Average Medicaid Prescription Medications Payments in Charlotte, NC: $49.73
Avg. Paid
$49.73
Range
$0.00 – $1,368
Total Claims
138,341
Providers
197
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 Charlotte, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Thomas Richard Smarz
7903 Providence Rd Ste 110 |
$1.54 | 21,246 | 1,807 |
|
Daniel J. Tierney
10710 Sikes Pl Ste 100 |
$1.25 | 17,709 | 1,557 |
|
Carolinas Medical Center
1000 Blythe Blvd |
$183.44 | 9,758 | 6,454 |
|
Joel E Bruce
3033 Eastway Dr Ste 201 |
$1.14 | 8,259 | 750 |
|
The Charlotte-Mecklenburg Hospital Authority
10628 Park Rd |
$7.48 | 6,499 | 5,334 |
|
Matthew Ryan Elliott
3158 Freedom Dr Ste 3101 |
$2.20 | 4,707 | 422 |
|
Vivek Ramesh Sanghani
3158 Freedom Dr Ste 3101 |
$2.09 | 4,699 | 449 |
|
Anjali Singla
3033 Eastway Dr Ste 201 |
$3.61 | 4,252 | 363 |
|
Michael E. Etomi
3033 Eastway Dr Ste 201 |
$0.92 | 3,544 | 300 |
|
Peale Chuang
3158 Freedom Dr Ste 3101 |
$0.89 | 3,407 | 298 |
|
Justin C Brown
6035 Fairview Rd |
$679.17 | 2,996 | 1,980 |
|
Adit S Mahale
3158 Freedom Dr Ste 3101 |
$1.20 | 2,534 | 230 |
|
Donald P. Berling
3158 Freedom Dr Ste 3101 |
$1.09 | 1,977 | 168 |
|
Edward Anthony Overton
2315 W Arbors Dr Ste 115 |
$7.49 | 1,939 | 1,436 |
|
Ada Maria Ventura-Braswell
1350 S Kings Dr |
$19.10 | 1,877 | 1,788 |
|
Jutta Lynn Cameron
6331 Carmel Rd Ste 102 |
$83.52 | 1,835 | 1,789 |
|
Francis Obeng
2540 W Arrowood Rd Ste 110 |
$3.35 | 1,701 | 1,504 |
|
The Presbyterian Hospital
200 Hawthorne Ln |
$0.04 | 1,516 | 1,082 |
|
Kinjal Raj Parikh
2001 Randolph Rd |
$9.05 | 1,471 | 1,211 |
|
Dukjin Im
1001 Blythe Blvd |
$497.98 | 1,466 | 1,180 |
|
Mercy Hospital, Inc
2001 Vail Ave |
$117.36 | 1,457 | 1,205 |
|
Jason Shade Burgess
1918 Randolph Rd Ste 300 |
$1.22 | 1,258 | 1,036 |
|
Shamieka Virella Dixon
3541 Randolph Rd |
$21.93 | 1,178 | 1,132 |
|
Tobias Jung Ming Tsai
1001 Blythe Blvd |
$460.87 | 1,164 | 962 |
|
Pamela Cobb Pettis
251 Eastway Dr |
$17.89 | 1,038 | 960 |
|
Jaclyn Plaice Wilson
6331 Carmel Rd Ste 102 |
$85.42 | 968 | 952 |
|
Cameron Cunningham
1515 Mockingbird Ln Ste 680 |
$2.43 | 912 | 650 |
|
Raza Ali Khan
9336 Blakeney Centre Dr Ste 100B |
$1.55 | 853 | 802 |
|
Jennifer Isenhour Rhue
1000 Blythe Blvd |
$2.98 | 811 | 743 |
|
Neal Michael Goldberger
10508 Park Rd Ste 120 |
$0.64 | 794 | 567 |
|
Brittany Renee Thomas
3541 Randolph Rd |
$22.44 | 708 | 676 |
|
Joseph A. Molitierno
3125 Springbank Ln |
$23.25 | 699 | 643 |
|
Troy C. Gingerich
6060 Piedmont Row Dr S Ste 575 |
$1.85 | 651 | 578 |
|
Luis Napoleon Pinzon
1000 Blythe Blvd |
$0.00 | 638 | 624 |
|
James Robert Young
501 S Sharon Amity Rd Ste 300 |
$9.25 | 611 | 556 |
|
Christopher Kevin Buehrig
13557 Steelecroft Pkwy Ste 1200 |
$2.02 | 611 | 51 |
|
Christopher Richard Kern
2711 Randolph Rd |
$3.13 | 606 | 49 |
|
Bonnie Sue Coyle Ronco
3205 Freedom Dr |
$3.37 | 581 | 447 |
|
Kathleen A Doman
8401 University Exec Park Dr Ste 123 |
$14.88 | 571 | 149 |
|
Sheila Marie Garcia-Santana
135 S Sharon Amity Rd Ste 100 |
$799.13 | 568 | 341 |
|
Joanna E York
501 S Sharon Amity Rd Ste 300 |
$15.77 | 545 | 530 |
|
Jad Jabbour
6035 Fairview Rd |
$6.80 | 540 | 404 |
|
Lynn Amy Boardman
1350 S Kings Dr |
$17.63 | 534 | 519 |
|
Todd F. Griffith
3158 Freedom Dr Ste 3101 |
$2.68 | 531 | 49 |
|
Benjamin E. Hippen
2711 Randolph Rd |
$58.32 | 501 | 75 |
|
Cody Garrett Carpenter
501 S Sharon Amity Rd Ste 300 |
$10.91 | 499 | 466 |
|
Seth L Jaffe
10508 Park Rd Ste 120 |
$3.27 | 494 | 363 |
|
Alexis Benjamin
700 S Torrence St Ste 100 |
$2.13 | 493 | 406 |
|
Howard David Homesley
449 N Wendover Rd |
$3.21 | 471 | 428 |
|
Jerome Virgil Whitlow
6523 Dillard Ridge Dr |
$0.10 | 449 | 268 |
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 Charlotte, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Charlotte, NC is $49.73 per claim, based on 138,341 claims from 197 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 Charlotte, NC?
There are 197 Medicaid providers offering Prescription Medications related services in Charlotte, NC according to public payment data.
What is the price range for Prescription Medications in Charlotte, NC?
Medicaid reimbursement for Prescription Medications in Charlotte, NC ranges from $0.00 to $1,368 per claim, with an average of $49.73. 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 Charlotte, NC
Office Visit
Avg $61.85
3,946,873 claims
Emergency Room Visit
Avg $128.07
2,244,542 claims
Blood Work & Lab Tests
Avg $16.30
2,079,260 claims
Dental Cleaning & Exam
Avg $31.09
1,646,826 claims
Vaccines & Immunizations
Avg $15.07
1,337,104 claims
Psychiatric Evaluation
Avg $70.83
1,075,777 claims
X-Ray
Avg $8.29
999,508 claims
Speech Therapy
Avg $52.62
918,554 claims