Average Medicaid Prescription Medications Payments in Fort Worth, TX: $71.28
Avg. Paid
$71.28
Range
$0.00 – $1,956
Total Claims
35,754
Providers
117
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 Fort Worth, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tarrant County Hospital District
1500 S Main St |
$18.31 | 7,235 | 5,378 |
|
Texas Health Harris Methodist Hospital Fort Worth
1301 Pennsylvania Ave |
$2.42 | 3,906 | 3,516 |
|
Sonya F Loftis-Dayal
1401 W Pulaski St |
$0.56 | 1,521 | 1,499 |
|
Fijula Pokkasrakath
1401 W Pulaski St |
$0.57 | 1,514 | 1,480 |
|
Rick Lynn Enlow
6805 Ne Loop 820 Ste 408 |
$0.26 | 1,153 | 799 |
|
Texas Health Harris Methodist Hospital Southwest Fort Worth
6100 Harris Pkwy |
$2.12 | 1,147 | 1,074 |
|
Fernando Acosta
1500 Cooper St |
$1,956 | 1,116 | 1,032 |
|
Cook Children'S Medical Center
801 7Th Ave |
$20.07 | 939 | 711 |
|
Micheal C Mendez
546 W Seminary Dr Ste A |
$0.89 | 774 | 684 |
|
Miriam T. Alexander
801 7Th Ave |
$28.02 | 750 | 547 |
|
Marian I Pobee
1401 W Pulaski St |
$0.57 | 707 | 689 |
|
Lindsay D Newton Huggins
801 7Th Ave |
$29.59 | 694 | 463 |
|
Stephanie Renee Carson Henderson
1201 S Main St |
$74.27 | 666 | 649 |
|
Baylor All Saints Medical Center
1400 8Th Ave |
$1.28 | 633 | 521 |
|
Kraig Robert Pepper
6930 Harris Pkwy Ste 130 |
$0.21 | 613 | 498 |
|
Frank J Sloan
1401 W Pulaski St |
$0.57 | 587 | 576 |
|
Columbia Plaza Medical Center Of Fort Worth Subsidiary Lp
900 8Th Ave |
$0.50 | 540 | 321 |
|
Krista M Putty
801 7Th Ave |
$0.61 | 516 | 497 |
|
Triveni Anantharaman Kallur
1401 W Pulaski St |
$0.64 | 503 | 495 |
|
Matthew Scott Mackrell
1500 S Main St |
$9.57 | 486 | 436 |
|
Michelle C Marcincuk
1500 Cooper St |
$23.68 | 447 | 423 |
|
Kshitij V Bhalani
10601 N Riverside Dr |
$0.57 | 429 | 424 |
|
Steven Sean Campbell
546 W Seminary Dr Ste A |
$0.98 | 393 | 362 |
|
Nicholas A Ogunmola
1500 Cooper St |
$15.10 | 371 | 364 |
|
Brandy Montes
6451 Brentwood Stair Rd |
$0.00 | 344 | 337 |
|
Mercedes Uribe Salmassian
801 7Th Ave |
$9.15 | 336 | 326 |
|
Robert Lee Campbell
546 W Seminary Dr Ste A |
$0.51 | 324 | 257 |
|
Marcus C Ford
6301 Harris Pkwy Ste 300 |
$8.71 | 319 | 229 |
|
Courtney R Horton
801 7Th Ave |
$0.56 | 304 | 190 |
|
Samuel T Haddock
801 7Th Ave |
$11.59 | 286 | 278 |
|
Monica M Fonseca-Aten
1401 W Pulaski St |
$0.55 | 243 | 237 |
|
Young H Shim
801 7Th Ave |
$39.93 | 217 | 185 |
|
James T Scribner
1500 S Main St |
$3.50 | 216 | 174 |
|
Stephanie L Sumner
801 7Th Ave |
$33.17 | 209 | 148 |
|
Thomas M. Ratino
900 Jerome St Ste 400 |
$0.17 | 201 | 156 |
|
Matthew Eugene Mayfield
1500 Cooper St |
$7.06 | 197 | 165 |
|
Linh Thuy Samuel
801 7Th Ave |
$26.22 | 190 | 138 |
|
Bankole O Osuntokun
1500 Cooper St |
$12.80 | 184 | 174 |
|
Christopher Wayne Dyer
928 Lipscomb St Ste 100 |
$8.84 | 179 | 173 |
|
Phuong Thi Nguyen
801 7Th Ave |
$23.95 | 172 | 130 |
|
Yesenia Gutierrez
800 8Th Ave. |
$0.01 | 168 | 133 |
|
Jane Abigal Keng
1500 Cooper St |
$14.18 | 163 | 159 |
|
Erol Martin Knott
1500 Cooper St |
$8.11 | 151 | 132 |
|
Bradley P Kropp
1129 6Th Ave |
$0.00 | 149 | 113 |
|
Thomas Carl Hubmer
6451 Brentwood Stair Rd |
$5.66 | 140 | 130 |
|
Thomas Luke Heil
4364 Heritage Trace Pkwy # 112A |
$2.56 | 139 | 126 |
|
Saideepa Murali
801 7Th Ave |
$29.61 | 138 | 98 |
|
Jason Matthew Kennedy
1500 Cooper St |
$7.40 | 129 | 123 |
|
Syed Nayyar Shah
1001 12Th Ave Ste 134 |
$78.44 | 121 | 109 |
|
Hina Aziz Rehman
1401 W Pulaski St |
$0.70 | 120 | 116 |
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 Fort Worth, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Fort Worth, TX is $71.28 per claim, based on 35,754 claims from 117 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 Fort Worth, TX?
There are 117 Medicaid providers offering Prescription Medications related services in Fort Worth, TX according to public payment data.
What is the price range for Prescription Medications in Fort Worth, TX?
Medicaid reimbursement for Prescription Medications in Fort Worth, TX ranges from $0.00 to $1,956 per claim, with an average of $71.28. 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 Fort Worth, TX
Office Visit
Avg $52.71
2,341,902 claims
Vaccines & Immunizations
Avg $5.83
1,567,560 claims
Emergency Room Visit
Avg $219.10
1,524,539 claims
Blood Work & Lab Tests
Avg $7.15
1,050,378 claims
X-Ray
Avg $9.73
940,197 claims
Dental Cleaning & Exam
Avg $40.51
661,534 claims
Urinalysis & Urine Tests
Avg $4.34
393,896 claims
Ultrasound
Avg $58.37
255,075 claims