Average Medicaid Prescription Medications Payments in Garden Grove, CA: $7.27
Avg. Paid
$7.27
Range
$0.09 – $362.19
Total Claims
73,068
Providers
14
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 Garden Grove, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Edisto Dialysis Llc
13054 N Harbor Blvd |
$4.23 | 29,397 | 2,544 |
|
Fresenius Medical Care Orange County, Llc
12761 Harbor Blvd |
$9.44 | 22,657 | 2,083 |
|
Fresenius Medical Care Orange County, Llc
12555 Garden Grove Blvd Ste 100 |
$9.74 | 8,676 | 867 |
|
Prime Healthcare Services - Garden Grove Llc
12601 Garden Grove Blvd |
$4.39 | 8,570 | 6,411 |
|
Jeffrey Tan Ho
9191 Westminster Ave |
$10.77 | 1,688 | 1,488 |
|
George L. Mayo
12665 Garden Grove Blvd Ste 300 |
$20.51 | 794 | 511 |
|
Dao Medical Group Inc
9191 Westminster Ave |
$0.09 | 529 | 328 |
|
Edward Medical Group, Inc
12828 Harbor Blvd |
$0.71 | 475 | 389 |
|
Orange County Ophthalmology Medical Group
12665 Garden Grove Blvd |
$362.19 | 97 | 91 |
|
Hong Sik Kim
12665 Garden Grove Blvd |
$0.44 | 65 | 62 |
|
Michael Minh Dao
9191 Westminster Ave |
$4.77 | 43 | 42 |
|
Chaewon Song
12665 Garden Grove Blvd |
$0.39 | 31 | 27 |
|
Khoi Quang Tang
8915 Westminster Ave |
$0.49 | 25 | 25 |
|
Jeffrey Tan Ho, Inc.
9191 Westminster Ave |
$19.30 | 21 | 15 |
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 Garden Grove, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Garden Grove, CA is $7.27 per claim, based on 73,068 claims from 14 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 Garden Grove, CA?
There are 14 Medicaid providers offering Prescription Medications related services in Garden Grove, CA according to public payment data.
What is the price range for Prescription Medications in Garden Grove, CA?
Medicaid reimbursement for Prescription Medications in Garden Grove, CA ranges from $0.09 to $362.19 per claim, with an average of $7.27. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Prescription Medications in Other Cities
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Avg $9.22
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Avg $6.48
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Avg $31.67
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New York, NY
Avg $40.26
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San Diego, CA
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Other Procedures in Garden Grove, CA
Office Visit
Avg $23.95
1,678,074 claims
Blood Work & Lab Tests
Avg $4.35
816,786 claims
Behavioral & Mental Health Therapy
Avg $109.37
379,783 claims
Case Management Services
Avg $51.76
362,558 claims
Vaccines & Immunizations
Avg $7.71
356,788 claims
Dental Cleaning & Exam
Avg $56.54
345,047 claims
Urinalysis & Urine Tests
Avg $1.76
250,059 claims
Physical Therapy
Avg $6.57
222,924 claims