Average Medicaid Prescription Medications Payments in Goldsboro, NC: $17.10
Avg. Paid
$17.10
Range
$0.00 – $46.40
Total Claims
14,745
Providers
29
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 Goldsboro, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
William James Stackhouse
301 N Herman St |
$35.65 | 6,695 | 5,882 |
|
Jason K Boyd
203 Cox Blvd |
$0.43 | 1,492 | 985 |
|
Samer S Kasbari
203 Cox Blvd |
$0.41 | 1,246 | 805 |
|
Matthew Michael Sochat
203 Cox Blvd |
$0.40 | 986 | 606 |
|
Gregory J Lutcavage
2400 Wayne Memorial Dr |
$4.07 | 936 | 799 |
|
Robert David Kemp
1704A Wayne Memorial Drive |
$0.71 | 663 | 62 |
|
John E Fidler
2400 Wayne Memorial Dr |
$1.90 | 585 | 500 |
|
Carey Ziemer
2706 Medical Office Place |
$0.40 | 529 | 487 |
|
Kristen Shayanne Crook
2706 Medical Office Pl |
$0.93 | 329 | 312 |
|
Jessica Nicole Schild
2803 Medical Place |
$0.14 | 212 | 192 |
|
David Lawrence Remington
2811 Mclamb Pl |
$0.48 | 180 | 142 |
|
Bryan Dwayne Stup
2706 Medical Office Pl |
$0.50 | 115 | 114 |
|
Leon E Stockton
2811 Mclamb Pl |
$0.95 | 114 | 62 |
|
Allan Neal Boruszak
2400 Wayne Memorial Dr Ste I |
$46.40 | 91 | 53 |
|
Jennifer Faye Jordan
103 Cox Blvd |
$2.06 | 85 | 55 |
|
Ronald Morgan Long
1208 Parkway Dr |
$0.25 | 71 | 25 |
|
Timothy Imafidon
300 S Center St |
$4.71 | 71 | 66 |
|
Katherine Tayloe Macdonald
2706 Medical Office Pl |
$0.33 | 61 | 60 |
|
Israel Landa
2700 Wayne Memorial Drive |
$2.73 | 42 | 40 |
|
Valerie S Bailey
2706 Medical Office Place |
$0.75 | 38 | 37 |
|
Susan R Parlow
2706 Medical Office Pl |
$1.82 | 38 | 37 |
|
Michael Johnson
2707 Medical Office Pl |
$1.68 | 34 | 24 |
|
Joseph P Flynn
2608 Hospital Rd |
$2.79 | 28 | 24 |
|
Terry Alan Grant
2604 Medical Office Pl |
$1.42 | 26 | 25 |
|
Justin Sargent
2811 Mclamb Pl |
$0.00 | 20 | 16 |
|
Pam B Phillips
102 Handley Park Court |
$31.94 | 17 | 13 |
|
David Thomas Tayloe
2706 Medical Office Place |
$0.08 | 15 | 15 |
|
Nikhil Shankar
2700 Wayne Memorial Dr |
$2.26 | 14 | 13 |
|
James D Salisbury
2700 Wayne Memorial Dr |
$5.42 | 12 | 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 Goldsboro, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Goldsboro, NC is $17.10 per claim, based on 14,745 claims from 29 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 Goldsboro, NC?
There are 29 Medicaid providers offering Prescription Medications related services in Goldsboro, NC according to public payment data.
What is the price range for Prescription Medications in Goldsboro, NC?
Medicaid reimbursement for Prescription Medications in Goldsboro, NC ranges from $0.00 to $46.40 per claim, with an average of $17.10. 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 Goldsboro, NC
Office Visit
Avg $52.64
755,846 claims
Vaccines & Immunizations
Avg $17.05
380,222 claims
Blood Work & Lab Tests
Avg $9.77
330,829 claims
Emergency Room Visit
Avg $109.50
226,739 claims
Substance Abuse Treatment
Avg $83.24
184,624 claims
Dental Cleaning & Exam
Avg $32.26
177,081 claims
Behavioral & Mental Health Therapy
Avg $121.60
172,487 claims
Psychiatric Evaluation
Avg $69.00
104,663 claims