Based on public Medicaid payment data.

Average Medicaid Prescription Medications Payments in Winston Salem, NC: $56.24

Avg. Paid

$56.24

Range

$0.00 – $1,662

Total Claims

59,516

Providers

100

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 Winston Salem, NC

Provider	Avg. Paid	Claims	Patients
Susan K Burden Medical Center Blvd	$0.00	12	12
Daniel Patrick Floyd Medical Center Blvd	$3.54	12	12
Martha Ann Sieber 3333 Silas Creek Pkwy	$17.04	12	12
Pamela Sharee Dockery 2295 E 14Th St	$2.35	12	12
Scott Lund Medicine Center Boulevard	$1.14	12	12
Jennifer Ann Christman 2825 Lyndhurst Ave Ste 101	$19.36	12	12
Onitisha V Anders 3821 Forrestgate Dr	$1.37	13	12
Stuart David Ginn Medical Center Blvd	$0.28	13	12
Robert Scott Everett Medical Center Blvd	$0.61	13	12
David Reese O'Brien Medical Center Blvd	$0.55	13	12
Lisa Anne Cassidy-Vu Medical Center Blvd	$0.38	14	13
Rebecca E Wells Medical Center Blvd	$1,215	15	12
Thomas Clark Kellam 200 Robinhood Medical Plz	$4.96	15	12
Richard Kohlstadt Godine 200 Robinhood Medical Plz	$7.21	15	14
Ladonna Ward Cook 3333 Silas Creek Pkwy	$24.64	16	12
Cameron Isaacs Wake Forest Baptist Medical Center Medical Blvd	$1.61	16	12
Grant Thomas Brinkley 3333 Silas Creek Pkwy	$7.91	16	14
Haley Jordan Mccune 186 Kimel Park Dr	$0.32	16	12
Danielle Lillian Krites 2909 Maplewood Ave	$7.74	17	16
Andrew Shipe Dothard 1010 Bethesda Ct	$1.62	17	13
Eugene Henry Paschold 3333 Silas Creek Pkwy	$15.61	17	12
Derek Thomas Bernstein 200 Robinhood Medical Plz	$5.30	17	13
County Of Forsyth North Carolina 799 Highland Ave	$13.69	18	14
Cody Adam Myrick 5093 University Pkwy	$0.07	19	13
Michael Stevenson Hughes 131 Miller St	$1.65	24	24
Charles Patrick Richards 180 Kimel Park Dr	$432.03	26	12
Benjamin Graves One Medical Center Blvd	$555.71	26	26
Garrett Bernard Sherwood 3333 Silas Creek Pkwy	$0.54	29	12
Scott William Sutton Medical Center Blvd	$14.93	31	24
Nikhil Teppara 2915 Lyndhurst Ave	$18.75	31	25
Leslie Danese Kammire 500 Shepherd St	$55.54	31	30
Jason Mesner Medical Center Blvd	$1.37	32	27
William Frederick Mcguirt 110 Charlois Blvd	$35.92	33	29
Brandi Melissa Decriscio 111 Hanestown Ct	$54.29	42	39
Jennifer Leigh Hendren 1 Medical Center Blvd	$2.24	43	25
James Frank Bethea 200 Robinhood Medical Plz	$4.01	44	42
Forsyth Memorial Hospital, Inc. 3333 Silas Creek Pkwy	$0.00	46	25
Amber Gipson Hatch 2927 Lyndhurst Ave	$43.18	46	40
Barbara Ludmila Nye Medical Center Blvd	$343.57	50	19
Sean W Ochsenbein 1 Medical Center Blvd	$2.28	52	48
Alyssa Janae Sharpe 1200 N Martin Luther King Jr Dr	$38.65	55	53
Mackenzie Day Watkins 2001 Todays Woman Ave	$62.12	57	56
Benjamin P Sayers 3333 Silas Creek Pkwy	$19.37	58	53
Kevin Scott Koehler 3333 Silas Creek Pkwy	$17.86	59	50
Vickas Khemsara 1710 South Hawthorne Rd	$1.39	59	50
Abigail Rose Gifford Medical Center Blvd	$41.86	61	52
Paul Channing Harkins Medical Center Blvd	$0.43	63	48
Isabel Cristina Jean Medical Center Blvd	$55.86	66	56
Andrew O Pylant 3333 Silas Creek Pkwy	$22.71	67	60
North Carolina Baptist Hospital Medical Center Blvd	$0.02	73	54

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 Winston Salem, NC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Winston Salem, NC is $56.24 per claim, based on 59,516 claims from 100 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 Winston Salem, NC?

There are 100 Medicaid providers offering Prescription Medications related services in Winston Salem, NC according to public payment data.

What is the price range for Prescription Medications in Winston Salem, NC?

Medicaid reimbursement for Prescription Medications in Winston Salem, NC ranges from $0.00 to $1,662 per claim, with an average of $56.24. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Prescription Medications Payments in Winston Salem, NC: $56.24

Providers Offering Prescription Medications in Winston Salem, NC

What to Expect: Prescription Medications

Cost Components

Frequently Asked Questions

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