Average Medicaid Prescription Medications Payments in Madera, CA: $2.48
Avg. Paid
$2.48
Range
$0.00 – $15.90
Total Claims
79,057
Providers
53
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 Madera, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Valley Children'S Hospital
9300 Valley Childrens Pl |
$1.22 | 35,091 | 27,835 |
|
Valley Children'S Hospital
9300 Valley Childrens Pl |
$6.61 | 11,321 | 8,783 |
|
Total Renal Care Inc
501 E Almond Ave |
$0.27 | 6,682 | 543 |
|
Madera Community Hospital
1250 E Almond Ave |
$0.38 | 4,613 | 4,008 |
|
Mark R Rowe
9300 Valley Childrens Pl |
$2.76 | 3,584 | 2,377 |
|
Clearee Dialysis Llc
720 N I St |
$0.00 | 1,846 | 140 |
|
Esequiel Rodriguez
9300 Valley Childrens Pl # 16 |
$5.88 | 1,644 | 1,388 |
|
Kyle Steve Robinette
9300 Valley Childrens Pl # Se18 |
$7.07 | 1,425 | 1,243 |
|
Joel Ramirez
124 S A St |
$0.00 | 1,195 | 1,193 |
|
Ho Henry Kang
816 W Yosemite Ave |
$0.64 | 1,177 | 1,125 |
|
Mimi Tzu-Ping Chao
9300 Valley Childrens Pl # Ge07 |
$4.25 | 1,156 | 813 |
|
Qiu Zhong
9300 Valley Childrens Pl |
$5.36 | 1,085 | 972 |
|
Purushottam Arjun Gholve
9300 Valley Childrens Pl # Fe10 |
$5.14 | 847 | 709 |
|
Naeem A Siddiqi
924 Emily Way |
$3.13 | 728 | 674 |
|
Richard E Thistle
1250 E Almond Ave |
$0.34 | 618 | 579 |
|
Madera Kidney Center Llc
1560 Country Club Dr |
$15.90 | 598 | 193 |
|
Peter D. Witt
9300 Valley Childrens Pl |
$4.23 | 595 | 488 |
|
Mohammad Afzal Arain
1019 W Yosemite Ave |
$1.77 | 547 | 520 |
|
Jill Christine Friebele
9300 Valley Childrens Pl |
$3.96 | 510 | 438 |
|
Matthew Aaron Hiersche
9300 Valley Childrens Pl |
$3.47 | 485 | 411 |
|
Thu-Ba Leba
9300 Valley Childrens Pl |
$4.32 | 484 | 425 |
|
Jon E Oda
9300 Valley Childrens Pl # Fe10 |
$9.10 | 372 | 309 |
|
Kerry Lee Loveland
9300 Valley Childrens Pl |
$4.57 | 270 | 220 |
|
Douglas Y. Tamura
9300 Valley Childrens Pl |
$1.82 | 223 | 196 |
|
James Pierce
9300 Valley Childrens Pl # Ge01 |
$2.49 | 223 | 199 |
|
Michael Gabriel Galvez
9300 Valley Childrens Pl # Ge07 |
$3.94 | 217 | 144 |
|
Alexis Lopez
9300 Valley Childrens Pl # Se18 |
$2.45 | 193 | 176 |
|
Martha Duran
344 E 6Th St |
$0.00 | 162 | 161 |
|
Laraib Tabba
9300 Valley Childrens Pl # Sc05 |
$0.00 | 153 | 61 |
|
Candace Andrea Haddock
9300 Valley Childrens Pl |
$2.25 | 98 | 96 |
|
Stephen A De Santis
1280 E. Almond Avenue |
$1.48 | 86 | 76 |
|
Muhammad Anwar
1210 E Almond Ave Ste B |
$1.79 | 78 | 71 |
|
Yasmeen Khalid
1260 E Almond Ave |
$0.01 | 74 | 73 |
|
Shane G Forsting
9300 Valley Childrens Pl # Sc05 |
$3.97 | 72 | 69 |
|
Kenneth Bernstein
344 E 6Th St |
$0.08 | 70 | 70 |
|
Elis Yngve Olson
9300 Valley Childrens Pl |
$1.40 | 70 | 65 |
|
Rame D Iberdemaj
1000 E Almond Ave |
$1.34 | 60 | 59 |
|
Syed A Hamid
1111 W 4Th St |
$0.75 | 57 | 57 |
|
Yasmeen Khalid Md Inc
1260 E Almond Ave |
$0.00 | 50 | 50 |
|
Shannon Leigh Castle
9300 Valley Childrens Pl # Sc05 |
$1.11 | 49 | 49 |
|
Valley Children'S Hospital
9300 Valley Childrens Pl |
$1.69 | 42 | 42 |
|
Camarena Health
124 S A St |
$0.00 | 30 | 30 |
|
Monica Martinez
344 E 6Th St |
$0.00 | 28 | 28 |
|
Kanyalakshmi Ayyanar
9300 Valley Childrens Pl # Fc13 |
$0.66 | 22 | 13 |
|
Duncan Mackay
9300 Valley Childrens Pl # Sc05 |
$2.98 | 17 | 13 |
|
Paul G Kratzer
201 South B St |
$0.03 | 16 | 14 |
|
Shumyle Alam
9300 Valley Childrens Pl # 16 |
$1.02 | 15 | 12 |
|
Angela Lurlay
344 E 6Th St |
$0.00 | 14 | 14 |
|
Prabhkamal Kaur
344 E 6Th St |
$0.00 | 14 | 14 |
|
Catherine K. Beaumier
9300 Valley Children'S Pl. |
$1.53 | 13 | 13 |
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 Madera, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Madera, CA is $2.48 per claim, based on 79,057 claims from 53 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 Madera, CA?
There are 53 Medicaid providers offering Prescription Medications related services in Madera, CA according to public payment data.
What is the price range for Prescription Medications in Madera, CA?
Medicaid reimbursement for Prescription Medications in Madera, CA ranges from $0.00 to $15.90 per claim, with an average of $2.48. 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 Madera, CA
Office Visit
Avg $24.94
1,930,557 claims
Emergency Room Visit
Avg $40.89
493,699 claims
Blood Work & Lab Tests
Avg $7.48
488,574 claims
Vaccines & Immunizations
Avg $1.28
430,077 claims
Urinalysis & Urine Tests
Avg $1.78
422,899 claims
X-Ray
Avg $10.71
379,088 claims
Ultrasound
Avg $38.47
246,405 claims
Physical Therapy
Avg $3.07
187,098 claims