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 |
|---|---|---|---|---|
| Tarboro, NC | $9.48 | $0.01 – $16.42 | 1,689 | 8 |
| Gloster, MS | $0.00 | $0.00 – $0.00 | 1,689 | 2 |
| Elkin, NC | $1.60 | $0.00 – $9.56 | 1,682 | 6 |
| Wyncote, PA | $0.00 | $0.00 – $0.00 | 1,682 | 1 |
| Lake Arrowhead, CA | $14.05 | $0.04 – $15.18 | 1,676 | 4 |
| Frostproof, FL | $40.15 | $40.15 – $40.15 | 1,674 | 1 |
| Okemos, MI | $62.76 | $10.88 – $192.12 | 1,670 | 3 |
| Mamou, LA | $3.47 | $0.00 – $4.52 | 1,670 | 4 |
| Jennings, LA | $0.73 | $0.00 – $5.38 | 1,669 | 8 |
| Breaux Bridge, LA | $1.62 | $0.11 – $16.09 | 1,669 | 7 |
| Fort Kent, ME | $0.04 | $0.04 – $0.04 | 1,667 | 1 |
| Woodworth, LA | $22.73 | $0.00 – $25.60 | 1,667 | 4 |
| Oakland, TN | $1.58 | $1.54 – $3.64 | 1,666 | 2 |
| Reseda, CA | $4.92 | $4.66 – $5.58 | 1,665 | 2 |
| North Wilkesboro, NC | $4.01 | $0.00 – $63.28 | 1,664 | 13 |
| Doral, FL | $25.44 | $0.00 – $58.67 | 1,660 | 12 |
| Washington, IN | $23.92 | $0.00 – $72.08 | 1,660 | 10 |
| The Dalles, OR | $4.95 | $4.20 – $84.00 | 1,659 | 3 |
| Ashland, AL | $2.42 | $0.45 – $6.86 | 1,659 | 4 |
| Lamesa, TX | $0.38 | $0.26 – $0.40 | 1,659 | 2 |
| Harrisville, MI | $63.53 | $63.53 – $63.53 | 1,659 | 1 |
| Sugar Land, TX | $2.36 | $0.00 – $77.28 | 1,658 | 11 |
| Machias, ME | $4.77 | $4.77 – $4.77 | 1,654 | 1 |
| Mooreville, MS | $0.51 | $0.40 – $0.59 | 1,651 | 3 |
| Diamond Bar, CA | $35.91 | $4.27 – $36.19 | 1,650 | 2 |
| Navarre, FL | $2.90 | $1.19 – $3.95 | 1,650 | 4 |
| Kinder, LA | $0.00 | $0.00 – $0.00 | 1,648 | 4 |
| Cleburne, TX | $2.72 | $0.00 – $5.10 | 1,647 | 4 |
| Baker, LA | $0.68 | $0.00 – $0.70 | 1,643 | 4 |
| Black River Falls, WI | $0.06 | $0.06 – $0.06 | 1,643 | 1 |
| Highland Park, MI | $0.01 | $0.01 – $0.01 | 1,641 | 1 |
| Paris, TX | $2.28 | $0.30 – $3.60 | 1,640 | 8 |
| Mccaysville, GA | $0.29 | $0.29 – $0.29 | 1,640 | 1 |
| Greenacres, FL | $0.62 | $0.62 – $0.62 | 1,635 | 1 |
| Frederick, MD | $2.04 | $0.14 – $110.76 | 1,631 | 9 |
| Davison, MI | $3.53 | $0.05 – $4.71 | 1,628 | 3 |
| Bude, MS | $0.02 | $0.00 – $0.03 | 1,628 | 2 |
| Union, MS | $2.39 | $0.00 – $15.22 | 1,626 | 3 |
| Avon, IN | $7.07 | $0.00 – $22.72 | 1,620 | 7 |
| Mesquite, TX | $4.96 | $0.00 – $9.69 | 1,620 | 10 |
| Alice, TX | $1.93 | $0.00 – $64.63 | 1,620 | 9 |
| Hancock, MI | $2.50 | $0.00 – $22.59 | 1,620 | 3 |
| Burbank, IL | $1.55 | $1.29 – $1.56 | 1,620 | 2 |
| Austintown, OH | $0.13 | $0.00 – $1.04 | 1,618 | 7 |
| Shrewsbury, NJ | $113.05 | $113.05 – $113.05 | 1,615 | 1 |
| Albany, OR | $306.32 | $0.00 – $980.58 | 1,613 | 5 |
| Houston, MS | $0.49 | $0.00 – $1.33 | 1,613 | 5 |
| Fayette, AL | $1.21 | $0.00 – $1.71 | 1,611 | 6 |
| Donaldsonville, LA | $0.41 | $0.00 – $0.74 | 1,610 | 5 |
| Bothell, WA | $0.01 | $0.01 – $0.01 | 1,610 | 1 |
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.