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 |
|---|---|---|---|---|
| Wagoner, OK | $8.69 | $0.59 – $11.13 | 1,314 | 3 |
| Hurricane, WV | $4.06 | $0.31 – $27.22 | 1,311 | 7 |
| Palm Beach Gardens, FL | $4.25 | $0.85 – $5.97 | 1,311 | 3 |
| Vancleave, MS | $1.47 | $1.35 – $6.32 | 1,309 | 2 |
| Brunswick, GA | $0.84 | $0.84 – $0.84 | 1,308 | 1 |
| Milton, FL | $3.89 | $0.05 – $54.25 | 1,307 | 6 |
| Chesterton, IN | $10.00 | $0.00 – $20.26 | 1,304 | 9 |
| Castle Rock, CO | $7.36 | $0.11 – $8.43 | 1,303 | 4 |
| Clearwater, FL | $2.53 | $0.00 – $41.81 | 1,302 | 8 |
| Milford, DE | $31.29 | $0.00 – $66.96 | 1,301 | 4 |
| Oskaloosa, IA | $8.89 | $1.04 – $31.97 | 1,301 | 5 |
| Southport, NC | $3.44 | $1.95 – $3.84 | 1,300 | 3 |
| Sparta, IL | $0.00 | $0.00 – $0.00 | 1,299 | 1 |
| Russellville, AR | $15.00 | $0.00 – $51.90 | 1,297 | 7 |
| Flossmoor, IL | $40.19 | $40.19 – $40.19 | 1,297 | 1 |
| Holdenville, OK | $0.51 | $0.00 – $0.64 | 1,295 | 3 |
| Lenoir City, TN | $1.14 | $0.00 – $7.35 | 1,294 | 13 |
| Gleason, TN | $1.59 | $1.57 – $1.90 | 1,292 | 2 |
| Shiloh, IL | $2.63 | $0.98 – $4.77 | 1,291 | 4 |
| Beverly Hills, FL | $1.51 | $0.53 – $1.54 | 1,290 | 2 |
| Petersburg, WV | $15.68 | $0.52 – $24.26 | 1,284 | 3 |
| Welsh, LA | $1.01 | $0.36 – $1.15 | 1,282 | 2 |
| Ecru, MS | $0.73 | $0.31 – $1.17 | 1,281 | 6 |
| Rio Grande City, TX | $1.04 | $0.00 – $7.01 | 1,280 | 7 |
| Orrville, OH | $0.93 | $0.93 – $0.93 | 1,277 | 1 |
| New Richmond, WI | $15.56 | $0.09 – $57.02 | 1,277 | 2 |
| East Patchogue, NY | $207.80 | $1.34 – $608.35 | 1,277 | 6 |
| Villa Rica, GA | $0.90 | $0.00 – $0.96 | 1,277 | 6 |
| Hawaiian Gardens, CA | $25.35 | $25.35 – $25.35 | 1,276 | 1 |
| Orange, CT | $22.82 | $0.61 – $23.38 | 1,271 | 2 |
| Lincolnton, NC | $9.39 | $0.14 – $40.34 | 1,271 | 9 |
| Salinas, PR | $0.01 | $0.00 – $0.01 | 1,271 | 2 |
| Bedford, IN | $21.44 | $0.00 – $81.75 | 1,268 | 4 |
| Fort Bragg, CA | $9.56 | $9.56 – $9.56 | 1,267 | 1 |
| Marlton, NJ | $4.15 | $0.00 – $6.14 | 1,267 | 6 |
| Plymouth Meeting, PA | $975.79 | $718.08 – $2,092 | 1,265 | 7 |
| Mantachie, MS | $0.50 | $0.25 – $0.79 | 1,263 | 4 |
| Lewisburg, WV | $10.32 | $0.40 – $25.25 | 1,260 | 2 |
| Byhalia, MS | $0.87 | $0.16 – $1.02 | 1,255 | 4 |
| Logansport, LA | $0.00 | $0.00 – $0.00 | 1,251 | 3 |
| Inez, KY | $3.92 | $0.28 – $8.64 | 1,249 | 6 |
| Opp, AL | $1.07 | $0.56 – $1.11 | 1,247 | 2 |
| Carrollton, GA | $7.62 | $0.00 – $8.67 | 1,245 | 7 |
| Bunnell, FL | $19.42 | $1.30 – $36.67 | 1,245 | 4 |
| Batesville, AR | $3.37 | $0.00 – $25.91 | 1,244 | 8 |
| Shelbyville, IN | $107.15 | $1.69 – $277.32 | 1,240 | 3 |
| Oviedo, FL | $2.49 | $2.49 – $2.49 | 1,239 | 1 |
| Laguna Niguel, CA | $1.01 | $1.01 – $1.01 | 1,238 | 1 |
| Whitefish Bay, WI | $580.64 | $580.64 – $580.64 | 1,235 | 1 |
| Marietta, GA | $16.59 | $0.00 – $92.35 | 1,234 | 9 |
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.