Average Medicaid Prescription Medications Payments in Wilmington, NC: $17.89
Avg. Paid
$17.89
Range
$0.00 – $699.39
Total Claims
58,541
Providers
62
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 Wilmington, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kevin James Bray
1104 Medical Center Dr |
$699.39 | 12 | 12 |
|
Edmund Burke Haywood
2311 Delaney Ave |
$1.42 | 12 | 12 |
|
Amy Lauren Lewis
5023 Market St |
$2.36 | 12 | 12 |
|
Vijay Ramchandra Randive
6932J Market Street |
$0.32 | 12 | 12 |
|
Gregory Charles Zwack
6727 Parker Farm Drive |
$2.62 | 12 | 12 |
|
Christopher Scott Reavill
4402 Shipyard Blvd |
$3.43 | 13 | 12 |
|
Adam Wesley Saucerman
2131 S 17Th St |
$2.68 | 15 | 12 |
|
Jennifer Miller
5429 Wrightsville Ave |
$0.06 | 15 | 12 |
|
William Miller Johnstone
2150 Shipyard Blvd |
$41.09 | 15 | 13 |
|
Henna Shah Ables
2221 S 17Th St |
$30.35 | 16 | 16 |
|
Richard Scott Bahner
3787 Shipyard Blvd |
$3.11 | 17 | 16 |
|
Jenna Murrell
3505 Converse Rd Ste 175 |
$6.21 | 20 | 12 |
|
Michael S. Jaskolka
2131 S 17Th St |
$1.22 | 22 | 15 |
|
De Benjamin Winter
4402 Shipyard Blvd |
$3.87 | 25 | 25 |
|
Christopher F Donovin
2632-3 Carolina Beach Road |
$0.97 | 25 | 23 |
|
Charles Neuwirth
1202 Medical Center Dr |
$2.86 | 28 | 24 |
|
Joshua Nicholas Ellerbrock
5429 Wrightsville Ave |
$2.89 | 32 | 24 |
|
Robert Lee Brownlow
1104 Medical Center Dr |
$649.42 | 32 | 24 |
|
Christopher Aaron Hess
1202 Medical Center Dr |
$0.10 | 32 | 24 |
|
Cheryl Smith
5429 Wrightsville Ave |
$1.68 | 35 | 28 |
|
Jeffrey Joseph Dehmer
2131 S 17Th St |
$9.30 | 45 | 39 |
|
Brianna Christine Wesley
2131 S 17Th St |
$0.18 | 50 | 34 |
|
Susan Marie Brandt
613 Shipyard Blvd |
$0.00 | 53 | 45 |
|
Randall Norman Willard
4402 Shipyard Blvd |
$4.48 | 58 | 51 |
|
Michael William Joseph Brown
2131 S 17Th St |
$5.79 | 62 | 55 |
|
Ruth K Anderson
2716 Ashton Dr |
$0.30 | 64 | 53 |
|
Timothy Shawn Fitzgerald
1717 Shipyard Blvd |
$1.98 | 67 | 49 |
|
Diana Shawn Deviney
2221 S 17Th St |
$26.70 | 71 | 55 |
|
Victoria Marie Franklin
1809 Glen Meade Rd |
$7.25 | 76 | 76 |
|
Ashli Mckenzie Gibson
1721 New Hanover Medical Park Dr |
$30.18 | 79 | 77 |
|
Samuel Brown Collins
4402 Shipyard Blvd |
$4.12 | 80 | 65 |
|
Carrie Lee Waters
1124 Gallery Park Ln |
$0.60 | 90 | 44 |
|
John Mearns
4402 Shipyard Blvd |
$5.26 | 94 | 84 |
|
Andrea Morgan Formyduval Lewis
4005 Oleander Dr |
$0.00 | 96 | 44 |
|
Todd C. Snyder
4402 Shipyard Blvd |
$7.98 | 98 | 84 |
|
Carol Rich Butler
1650 Greenfield St |
$46.07 | 110 | 103 |
|
Courtney Michelle Nance
4117 Oleander Dr Ste 1B |
$0.08 | 116 | 106 |
|
Randy Kimery
5710 Oleander Dr Ste 201 |
$0.15 | 122 | 77 |
|
Mark Samuel Thomas Armitage
5429 Wrightsville Ave |
$0.93 | 142 | 65 |
|
Kristen Joy Goodwin
1650 Greenfield St |
$21.73 | 163 | 144 |
|
Jan Maree Pixton
1925A Oleander Dr |
$0.36 | 182 | 158 |
|
Brandon Ryan
1705 Gardner Rd |
$1.07 | 210 | 153 |
|
Leon Charkoudian
1104 Medical Center Dr |
$499.03 | 224 | 98 |
|
Jessica Burkett
5211 S College Rd |
$13.69 | 257 | 211 |
|
Briana Nicole Terry
2150 Shipyard Blvd |
$10.74 | 287 | 218 |
|
Laura Rose Sullivan
4600 Oleander Dr |
$0.05 | 323 | 246 |
|
Halley R White
8115 Market St |
$13.09 | 402 | 385 |
|
Francis S Pecoraro
1209 Culbreth Dr Ste 102 |
$1.82 | 424 | 358 |
|
Brian Donner
1302 Medical Center Dr |
$0.00 | 440 | 37 |
|
Andrew Mathew Johnson
8115 Market St |
$13.83 | 463 | 447 |
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 Wilmington, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Wilmington, NC is $17.89 per claim, based on 58,541 claims from 62 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 Wilmington, NC?
There are 62 Medicaid providers offering Prescription Medications related services in Wilmington, NC according to public payment data.
What is the price range for Prescription Medications in Wilmington, NC?
Medicaid reimbursement for Prescription Medications in Wilmington, NC ranges from $0.00 to $699.39 per claim, with an average of $17.89. 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 Wilmington, NC
Office Visit
Avg $55.56
1,298,205 claims
Speech Therapy
Avg $55.85
566,290 claims
Emergency Room Visit
Avg $138.32
511,613 claims
Psychiatric Evaluation
Avg $41.28
438,201 claims
Blood Work & Lab Tests
Avg $11.72
431,588 claims
Substance Abuse Treatment
Avg $59.14
392,292 claims
Dental Cleaning & Exam
Avg $31.04
328,640 claims
Physical Therapy
Avg $63.02
316,863 claims