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 |
|---|---|---|---|
|
Shahriar Moossavi
Medical Center Blvd |
$4.74 | 7,961 | 854 |
|
Isai G Bowline
Medical Center Blvd |
$3.65 | 7,778 | 710 |
|
Pirouz Daeihagh
Medical Center Blvd |
$0.84 | 6,049 | 428 |
|
Hiba Ikram Sheikh
Medical Center Blvd |
$4.71 | 5,802 | 689 |
|
Barry Ira Freedman
Medical Center Blvd |
$0.59 | 5,218 | 463 |
|
Deanna Nicole Jones
Medical Center Blvd |
$14.56 | 2,594 | 300 |
|
Steve James Hodges
140 Charlois Blvd |
$2.15 | 2,195 | 1,975 |
|
Edward Gray Hill
1605 Westbrook Plaza Dr Ste 302 |
$4.59 | 1,919 | 1,615 |
|
Jeffrey Edward Peacock
50 Miller St Ste I |
$8.39 | 1,669 | 1,459 |
|
Robert Lb Sprinkle
Medical Center Blvd |
$0.12 | 1,533 | 1,354 |
|
Sarah Marie Bailey
2001 Todays Woman Ave |
$45.58 | 1,499 | 1,390 |
|
Kathleen Mary Kolaski
Medical Center Blvd |
$1,662 | 1,315 | 1,268 |
|
Julia Bates
160 Kimel Forest Dr |
$2.05 | 883 | 703 |
|
Hannah Imwold Messer
170 Kimel Park Dr |
$0.65 | 834 | 707 |
|
Alison Jo Fletcher
Medical Center Blvd |
$0.82 | 832 | 67 |
|
Christina Renee Chuchuru
Medical Center Blvd |
$5.77 | 732 | 511 |
|
Margaret Seawell Speas
799 N Highland Avenue |
$15.61 | 708 | 635 |
|
Todd Michael Reiter
190 Kimel Park Dr Ste 131 |
$0.36 | 698 | 451 |
|
Susan L Humphrey
741 Highland Ave |
$64.24 | 607 | 585 |
|
Thomas Stuart Meloy
160 Kimel Forest Dr |
$0.02 | 604 | 126 |
|
Eleanor Pitz Kiell
Medical Center Blvd |
$5.86 | 514 | 409 |
|
Daniel Jeffrey Kirse
Medical Center Blvd |
$8.44 | 514 | 458 |
|
Robert P Heine
Medical Center Blvd |
$42.59 | 467 | 451 |
|
Marc Colaco
Wake Forest Baptist Hospital |
$3.71 | 435 | 336 |
|
Judith Kaye Messura
131 Miller St |
$1.57 | 423 | 359 |
|
Vishak Johny John
Medical Center Blvd |
$1,396 | 387 | 361 |
|
Zachary W Sandbulte
200 Robinhood Medical Plz |
$0.10 | 383 | 338 |
|
Lisa Renee David
Medical Center Blvd |
$4.44 | 294 | 144 |
|
David Edward Miller
1410 Plaza West Rd |
$15.55 | 291 | 270 |
|
Alina Nykol Malone
680 S Stratford Rd |
$0.17 | 265 | 246 |
|
Justin Bennett
Medical Center Blvd |
$4.36 | 224 | 206 |
|
Bonnie Lynn Gaudin
3333 Silas Creek Pkwy |
$0.65 | 199 | 184 |
|
Maggie Elizabeth Foster
390 W Salem Ave |
$1.06 | 196 | 153 |
|
Antwan Devon Bates
2041 Silas Creek Pkwy |
$18.02 | 173 | 121 |
|
Josiah An
3333 Silas Creek Pkwy |
$20.24 | 172 | 110 |
|
Jessica Amelia Tate
Medical Center Blvd |
$973.62 | 172 | 166 |
|
Nancy Irene Faller
145 Kimel Park Dr |
$0.29 | 140 | 119 |
|
James Whitman Mims
Medical Center Blvd |
$5.84 | 136 | 126 |
|
Tomas Luley
2085 Frontis Plaza Blvd |
$43.43 | 126 | 104 |
|
James Norman Atkins
Medical Center Blvd |
$0.34 | 108 | 79 |
|
April Milan Miller
1 Medical Center Blvd |
$52.70 | 102 | 98 |
|
Claire Marie Davis
2001 Todays Woman Ave |
$68.79 | 98 | 82 |
|
Miranda Kalaskey
5203 Robinhood Village Dr |
$1.34 | 97 | 96 |
|
Charles J. Gainor
5093 University Pkwy |
$7.17 | 92 | 85 |
|
Zineb Mashak
1 Medical Center Blvd Obgyn Department |
$92.90 | 92 | 89 |
|
Anthony Bleyer
Medical Center Blvd |
$14.68 | 91 | 24 |
|
David Louis Jaroszewski
5093 University Pkwy |
$2.85 | 90 | 66 |
|
John Frino
Medical Center Blvd |
$1.81 | 87 | 74 |
|
Timothy M Galey
Medical Center Blvd |
$0.00 | 83 | 79 |
|
Christopher Michael Runyan
Medical Center Blvd |
$3.23 | 79 | 62 |
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.
Prescription Medications in Other Cities
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Avg $16.15
844,810 claims · 235 providers
Milwaukee, WI
Avg $9.22
755,550 claims · 88 providers
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Avg $6.48
675,765 claims · 92 providers
Los Angeles, CA
Avg $61.23
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Louisville, KY
Avg $31.67
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New York, NY
Avg $40.26
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San Diego, CA
Avg $27.34
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Avg $24.34
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Other Procedures in Winston Salem, NC
Office Visit
Avg $56.55
2,112,661 claims
Blood Work & Lab Tests
Avg $9.95
1,100,364 claims
Emergency Room Visit
Avg $152.58
1,052,025 claims
Dental Cleaning & Exam
Avg $30.19
626,976 claims
Speech Therapy
Avg $48.12
581,644 claims
X-Ray
Avg $8.19
523,133 claims
Vaccines & Immunizations
Avg $16.89
496,876 claims
Personal Care Services
Avg $105.36
383,584 claims