Average Medicaid Prescription Medications Payments in Summerville, SC: $18.77
Avg. Paid
$18.77
Range
$0.01 – $79.31
Total Claims
11,777
Providers
18
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 Summerville, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Total Renal Care Inc
2897 W 5Th North St |
$0.30 | 3,901 | 556 |
|
Roper St Francis Hospital-Berkeley Inc.
100 Callen Blvd |
$0.01 | 3,695 | 3,196 |
|
State Of South Carolina
500 N Main St Ste 9 |
$13.01 | 1,269 | 1,263 |
|
Jennifer J. Heinemann
83 Springview Ln |
$76.00 | 764 | 741 |
|
Ronnie M Givens
83 Springview Ln |
$76.89 | 475 | 462 |
|
Martha Cohen
83 Springview Ln |
$77.32 | 398 | 386 |
|
Christine L Hunter
83 Springview Ln |
$79.31 | 261 | 245 |
|
Christopher R Accetta
83 Springview Ln |
$73.06 | 231 | 221 |
|
William M Reeves
83 Springview Ln |
$71.96 | 168 | 162 |
|
Kristeen L Hillier
75 Springview Ln |
$46.97 | 136 | 135 |
|
Heather S Schwartzberg
300 Callen Blvd Ste 330 |
$77.87 | 121 | 110 |
|
Hunter Alexander Smith
83 Springview Ln |
$78.85 | 99 | 94 |
|
Christopher Todd Higgins
295 Midland Pkwy |
$10.63 | 93 | 87 |
|
Amy Beth Wilkerson
1114 N Main St |
$0.80 | 72 | 66 |
|
Oluwamuye Felix Akinbote
300 Callen Blvd Ste 330 |
$58.79 | 39 | 37 |
|
William Miles Reeves
83 Springview Ln |
$49.39 | 24 | 24 |
|
Amber D Willis
1114 N Main St |
$0.96 | 18 | 17 |
|
Brett H Young
300 Callen Blvd Ste 330 |
$10.93 | 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 Summerville, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Summerville, SC is $18.77 per claim, based on 11,777 claims from 18 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 Summerville, SC?
There are 18 Medicaid providers offering Prescription Medications related services in Summerville, SC according to public payment data.
What is the price range for Prescription Medications in Summerville, SC?
Medicaid reimbursement for Prescription Medications in Summerville, SC ranges from $0.01 to $79.31 per claim, with an average of $18.77. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Summerville, SC
Office Visit
Avg $69.06
437,056 claims
Speech Therapy
Avg $60.13
164,665 claims
Dental Cleaning & Exam
Avg $34.80
164,488 claims
Urinalysis & Urine Tests
Avg $8.63
143,884 claims
Vaccines & Immunizations
Avg $19.13
128,690 claims
Emergency Room Visit
Avg $63.51
101,171 claims
Blood Work & Lab Tests
Avg $15.51
85,637 claims
Physical Therapy
Avg $63.43
80,122 claims