Average Medicaid Prescription Medications Payments in Anaheim, CA: $5.79
Avg. Paid
$5.79
Range
$0.02 โ $3,488
Total Claims
200,284
Providers
35
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 โ 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 Anaheim, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Dva Renal Healthcare Inc
1341 W La Palma Ave |
$5.51 | 36,966 | 3,170 |
|
Hart Dialysis Llc
1821 W Lincoln Ave |
$3.55 | 34,156 | 2,904 |
|
Meridian Dialysis Llc
1324 S Euclid St |
$4.07 | 31,041 | 2,632 |
|
Kaiser Foundation Hospitals
3440 E. La Palma Ave |
$2.02 | 22,960 | 20,033 |
|
Ahmc Anaheim Regional Medical
1111 W La Palma Ave |
$7.56 | 20,997 | 16,993 |
|
Prime Healthcare Anaheim, Llc
3033 W Orange Ave |
$4.66 | 14,128 | 10,054 |
|
Total Renal Care Inc
4201 E La Palma Ave |
$7.19 | 11,720 | 952 |
|
Southern California Permanente Medical Group
441 N Lakeview Ave |
$0.18 | 9,289 | 7,803 |
|
Fresenius Medical Care Anaheim, Llc
3150 W Lincoln Ave Ste 100 |
$5.16 | 3,682 | 361 |
|
Cecilia Hilda Huang
451 W Lincoln Ave Ste 100 |
$60.30 | 2,370 | 2,361 |
|
Herman B Bell
1125 N Magnolia Ave |
$0.21 | 2,080 | 1,745 |
|
Richard Hedke Blanks
947 S Anaheim Blvd Ste 125 |
$7.99 | 2,027 | 1,901 |
|
Anaheim Global Medical Center, Inc
1025 S Anaheim Blvd |
$5.88 | 1,929 | 1,650 |
|
Anaheim Urgent Care, Inc.
831 S State College Blvd |
$6.99 | 1,916 | 1,780 |
|
Sung-Un Justin Park M.D., Inc.
3055 W Orange Ave Ste 101 |
$1.87 | 883 | 609 |
|
Bio-Medical Applications Of California, Inc.
511 N Brookhurst St Ste 100 |
$4.25 | 760 | 69 |
|
Jason Alan Grieshober
947 S Anaheim Blvd Ste 125 |
$6.19 | 739 | 696 |
|
Young Rae Kim Md Inc
3010 W Orange Ave |
$0.14 | 604 | 462 |
|
Bethany Lauren Patrick
801 E Katella Ave |
$41.53 | 478 | 468 |
|
Peter Simon Birnbaum
1211 W La Palma Ave Ste 506 |
$13.93 | 369 | 359 |
|
Shail M. Vyas
8245 E Monte Vista Rd |
$15.42 | 249 | 211 |
|
Altamed Health Services Corp
1325 N Anaheim Blvd Ste 200 |
$0.02 | 213 | 212 |
|
Nawid Mohammad Sarwari
1801 W Romneya Dr Ste 103 |
$1.79 | 196 | 154 |
|
Oc Urgentcare Medical Group Incorporated
631 S Brookhurst St Ste 101 |
$2.06 | 118 | 115 |
|
Samira Saghafi
411 N Lakeview Ave |
$522.82 | 113 | 88 |
|
Davita Medical Group Talbert California, P.C.
1236 N Magnolia Ave |
$8.73 | 73 | 71 |
|
Nilima H Mamtora
531 S Harbor Blvd |
$86.26 | 49 | 49 |
|
Dennis Kuo
947 S Anaheim Blvd # 215A |
$4.00 | 40 | 27 |
|
Pacific Cancer Medical Center Inc
1801 W Romneya Dr |
$0.74 | 37 | 25 |
|
George Ahad
947 S Anaheim Blvd |
$2.78 | 27 | 27 |
|
Nicholas Youngrae Kim
3010 W Orange Ave |
$0.94 | 18 | 12 |
|
Mohammad H. Faysal
441 N Lakeview Ave |
$3.58 | 16 | 13 |
|
Joseph C Perera
1250 S Magnolia Ave |
$5.17 | 15 | 15 |
|
Maryam Gul
2050 S Euclid St |
$3,488 | 13 | 12 |
|
Sandy Liu
1311 S Anaheim Blvd |
$12.76 | 13 | 13 |
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 | โ |
| J0120 | Tetracyclin injection | โ | โ | โ |
| J0133 | Acyclovir injection | โ | โ | โ |
| J0202 | Injection, alemtuzumab | โ | โ | โ |
| J0795 | Corticorelin ovine triflutal | โ | โ | โ |
| J1160 | Digoxin injection | โ | โ | โ |
| J1205 | Chlorothiazide sodium inj | โ | โ | โ |
| J1260 | Dolasetron mesylate | โ | โ | โ |
| J1290 | Ecallantide injection | โ | โ | โ |
| J1300 | Eculizumab injection | โ | โ | โ |
| J1301 | Injection, edaravone, 1 mg | โ | โ | โ |
| J1303 | Inj., ravulizumab-cwvz 10 mg | โ | โ | โ |
| J1305 | Inj, evinacumab-dgnb, 5mg | โ | โ | โ |
| J1320 | Amitriptyline injection | โ | โ | โ |
| J1322 | Elosulfase alfa, injection | โ | โ | โ |
| J1327 | Eptifibatide injection | โ | โ | โ |
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 Anaheim, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Anaheim, CA is $5.79 per claim, based on 200,284 claims from 35 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 Anaheim, CA?
There are 35 Medicaid providers offering Prescription Medications related services in Anaheim, CA according to public payment data.
What is the price range for Prescription Medications in Anaheim, CA?
Medicaid reimbursement for Prescription Medications in Anaheim, CA ranges from $0.02 to $3,488 per claim, with an average of $5.79. 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 ยท 235 providers
Milwaukee, WI
Avg $9.22
755,550 claims ยท 88 providers
Washington, DC
Avg $6.48
675,765 claims ยท 92 providers
Los Angeles, CA
Avg $61.23
617,979 claims ยท 282 providers
Louisville, KY
Avg $31.67
601,676 claims ยท 181 providers
New York, NY
Avg $40.26
587,024 claims ยท 195 providers
San Diego, CA
Avg $27.34
493,429 claims ยท 162 providers
Tucson, AZ
Avg $24.34
489,015 claims ยท 169 providers
Other Procedures in Anaheim, CA
Office Visit
Avg $31.75
2,783,225 claims
Blood Work & Lab Tests
Avg $2.57
1,593,947 claims
Vaccines & Immunizations
Avg $4.48
800,352 claims
Urinalysis & Urine Tests
Avg $1.66
603,546 claims
Behavioral & Mental Health Therapy
Avg $81.57
593,525 claims
Dental Cleaning & Exam
Avg $54.57
564,581 claims
Physical Therapy
Avg $18.60
557,320 claims
Substance Abuse Treatment
Avg $41.56
539,605 claims