Average Medicaid Prescription Medications Payments in Greenville, SC: $2.93
Avg. Paid
$2.93
Range
$0.00 – $935.46
Total Claims
203,111
Providers
66
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 Greenville, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Prisma Health-Upstate
701 Grove Rd |
$1.06 | 84,851 | 68,751 |
|
St Francis Hospital Inc
1 Saint Francis Dr |
$0.59 | 25,835 | 20,735 |
|
St Francis Hospital, Inc.
125 Commonwealth Dr |
$0.63 | 15,127 | 12,217 |
|
Prisma Health-Upstate
200 Patewood Dr |
$0.26 | 12,365 | 11,760 |
|
Prisma Health-Upstate
701 Grove Rd |
$0.77 | 9,304 | 4,760 |
|
Total Renal Care Inc
308 Mills Ave |
$0.34 | 9,116 | 1,108 |
|
Total Renal Care Inc
297 Pete Hollis Blvd |
$0.38 | 8,406 | 1,017 |
|
Prisma Health-Upstate
175 Patewood Dr |
$0.10 | 8,012 | 6,208 |
|
Prisma Health-Upstate
1120 Grove Rd |
$0.27 | 7,295 | 7,178 |
|
St. Francis Hospital Inc
104 Innovation Dr |
$4.12 | 7,074 | 3,146 |
|
Shriners Hospitals For Children
950 W Faris Rd |
$0.08 | 2,900 | 2,615 |
|
Prisma Health-Upstate
9 Doctors Dr |
$0.03 | 1,527 | 1,491 |
|
Hari Naga Venu Gopal Garapati
10 Memorial Medical Dr |
$0.37 | 1,498 | 135 |
|
State Of South Carolina
352 Halton Rd |
$9.84 | 1,373 | 1,352 |
|
Naveen R Bethi
545W Butler Rd |
$0.49 | 1,195 | 997 |
|
Prisma Health-Upstate
900 W Faris Rd |
$0.03 | 874 | 402 |
|
Robert S. Westrol
12 Maple Tree Ct Ste 101 |
$0.33 | 756 | 570 |
|
Greenville Health System
701 Grove Rd |
$0.01 | 623 | 448 |
|
Prisma Health-Upstate
20 Medical Ridge Dr |
$0.38 | 612 | 523 |
|
Jill Maxwell Sullivan
701 Grove Rd |
$0.78 | 449 | 275 |
|
Jessica Horton
1350 Cleveland St |
$49.52 | 428 | 426 |
|
Matthew Keith Hamilton
5 Stevens St Ste 250 |
$2.15 | 316 | 242 |
|
Melissa Prado
877 W Faris Rd |
$57.04 | 271 | 249 |
|
Christian Montagano
2498 N Pleasantburg Dr |
$1.14 | 271 | 249 |
|
Benjie Brown Mills
890 W Faris Rd |
$81.31 | 233 | 228 |
|
Prisma Health-Upstate
877 W Faris Rd |
$0.00 | 193 | 190 |
|
Nick Joseph Mclane
200 Patewood Dr Ste A200 |
$935.46 | 191 | 169 |
|
Lihong Shen
200 Patewood Dr |
$539.07 | 177 | 89 |
|
Brian Hilands
125 Commonwealth Dr |
$8.08 | 159 | 131 |
|
Burt Warren Pyles
1210 W Faris Rd |
$3.83 | 150 | 138 |
|
Naveen Raj Saxena
401 Guess St |
$0.81 | 138 | 127 |
|
Prisma Health-Upstate
3 Butternut Dr |
$0.00 | 107 | 53 |
|
Zachary Cole Riddle
701 Grove Rd |
$0.82 | 86 | 81 |
|
Jason H Blasenak
701 Grove Rd |
$1.25 | 86 | 74 |
|
Philip Stonecypher
15 Roe Rd |
$0.56 | 73 | 63 |
|
Daniel Ernest
107 S Memminger St |
$4.84 | 71 | 59 |
|
Greenville Health System
1120 Grove Rd Ste B |
$0.00 | 63 | 60 |
|
Matthew Bradley Neal
701 Grove Rd Fl 1 |
$14.15 | 63 | 60 |
|
Melisa Marian Holmes
890 W Faris Rd |
$75.13 | 54 | 44 |
|
Andrew Walker Cross
1011 Frontage Rd |
$7.94 | 53 | 52 |
|
Michelle Margarita Wilson
200 Patewood Dr Ste C100 |
$0.17 | 52 | 49 |
|
Cody Meyers
701 Grove Rd |
$2.01 | 51 | 42 |
|
Georgia Elizabeth Ragonetti-Zebell
890 W Faris Rd Ste 470 |
$64.85 | 49 | 48 |
|
Sergiu Besliu
200 Patewood Dr Ste B350 |
$395.23 | 48 | 24 |
|
Prisma Health-Upstate
5 W Main St |
$0.00 | 48 | 41 |
|
William Henry Jackson
701 Grove Rd Fl 1 |
$1.40 | 46 | 44 |
|
Michael Robert Hoffman
158 Milestone Way |
$1.01 | 45 | 42 |
|
Fredy Jesus Revilla
200 Patewood Dr Ste B350 |
$899.24 | 42 | 27 |
|
Danielle Stewart
701 Grove Rd Fl 1 |
$4.16 | 40 | 16 |
|
Thomas Ems
701 Grove Rd |
$6.46 | 30 | 28 |
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 Greenville, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Greenville, SC is $2.93 per claim, based on 203,111 claims from 66 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 Greenville, SC?
There are 66 Medicaid providers offering Prescription Medications related services in Greenville, SC according to public payment data.
What is the price range for Prescription Medications in Greenville, SC?
Medicaid reimbursement for Prescription Medications in Greenville, SC ranges from $0.00 to $935.46 per claim, with an average of $2.93. 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 Greenville, SC
Office Visit
Avg $63.19
2,475,692 claims
Blood Work & Lab Tests
Avg $35.65
1,555,095 claims
Emergency Room Visit
Avg $67.16
1,080,286 claims
Home Health Visit
Avg $59.64
1,047,244 claims
Speech Therapy
Avg $47.69
743,694 claims
Physical Therapy
Avg $57.38
728,352 claims
X-Ray
Avg $13.48
718,516 claims
Personal Care Services
Avg $25.98
610,919 claims