Average Medicaid Prescription Medications Payments in High Point, NC: $6.53
Avg. Paid
$6.53
Range
$0.00 – $629.48
Total Claims
24,260
Providers
46
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 High Point, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ronda Snow White
306 Westwood Ave |
$39.07 | 13 | 13 |
|
Deepa Melanie Etikala
306 Westwood Ave Ste 501 |
$29.10 | 13 | 13 |
|
Lirim Tonuzi
1814 Westchester Drive |
$7.60 | 13 | 13 |
|
Patrick Cvelic
611 N Lindsay St |
$0.04 | 13 | 12 |
|
Patrick J Watterson
507 N Lindsay St |
$0.54 | 14 | 13 |
|
Haley Barrier Stehr
306 Westwood Ave Ste 501 |
$40.44 | 14 | 13 |
|
Imran Haque
1380 Eastchester Dr Ste 105 |
$3.97 | 15 | 12 |
|
Brian W Doss
601 N Elm St |
$2.60 | 15 | 15 |
|
Kathryn Elisabeth Fuller
3610 Peters Ct |
$0.45 | 17 | 14 |
|
Darren S Wright
645 N Main St |
$63.47 | 18 | 13 |
|
Raymond T Rosario
3610 Peters Ct |
$28.39 | 18 | 14 |
|
Charles M Graeub
601 N Elm St |
$0.55 | 27 | 27 |
|
Sonya Fleming
507 N Lindsay St |
$0.63 | 27 | 24 |
|
Lindsey Kathryn Grist
2805 S Main St |
$0.67 | 29 | 29 |
|
Jill M Wagner
306 Westwood Ave |
$40.18 | 44 | 36 |
|
Adetoye Lufadeju
4515 Premier Drive |
$59.09 | 45 | 12 |
|
Deborah Lynette Kirby
1814 Westchester Drive |
$629.48 | 58 | 33 |
|
Karla Rene Smith
1580 Skeet Club Rd |
$0.28 | 60 | 50 |
|
Oscar F Florendo
2805 S Main St |
$3.49 | 64 | 53 |
|
John S Mitchell
507 N Lindsay St |
$1.08 | 69 | 44 |
|
Michael J Lucas
611 N Lindsay St |
$0.19 | 74 | 63 |
|
Timothy Jude Savoie
4515 Premier Dr Ste 307 |
$8.42 | 75 | 62 |
|
William Francis Spillane
606 N Elm St |
$4.86 | 111 | 109 |
|
Sohail Bazel
507 N Lindsay St |
$0.52 | 114 | 95 |
|
Katelin Starre
507 N Lindsay St |
$0.28 | 121 | 85 |
|
Moogali M Arvind
3604 Peters Ct |
$0.25 | 131 | 100 |
|
Michael E O'Keeffe
306 Westwood Ave |
$38.20 | 139 | 116 |
|
Laurie A Ferguson
401 Ferndale Blvd |
$9.94 | 156 | 126 |
|
Ndofunsu M Badika
601 N Elm St |
$0.00 | 167 | 119 |
|
Michael Stephen Zinn
1580 Skeet Club Rd |
$1.16 | 179 | 173 |
|
Phalan Larese Bolden
507 N Lindsay St |
$1.81 | 207 | 187 |
|
Ariel David Arus
404 Westwood Ave |
$45.94 | 229 | 135 |
|
Vamsee P Paruchuri
507 N Lindsay St |
$0.35 | 296 | 229 |
|
Kalpen N. Patel
400 N Elm St |
$35.73 | 296 | 236 |
|
Krishnamani Chinnasamy
1580 Skeet Club Rd |
$1.61 | 362 | 278 |
|
Wayne Beauford
507 N Lindsay St |
$0.38 | 413 | 304 |
|
Christine Hufnagel
2805 S Main St |
$0.74 | 441 | 363 |
|
Ty B Robinson
306 Westwood Ave Ste 501 |
$12.41 | 470 | 368 |
|
John Bond Murphy
507 N Lindsay St |
$2.07 | 631 | 508 |
|
Amanda T Taylor
507 N Lindsay St |
$1.00 | 779 | 654 |
|
Ikechukwu Onyekachi Nwobu
4515 Premier Dr |
$3.05 | 941 | 98 |
|
Fernando Alberto Sanchez-Brugal
507 N Lindsay St |
$0.38 | 994 | 819 |
|
Benjamin Maduakonam Igwemezie
635 N Main St |
$4.65 | 2,097 | 259 |
|
Jeanne Marie Zekan
404 Westwood Ave Ste 105 |
$1.45 | 2,131 | 184 |
|
Adeyinka Abimbola Adegoroye
404 Westwood Ave Ste 105 |
$8.79 | 5,952 | 673 |
|
Vicki Mizue Stovall
404 Westwood Ave |
$1.06 | 6,168 | 475 |
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 High Point, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in High Point, NC is $6.53 per claim, based on 24,260 claims from 46 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 High Point, NC?
There are 46 Medicaid providers offering Prescription Medications related services in High Point, NC according to public payment data.
What is the price range for Prescription Medications in High Point, NC?
Medicaid reimbursement for Prescription Medications in High Point, NC ranges from $0.00 to $629.48 per claim, with an average of $6.53. 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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Milwaukee, WI
Avg $9.22
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Avg $6.48
675,765 claims · 92 providers
Los Angeles, CA
Avg $61.23
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Louisville, KY
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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Avg $24.34
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Other Procedures in High Point, NC
Office Visit
Avg $54.42
673,251 claims
Dental Cleaning & Exam
Avg $30.50
397,671 claims
Blood Work & Lab Tests
Avg $14.10
301,195 claims
Vaccines & Immunizations
Avg $15.41
197,282 claims
Tooth Extraction
Avg $125.76
182,138 claims
Substance Abuse Treatment
Avg $141.68
157,559 claims
Durable Medical Equipment (DME)
Avg $35.71
93,047 claims
Emergency Room Visit
Avg $141.41
92,261 claims