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Based on public Medicaid payment data.

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
Mahmood Bulko Timbo

10300 Compton Ave

$0.00 12 12
Tracy D Robinson

1530 S Olive St

$0.00 12 12
Prasanth Manthena

4733 W Sunset Blvd

$886.88 12 12
Moez Khorsandi

1245 Wilshire Blvd

$0.70 12 12
Babak B Abrishami

1300 N Vermont Ave

$2.84 12 12
Karen Shainsky, D.O., Inc.

6333 Wilshire Blvd

$237.95 12 12
John D Attenello

1513 S Grand Ave # 380

$43.92 12 12
Aaron Lee

1526 N Edgemont St

$8.57 12 12
Los Angeles Lgbt Center

1625 Schrader Blvd

$0.00 12 12
Federico Guillermo Velez

200 Stein Plaza

$0.58 12 12
Altamed Health Services Corp

500 Citadel Dr

$0.00 12 12
Homayoon Khanlou

6360 Wilshire Blvd

$2.16 13 13
Andrew Akbar Moshfeghi

1450 San Pablo St Fl 4

$877.91 13 13
Do Hee Kim

500 S Virgil Ave Ste 200

$1.14 13 13
William Chamberlain

2515 W Pico Blvd

$2.24 13 13
Jesse Lee Berry

4650 W Sunset Blvd

$5.25 13 12
Christian Mario Takayama

1520 San Pablo St Ste 1300

$0.00 13 13
Nicole Sayuri Higashiyama

4733 W Sunset Blvd Fl 3

$0.70 13 12
David Sarraf

100 Stein Plaza

$525.80 13 13
Healthcare Partners Affiliates Medical Group

1120 W Washington Blvd

$5.00 13 12
Edward Mark Kokosinski

1401 S Grand Ave

$5.91 14 14
Vivian Magdi Gindi

1110 N Western Ave Ste 201

$0.00 14 12
Khaldoun S. Sroujieh, Md, Inc

1300 North Vermont Avenue

$5.60 14 14
Quyen N Luc

4650 W Sunset Blvd # 82

$1,666 14 14
Adam Christopher Cady

6801 Park Ter

$17.29 14 14
Menyoli Michael Malafa

1700 E Cesar E Chavez Ave Ste 2200

$0.07 14 14
Yu Fon Lee

4733 W Sunset Blvd

$23.00 14 14
Melinda Youeen-Wu Chang

1450 San Pablo St Ste 4000

$4.60 14 14
Center For Rheumatology Medical Corporation

8640 W 3Rd St

$21.14 14 14
Oliver Tate Brooks

10300 Compton Ave

$0.00 14 14
Nenad Antic

1513 S Grand Ave Ste 360

$0.87 14 13
Bahman Ben Shamloo

8631 W 3Rd St Ste 815E

$7.56 14 14
Watts Healthcare Corporation

10300 Compton Avenue

$0.00 15 15
L. A. Downtown Medical Center, Llc.

1711 W Temple St

$2.39 15 14
Delaram Ghadishah

10660 Wilshire Blvd Apt 1108

$0.00 16 16
Felix Sigal

3333 Wilshire Blvd Ste 500

$12.99 16 14
Jacob Lee Wester

200 Medical Plaza Driveway Ste 550

$6.28 16 14
Charles V Golden

6430 W Sunset Blvd Ste 600

$4.58 16 16
Christopher Robert Major

1200 N State St

$5.44 17 15
Tiffany S Loftin

6041 Cadillac Ave

$4.06 17 17
Jacquelyn Yen Nguyen

2901 S Sepulveda Blvd Apt 159

$0.00 18 16
Samer Phillip Alnajjar

1414 S Grand Ave

$40.83 18 18
Hee Soo Jeong Md A Professional Medical Corporation

2675 W Olympic Blvd

$0.15 18 15
Mario Kohan

2208 W 7Th St

$0.50 19 17
Wan-Ting Yang

4700 W Sunset Blvd

$0.00 19 17
Robert James Preston

2051 Marengo St

$5.94 20 12
Courtney Washington

1200 N State St

$4.96 21 14
Heesoo Jeong

2675 W Olympic Blvd

$0.14 21 17
Shivani J. Shah

1520 San Pablo St Ste 3000

$428.01 22 12
Mary Gatter

400 W 30Th St

$4.64 22 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 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

Other Procedures in Los Angeles, CA