Average Medicaid Prescription Medications Payments in Gastonia, NC: $9.56
Avg. Paid
$9.56
Range
$0.00 – $71.84
Total Claims
19,127
Providers
33
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 Gastonia, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Herman Clark Gore
900 Cox Rd |
$5.23 | 9,008 | 6,171 |
|
Tia Robertson
991 W Hudson Blvd |
$15.06 | 3,385 | 3,049 |
|
Velma Villalon Taormina
991 W Hudson Blvd |
$25.61 | 1,482 | 1,460 |
|
Ranadeep Reddy Mandhadi
660 Summit Crossing Pl Ste 302 |
$5.53 | 1,382 | 1,217 |
|
Kelly Rachelle Zukaitis
991 W Hudson Blvd |
$8.63 | 749 | 675 |
|
Jennifer A. Drovie
900 Cox Rd |
$4.80 | 734 | 509 |
|
Anna Marshall
920 Cox Rd Ste 201 |
$0.31 | 612 | 64 |
|
Daniel Coty
2525 Court Dr |
$25.12 | 203 | 203 |
|
Monika Millen
1908 E Franklin Blvd # 100 |
$0.09 | 189 | 175 |
|
Megan Renee Wright Nguyen
620 Summit Crossing Pl Ste 108A |
$64.99 | 173 | 166 |
|
Jayne Kendall
2525 Court Dr |
$6.16 | 172 | 165 |
|
Cecilia Akintonde
3340 Robinwood Rd Ste 140 |
$2.72 | 126 | 125 |
|
William Dean Hunter
2555 Court Dr |
$3.11 | 99 | 50 |
|
Inderjeet Singh
2555 Court Dr |
$27.18 | 89 | 77 |
|
Gwennaye Cherie Coath
991 W Hudson Blvd |
$14.85 | 87 | 70 |
|
Sarah M. Roy
991 W Hudson Blvd |
$16.84 | 76 | 65 |
|
Bolanle Mariam Gbadamosi
2711 X Ray Dr Ste 3701 |
$7.27 | 71 | 38 |
|
Leigh Hartman Wilson
890 Summit Crossing Pl |
$12.92 | 67 | 64 |
|
Oscar E Gomez
2525 Court Dr |
$0.04 | 62 | 61 |
|
Christopher A Prato
2345 Court Drive |
$1.87 | 59 | 44 |
|
Amma Ankrah Tyler
991 W Hudson Blvd |
$9.09 | 49 | 31 |
|
Andrew J Moore
2525 Court Drive Gastonia Physician Services, Pllc |
$8.44 | 40 | 39 |
|
Kimberly W Hamm
991 W Hudson Blvd |
$29.03 | 31 | 30 |
|
Luna Bailey
2520 Aberdeen Blvd |
$3.11 | 26 | 13 |
|
Laetitia Ifeyinwa Sery
1367 E Garrison Blvd Ste B |
$7.59 | 26 | 25 |
|
Suzanne Leigh Katsanos
920 Cox Rd Ste 201 |
$71.84 | 25 | 13 |
|
Brian Joseph O'Connor
2555 Court Dr |
$0.23 | 18 | 12 |
|
Tejas Nikunj Parikh
2345 Court Drive |
$1.76 | 17 | 13 |
|
Michael Canaan Prater
870 Summit Crossing Pl |
$9.05 | 15 | 13 |
|
Robert R Farquharson
2525 Court Dr |
$0.00 | 15 | 13 |
|
Lisa Inell Largent
991 W Hudson Blvd |
$24.54 | 14 | 14 |
|
Charles John Niemeyer Jr
2345 Court Drive |
$3.55 | 13 | 12 |
|
Steven Allan Smith
603 Cox Rd |
$0.96 | 13 | 13 |
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 Gastonia, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Gastonia, NC is $9.56 per claim, based on 19,127 claims from 33 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 Gastonia, NC?
There are 33 Medicaid providers offering Prescription Medications related services in Gastonia, NC according to public payment data.
What is the price range for Prescription Medications in Gastonia, NC?
Medicaid reimbursement for Prescription Medications in Gastonia, NC ranges from $0.00 to $71.84 per claim, with an average of $9.56. 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 Gastonia, NC
Office Visit
Avg $55.63
914,198 claims
Dental Cleaning & Exam
Avg $29.45
324,975 claims
Substance Abuse Treatment
Avg $100.79
307,968 claims
Behavioral & Mental Health Therapy
Avg $167.99
296,373 claims
Vaccines & Immunizations
Avg $13.08
282,013 claims
Blood Work & Lab Tests
Avg $22.08
273,661 claims
Psychiatric Evaluation
Avg $79.45
271,358 claims
Case Management Services
Avg $201.50
241,594 claims