Average Medicaid Prescription Medications Payments in Durham, NC: $24.55
Avg. Paid
$24.55
Range
$0.00 – $1,269
Total Claims
42,873
Providers
61
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 Durham, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David Butterly
2100 Erwin Rd |
$2.08 | 12,685 | 1,153 |
|
Eugene C Kovalik
Dumc Box 3014 |
$0.41 | 7,218 | 562 |
|
Michael Berkoben
Duke University Medical Ctr |
$1.69 | 4,350 | 373 |
|
Beverly Allen Gray
203 Baker House |
$15.53 | 2,583 | 2,296 |
|
David Bryan Powers
40 Duke Medicine Cir |
$1.99 | 2,400 | 2,057 |
|
Stephen Richard Smith
2100 Erwin Rd |
$2.51 | 2,245 | 203 |
|
David Isaias Ortiz Melo
40 Duke Medicine Cir |
$0.81 | 1,929 | 371 |
|
Nawal Habib
4419 Ben Franklin Blvd |
$0.37 | 1,406 | 89 |
|
Duke University Health System, Inc.
2301 Erwin Road |
$21.23 | 1,245 | 807 |
|
Harry Cozene Stafford
4101 N Roxboro St |
$0.14 | 790 | 671 |
|
Shawna Pochan
105 Newsom St |
$36.59 | 653 | 468 |
|
Patrick Thomas Hickey
932 Morreene Rd |
$742.51 | 626 | 619 |
|
Winona Elizabeth Poulton
414 E Main St |
$10.78 | 475 | 369 |
|
Daniel Ostrovsky
3116 N Duke St |
$40.63 | 425 | 321 |
|
John W. Schmitt
5213 S Alston Ave |
$22.42 | 417 | 401 |
|
Sharon Freedman
2100 Erwin Rd |
$0.68 | 411 | 240 |
|
Aimee L Ferrandino
1000 Trent Dr |
$127.22 | 308 | 275 |
|
Sunil Dogra
6216 Fayetteville Rd |
$2.87 | 223 | 157 |
|
Kate Jacobs
2 N Duke South 40 Medicine Circle |
$0.80 | 216 | 93 |
|
Jodi Jane Hawes
Box 2905 |
$1,269 | 191 | 135 |
|
Justin Allen Lee
3708 Mayfair St |
$0.15 | 184 | 137 |
|
Jeffrey Cheng
2301 Erwin Rd |
$1.09 | 162 | 129 |
|
Carolyn Sears Avery
4020 N Roxboro St |
$26.68 | 151 | 92 |
|
Betty M Masten
1301 Fayetteville St |
$0.94 | 150 | 130 |
|
Kwadwo Gyarteng-Dakwa
2609 N Duke St |
$6.53 | 147 | 126 |
|
Ariane Cook
2301 Erwin Rd |
$6.90 | 145 | 119 |
|
Henry Newton Pleasant
1000 Trent Dr |
$20.53 | 129 | 120 |
|
Christopher Cole
Duke University Medical Ctr |
$0.19 | 88 | 78 |
|
John Samuel Wiener
Erwin Road |
$0.86 | 77 | 71 |
|
Brigette Renee Wesley
5318 Nc Highway 55 |
$2.95 | 75 | 56 |
|
Lisa C Muasher
2101 Erwin Road |
$62.06 | 66 | 64 |
|
Lesli Ann Simers
200 Trent Drive Dumc 3394 |
$947.30 | 56 | 46 |
|
Reza Mahram
3114 Croasdaile Dr |
$0.00 | 49 | 25 |
|
Eugenia Fay Zimmerman
120 William Penn Plz |
$0.25 | 40 | 15 |
|
Timothy Collins
Duke University Medical Ctr |
$870.28 | 40 | 40 |
|
John Joseph Strouse
40 Duke Medicine Cir # 2N |
$4.55 | 40 | 24 |
|
Joseph Brian Wilson
120 William Penn Plz |
$10.52 | 34 | 25 |
|
Gowthami Arepally
Duke University Medical Ctr |
$0.74 | 33 | 25 |
|
Eileen Margolies Raynor
1000 Trent Dr |
$0.87 | 30 | 27 |
|
Danielle G Anspach
105 Newsom St |
$150.74 | 27 | 27 |
|
Kathleen Dolores Rickert-Madden
311 Trent Dr |
$6.54 | 27 | 24 |
|
Nicole M. Gill
6114 Fayetteville Rd Ste 109 |
$444.33 | 25 | 13 |
|
James Anthony Wrzosek
6104 Fayetteville Rd |
$0.00 | 23 | 12 |
|
Kalsoom Kausar Khan
4506 S Miami Blvd Ste 150 |
$3.16 | 22 | 12 |
|
Renee Buchser
234 Crooked Creek Pkwy Ste 340 |
$0.03 | 20 | 12 |
|
Jenna Lee Hendrickson
1821 Hillandale Rd Ste 24A |
$0.76 | 20 | 14 |
|
Sherri Yvette James-Surgers
905 W Main St Ste B101 |
$0.03 | 18 | 16 |
|
Chukwuemeka Onwuzurumba
200 Trent Dr |
$1.82 | 18 | 13 |
|
Robert Douglas Fitch
4709 Creekstone Dr |
$1.45 | 17 | 14 |
|
Movva Navin Reddy
3114 Croasdaile Dr |
$0.00 | 16 | 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 Durham, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Durham, NC is $24.55 per claim, based on 42,873 claims from 61 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 Durham, NC?
There are 61 Medicaid providers offering Prescription Medications related services in Durham, NC according to public payment data.
What is the price range for Prescription Medications in Durham, NC?
Medicaid reimbursement for Prescription Medications in Durham, NC ranges from $0.00 to $1,269 per claim, with an average of $24.55. 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 Durham, NC
Office Visit
Avg $53.48
1,229,002 claims
Dental Cleaning & Exam
Avg $29.86
790,132 claims
Substance Abuse Treatment
Avg $122.82
746,211 claims
X-Ray
Avg $5.74
576,677 claims
Blood Work & Lab Tests
Avg $13.80
572,218 claims
Speech Therapy
Avg $57.51
491,949 claims
Psychiatric Evaluation
Avg $65.37
472,359 claims
Emergency Room Visit
Avg $105.90
448,598 claims