Average Medicaid Prescription Medications Payments in Charleston, WV: $138.57
Avg. Paid
$138.57
Range
$0.07 – $2,056
Total Claims
100,538
Providers
44
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 Charleston, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Charleston Area Medical Center Inc
501 Morris St |
$59.38 | 76,618 | 54,163 |
|
Richard Mark Hatfield
331 Laidley St |
$449.67 | 3,354 | 2,020 |
|
Abraham S Mitias
331 Laidley St |
$380.48 | 2,708 | 1,577 |
|
Scott Conrad Jamerson
331 Laidley St. |
$407.26 | 2,041 | 1,181 |
|
Retina Consultants, Pllc
331 Laidley St |
$2,056 | 1,877 | 1,509 |
|
Robert F Dundervill
331 Laidley St |
$415.86 | 1,772 | 977 |
|
David J Hunt
331 Laidley St |
$534.97 | 1,624 | 1,020 |
|
Charleston Hospital Inc.
333 Laidley St |
$18.88 | 1,595 | 1,323 |
|
Robert B. Shin
3100 Maccorkle Ave Se |
$1.81 | 1,139 | 473 |
|
Albeir Y Mousa
3200 Maccorkle Avenue Se |
$0.18 | 997 | 970 |
|
Daniel Russell Richardson
333 Laidley St Ste 208 |
$486.22 | 943 | 567 |
|
David J Patton
108 Washington St W Ste 101 |
$0.60 | 797 | 629 |
|
Bassam Moushmoush
331 Laidley St |
$38.65 | 795 | 611 |
|
Marcus Doddridge Shaffer
830 Pennsylvania Ave |
$0.52 | 655 | 538 |
|
Neurological Associates, Inc.
415 Morris St |
$8.83 | 628 | 556 |
|
Bio-Medical Applications Of West Virginia, Inc.
2345 Chesterfield Ave |
$0.64 | 438 | 87 |
|
Stephen Harold Bush
1 Courtney Dr |
$1.13 | 338 | 238 |
|
Kendra Dawn Martin
1218 Virginia St E |
$0.39 | 319 | 264 |
|
Samuel C Rossi
600 Tracy Way |
$1.59 | 298 | 184 |
|
Ramanathapura Narasimhamurthy Haricharan
830 Pennsylvania Ave |
$0.38 | 240 | 189 |
|
Chad D Lavender
415 Morris St |
$32.93 | 195 | 173 |
|
Jarrell Richard Martin
1218 Virginia St E |
$0.90 | 170 | 159 |
|
Nimish Mehta
800 Pennsylvania Ave |
$0.89 | 159 | 149 |
|
Robert Wesley Farr
3100 Maccorkle Ave Se Ste 902 |
$18.88 | 95 | 95 |
|
Mountaineer Family Medicine, Inc.
500 Poplar St |
$0.08 | 91 | 68 |
|
David Richard Lough
500 Donnally St Ste 200 |
$0.81 | 89 | 81 |
|
Jason Allan Castle
100 Tracy Way |
$36.54 | 87 | 76 |
|
Paul D Dietz
830 Pennsylvania Ave |
$63.66 | 76 | 76 |
|
Sachin Vilas Bendre
830 Pennsylvania Ave |
$11.33 | 65 | 37 |
|
John Daniel Murchison
3110 Maccorkle Ave Se |
$0.07 | 61 | 59 |
|
Malinda Maynard Husson
4502 Maccorkle Ave Se Ste C |
$0.42 | 39 | 38 |
|
Randall James Hill
830 Pennsylvania Ave |
$0.57 | 30 | 16 |
|
Mohamad Samah Kalou
5240 Maccorkle Ave Se |
$0.09 | 28 | 15 |
|
Ahmad Bali
400 S Ruffner Rd Ste 2 |
$0.69 | 25 | 12 |
|
Brittany Nicole Crabtree
108 Washington St W |
$0.49 | 23 | 14 |
|
Justin Leigh Mckinney
210 Brooks St Ste 200 |
$0.52 | 17 | 13 |
|
Alex Poulsen
800 Pennsylvania Ave |
$0.49 | 17 | 12 |
|
Ryan H. Fitzwater
1201 Washington St E |
$0.54 | 15 | 13 |
|
Andrew Paul Walker
3100 Maccorkle Ave Se Ste 700 |
$0.56 | 15 | 12 |
|
Joshua Mark Lohri
1201 Washington St E |
$0.62 | 14 | 14 |
|
Carrie Marie Bush
830 Pennsylvania Ave |
$0.53 | 14 | 12 |
|
Mae A. Hyre
415 Morris St |
$0.74 | 13 | 12 |
|
Cabin Creek Health Center, Inc.
4602 Maccorkle Ave Se |
$15.00 | 12 | 12 |
|
Brandon Wilkinson
3110 Maccorkle Ave Se |
$0.29 | 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 Charleston, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Charleston, WV is $138.57 per claim, based on 100,538 claims from 44 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, WV?
There are 44 Medicaid providers offering Prescription Medications related services in Charleston, WV according to public payment data.
What is the price range for Prescription Medications in Charleston, WV?
Medicaid reimbursement for Prescription Medications in Charleston, WV ranges from $0.07 to $2,056 per claim, with an average of $138.57. 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
Other Procedures in Charleston, WV
Blood Work & Lab Tests
Avg $19.50
1,537,486 claims
Office Visit
Avg $41.70
1,465,982 claims
Pathology & Lab Services
Avg $20.19
1,043,744 claims
Substance Abuse Treatment
Avg $93.30
723,285 claims
Emergency Room Visit
Avg $127.35
605,148 claims
X-Ray
Avg $13.71
490,576 claims
Urinalysis & Urine Tests
Avg $10.76
438,273 claims
Physical Therapy
Avg $108.21
435,894 claims