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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
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

Other Procedures in Los Angeles, CA