Average Medicaid Prescription Medications Payments in Raleigh, NC: $96.76
Avg. Paid
$96.76
Range
$0.00 – $973.67
Total Claims
117,270
Providers
115
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 Raleigh, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Eric Warren Raasch
3700 Barrett Dr Ste 200 |
$0.93 | 16,119 | 1,377 |
|
Michael Joseph Casey
3700 Barrett Dr Ste 200 |
$2.78 | 15,864 | 1,330 |
|
Akhil Sadanand Hegde
3700 Barrett Dr Ste 200 |
$0.33 | 12,559 | 953 |
|
Sammy Abdel-Monem Moghazi
3700 Barrett Dr Ste 200 |
$0.81 | 11,729 | 1,041 |
|
Robert Edward Olivo
3700 Barrett Dr Ste 200 |
$1.02 | 11,118 | 881 |
|
Michael Ignatius Oliverio
3700 Barrett Dr Ste 200 |
$1.03 | 3,829 | 347 |
|
Wakemed
3000 New Bern Ave |
$4.03 | 2,939 | 2,302 |
|
Patrick J O'Brien
3000 New Bern Ave |
$973.67 | 2,836 | 2,484 |
|
Brian Lehpamer
4414 Lake Boone Trl |
$551.68 | 2,663 | 1,806 |
|
Nitin Gupta
1101 Dresser Ct |
$389.77 | 2,509 | 1,606 |
|
Deborah Ruth Norton
10 Sunnybrook Rd |
$2.37 | 2,266 | 2,162 |
|
Samsher B Sonawane
3700 Barrett Dr Ste 200 |
$1.47 | 2,191 | 176 |
|
William Li-Goon Fan
3700 Barrett Dr Ste 200 |
$3.54 | 2,090 | 154 |
|
Chinenye Uchendu
123 Sunnybrook Road, Suite 140 |
$5.52 | 2,047 | 1,737 |
|
Michael Monahan
3604 Bush St |
$9.31 | 2,032 | 198 |
|
Rebecca Anna Manning
4414 Lake Boone Trl Ste 302 |
$730.77 | 1,924 | 1,298 |
|
James Carey Pate
1101 Dresser Ct |
$812.06 | 1,899 | 1,277 |
|
Frederick Samuel Jones
3031 New Bern Ave |
$1.11 | 1,723 | 158 |
|
John E Thordsen
4414 Lake Boone Trl Ste 302 |
$867.94 | 1,499 | 1,076 |
|
Derek Philip Watson
11200 Governor Manly Way Ste 309 |
$3.27 | 1,427 | 948 |
|
Daniel Kittelle Bennett
4414 Lake Boone Trl Ste 302 |
$596.76 | 1,019 | 702 |
|
Fatima Sayyeda Ahmed
4904 Majestic Prince Ct |
$1.25 | 926 | 825 |
|
Joanna Kumar
2815 Cates Ave |
$25.84 | 909 | 755 |
|
So Yoon Jang
3700 Barrett Dr Ste 200 |
$0.20 | 905 | 80 |
|
Daniel William Koenig
3031 New Bern Ave |
$0.66 | 899 | 77 |
|
Timothy Paul Bukowski
3821 Ed Dr |
$0.57 | 763 | 684 |
|
Eugene A. Milder
4414 Lake Boone Trl Ste 302 |
$953.16 | 660 | 510 |
|
Melodee Angela Corne
100 S. Boylan Ave |
$38.96 | 609 | 495 |
|
Dana Frances Conte
10 Sunnybrook Rd |
$0.56 | 464 | 429 |
|
Munira Amirali Ward
2617 Valley Haven Dr |
$0.06 | 462 | 383 |
|
Paul P. Carnes
1520 Sunday Dr |
$0.43 | 447 | 246 |
|
Clark Logan Morris
2800 Wakefield Pines Drive |
$0.75 | 435 | 407 |
|
Timothy Wayne Reis
3801 Wake Forest Rd Ste 210 |
$1.08 | 402 | 289 |
|
Seung W. Kim
7780 Brier Creek Pkwy |
$3.39 | 392 | 347 |
|
Euphemia Laree Johnson
2800 Wakefield Pines Dr |
$0.38 | 366 | 352 |
|
Audrey Chan Rhee
505 Oberlin Rd |
$0.46 | 340 | 304 |
|
Lekha Koppolu Desai
4414 Lake Boone Trl Ste 302 |
$848.52 | 286 | 208 |
|
Robert D Wadley
7780 Brier Creek Pkwy Ste 200 |
$2.92 | 261 | 248 |
|
Tabitha Leclaire Tate
421 Fayetteville St Ste 1100 |
$50.72 | 235 | 193 |
|
Scott Wesley Brown
3400 Wake Forest Rd |
$3.86 | 231 | 208 |
|
Michelle Marie Ferguson
421 Fayetteville St Ste 1100 |
$130.41 | 212 | 194 |
|
Gretchen Guggenheim
4551 New Bern Ave |
$8.55 | 206 | 170 |
|
Angela Yevette Mitchell
6713 Jean Dr |
$7.15 | 185 | 138 |
|
Hillary Houghton
10211 Alm St # 210 |
$2.29 | 180 | 154 |
|
Katherine Ellis Barrett
4414 Lake Boone Trail |
$0.00 | 174 | 148 |
|
Christi Michelle Davis
10411 Moncreiffe Road |
$0.83 | 170 | 158 |
|
Carolyn Stokes
1O Sunnybrook Road |
$6.15 | 168 | 163 |
|
Stefanie Linette Etienne
512 E Davie St |
$3.93 | 162 | 152 |
|
Trang Thi Quynh Nguyen
2800 Wakefield Pines Drive Suite 110 |
$1.68 | 159 | 147 |
|
Stephanie Rodman-Agbejule
1001 Rock Quarry Rd |
$0.10 | 148 | 128 |
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 Raleigh, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Raleigh, NC is $96.76 per claim, based on 117,270 claims from 115 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 Raleigh, NC?
There are 115 Medicaid providers offering Prescription Medications related services in Raleigh, NC according to public payment data.
What is the price range for Prescription Medications in Raleigh, NC?
Medicaid reimbursement for Prescription Medications in Raleigh, NC ranges from $0.00 to $973.67 per claim, with an average of $96.76. 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 Raleigh, NC
Blood Work & Lab Tests
Avg $14.74
2,273,950 claims
Office Visit
Avg $59.24
1,603,097 claims
Emergency Room Visit
Avg $139.82
911,865 claims
Dental Cleaning & Exam
Avg $29.35
889,864 claims
Psychiatric Evaluation
Avg $74.92
754,370 claims
Substance Abuse Treatment
Avg $63.03
671,403 claims
Vaccines & Immunizations
Avg $16.76
580,140 claims
Speech Therapy
Avg $62.41
512,881 claims