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 |
|---|---|---|---|
|
Planned Parenthood Mar Monte, Inc
6095 N 1St St |
$0.42 | 12 | 12 |
|
Pankaj P Ram
1313 E Herndon Ave |
$8.12 | 12 | 12 |
|
Phillip Austin Harrison
1195 W San Ramon Ave |
$22.41 | 12 | 12 |
|
Radhika Kumari
2823 Fresno St |
$0.00 | 13 | 13 |
|
Emmy Agwu Oji
1247 E Alluvial Ave |
$0.00 | 14 | 12 |
|
Harpreet Singh Dhindsa
568 E Herndon Ave Ste 201 |
$0.00 | 14 | 14 |
|
Kellie A Dudy
7471 N Fresno St |
$5.34 | 14 | 14 |
|
George M Zakhary
215 N Fresno St |
$3.30 | 14 | 14 |
|
Hongtao Alex Wang
1191 E Herndon Ave Ste 103 |
$2.33 | 15 | 15 |
|
John Zweifler
290 N Wayte Ln |
$0.00 | 15 | 12 |
|
Patricia Ann Stone
650 N Fulton St |
$64.40 | 15 | 15 |
|
Jose U. Zamora, Ii, M.D., A Medical Corporation
7125 N Chestnut Ave |
$2.72 | 16 | 16 |
|
Eric A Leveque
1303 E Herndon Ave |
$3.10 | 16 | 14 |
|
Haifaa Abdulhaq
785 Medical Center Drive West |
$1.01 | 16 | 12 |
|
Vasanth M Vishwanath
7075 N Maple Ave |
$3.60 | 17 | 16 |
|
Brenda Lee Thomas-Pugh
2828 Fresno St |
$2.60 | 18 | 18 |
|
David Wayne Cardona
1300 N Fresno St |
$0.00 | 18 | 17 |
|
Justice Otchere
6079 N Fresno Street, Suite 101 |
$0.00 | 19 | 17 |
|
Muhammad Mansoor Alam
7065 N. Maple Ave |
$0.52 | 22 | 12 |
|
David S. Hodge
215 N Fresno St |
$3.01 | 25 | 24 |
|
Animesh Petkar
6767 North Fresno Ave, # 101 |
$1.59 | 26 | 25 |
|
Ronald Eric Dominguez
155 N Fresno St |
$0.00 | 26 | 13 |
|
Casandra Anderson
7130 N Millbrook Ave |
$2.68 | 27 | 25 |
|
Richard Noel Mendoza
1360 E Herndon Avenue |
$0.00 | 28 | 28 |
|
John Moritz Wiemann
2136 E Royal Dornoch Ave |
$10.73 | 29 | 25 |
|
M Mehdi Ghajarnia
1360 E Herndon Avenue |
$0.00 | 29 | 27 |
|
Antonio Villalvazo
6191 N Fresno St |
$0.00 | 31 | 31 |
|
Ryan Paul Ernst
2823 Fresno St |
$0.33 | 33 | 27 |
|
Daniel I Hernandez
1187 E Herndon Ave |
$24.22 | 39 | 39 |
|
David Kyle Hakkarinen
155 N Fresno St |
$0.04 | 39 | 36 |
|
Eric James Poulsen
1360 E Herndon Ave |
$0.00 | 40 | 40 |
|
Brett Wee
2210 E Illinois Ave Ste 206 |
$0.00 | 40 | 25 |
|
Oranus Mohammadi
6121 N Thesta St Ste 204 |
$0.29 | 40 | 27 |
|
Loan Kim Nguyen
6767 N Fresno St |
$0.66 | 41 | 35 |
|
Jonathan Caldwell
1303 E Herndon Ave |
$0.00 | 48 | 43 |
|
Karen C Cartwright
2804 W Compton Ct |
$1.28 | 52 | 40 |
|
Steven G. Fogg
1360 E Herndon Ave |
$0.00 | 52 | 48 |
|
Sara Marie Higginson
2823 Fresno St |
$3.43 | 55 | 53 |
|
Brian Michael Woo
290 North Wayte Lane |
$2.77 | 58 | 52 |
|
Carol Ross-Mccormick
568 E Herndon Ave |
$24.41 | 65 | 60 |
|
Omni Womens Health Medical Group Inc
3812 N 1St St |
$0.00 | 65 | 63 |
|
Amarinder Singh Garcha
568 E Herndon Ave Ste 201 |
$0.86 | 73 | 12 |
|
Dina Ibrahim
6121 N Thesta St Ste 204 |
$0.70 | 75 | 49 |
|
Stephen Soldo
4770 W Herndon Ave |
$0.38 | 83 | 72 |
|
Michael L. Krueger, D.O. Inc.
7033 N Fresno St |
$0.05 | 84 | 82 |
|
Thomas John Jacques
5771 N Fresno St |
$17.12 | 88 | 78 |
|
Alicia Hernandez Punsalan
7202 N Millbrook Ave Ste 206 |
$0.00 | 95 | 95 |
|
Steve Wei-Shing Su
568 E Herndon Ave Ste 201 |
$15.93 | 97 | 90 |
|
Danielle E. Harik
6095 N 1St St |
$3.58 | 106 | 105 |
|
Ron Lichtenstein
2210 E Illinois Ave |
$1.55 | 110 | 104 |
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