Average Medicaid Prescription Medications Payments in Hickory, NC: $43.07
Avg. Paid
$43.07
Range
$0.20 – $1,148
Total Claims
14,245
Providers
26
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 Hickory, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Russell V Gilchrist
214 18Th St Se |
$1.60 | 4,500 | 3,018 |
|
William Luke Robinson
2165 Medical Park Dr |
$1.17 | 3,525 | 2,560 |
|
Jennifer Love Isaac
3070 11Th Avenue Dr Se |
$4.99 | 1,219 | 1,054 |
|
Michaela Elder Mccall
2872 S Nc 127 Hwy |
$0.23 | 986 | 752 |
|
Dlp Frye Regional Medical Center Llc
420 N Center St |
$3.99 | 957 | 890 |
|
Kristin A Teague
5905 W Nc 10 Hwy |
$0.73 | 727 | 550 |
|
Graham Philip Mcrary
2165 Medical Park Dr |
$0.57 | 293 | 172 |
|
Florence Harris
915 Tate Blvd Se Ste 170 |
$52.55 | 276 | 255 |
|
Patrick James Kelty
2424 Century Pl Se |
$857.14 | 265 | 226 |
|
Joseph Thacher Inglefield
220 18Th Street Cir Se |
$0.54 | 236 | 198 |
|
Thomas Reginald Williams
2424 Century Pl Se |
$1,148 | 224 | 209 |
|
Susan Marie Robinson
2260 Tate Blvd Se |
$447.88 | 197 | 87 |
|
Kamlesh Krishna Mistri
3031 Tate Blvd Se |
$0.28 | 158 | 118 |
|
Michael Mcgehee
214 18Th St Se |
$1.11 | 137 | 91 |
|
Donald Hugh Brown
415 N Center St |
$7.55 | 134 | 117 |
|
Robert Daniel Horner
2872 S Nc 127 Hwy |
$0.20 | 77 | 58 |
|
Christopher Loren Hunt
415 N Center St |
$6.59 | 62 | 57 |
|
David Jacob Fair
119 River Ridge Ln |
$5.97 | 44 | 43 |
|
Stephen P Styer
420 N Center St |
$1.24 | 41 | 37 |
|
Crystal D. Ferguson
1237 16Th St Ne |
$2.02 | 39 | 39 |
|
Valerie Alayne Gaston
810 Fairgrove Church Rd |
$20.83 | 36 | 36 |
|
Paul Richard Lafavore
415 N Center St |
$14.48 | 34 | 31 |
|
Scott T Chatham
1501 Tate Blvd Se |
$25.05 | 33 | 31 |
|
Nicole E Harris
2972 N Center St |
$2.74 | 18 | 17 |
|
Jason Michael Phillis
2165 Medical Park Dr |
$0.40 | 14 | 12 |
|
Sonal Mistri Lane
220 18Th St Circle Se |
$4.37 | 13 | 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 Hickory, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Hickory, NC is $43.07 per claim, based on 14,245 claims from 26 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 Hickory, NC?
There are 26 Medicaid providers offering Prescription Medications related services in Hickory, NC according to public payment data.
What is the price range for Prescription Medications in Hickory, NC?
Medicaid reimbursement for Prescription Medications in Hickory, NC ranges from $0.20 to $1,148 per claim, with an average of $43.07. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Prescription Medications in Other Cities
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Avg $16.15
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Avg $9.22
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Avg $6.48
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Avg $31.67
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New York, NY
Avg $40.26
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San Diego, CA
Avg $27.34
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Other Procedures in Hickory, NC
Office Visit
Avg $54.64
610,478 claims
Dental Cleaning & Exam
Avg $31.06
261,640 claims
Blood Work & Lab Tests
Avg $7.78
201,448 claims
Physical Therapy
Avg $71.51
189,105 claims
Emergency Room Visit
Avg $109.35
183,410 claims
Substance Abuse Treatment
Avg $81.54
172,184 claims
Psychiatric Evaluation
Avg $71.47
146,568 claims
Speech Therapy
Avg $60.61
134,655 claims