Average Medicaid Prescription Medications Payments in Houston, TX: $18.66
Avg. Paid
$18.66
Range
$0.00 – $4,971
Total Claims
170,155
Providers
294
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 Houston, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mie Mie Kyaw
5990 Airline Drive |
$0.54 | 50,103 | 44,213 |
|
Marise Kelly
900 Broadway St |
$0.36 | 11,595 | 9,621 |
|
Harris County Hospital District
1504 Taub Loop |
$5.97 | 9,520 | 6,533 |
|
Memorial Hermann Health System
1635 North Loop W |
$0.89 | 6,814 | 6,078 |
|
University Of Texas M. D. Anderson Cancer Center
1515 Holcombe Blvd |
$8.50 | 6,355 | 3,793 |
|
Yuliet Mora Amador
3420 Woodridge Dr |
$3.30 | 5,221 | 4,823 |
|
Syed Naser Mujeeb
10311 N Eldridge Pkwy |
$0.16 | 4,325 | 4,128 |
|
The Methodist Hospital
6565 Fannin St |
$5.42 | 3,560 | 2,726 |
|
Anjali Jain
6776 Southwest Fwy |
$0.17 | 3,431 | 3,005 |
|
Memorial Hermann Health System
6411 Fannin St |
$1.61 | 2,638 | 2,311 |
|
Nicolas Phoebus Xydas
6500 North Fwy |
$50.53 | 2,212 | 1,681 |
|
Jaime Roberto Herrera
5230 Aldine Mail Rte |
$14.46 | 1,994 | 1,035 |
|
Najmuddin Kutbuddin Karimjee
12015 Louetta Rd |
$1.32 | 1,766 | 1,644 |
|
Texas Children'S Hospital
6621 Fannin St |
$7.51 | 1,694 | 1,420 |
|
Oscar Louis De Valle
2028 Wirt Rd |
$1.33 | 1,648 | 1,536 |
|
Rudolph B Puana
1515 Holcombe Blvd |
$2.67 | 1,583 | 1,412 |
|
Danish Ali
9638 Huffmeister Rd Ste A |
$0.10 | 1,444 | 1,180 |
|
Hany H. Ahmed
1919 North Loop W |
$127.19 | 1,415 | 1,389 |
|
Legacy Community Health Services, Inc
1415 California St |
$0.31 | 1,241 | 1,135 |
|
Scott D Mckay
6701 Fannin St |
$9.65 | 1,189 | 1,071 |
|
Amrit Thandi
11700 Fm 1960 Rd W |
$0.49 | 1,139 | 906 |
|
Ryan T. Thai
3918 Leeland St. |
$0.73 | 1,111 | 1,015 |
|
Christina Nicole Davis-Kankanamge
6651 Main St |
$56.95 | 1,045 | 1,009 |
|
Deepak K Mehta
6701 Fannin St Fl 5 |
$9.68 | 1,027 | 811 |
|
Abdul Waheed
6108 Gulfton St |
$0.36 | 1,003 | 939 |
|
Aleksandra Trifunovic
6621 Fannin St |
$4.54 | 968 | 513 |
|
Matthew Seth Sitton
6701 Fannin St Ste 540 |
$11.19 | 939 | 788 |
|
Muhammad Aleem Imran
17070 Red Oak Dr Ste 105 |
$146.23 | 934 | 726 |
|
Yamil Benech Jimenez
8622 S Braeswood Blvd |
$0.01 | 912 | 655 |
|
Henri Toufic Traboulsi
6701 Fannin St |
$10.40 | 898 | 771 |
|
Elton Melville Lambert
6701 Fannin St |
$9.97 | 894 | 673 |
|
Tiffany Powell Raynor
6550 Fannin Street |
$11.22 | 858 | 656 |
|
Jennifer Yan
6701 Fannin St |
$9.98 | 848 | 718 |
|
Yunus Langha
12757 Westheimer Rd |
$8.73 | 813 | 746 |
|
Mary Elizabeth Williamson
6701 Fannin St |
$10.38 | 780 | 649 |
|
Miguel A Nieto
1504 Taub Loop |
$0.62 | 758 | 657 |
|
Ronald Jason Vilela
6701 Fannin St Ste 640 |
$10.33 | 754 | 616 |
|
Tahseen Qadeer
6410 Fannin St |
$69.28 | 690 | 684 |
|
Joshua Robert Bedwell
6701 Fannin St |
$10.40 | 687 | 566 |
|
Stephen D.C. Mac
18200 Katy Fwy |
$6.56 | 670 | 409 |
|
Anna Hopeman Messner
6651 Main St |
$10.81 | 628 | 505 |
|
Robert Feigenbaum Dempsey
6701 Fannin Street |
$9.67 | 628 | 610 |
|
Aharon Zvi Gladstein
18885 Katy Fwy |
$8.41 | 625 | 553 |
|
Yi-Chun Carol Liu
6701 Fannin St |
$10.24 | 612 | 517 |
|
Daniel O Mundy
6410 Fannin St |
$70.43 | 607 | 603 |
|
Manas Mack Sarangi
6411 Fannin St |
$0.06 | 604 | 552 |
|
Miguel Morales
2409 Aldine Mail Rd |
$0.00 | 583 | 547 |
|
Houston Kidney Center - Total Renal Care Integrated Service Network Lp
72 Cypress Creek Pkwy |
$0.00 | 561 | 88 |
|
Jessica Jenkins Geer
6621 Fannin St |
$113.68 | 536 | 63 |
|
Shiva Daram
6400 Fannin St Ste 2700 |
$1.00 | 514 | 407 |
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 Houston, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Houston, TX is $18.66 per claim, based on 170,155 claims from 294 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 Houston, TX?
There are 294 Medicaid providers offering Prescription Medications related services in Houston, TX according to public payment data.
What is the price range for Prescription Medications in Houston, TX?
Medicaid reimbursement for Prescription Medications in Houston, TX ranges from $0.00 to $4,971 per claim, with an average of $18.66. 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 Houston, TX
Office Visit
Avg $48.27
8,766,644 claims
Vaccines & Immunizations
Avg $6.36
4,720,768 claims
Dental Cleaning & Exam
Avg $39.95
3,744,881 claims
Blood Work & Lab Tests
Avg $9.56
3,408,214 claims
Emergency Room Visit
Avg $183.70
2,360,699 claims
X-Ray
Avg $9.02
1,931,677 claims
Personal Care Services
Avg $67.63
1,546,221 claims
Urinalysis & Urine Tests
Avg $5.15
1,340,067 claims