Based on public Medicaid payment data.

Average Medicaid Prescription Medications Payments in Chapel Hill, NC: $2.61

Avg. Paid

$2.61

Range

$0.00 – $87.71

Total Claims

24,052

Providers

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 Chapel Hill, NC

Provider	Avg. Paid	Claims	Patients
Abhijit V Kshirsagar 101 Manning Dr	$0.38	10,850	780
Shannon Lisa Murphy Acc Clinic Building Cb 7705	$0.67	6,459	449
Alfredo C Rivadeneira 101 Manning Dr	$2.01	1,048	849
Jeyhan S Wood 7033 Burnett Womack Bldg Cb 7195	$10.24	781	614
Wade Glazner Mcclain 431 Meadowmont Village Cir	$1.86	620	549
David Alan Ciochetty 101 Manning Dr	$7.41	489	357
Victoria Claire James 431 Meadowmont Village Cir	$0.00	470	396
Sean Edward Mclean 101 Manning Dr	$11.40	466	408
Elizabeth E K Miller Department Of Pediatric Dentistry	$3.26	369	348
Carlton Zdanski 101 Manning Dr	$5.38	296	273
Hans Arora 170 Manning Dr	$6.27	182	175
Christi Lynn Mechalske 1765 Dobbins Dr	$33.18	156	134
Lauren Kilpatrick Leeper 101 Manning Dr	$5.75	153	138
Richard W Sutherland 101 Manning Dr	$4.87	153	139
Jennifer Megan Patterson 101 Manning Dr	$18.55	150	133
Antonio Stanley Braithwaite 101 Manning Dr	$2.47	140	133
Lauren L Patton 150 Dental Cir	$4.66	130	113
Amanda Rosemarie Saad 101 Manning Dr	$0.00	99	94
Eduardo Lara-Torre 101 Manning Dr	$80.67	92	89
Jacob Perrin 590 Manning Dr	$0.85	83	69
Anna Dimitriovna Vergun 130 Mason Farm Rd	$10.59	83	62
Nadeem Y Modan 170 Manning Dr	$13.87	74	70
Sara Wall 1512 E Franklin St Ste 100	$35.85	67	45
Kevin Brown 170 Manning Drive Physician'S Office Building	$7.91	55	42
Jesus Alberto Castillo 130 Mason Farm Rd Ste 3140	$10.19	53	44
Joshua Norstrom Berkowitz 6011 Farrington Rd Ste 201	$0.11	45	39
Jonathan Kenton Tackett 6330 Quadrangle Dr Ste 500	$10.73	43	39
Jean Kontos Ginnis Manning Drive & S Columbia Street	$6.04	41	38
Timothy Luke Pierson 101 Manning Dr	$0.50	38	38
Si On Lim 385 S Columbia St	$6.46	30	28
Amelia F Drake 101 Manning Dr	$6.40	30	28
Katherine Hubert Chan 101 Manning Dr	$5.77	29	29
Michael R Phillips 101 Manning Dr	$75.77	26	24
Renita Coles 6013 Farrington Rd Ste 101	$0.00	21	16
Erica Pettigrew 590 Manning Dr	$15.30	20	12
Robert Sackmann 101 Manning Dr	$1.39	19	15
Kavita Shah Arora 101 Manning Dr	$87.71	19	13
Felicia Victoria Swinney Unc School Of Dentistry Pediatric Dentistry	$2.34	18	13
Cathleen M. Khandelwal 101 Manning Dr	$0.00	18	12
Maricelina Caro 301 New Parkside Dr	$16.66	15	14
Jeremy Keith Smith 170 Manning Dr	$5.46	14	13
Patrick Carlsen Smith 590 Manning Dr	$0.00	14	12
Brian N Julich Physicians Office Building 170 Manning Dr	$1.92	14	13
Megan Michelle France 17228 Fordham Blvd	$0.09	14	13
Kama Lyons 107 Conner Dr	$66.96	14	14
Elizabeth Cates 101 Manning Dr	$0.73	14	12
Brendan Michael Decenso 170 Manning Dr # 7594	$4.63	14	14
Kimon Divaris Unc School Of Dentistry Dept Of Pediatric Dentistry	$3.56	12	12
Nathaniel Steven Miller 101 Manning Dr	$4.54	12	12

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 Chapel Hill, NC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Chapel Hill, NC is $2.61 per claim, based on 24,052 claims from 49 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 Chapel Hill, NC?

There are 49 Medicaid providers offering Prescription Medications related services in Chapel Hill, NC according to public payment data.

What is the price range for Prescription Medications in Chapel Hill, NC?

Medicaid reimbursement for Prescription Medications in Chapel Hill, NC ranges from $0.00 to $87.71 per claim, with an average of $2.61. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Prescription Medications Payments in Chapel Hill, NC: $2.61

Providers Offering Prescription Medications in Chapel Hill, NC

What to Expect: Prescription Medications

Cost Components

Frequently Asked Questions

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X-Ray

EKG / ECG (Electrocardiogram)

Vaccines & Immunizations

Speech Therapy