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
Phoenix, AZ
Avg $16.15
844,810 claims ยท 235 providers
Milwaukee, WI
Avg $9.22
755,550 claims ยท 88 providers
Washington, DC
Avg $6.48
675,765 claims ยท 92 providers
Los Angeles, CA
Avg $61.23
617,979 claims ยท 282 providers
Louisville, KY
Avg $31.67
601,676 claims ยท 181 providers
New York, NY
Avg $40.26
587,024 claims ยท 195 providers
San Diego, CA
Avg $27.34
493,429 claims ยท 162 providers
Tucson, AZ
Avg $24.34
489,015 claims ยท 169 providers
Other Procedures in Charleston, SC
Office Visit
Avg $64.67
2,228,092 claims
Blood Work & Lab Tests
Avg $31.73
2,049,584 claims
Emergency Room Visit
Avg $65.50
1,335,995 claims
Vaccines & Immunizations
Avg $12.93
599,641 claims
X-Ray
Avg $21.35
595,983 claims
Psychiatric Evaluation
Avg $153.64
519,793 claims
Urinalysis & Urine Tests
Avg $22.37
515,077 claims
Dental Cleaning & Exam
Avg $33.80
338,813 claims