Average Medicaid Prescription Medications Payments in Columbia, SC: $9.18
Avg. Paid
$9.18
Range
$0.00 – $778.47
Total Claims
138,835
Providers
85
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 Columbia, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Prisma Health-Midlands
3301 Harden Street |
$0.47 | 43,580 | 33,752 |
|
Prisma Health-Midlands
5 Richland Medical Park Dr |
$0.64 | 30,931 | 27,129 |
|
Prisma Health-Midlands
1330 Taylor St |
$0.25 | 10,285 | 8,015 |
|
Prisma Health-Midlands
400 Palmetto Health Pkwy |
$0.01 | 8,134 | 6,834 |
|
Providence Hospital, Llc
2435 Forest Dr |
$0.03 | 7,029 | 6,277 |
|
Prisma Health-Midlands
1330 Taylor St |
$1.39 | 6,934 | 6,213 |
|
Medical University Hospital Authority
120 Gateway Corporate Blvd |
$0.08 | 4,937 | 4,284 |
|
Prisma Health-Midlands
400 Palmettto Health Parkway |
$0.02 | 4,642 | 4,262 |
|
Medical University Hospital Authority
2435 Forest Dr |
$0.79 | 3,099 | 2,720 |
|
Jonathan O Nwanagu
1333 Taylor St Ste 3J |
$72.23 | 1,841 | 1,655 |
|
Eric M Schlueter
1228 Harden St |
$74.48 | 1,574 | 1,482 |
|
Andrew Thomas Mcgown
14 Richland Medical Park Dr Ste 200 |
$6.38 | 1,351 | 1,124 |
|
Prisma Health Midlands
3010 Farrow Rd Ste 110 |
$4.95 | 1,081 | 451 |
|
Carol B Alan
2 Medical Park Rd Ste 107 |
$79.99 | 1,057 | 1,043 |
|
Doctors Care, Pa
1818 Henderson St |
$1.12 | 1,053 | 1,017 |
|
Pranitha Reddy Nallu
14 Richland Medical Park Dr Ste 200 |
$0.62 | 856 | 806 |
|
Matthew R. Pollack
2 Medical Park Rd |
$9.10 | 761 | 719 |
|
State Of South Carolina
2000 Hampton Street |
$11.24 | 717 | 707 |
|
Scott Ryan Sommers
166 Stoneridge Dr |
$28.74 | 673 | 405 |
|
Joe Blair Castles
14 Richland Medical Park Dr |
$1.54 | 548 | 389 |
|
Eleanya Ogburu-Ogbonnaya
2601 Millwood Ave |
$6.46 | 445 | 388 |
|
Colleen Ann Wunderlich
9 Richland Medical Park Dr Ste 410 |
$778.47 | 423 | 201 |
|
Physiatry And Rehabilitation Associates Llc
113 Blarney Dr |
$0.36 | 415 | 349 |
|
Charles Guy Castles
14 Richland Medical Park Dr |
$0.75 | 408 | 331 |
|
Nita Thapa
1228 Harden St |
$77.27 | 374 | 352 |
|
James Viapiano
14 Richland Medical Park Dr Ste 200 |
$7.06 | 356 | 348 |
|
Dianna D Ravenell
9 Richland Medical Park Dr Ste 620 |
$79.85 | 320 | 304 |
|
Pradeep Chakravarthy Bollu
1333 Taylor St Ste 1C |
$558.26 | 312 | 190 |
|
Bhadrik I Patel
1120 Sparkleberry Lane Ext Ste A&B |
$1.59 | 295 | 262 |
|
Deborah J Davis
1228 Harden St |
$80.61 | 294 | 278 |
|
Rosemary Davis-Gordon
9 Richland Medical Park Dr Ste 620 |
$82.19 | 290 | 280 |
|
Nicholas Anthony Grimaldi
114 Gateway Corporate Blvd Ste 240 |
$0.00 | 288 | 197 |
|
Elizabeth Munn Krouse
2117 Gervais St |
$73.82 | 274 | 270 |
|
Latova Nichelle Quattlebaum
1228 Harden St Ste B |
$86.16 | 252 | 248 |
|
Allison Stoughton Moore
126 S Assembly St |
$82.74 | 197 | 189 |
|
Punam Rajendra Tarpara
2 Medical Park Rd Ste 106 |
$49.65 | 196 | 194 |
|
David C Winn
7035 Saint Andrews Rd |
$1.27 | 192 | 188 |
|
Fresenius Medical Care Cna Kidney Centers, Llc
1840 Pineview Dr |
$0.66 | 183 | 60 |
|
Charles M. Butler
166 Stoneridge Dr |
$0.84 | 178 | 102 |
|
William A Davis
111 Doctor Cir |
$1.94 | 161 | 153 |
|
Neeraj Sriram
2611 Forest Dr Ste 200 |
$1.51 | 116 | 60 |
|
Lori L Cook
115 Blarney Dr Ste 109 |
$1.13 | 115 | 102 |
|
Steven Minter
166 Stoneridge Dr |
$0.80 | 114 | 67 |
|
Shalanda Rene' Webb
4311 Hard Scrabble Rd |
$75.59 | 104 | 103 |
|
Sandra K Quick
111 Doctor Cir |
$0.34 | 93 | 85 |
|
Mohamed Medhat El Geneidy
166 Stoneridge Drive |
$0.77 | 91 | 63 |
|
Barron Crawford Fishburne
7620 Trenholm Road Ext |
$700.46 | 90 | 83 |
|
Robert Joseph Collins
1801 Sunset |
$0.91 | 82 | 50 |
|
Alex Jordan Warren
5 Medical Park |
$3.01 | 74 | 66 |
|
Brandi Burgess Hair
1228 Harden St Ste B |
$62.07 | 65 | 63 |
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 Columbia, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Columbia, SC is $9.18 per claim, based on 138,835 claims from 85 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 Columbia, SC?
There are 85 Medicaid providers offering Prescription Medications related services in Columbia, SC according to public payment data.
What is the price range for Prescription Medications in Columbia, SC?
Medicaid reimbursement for Prescription Medications in Columbia, SC ranges from $0.00 to $778.47 per claim, with an average of $9.18. 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 Columbia, SC
Office Visit
Avg $72.57
2,249,167 claims
Blood Work & Lab Tests
Avg $34.82
1,311,438 claims
Emergency Room Visit
Avg $72.77
1,188,627 claims
Case Management Services
Avg $52.18
1,047,210 claims
Behavioral & Mental Health Therapy
Avg $63.05
790,433 claims
Dental Cleaning & Exam
Avg $34.66
777,605 claims
Psychiatric Evaluation
Avg $122.40
643,281 claims
Home Health Visit
Avg $65.66
600,597 claims