Average Medicaid Prescription Medications Payments in Irving, TX: $125.36
Avg. Paid
$125.36
Range
$0.00 – $1,123
Total Claims
7,163
Providers
22
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 Irving, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Baylor Medical Center At Irving
1901 N Macarthur Blvd |
$0.96 | 1,677 | 1,369 |
|
Robert Ernest Morgan
3219 Macarthur Blvd |
$14.09 | 1,486 | 1,464 |
|
Anita Jacob Parayil
2308 W Grauwyler Rd |
$0.20 | 910 | 863 |
|
Kristen Elise Taylor
400 E. John Carpenter Fwy |
$1,123 | 686 | 670 |
|
Summer Nadia Migoni
3501 N Macarthur Blvd |
$67.01 | 564 | 553 |
|
Muhammad Hashamul Haq
2000 Esters Rd Ste 140 |
$0.99 | 356 | 269 |
|
James Paul Carleo
3501 N Macarthur Blvd |
$65.43 | 232 | 230 |
|
Kimberly Anne Sakovich
3501 N Macarthur Blvd |
$76.17 | 211 | 211 |
|
Sat P Gupta
7447 N Macarthur Blvd |
$0.95 | 194 | 185 |
|
Robin Stewart
919 Hidden Rdg |
$0.00 | 174 | 136 |
|
Kevin Patrick O'Neil
3501 N Macarthur Blvd |
$66.37 | 153 | 151 |
|
Brian Matthew Enggano
3501 N Macarthur Blvd |
$70.77 | 120 | 119 |
|
Robert E Bayless
2120 N Macarthur Blvd |
$1.33 | 107 | 83 |
|
Stacey A Thomas
3501 N Macarthur Blvd Ste 500 |
$82.29 | 99 | 99 |
|
Elia Fanous
3501 N Macarthur Blvd |
$88.25 | 41 | 41 |
|
Russell Mahmudul Huq
800 W Airport Fwy Ste 100 |
$0.39 | 37 | 30 |
|
Jeff Livingston
3501 N Macarthur Blvd Ste 500 |
$67.26 | 27 | 25 |
|
Stephen Peter Sakovich
3501 N Macarthur Blvd |
$61.51 | 27 | 27 |
|
Steven Kent Montalvo
1501 W Royal Ln |
$0.63 | 17 | 17 |
|
Columbia Medical Center Of Las Colinas Inc
6800 N Macarthur Blvd |
$0.12 | 16 | 15 |
|
Anne Fuller
3501 N Macarthur Blvd Ste 500 |
$67.93 | 15 | 15 |
|
Hajra Motiwala
1110 Cottonwood Ln Ste 110 |
$8.20 | 14 | 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 Irving, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Irving, TX is $125.36 per claim, based on 7,163 claims from 22 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 Irving, TX?
There are 22 Medicaid providers offering Prescription Medications related services in Irving, TX according to public payment data.
What is the price range for Prescription Medications in Irving, TX?
Medicaid reimbursement for Prescription Medications in Irving, TX ranges from $0.00 to $1,123 per claim, with an average of $125.36. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Prescription Medications in Other Cities
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Avg $16.15
844,810 claims · 235 providers
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Avg $9.22
755,550 claims · 88 providers
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Avg $6.48
675,765 claims · 92 providers
Los Angeles, CA
Avg $61.23
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Louisville, KY
Avg $31.67
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New York, NY
Avg $40.26
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San Diego, CA
Avg $27.34
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Avg $24.34
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Other Procedures in Irving, TX
Blood Work & Lab Tests
Avg $8.49
3,578,999 claims
Urinalysis & Urine Tests
Avg $4.09
737,053 claims
Vaccines & Immunizations
Avg $5.81
510,026 claims
Office Visit
Avg $39.93
507,595 claims
Culture & Microbiology Tests
Avg $5.28
424,288 claims
Dental Cleaning & Exam
Avg $40.91
331,811 claims
Pathology & Lab Services
Avg $22.82
198,259 claims
Emergency Room Visit
Avg $117.79
110,758 claims