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Based on public Medicaid payment data.

Average Medicaid Prescription Medications Payments in Charleston, WV: $138.57

Avg. Paid

$138.57

Range

$0.07 โ€“ $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 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, WV

Provider Avg. Paid Claims Patients
Brandon Wilkinson

3110 Maccorkle Ave Se

$0.29 12 12
Cabin Creek Health Center, Inc.

4602 Maccorkle Ave Se

$15.00 12 12
Mae A. Hyre

415 Morris St

$0.74 13 12
Carrie Marie Bush

830 Pennsylvania Ave

$0.53 14 12
Joshua Mark Lohri

1201 Washington St E

$0.62 14 14
Andrew Paul Walker

3100 Maccorkle Ave Se Ste 700

$0.56 15 12
Ryan H. Fitzwater

1201 Washington St E

$0.54 15 13
Alex Poulsen

800 Pennsylvania Ave

$0.49 17 12
Justin Leigh Mckinney

210 Brooks St Ste 200

$0.52 17 13
Brittany Nicole Crabtree

108 Washington St W

$0.49 23 14
Ahmad Bali

400 S Ruffner Rd Ste 2

$0.69 25 12
Mohamad Samah Kalou

5240 Maccorkle Ave Se

$0.09 28 15
Randall James Hill

830 Pennsylvania Ave

$0.57 30 16
Malinda Maynard Husson

4502 Maccorkle Ave Se Ste C

$0.42 39 38
John Daniel Murchison

3110 Maccorkle Ave Se

$0.07 61 59
Sachin Vilas Bendre

830 Pennsylvania Ave

$11.33 65 37
Paul D Dietz

830 Pennsylvania Ave

$63.66 76 76
Jason Allan Castle

100 Tracy Way

$36.54 87 76
David Richard Lough

500 Donnally St Ste 200

$0.81 89 81
Mountaineer Family Medicine, Inc.

500 Poplar St

$0.08 91 68
Robert Wesley Farr

3100 Maccorkle Ave Se Ste 902

$18.88 95 95
Nimish Mehta

800 Pennsylvania Ave

$0.89 159 149
Jarrell Richard Martin

1218 Virginia St E

$0.90 170 159
Chad D Lavender

415 Morris St

$32.93 195 173
Ramanathapura Narasimhamurthy Haricharan

830 Pennsylvania Ave

$0.38 240 189
Samuel C Rossi

600 Tracy Way

$1.59 298 184
Kendra Dawn Martin

1218 Virginia St E

$0.39 319 264
Stephen Harold Bush

1 Courtney Dr

$1.13 338 238
Bio-Medical Applications Of West Virginia, Inc.

2345 Chesterfield Ave

$0.64 438 87
Neurological Associates, Inc.

415 Morris St

$8.83 628 556
Marcus Doddridge Shaffer

830 Pennsylvania Ave

$0.52 655 538
Bassam Moushmoush

331 Laidley St

$38.65 795 611
David J Patton

108 Washington St W Ste 101

$0.60 797 629
Daniel Russell Richardson

333 Laidley St Ste 208

$486.22 943 567
Albeir Y Mousa

3200 Maccorkle Avenue Se

$0.18 997 970
Robert B. Shin

3100 Maccorkle Ave Se

$1.81 1,139 473
Charleston Hospital Inc.

333 Laidley St

$18.88 1,595 1,323
David J Hunt

331 Laidley St

$534.97 1,624 1,020
Robert F Dundervill

331 Laidley St

$415.86 1,772 977
Retina Consultants, Pllc

331 Laidley St

$2,056 1,877 1,509
Scott Conrad Jamerson

331 Laidley St.

$407.26 2,041 1,181
Abraham S Mitias

331 Laidley St

$380.48 2,708 1,577
Richard Mark Hatfield

331 Laidley St

$449.67 3,354 2,020
Charleston Area Medical Center Inc

501 Morris St

$59.38 76,618 54,163

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, 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

Other Procedures in Charleston, WV