Average Medicaid Prescription Medications Payments in North Charleston, SC: $10.02
Avg. Paid
$10.02
Range
$0.11 – $76.35
Total Claims
16,559
Providers
24
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 North Charleston, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Total Renal Care Inc
5900 Rivers Ave |
$0.16 | 9,184 | 1,033 |
|
Martha Buchanan
3685 Rivers Ave |
$39.49 | 3,265 | 2,901 |
|
Total Renal Care Inc
3801 Faber Place Dr |
$0.11 | 1,260 | 103 |
|
State Of South Carolina
3685 Rivers Ave Ste 201 |
$17.35 | 1,080 | 1,066 |
|
George L Clark
8740 Rivers Ave |
$0.98 | 537 | 506 |
|
Carey Lennon
2880 Tricom St |
$0.23 | 319 | 235 |
|
James David Spearman
2880 Tricom St |
$3.97 | 212 | 205 |
|
Elizabeth Norene Dacus
9279 Medical Plaza Dr Ste A |
$76.10 | 78 | 75 |
|
Nancy B Stroud
9279 Medical Plaza Dr Ste A |
$76.35 | 76 | 74 |
|
Francis Patterson Owings
2880 Tricom St |
$19.08 | 73 | 72 |
|
Adam C. Schaaf
2880 Tricom St |
$7.58 | 71 | 67 |
|
Jon Carter
8901 University Blvd |
$1.04 | 65 | 59 |
|
Robert J Blackwell
9263 Medical Plaza Dr |
$0.54 | 62 | 62 |
|
Stefanie Ann Mauney
8740 Rivers Ave |
$0.91 | 39 | 36 |
|
Jennifer Lynn Sielski
7800 Rivers Ave Ste 1640 |
$21.00 | 39 | 38 |
|
Ashley Abide Jeter
2910 Tricom St |
$0.59 | 38 | 24 |
|
Casey Harvey King
2713 Dantzler Dr |
$1.32 | 29 | 28 |
|
Robin L. Infinger
2550 Elms Center Rd |
$1.11 | 28 | 26 |
|
Richard Halpin Zimlich
2880 Tricom St |
$3.47 | 27 | 27 |
|
Angela Kelly Peterson
8740 Rivers Avenue |
$14.88 | 18 | 17 |
|
Julia Hay Saylors
2910 Tricom St |
$0.81 | 18 | 12 |
|
Anna C Pruitt
3800 Faber Place Dr |
$1.11 | 15 | 15 |
|
Karey L Breen
5880 Rivers Ave |
$0.85 | 14 | 14 |
|
David Harrison Jaskwhich
2880 Tricom St |
$3.57 | 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 North Charleston, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in North Charleston, SC is $10.02 per claim, based on 16,559 claims from 24 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 North Charleston, SC?
There are 24 Medicaid providers offering Prescription Medications related services in North Charleston, SC according to public payment data.
What is the price range for Prescription Medications in North Charleston, SC?
Medicaid reimbursement for Prescription Medications in North Charleston, SC ranges from $0.11 to $76.35 per claim, with an average of $10.02. 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 North Charleston, SC
Office Visit
Avg $66.87
352,747 claims
Dental Cleaning & Exam
Avg $33.76
211,134 claims
Vaccines & Immunizations
Avg $18.75
205,095 claims
Blood Work & Lab Tests
Avg $12.65
161,066 claims
Ambulance Transport
Avg $101.19
118,832 claims
Home Health Visit
Avg $75.06
117,558 claims
Case Management Services
Avg $63.29
114,164 claims
Physical Therapy
Avg $62.59
110,738 claims