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Based on public Medicaid payment data.

Average Medicaid Prescription Medications Payments in Charleston, SC: $14.59

Avg. Paid

$14.59

Range

$0.00 โ€“ $1,216

Total Claims

218,570

Providers

51

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 โ€” 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 Charleston, SC

Provider Avg. Paid Claims Patients
Medical University Hospital Authority

169 Ashley Ave

$12.16 144,434 108,478
Trident Medical Center, Llc

9330 Medical Plaza Dr

$2.88 46,172 36,812
Bon Secours St. Francis Xavier Hospital Inc.

2095 Henry Tecklenburg Dr

$0.25 8,696 6,134
Trident Medical Center, Llc

9330 Medical Plaza Dr

$0.00 7,602 5,466
Roper Hospital, Inc

316 Calhoun St

$0.16 5,664 4,842
Daniel Alfaro

3531 Mary Ader Ave

$1,216 466 452
Maria Carmen Thomae

171 Ashley Ave

$77.02 465 458
Justin Norris

2095 Henry Tecklenburg Dr

$1.03 387 259
David J Arcella

125 Doughty St Ste 420

$0.37 321 297
Emily A Darr

171 Ashley Ave

$5.50 267 260
John Kerrison

3531 Mary Ader Ave

$756.03 263 239
C. Edward Huggins

2097 Henry Tecklenburg Dr Ste 312W

$80.98 262 253
Kenosha D Gleaton

2048 Charlie Hall Blvd

$59.22 259 249
Eric Jablon

3531 Mary Ader Ave

$694.83 255 248
Kimbi Glenn Marenakos

655 Saint Andrews Blvd

$1.26 234 226
Pointe Dialysis Llc

1964 Ashley River Rd

$0.18 225 35
Nathan Christopher Seng

29 Bee Street

$0.00 193 165
Michael Johnson

3531 Mary Ader Ave Ste D

$996.22 176 157
Molly Kathleen Slade

169 Ashley Ave

$1.24 175 173
Alexander Valerikovich Golovlev

165 Cannon St

$0.87 169 138
Faye Leboeuf

171 Ashley Ave

$83.61 164 161
Trident Medical Center, Llc

9330 Medical Plaza Dr

$0.32 163 144
Lindsay Mohney

171 Ashley Ave

$408.88 156 93
Edward M. Tavel

2695 Elms Plantation Blvd.

$0.81 149 133
Eric S Stem

2880 Tricom St

$4.99 133 128
Raven Harley Mitchell

2566 Ashley River Rd

$67.51 126 116
Helen Read Bertrand

830 Folly Rd Ste B

$0.13 125 114
Andrew Alexander Stec

171 Ashley Ave

$24.37 97 90
Lauren M Brown

169 Ashley Ave

$81.76 94 93
Geoffrey Alexander Mcleod

9 Hamond Ave

$0.90 75 74
Daniel Boram Park

171 Ashley Ave

$5.64 73 70
Woodrow Jenkins Coker

171 Ashley Ave

$0.64 69 50
Robert T Wall

9330 Medical Plaza Dr

$1.19 53 37
Shelli Francesca Ciandella

169 Ashley Ave Rm 202

$4.65 51 48
Drennan Josey

2097 Henry Tecklenburg Dr Ste 210

$6.04 50 41
Justin Wikle

171 Ashley Ave

$0.48 40 40
Ferrell Ann Mcclain

9298 Medical Plaza Dr

$3.13 34 29
Sharvette Slaughter

3973 Rivers Ave

$85.68 28 24
Lisa Von Moll

109 Bee St

$1.61 26 26
Thomas Adam Criswell

316 Calhoun Street

$0.00 23 22
Brett Lorenzetti

171 Ashley Ave

$0.00 20 13
Joshua Anderson Neal

171 Ashley Ave

$0.88 17 15
Charles J Gudas

2097 Henry Tecklenburg Dr

$4.67 16 16
Anna Dunn Hoffius

171 Ashley Ave

$0.99 14 12
Missy Maria Lalich

169 Ashley Ave Rm 202

$1.34 14 14
Jacqueline G Moore

171 Ashley Ave

$41.97 13 12
Brock Chamberlain

171 Ashley Ave

$0.90 13 13
Dakota L Hadley

9300 Medical Plaza Dr

$1.18 13 13
John Matthew Ferguson

2270 Ashley Crossing Dr Ste 170

$0.97 12 12
Rachael Bryan Cowherd

171 Ashley Ave

$81.57 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 โ€”
J0120 Tetracyclin injection โ€” โ€” โ€”
J0133 Acyclovir injection โ€” โ€” โ€”
J0202 Injection, alemtuzumab โ€” โ€” โ€”
J0795 Corticorelin ovine triflutal โ€” โ€” โ€”
J1160 Digoxin injection โ€” โ€” โ€”
J1205 Chlorothiazide sodium inj โ€” โ€” โ€”
J1260 Dolasetron mesylate โ€” โ€” โ€”
J1290 Ecallantide injection โ€” โ€” โ€”
J1300 Eculizumab injection โ€” โ€” โ€”
J1301 Injection, edaravone, 1 mg โ€” โ€” โ€”
J1303 Inj., ravulizumab-cwvz 10 mg โ€” โ€” โ€”
J1305 Inj, evinacumab-dgnb, 5mg โ€” โ€” โ€”
J1320 Amitriptyline injection โ€” โ€” โ€”
J1322 Elosulfase alfa, injection โ€” โ€” โ€”
J1327 Eptifibatide injection โ€” โ€” โ€”

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 Charleston, SC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Charleston, SC is $14.59 per claim, based on 218,570 claims from 51 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 Charleston, SC?

There are 51 Medicaid providers offering Prescription Medications related services in Charleston, SC according to public payment data.

What is the price range for Prescription Medications in Charleston, SC?

Medicaid reimbursement for Prescription Medications in Charleston, SC ranges from $0.00 to $1,216 per claim, with an average of $14.59. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Prescription Medications in Other Cities

Other Procedures in Charleston, SC