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 |
|---|---|---|---|
|
Rohit Shenoi
6621 Fannin St |
$11.14 | 12 | 12 |
|
Melissa Kay Webb
6651 Main St Ste E1920 |
$4.66 | 12 | 12 |
|
Elva Almazan
4501 Groveway Dr |
$0.62 | 12 | 12 |
|
Raina Burleigh Randall
13169 Northwest Fwy |
$69.63 | 12 | 12 |
|
Erin Bendure Henkel
6621 Fannin St |
$8.00 | 12 | 12 |
|
Elvis Torres
12000 Richmond Ave |
$0.00 | 12 | 12 |
|
Michael Kai-Jia Lam
7789 Southwest Fwy Ste 530 |
$1,278 | 12 | 12 |
|
Kim Jing-Ming Little-Wienert
6621 Fannin St |
$10.24 | 12 | 12 |
|
Jennifer E. Dietrich
6620 Main St |
$62.86 | 12 | 12 |
|
Jennifer Tat
1631 North Loop W Ste 220 |
$79.72 | 12 | 12 |
|
Joshua Cody Laird
6431 Fannin St |
$1.77 | 12 | 12 |
|
Rene Alfons Mai
6441 High Star Dr |
$0.00 | 13 | 13 |
|
Adianes Zobeida Feliciano-Lockett
1504 Taub Loop |
$9.43 | 13 | 12 |
|
Cheryal Ann Tritschler
6410 Fannin St Ste 350 |
$35.57 | 13 | 12 |
|
Kaveh Samani
1724 Richmond Ave |
$6.60 | 13 | 13 |
|
Hadley Mcarthur
12121 Richmond Ave Ste 417 |
$0.32 | 13 | 13 |
|
Allan R Katz
6410 Fannin |
$58.90 | 13 | 13 |
|
Edmond T. Gonzales
6701 Fannin St |
$8.57 | 13 | 12 |
|
Luther Harrell
8000 N Stadium Dr |
$66.03 | 13 | 13 |
|
Ifeoma Priscilla Nwosu
6400 Hillcroft St Ste 100 |
$0.84 | 13 | 13 |
|
Marideth Carmelle Rus
6621 Fannin St |
$9.83 | 13 | 12 |
|
Jane Emilie Besho
6701 Fannin St |
$63.44 | 13 | 13 |
|
Ijeoma Adaeze Oguagha
13111 Westheimer Rd Ste 250 |
$0.24 | 13 | 12 |
|
Eyitemi Oghogho
1504 Taub Loop |
$5.60 | 13 | 12 |
|
Carmela Esperanza Rodriguez Acosta
2008 S Wayside Dr Ste 500 |
$0.50 | 13 | 13 |
|
Kevin Wenhsi Lyu
7401 Main St |
$4.33 | 13 | 12 |
|
Elizabeth Anne Simonson
12141 Richmond Ave |
$45.12 | 13 | 13 |
|
Beth Marie D'Amico
6621 Fannin St |
$7.64 | 13 | 13 |
|
Planned Parenthood Gulf Coast, Inc.
4600 Gulf Fwy |
$73.02 | 13 | 12 |
|
Christie E Obukofe
12871 East Freeway |
$71.40 | 13 | 13 |
|
Ogadinma Ijeoma Obie
4141 Southwest Fwy Ste 470 |
$5.27 | 13 | 13 |
|
Gene By Gene Ltd
1445 North Loop W |
$0.00 | 13 | 12 |
|
Elaine Magdaraog Magat
1333 Moursund St |
$4,971 | 13 | 13 |
|
Bilkisu Inikpi Idakoji
7758 W Tidwell Rd |
$10.04 | 13 | 13 |
|
Sean Blackwell
6410 Fannin, Suite 210 |
$120.87 | 13 | 12 |
|
Alice King
6701 Fannin St |
$9.81 | 14 | 14 |
|
Adrienne Nicole Smallwood
6621 Fannin St Ste A210 |
$10.73 | 14 | 12 |
|
Vanessa T Lauck
710 Cypress Creek Pkwy |
$2.04 | 14 | 13 |
|
Randolph Alvin Nelson
1401 St Joseph Pkwy |
$88.31 | 14 | 12 |
|
Lorie Lynette Boyd
602 Girard St |
$54.45 | 14 | 13 |
|
Stephanie Leung
6621 Fannin St |
$8.33 | 14 | 13 |
|
Henry Jack Grainger
511A W Tidwell Rd |
$0.44 | 14 | 14 |
|
Aloysia Schwabe
6621 Fannin St |
$1,880 | 14 | 12 |
|
Diana Kathleen Crabtree Sokol
1 Baylor Plz # Bcm610 |
$79.87 | 14 | 14 |
|
Georgina Margarita Eldridge
1504 Taub Loop |
$44.64 | 14 | 14 |
|
Modupe Idowu
6400 Fannin St Ste 2900 |
$5.04 | 14 | 13 |
|
Suzanne Woodbury
6621 Fannin St |
$1,170 | 15 | 14 |
|
Katherine Williams
1977 Butler Blvd Fl 2 |
$4.33 | 15 | 14 |
|
Saman Kohanof
6431 Fannin St Ste 5196 |
$0.00 | 15 | 15 |
|
Shabana Yusuf
6621 Fannin St |
$10.94 | 15 | 12 |
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