Average Medicaid Prescription Medications Payments in Fresno, CA: $6.39
Avg. Paid
$6.39
Range
$0.00 – $271.07
Total Claims
235,861
Providers
118
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 Fresno, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Fresno Community Hospital And Medical Center
215 N Fresno St |
$1.55 | 36,249 | 3,069 |
|
Fresno Community Hospital And Medical Center
2823 Fresno St |
$1.50 | 34,025 | 28,560 |
|
Saint Agnes Medical Center
1303 E Herndon Ave |
$1.84 | 32,160 | 28,962 |
|
Bio-Medical Applications Of Fresno, Inc.
3636 N 1St St Ste 144 |
$0.04 | 23,724 | 2,798 |
|
Total Renal Care Inc
2666 N Grove Industrial Dr Ste 106 |
$0.03 | 21,511 | 1,809 |
|
California Cancer Associates For Research And Excellence Inc
7130 N Millbrook Ave Ste 100 |
$33.63 | 10,255 | 6,953 |
|
South Fork Dialysis Llc
560 E Herndon Ave |
$0.00 | 8,736 | 823 |
|
Harold Greg Rainwater
6113 N Fresno St # 101 |
$0.42 | 8,008 | 5,856 |
|
Dva Healthcare Renal Care Inc
4308 W Shaw Ave Ste 101 |
$0.00 | 7,357 | 644 |
|
Dva Renal Healthcare Inc
770 W Pinedale Ave |
$0.05 | 6,306 | 543 |
|
Valley Urology Inc
6113 N Fresno St |
$0.81 | 3,617 | 2,517 |
|
Sachin Gupta
7130 N Millbrook Ave |
$39.65 | 3,435 | 2,603 |
|
Kaiser Foundation Hospitals
7300 N Fresno St |
$2.02 | 3,053 | 2,652 |
|
Abdul Mustajeeb Haseeb
7130 N Millbrook Ave |
$13.56 | 2,575 | 1,787 |
|
Amardeep Singh Aulakh
7130 N Millbrook Ave |
$14.76 | 2,363 | 1,682 |
|
Joseph M Pascuzzo
7130 N Millbrook Ave |
$39.40 | 2,181 | 1,821 |
|
Don Kevin Lester
6085 N First St #101 |
$0.29 | 1,813 | 1,466 |
|
Mahendra Nath
6101 N Fresno St |
$1.10 | 1,811 | 1,656 |
|
Rendoll Concepcion
1885 E Alluvial |
$1.22 | 1,682 | 1,544 |
|
Michael L Krueger
7033 N Fresno St |
$0.87 | 1,344 | 1,325 |
|
Laura A Teasley
1360 E Herndon Ave Ste 301 |
$271.07 | 1,247 | 1,155 |
|
Dexter T Estrada
7130 N Millbrook Ave |
$21.64 | 1,180 | 911 |
|
Manisha Mittal
2475 E Fir Ave Ste 104 |
$72.89 | 1,169 | 1,062 |
|
Steven Jeffrey Hager
7130 N Millbrook Ave |
$9.94 | 1,131 | 796 |
|
The Nephrology Group, Inc.
568 E Herndon Ave |
$3.85 | 1,109 | 772 |
|
Saint Agnes Medical Foundation
1303 E Herndon Ave |
$0.02 | 805 | 787 |
|
Fresenius Medical Care Fresno, Llc
1899 N Helm Ave Ste 101 |
$0.00 | 753 | 113 |
|
Eye Medical Clinic Of Fresno, Inc
1360 E Herndon Ave |
$89.81 | 751 | 642 |
|
Praneetha Reddy Narahari
1510 E Herndon Ave Ste 210 |
$1.77 | 749 | 678 |
|
Community Foundation Medical Group
7370 N Palm Ave Ste 101 |
$0.48 | 698 | 497 |
|
Geeta Ramesh
7300 N Fresno St |
$0.00 | 688 | 540 |
|
William Joseph Jawien
7130 N Millbrook Ave |
$0.48 | 645 | 449 |
|
Khoi Manh Le
6323 N Fresno St |
$0.37 | 641 | 629 |
|
Matthew Knedel
4770 W Herndon Ave Ste 105 |
$0.64 | 597 | 576 |
|
Rendoll Concepcion M.D, Inc
1885 E Alluvial Ave Ste 101 |
$0.49 | 588 | 436 |
|
Rabia Parveez
7130 N Millbrook Ave |
$8.96 | 542 | 446 |
|
Ravi D Rao
7130 N Millbrook Ave |
$0.62 | 502 | 402 |
|
Himmat S. Gill
7135 N Chestnut Ave |
$40.50 | 490 | 488 |
|
Vivian Y Kim
7145 N Chestnut Ave |
$13.25 | 483 | 390 |
|
Sumeer Thinda
1360 E Herndon Ave Ste 301 |
$154.84 | 471 | 457 |
|
Yangming Cao
568 E Herndon Ave Ste 201 |
$30.92 | 463 | 367 |
|
Camilla Louise Marquez
650 W Alluvial Ave |
$1.22 | 448 | 432 |
|
Steven Bennett Levy
568 E Herndon Ave Ste 201 |
$3.03 | 438 | 153 |
|
Jasjit Singh
568 E Herndon Ave |
$3.52 | 387 | 115 |
|
David Brett Kaye
6767 N Fresno St |
$0.83 | 350 | 308 |
|
Li Lisa Ge
6121 N Thesta St Ste 204 |
$0.62 | 330 | 180 |
|
Kalwant S Dhillon
4425 W Ashlan Ave Ste 106 |
$0.41 | 320 | 310 |
|
David Alan Brethouwer
7300 N Fresno St |
$5.53 | 314 | 247 |
|
David Pena
2740 S Elm Ave |
$4.56 | 294 | 218 |
|
Ali Rashidian
1660 E Herndon Ave Ste 101 |
$0.43 | 250 | 233 |
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 Fresno, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Fresno, CA is $6.39 per claim, based on 235,861 claims from 118 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 Fresno, CA?
There are 118 Medicaid providers offering Prescription Medications related services in Fresno, CA according to public payment data.
What is the price range for Prescription Medications in Fresno, CA?
Medicaid reimbursement for Prescription Medications in Fresno, CA ranges from $0.00 to $271.07 per claim, with an average of $6.39. 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 Fresno, CA
Office Visit
Avg $9.04
7,118,942 claims
Substance Abuse Treatment
Avg $27.33
4,413,563 claims
Blood Work & Lab Tests
Avg $2.74
2,444,948 claims
Dental Cleaning & Exam
Avg $51.51
1,690,843 claims
Urinalysis & Urine Tests
Avg $0.70
1,247,642 claims
Vaccines & Immunizations
Avg $0.97
1,207,674 claims
Emergency Room Visit
Avg $38.60
1,035,563 claims
Behavioral & Mental Health Therapy
Avg $160.45
952,885 claims