Average Medicaid Prescription Medications Payments in Los Angeles, CA: $61.23
Avg. Paid
$61.23
Range
$0.00 โ $2,664
Total Claims
617,979
Providers
282
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 โ 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 Los Angeles, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
County Of Los Angeles
2051 Marengo St |
$1.59 | 59,120 | 42,395 |
|
Martin Luther King, Jr. - Los Angeles (Mlk-La) Healthcare Corporation
1680 E 120Th St |
$6.65 | 51,933 | 45,811 |
|
Dignity Community Care
1401 S Grand Ave |
$2.77 | 35,012 | 31,742 |
|
White Memorial Medical Center
1720 E Cesar E Chavez Ave |
$12.54 | 24,713 | 22,905 |
|
Kaiser Foundation Hospitals
6041 Cadillac Ave |
$9.96 | 20,923 | 17,376 |
|
Regents Univ Of Calif Los Angeles
10833 Le Conte Ave Ste Be-144 |
$44.26 | 19,399 | 14,534 |
|
East La Dialysis Center
5830 Whittier Blvd |
$11.82 | 19,040 | 2,067 |
|
Kaiser Foundation Hospitals
4867 Sunset Blvd |
$10.65 | 14,676 | 12,966 |
|
Dva Healthcare Renal Care Inc
1700 E Cesar E Chavez Ave |
$18.09 | 13,477 | 1,631 |
|
Childrens Hospital Of Los Angeles
4650 W Sunset Blvd |
$90.92 | 13,406 | 12,617 |
|
Usc-Davita Dialysis Center Llc
2310 Alcazar St |
$23.65 | 12,824 | 1,698 |
|
Los Angeles Hematology-Oncology Medical Group
1245 Wilshire Blvd Ste 303 |
$27.52 | 12,789 | 8,655 |
|
Cedars-Sinai Medical Center
8700 Beverly Blvd |
$20.17 | 12,013 | 9,678 |
|
Greater Los Angeles Dialysis Centers Llc
3986 S Figueroa St |
$12.00 | 11,104 | 1,385 |
|
Cha Hollywood Medical Center, Lp
1300 North Vermont Ave |
$6.04 | 10,860 | 9,542 |
|
James T Roe
1245 Wilshire Blvd |
$5.47 | 10,472 | 775 |
|
Animas Dialysis Llc
950 S Eastern Ave |
$5.25 | 10,340 | 1,175 |
|
Miroslaw Smogorzewski
1520 San Pablo St |
$5.06 | 9,757 | 779 |
|
Leonid Kleynberg
6221 Wilshire Blvd |
$5.57 | 9,551 | 2,538 |
|
Arshia Ghaffari
1520 San Pablo St |
$5.24 | 9,220 | 704 |
|
Dva Renal Healthcare Inc
2021 S Flower St |
$9.97 | 9,097 | 1,375 |
|
Pih Health Good Samaritan Hospital
1225 Wilshire Blvd |
$6.68 | 8,907 | 7,716 |
|
Glassland Dialysis Llc
3901 S Western Ave |
$20.73 | 8,804 | 1,284 |
|
Retina Vitreous Associates Medical Group
1245 Wilshire Blvd |
$435.42 | 8,306 | 7,996 |
|
Khaled Aly Tawansy
7447 N Figueroa St |
$734.05 | 8,175 | 4,650 |
|
Kaiser Foundation Hospitals
4700 W Sunset Blvd |
$158.99 | 7,624 | 1,638 |
|
Kleynberg Medical Clinic Inc
6221 Wilshire Blvd |
$47.52 | 6,833 | 2,177 |
|
John Patrick Kelly
2121 Malcolm Ave |
$8.86 | 6,699 | 6,012 |
|
Greater Los Angeles Dialysis Centers Llc
1212 Wilshire Blvd |
$9.97 | 6,656 | 1,068 |
|
Keck Medical Center Of Usc
1441 Eastlake Ave |
$386.72 | 6,563 | 4,486 |
|
Total Renal Care Inc
5807 Avalon Blvd |
$17.85 | 5,695 | 826 |
|
Greater Los Angeles Dialysis Centers Llc
5108 W Sunset Blvd |
$10.13 | 5,519 | 866 |
|
University Of Southern California
1441 Eastlake Ave |
$347.07 | 5,364 | 3,585 |
|
Jason Szu-Chieh Ho
1245 Wilshire Blvd |
$7.24 | 5,183 | 2,945 |
|
Total Renal Care Inc
2723 W Temple St |
$1.22 | 5,045 | 897 |
|
Gary You-Gang Chen
1414 S. Grand Ave |
$41.02 | 4,918 | 4,372 |
|
University Of Southern California
1500 San Pablo Street |
$154.33 | 4,545 | 3,605 |
|
Keck Medical Center Of Usc
1500 San Pablo St |
$176.72 | 4,195 | 3,455 |
|
Total Renal Care Inc
11854 S Wilmington Ave |
$2.86 | 4,042 | 496 |
|
Total Renal Care Inc
8151 Beverly Blvd |
$6.20 | 3,972 | 769 |
|
Youram Nassir
5901 W Olympic Blvd Ste 505 |
$4.05 | 3,779 | 1,577 |
|
Total Renal Care Inc
1936 E 1St St |
$9.04 | 3,424 | 534 |
|
Louis K Chang
100 Stein Plz |
$1,523 | 3,391 | 2,644 |
|
Victor Manuel Duarte
200 Ucla Medical Plz Ste 550 |
$1.36 | 2,916 | 1,894 |
|
County Of Los Angeles
2051 Marengo St |
$10.62 | 2,742 | 2,373 |
|
Lasika Chandradatta Seneviratne
1245 Wilshire Blvd |
$33.75 | 2,735 | 1,385 |
|
Total Renal Care Inc
516 E Washington Blvd |
$3.82 | 2,531 | 420 |
|
Complete Care Community Health Center, Inc
2928 E Cesar E Chavez Ave |
$2.27 | 2,488 | 2,240 |
|
Olympia Health Care Llc
5900 W Olympic Blvd |
$9.38 | 2,374 | 2,191 |
|
Jaron Ross Andersen
1513 S Grand Ave |
$63.50 | 2,305 | 2,198 |
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 | โ |
| J0120 | Tetracyclin injection | โ | โ | โ |
| J0133 | Acyclovir injection | โ | โ | โ |
| J0202 | Injection, alemtuzumab | โ | โ | โ |
| J0795 | Corticorelin ovine triflutal | โ | โ | โ |
| J1160 | Digoxin injection | โ | โ | โ |
| J1205 | Chlorothiazide sodium inj | โ | โ | โ |
| J1260 | Dolasetron mesylate | โ | โ | โ |
| J1290 | Ecallantide injection | โ | โ | โ |
| J1300 | Eculizumab injection | โ | โ | โ |
| J1301 | Injection, edaravone, 1 mg | โ | โ | โ |
| J1303 | Inj., ravulizumab-cwvz 10 mg | โ | โ | โ |
| J1305 | Inj, evinacumab-dgnb, 5mg | โ | โ | โ |
| J1320 | Amitriptyline injection | โ | โ | โ |
| J1322 | Elosulfase alfa, injection | โ | โ | โ |
| J1327 | Eptifibatide injection | โ | โ | โ |
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 Los Angeles, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Los Angeles, CA is $61.23 per claim, based on 617,979 claims from 282 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 Los Angeles, CA?
There are 282 Medicaid providers offering Prescription Medications related services in Los Angeles, CA according to public payment data.
What is the price range for Prescription Medications in Los Angeles, CA?
Medicaid reimbursement for Prescription Medications in Los Angeles, CA ranges from $0.00 to $2,664 per claim, with an average of $61.23. 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 ยท 235 providers
Milwaukee, WI
Avg $9.22
755,550 claims ยท 88 providers
Washington, DC
Avg $6.48
675,765 claims ยท 92 providers
Louisville, KY
Avg $31.67
601,676 claims ยท 181 providers
New York, NY
Avg $40.26
587,024 claims ยท 195 providers
San Diego, CA
Avg $27.34
493,429 claims ยท 162 providers
Tucson, AZ
Avg $24.34
489,015 claims ยท 169 providers
Richmond, VA
Avg $24.15
476,311 claims ยท 71 providers
Other Procedures in Los Angeles, CA
Office Visit
Avg $24.20
16,948,065 claims
Blood Work & Lab Tests
Avg $4.54
14,406,706 claims
Dental Cleaning & Exam
Avg $49.60
3,990,780 claims
X-Ray
Avg $17.59
3,407,369 claims
Behavioral & Mental Health Therapy
Avg $203.16
3,345,905 claims
Urinalysis & Urine Tests
Avg $2.44
3,302,824 claims
Vaccines & Immunizations
Avg $3.85
3,256,340 claims
Emergency Room Visit
Avg $84.68
3,238,140 claims