Upper Chichester, PA | $52.51 | $52.51 – $52.51 | 1,694 | 1 |
| Trent Woods, NC | $7.07 | $6.17 – $7.07 | 1,693 | 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.