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 |
|---|---|---|---|
|
Nicole P Kerner
9212 Duncanshire Ct |
$51.90 | 12 | 12 |
|
William Adam Carter
3400 Wake Forest Rd Dept |
$3.02 | 12 | 12 |
|
Angela Brawley Gantt
3024 New Bern Ave |
$66.74 | 12 | 12 |
|
Olly C Duckett
3000 New Bern Ave |
$2.74 | 13 | 13 |
|
Gitanjali Madan Fleischman
3024 New Bern Ave Ste 307 |
$0.50 | 13 | 12 |
|
Rufus Delro Williams
4420 Lake Boone Trl |
$2.29 | 13 | 12 |
|
Emily Lauren Voynovich Parrella
13271 Strickland Rd Ste 120 |
$5.30 | 13 | 12 |
|
Eric M Tupis
3100 Duraleigh Rd Ste 100 |
$7.44 | 13 | 12 |
|
Erik A Manring
3000 New Bern Ave |
$22.41 | 14 | 12 |
|
Suzanne Davis Baker
510 Glenwood Ave |
$0.35 | 14 | 14 |
|
Karla Wright Leath
2340 Spring Forest Rd |
$26.69 | 14 | 14 |
|
Dillon D. Miller
4600 Capital Blvd |
$0.46 | 15 | 12 |
|
Tonya Lynn Crespo
2815 Cates Ave |
$0.51 | 15 | 13 |
|
Stacey Marie Lindo-Ukata
11001 Durant Rd Ste 100 |
$0.00 | 15 | 13 |
|
John David Hoover
23 Sunnybrook Rd |
$0.23 | 16 | 12 |
|
Philip B Johnson
3000 New Bern Ave |
$25.57 | 16 | 15 |
|
Courtney H Mann
3000 New Bern Ave |
$0.92 | 17 | 12 |
|
David Pierre Abraham Michel
10010 Falls Of Neuse Rd |
$2.14 | 17 | 12 |
|
Michael J Casale
3001 Edwards Mill Rd Ste 200 |
$3.76 | 17 | 14 |
|
Andre Grant
3480 Wake Forest Road |
$6.04 | 18 | 14 |
|
Paige Madisyn Theuer
4101 Macon Pond Rd |
$51.57 | 20 | 13 |
|
Laura Koff Livingston
4551 New Bern Ave Ste 160 |
$0.00 | 21 | 20 |
|
Angela Renee Lipscomb-Hudson
4207 Lake Boone Trl Ste 210 |
$234.99 | 21 | 13 |
|
Thomas J Weber
8300 Health Park Ste 309 |
$0.50 | 22 | 16 |
|
Danielle Nicole Lewis
4551 New Bern Ave Ste 160 |
$0.00 | 24 | 14 |
|
Eduardo Piqueras
3000 New Bern Ave |
$1.11 | 25 | 25 |
|
Jessica Lynn Albrecht
4414 Lake Boone Trl Ste 402 |
$5.85 | 26 | 14 |
|
Kimberly Mccrudden Erickson
3024 New Bern Ave |
$0.74 | 26 | 24 |
|
Cassandra Kendrick Elder
9029 Old Creedmoor Rd |
$0.00 | 27 | 24 |
|
Lisa P Lewis
10 Sunnybrook Rd |
$0.74 | 28 | 24 |
|
Vejay Kumar Ravindran Iii
13220 Strickland Rd Ste 166 |
$0.49 | 33 | 29 |
|
Tatiana Acosta
4414 Lake Boone Trl Ste 405 |
$0.00 | 35 | 27 |
|
Charles Scott Hultman
3024 New Bern Ave |
$3.32 | 36 | 34 |
|
Pavan K Yerramsetty
1540 Sunday Dr |
$3.57 | 40 | 28 |
|
Marie-Jacques Marilyn Ambroise
5720 Creedmoor Rd Ste 100 |
$24.64 | 42 | 41 |
|
Rajiv Sanat Parikh
3400 Wake Forest Rd |
$0.61 | 48 | 47 |
|
Jamila Randolph Battle
8300 Health Park |
$0.00 | 49 | 45 |
|
Lisa Fogel Mckenna
2605 Blue Ridge Rd Ste 320 |
$122.13 | 51 | 27 |
|
Malana Moshesh
3900 Browning Pl Ste 202 |
$22.30 | 53 | 51 |
|
Amy Weigand Griffin
3000 New Bern Ave |
$1.38 | 54 | 49 |
|
Shannon Marie Matthews
3000 New Bern Ave |
$1.09 | 58 | 55 |
|
Bethann Marie Guevara
815 Oberlin Rd |
$31.60 | 58 | 53 |
|
Rebecca Hill White
3024 New Bern Ave |
$0.00 | 59 | 49 |
|
Ellen D Dillavou
3000 New Bern Ave |
$0.46 | 60 | 39 |
|
Craig R Frater
3000 New Bern Ave |
$1.90 | 61 | 61 |
|
Paul Michael Swaney
10010 Falls Of Neuse Rd |
$66.20 | 63 | 61 |
|
Rhonda W. Gabr
1540 Sunday Dr |
$59.11 | 64 | 37 |
|
Brenda Lee Gartrell
2000 Red Quartz Dr |
$0.51 | 66 | 50 |
|
J Duncan Phillips
3024 New Bern Ave Suite 302 |
$0.25 | 66 | 54 |
|
Michael Walker Kelly
8851 Ellstree Ln |
$0.29 | 66 | 61 |
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