Average Medicaid Prescription Medications Payments in Edinburg, TX: $7.50
Avg. Paid
$7.50
Range
$0.00 – $84.33
Total Claims
48,509
Providers
55
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 Edinburg, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mcallen Hospitals L P
1102 W Trenton Rd |
$29.69 | 9,174 | 7,791 |
|
Doctors Hospital At Renaissance, Ltd
5501 S Mccoll Rd |
$5.24 | 7,709 | 5,530 |
|
Gerardo Athanasi Orfanos
2703 W Trenton Rd |
$1.22 | 5,925 | 4,450 |
|
Livania Y Zavala-Spinetti
4709 S Jackson Rd |
$0.60 | 5,264 | 3,764 |
|
Riaz Ahmed Shareef
5325 S Mccoll Rd |
$0.92 | 3,899 | 2,813 |
|
Allan Francis Mercado
316 Conquest |
$1.60 | 2,401 | 1,557 |
|
Tajul S. Chowdhury
2637 Cornerstone Blvd |
$3.77 | 2,130 | 1,772 |
|
Agustin B Mego
1102 W Trenton Rd |
$0.18 | 1,637 | 1,449 |
|
Karelys Diaz Rivera
2821 Michealangelo |
$0.61 | 1,390 | 1,301 |
|
Monzer Hassan Yazji
502 S Closner Blvd |
$2.48 | 1,298 | 1,156 |
|
David Lee Jimenez
4634 S Us Highway 281 |
$0.63 | 1,208 | 1,138 |
|
Dalia Contreras
316 Conquest Ste 300 |
$1.46 | 763 | 621 |
|
Isd Renal Inc
3902 S Jackson Rd |
$0.00 | 689 | 84 |
|
David Cantu
2402 Cornerstone Blvd |
$5.16 | 626 | 535 |
|
Mahfuzul Huq
1102 W Trenton Rd |
$1.57 | 493 | 449 |
|
Westly Arrow Keating
5007 S Mccoll Rd |
$4.24 | 386 | 376 |
|
Antonio Wong
122 W. Champion |
$0.25 | 318 | 287 |
|
Jorge C Zamora-Quezada
2601 Cornerstone Blvd |
$0.97 | 315 | 310 |
|
Fulgencio P Salinas
2601 Cornerstone Blvd |
$1.51 | 303 | 299 |
|
Ali Hasnain Naqvi
3212 S Sugar Rd |
$0.03 | 278 | 241 |
|
Diego Mugica
2402 Cornerstone Blvd |
$3.50 | 242 | 231 |
|
Nashin Manohar
2123 Cornerstone Blvd |
$0.97 | 221 | 175 |
|
Ashley Bose
3601 S Business Highway 281 |
$1.69 | 169 | 161 |
|
Carlos Ian Vela
2703 Hylton Ave |
$0.83 | 143 | 125 |
|
Driscoll Childrens Hospital
2820 Michaelangelo Dr |
$2.03 | 116 | 88 |
|
Access Esperanza Clinics Inc.
302 S Veterans Blvd. |
$52.22 | 108 | 107 |
|
Nicholas Pereira
1102 W Trenton Rd |
$2.63 | 106 | 97 |
|
Maria Ruby Guajardo
5111 S Mccoll Rd |
$1.43 | 99 | 91 |
|
Michael Timothy Lago
3804 S Jackson Rd Ste 1 |
$1.59 | 98 | 88 |
|
Manish Prabhakar Lambat
2821 Michaelangelo Dr Ste 102 |
$2.12 | 98 | 65 |
|
Johanna Alexandra Gonzalez Morin
2821 Michaelangelo Dr |
$1.59 | 93 | 81 |
|
Maria C Madrid
4001 S Sugar Rd Ste B |
$0.40 | 92 | 87 |
|
Nancy E. Santillan Jimenez
4634 S Closner Blvd |
$0.11 | 67 | 61 |
|
Raquela Torres
3002 N Business 281 Ste B |
$1.54 | 67 | 67 |
|
Raul A Marquez
2402 Cornerstone Blvd |
$0.83 | 65 | 60 |
|
Rogelio Eduardo Rojas
5111 S Mccoll Rd |
$8.64 | 63 | 61 |
|
Eugene Scott Mackie
2709 Cornerstone Blvd |
$0.45 | 49 | 40 |
|
Regis Santos Gener
3205 Knight Ave |
$1.70 | 45 | 43 |
|
Karla Trevino-Ramirez
4745 S Jackson Rd |
$6.94 | 41 | 41 |
|
Maria Aurora Raypon Manongas
316 Conquest Ste 300 |
$1.60 | 37 | 30 |
|
Eduardo Guillen
802 E University Dr Ste B |
$2.15 | 36 | 27 |
|
Joaquin Tagle
2402 Cornerstone Blvd |
$5.77 | 36 | 26 |
|
Padraic Chisholm
910 S Closner Blvd |
$84.33 | 26 | 26 |
|
Angela Jose Guerrero
2821 Michaelangelo Dr Ste 306 |
$0.42 | 23 | 22 |
|
Joan Abulag
316 Conquest |
$1.50 | 20 | 19 |
|
Desmond Okey Ikondu
2502 W Trenton Rd |
$3.34 | 18 | 15 |
|
Socrates A Garrigos
5111 S Mccoll Rd |
$0.00 | 17 | 17 |
|
Safeer Ahmed
1102 W Trenton Rd |
$1.46 | 15 | 14 |
|
Rodrigo Argenal
4102 Crosspoint Blvd |
$0.77 | 15 | 12 |
|
Sergio Rodriguez
5121 S Mccoll Rd |
$2.88 | 14 | 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 Edinburg, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Edinburg, TX is $7.50 per claim, based on 48,509 claims from 55 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 Edinburg, TX?
There are 55 Medicaid providers offering Prescription Medications related services in Edinburg, TX according to public payment data.
What is the price range for Prescription Medications in Edinburg, TX?
Medicaid reimbursement for Prescription Medications in Edinburg, TX ranges from $0.00 to $84.33 per claim, with an average of $7.50. 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
Washington, DC
Avg $6.48
675,765 claims · 92 providers
Los Angeles, CA
Avg $61.23
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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
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Other Procedures in Edinburg, TX
Office Visit
Avg $39.60
1,601,805 claims
Blood Work & Lab Tests
Avg $8.03
994,855 claims
Personal Care Services
Avg $66.62
932,589 claims
Vaccines & Immunizations
Avg $6.07
492,039 claims
Dental Cleaning & Exam
Avg $43.69
427,789 claims
Physical Therapy
Avg $59.61
294,805 claims
Speech Therapy
Avg $81.81
279,480 claims
Urinalysis & Urine Tests
Avg $3.46
217,843 claims