Average Medicaid Prescription Medications Payments in Austin, TX: $8.69
Avg. Paid
$8.69
Range
$0.00 – $444.40
Total Claims
12,625
Providers
39
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 Austin, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Loann T Trinh
8557 Research Blvd |
$0.62 | 7,219 | 6,731 |
|
Amauche Obi-Eyisi
5900 Balcones Dr Ste 19443 |
$53.54 | 871 | 735 |
|
Philip Mark Ralidis
601 E 15Th St |
$4.54 | 836 | 721 |
|
Satellite Healthcare Of Austin Llc
1801 E 51St St Ste 100 |
$29.61 | 761 | 242 |
|
Jessica Ruth Jajosky
3705 Medical Pkwy Ste 570 |
$1.16 | 402 | 310 |
|
Andrea Michelle Diebel
8611 N Mopac Expy Ste 200 |
$0.17 | 319 | 290 |
|
Jason B Holinbeck
1301 W 38Th St Ste 102 |
$3.27 | 255 | 246 |
|
Pamela K Ashley
12221 N Mopac Expy |
$0.13 | 210 | 180 |
|
Sohil Patel
2013 E Cesar Chavez St Apt C |
$0.00 | 160 | 158 |
|
Juan Troconis
3200 Red River St Ste 400 |
$0.01 | 159 | 136 |
|
Sara L Wyrick
4900 Mueller Blvd |
$0.23 | 124 | 111 |
|
Brandon Oyler
1400 N I-35, Suite C2.230 |
$5.67 | 123 | 122 |
|
Richard C Allen
3705 Medical Pkwy Ste 120 |
$8.88 | 121 | 119 |
|
Nidhi Singh
4900 Mueller Blvd |
$9.48 | 111 | 106 |
|
St. Davids Healthcare Partnership, L.P., Llp
919 E 32Nd St |
$2.00 | 101 | 92 |
|
Central Texas Community Health Centers
2901 Montopolis Dr |
$0.60 | 95 | 89 |
|
Ascension Seton
1201 W 38Th St |
$0.06 | 81 | 78 |
|
St. David'S Healthcare Partnership, L.P., Llp
901 W Ben White Blvd |
$0.32 | 73 | 67 |
|
Central Texas Community Health Centers
1210 W. Braker Lane |
$1.91 | 72 | 69 |
|
Marcos Sosa
211 Comal St |
$28.21 | 69 | 64 |
|
Erin Deleigh Munns
4900 Mueller Blvd |
$0.10 | 64 | 59 |
|
Maureen R Nelson
8611 N Mopac Expy Ste 300 |
$303.41 | 54 | 51 |
|
Randolph B Lipscher
1110 W William Cannon Dr Ste 404 |
$0.91 | 42 | 29 |
|
Joel William Jones
9835 N Lake Creek Pkwy |
$0.00 | 37 | 25 |
|
Satellite Healthcare Of Austin Llc
1701 W Ben White Blvd Ste 180 |
$9.84 | 36 | 12 |
|
Adjoa D Ofori-Abebresse
500 Canyon Ridge Dr Ste B300 |
$0.00 | 30 | 26 |
|
Satellite Healthcare Of Austin Llc
10000 Metric Blvd Ste 100 |
$67.44 | 29 | 12 |
|
Cynthia L. Schroeder
North Austin Medical Center |
$0.00 | 20 | 18 |
|
Timothy Clark Newton
6300 La Calma Drive, Suite 200 |
$0.99 | 17 | 12 |
|
Truman John Milling
601 E 15Th St |
$4.11 | 15 | 15 |
|
Joseph L. Donnelly
12221 N Mo Pac Expy |
$37.81 | 15 | 14 |
|
Yana Duncan
7900 Fm 1826 |
$0.00 | 14 | 13 |
|
Saagar Nilesh Patel
801 W 38Th St Ste 200 |
$444.40 | 14 | 13 |
|
William Everett Clementson
8701 Shoal Creek Blvd Ste 401 |
$0.43 | 13 | 12 |
|
Seth Lewis Parkey
5245 W Highway 290 |
$4.05 | 13 | 13 |
|
St Davids Healthcare Partnership Lp Llp
12221 N Mo Pac Expy |
$0.05 | 13 | 12 |
|
Lone Star Circle Of Care
11111 Research Blvd Ste 295 |
$0.00 | 13 | 13 |
|
Central Texas Community Health Centers
1705 E 11Th St |
$0.00 | 12 | 12 |
|
Kirsti Buckendorf
3311 N Lamar Blvd |
$0.57 | 12 | 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 Austin, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Austin, TX is $8.69 per claim, based on 12,625 claims from 39 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 Austin, TX?
There are 39 Medicaid providers offering Prescription Medications related services in Austin, TX according to public payment data.
What is the price range for Prescription Medications in Austin, TX?
Medicaid reimbursement for Prescription Medications in Austin, TX ranges from $0.00 to $444.40 per claim, with an average of $8.69. 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 Austin, TX
Blood Work & Lab Tests
Avg $7.09
4,048,248 claims
Personal Care Services
Avg $51.29
3,439,018 claims
Office Visit
Avg $39.88
1,367,991 claims
X-Ray
Avg $5.51
1,081,382 claims
Vaccines & Immunizations
Avg $3.40
861,990 claims
Dental Cleaning & Exam
Avg $37.36
759,881 claims
Emergency Room Visit
Avg $125.71
658,275 claims
Urinalysis & Urine Tests
Avg $2.52
612,948 claims