Average Medicaid Prescription Medications Payments in Burlington, NC: $1.82
Avg. Paid
$1.82
Range
$0.05 – $26.63
Total Claims
15,965
Providers
21
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.
Prescription drug costs and pharmacy services covered under Medicaid. Includes brand-name and generic medications across all therapeutic categories.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Prescription Medications in Burlington, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Creighton Charles Vaught
4030 Oaks Professional Pkwy Ste 201 |
$3.05 | 12 | 12 |
|
Paul Scott Bennett
4030 Oaks Professional Pkwy Ste 201 |
$3.16 | 12 | 12 |
|
Elizabeth Sciora
319 N Graham Hopedale Rd Fl B |
$25.50 | 13 | 13 |
|
Jason S Dew
2977 Crouse Ln |
$2.59 | 13 | 12 |
|
Linda M Taylor
1240 Huffman Mill Rd |
$0.05 | 20 | 14 |
|
Laura Fox Landon
530 W Webb Ave |
$0.66 | 21 | 17 |
|
Catherine Mary Lynn
319 N Graham Hopedale Rd Fl B |
$0.30 | 49 | 46 |
|
Andrew Kubinski
1234 Huffman Mill Rd |
$3.47 | 68 | 66 |
|
Deitra Letrice Williams-Toone
1111 Huffman Mill Rd |
$0.25 | 81 | 45 |
|
Seema Kamlesh Patel
1236 Huffman Mill Rd Ste 2000 |
$0.35 | 87 | 64 |
|
Alexia Hernandez-Soria
1236 Huffman Mill Rd Ste 1300 |
$4.52 | 87 | 50 |
|
Devainder Goli
1240 Huffman Mill Rd |
$26.63 | 95 | 94 |
|
Benjamin Charles Chasnis
1234 Huffman Mill Rd |
$0.36 | 146 | 124 |
|
Jennifer Durham Crisp
3154 S Church St |
$3.44 | 181 | 165 |
|
Bilal Lateef
1240 Huffman Mill Rd |
$1.53 | 191 | 166 |
|
Rosemary F Stein
2105 Maple Ave |
$2.70 | 285 | 140 |
|
Michael Todd Grooms
306 Alamance Rd Ste C |
$3.27 | 397 | 377 |
|
Roslyn Moore Crisp
1203 Vaughn Rd |
$3.10 | 1,118 | 1,052 |
|
Munsoor Lateef
2903 Professional Park Dr |
$1.88 | 2,689 | 246 |
|
Sarath Kolluru
2903 Professional Park Dr |
$1.35 | 2,720 | 243 |
|
Harmeet Singh
2903 Professional Park Rd |
$1.32 | 7,680 | 677 |
What to Expect: Prescription Medications
Medicaid covers most medically necessary prescription medications. Your copay is typically $0-3 for generic drugs and $0-5 for brand-name drugs. Some medications require prior authorization. Most prescriptions can be filled at any participating pharmacy. Mail-order pharmacy may be available for maintenance medications. 90-day supplies may be available for chronic conditions.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| 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 are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Prescription Medications cost in Burlington, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Burlington, NC is $1.82 per claim, based on 15,965 claims from 21 providers. Typical payments fall between $0.68 and $14.54. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Prescription Medications in Burlington, NC?
There are 21 Medicaid providers offering Prescription Medications related services in Burlington, NC according to public payment data.
What is the price range for Prescription Medications in Burlington, NC?
Medicaid reimbursement for Prescription Medications in Burlington, NC ranges from $0.05 to $26.63 per claim, with an average of $1.82. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Prescription Medications in Other Cities
Phoenix, AZ
Avg $16.15
844,810 claims · 235 providers
Milwaukee, WI
Avg $9.22
755,550 claims · 88 providers
Washington, DC
Avg $6.48
675,765 claims · 92 providers
Los Angeles, CA
Avg $61.23
617,979 claims · 282 providers
Louisville, KY
Avg $31.67
601,676 claims · 181 providers
New York, NY
Avg $40.26
587,024 claims · 195 providers
San Diego, CA
Avg $27.34
493,429 claims · 162 providers
Tucson, AZ
Avg $24.34
489,015 claims · 169 providers
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Avg $6.63
39,605,443 claims
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Avg $3.38
5,269,483 claims
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Avg $5.81
3,404,924 claims
Pathology & Lab Services
Avg $22.04
1,401,627 claims
Office Visit
Avg $61.14
459,965 claims
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Avg $13.77
210,494 claims
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Avg $29.36
203,658 claims
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Avg $51.56
199,843 claims