Average Medicaid Prescription Medications Payments in Mcallen, TX: $4.38
Avg. Paid
$4.38
Range
$0.00 – $707.79
Total Claims
57,668
Providers
65
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 Mcallen, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Fadi Mogharbel Torres
6900 N 10Th St |
$0.71 | 18,207 | 17,096 |
|
Elvin R. Garcia
811 E Fern Ave Ste 1 |
$6.00 | 11,529 | 10,478 |
|
Francisco J Vega
6900 N 10Th St Ste 8 |
$0.60 | 9,712 | 9,037 |
|
Maria E Hoffman-Guardia
1200 E Ridge Rd |
$0.58 | 2,228 | 2,050 |
|
Billie Joe Marek
1901 S 2Nd St |
$20.45 | 1,862 | 1,092 |
|
Columbia Rio Grande Healthcare, L.P.
101 E Ridge Rd |
$3.10 | 1,827 | 1,427 |
|
Manuel J Sanchez
501 N Ware Rd |
$0.17 | 1,713 | 1,389 |
|
Wilfredo Alfonso Munoz
700 Lindberg Ave |
$0.27 | 1,055 | 851 |
|
Kesturkoppal Muralidhara
800 E Dove Ave |
$0.55 | 952 | 838 |
|
Fernando Arzola
110 E Savannah Ave Bldg A203 |
$0.50 | 851 | 784 |
|
Enrique J Griego
1900 S Jackson Rd Ste 9 |
$0.34 | 544 | 515 |
|
Ninette Ochoa-Cortez
801 E Nolana Ave Ste 13A |
$0.98 | 543 | 530 |
|
Richard Joseph Steel
800 E Dove Ave |
$0.00 | 475 | 407 |
|
Zaheda Hussain
801 E Nolana Ave |
$1.47 | 443 | 412 |
|
Odiel Rodriguez
801 E Nolana Ave Ste 13A |
$1.71 | 423 | 401 |
|
Eugenio Gerardo Galindo
5401 N G St Ste 300 |
$0.29 | 380 | 190 |
|
Bio-Medical Applications Of Texas, Inc.
1325 E Quebec Ave |
$0.00 | 379 | 37 |
|
Jocelyn Elnar
801 E Nolana Ave Ste 13A |
$1.73 | 338 | 332 |
|
Lillian E Williams
2101 S Cynthia St |
$2.11 | 337 | 326 |
|
Erasto Canales
334 Lindberg Ave |
$0.34 | 280 | 266 |
|
Sardar Ali
801 E Nolana Ave Ste 13A |
$1.52 | 276 | 263 |
|
Ambrosio Hernandez
1120 E Ridge Rd |
$2.51 | 248 | 192 |
|
Tin Huan Quach
4103 N Jackson Rd Ste 200 |
$3.36 | 235 | 164 |
|
Marcelo Moreira Boek
1901 S 2Nd St |
$103.50 | 222 | 183 |
|
Dona E Cooper-Dockery
801 E Nolana Ave |
$0.17 | 195 | 162 |
|
Haritha Reddy Mapakshi
1400 N Commerce Ctr Ste 2.401 |
$1.76 | 188 | 158 |
|
Frank Robert Glatz
400 E Dove Ave |
$0.06 | 176 | 172 |
|
Ofelia Rodriguez
2501 N 23Rd St Ste A |
$0.21 | 170 | 154 |
|
Ricardo Ochoa
508 N 10Th St Ste C7 |
$1.15 | 156 | 124 |
|
Javier Barbosa
1421 N Col Rowe Blvd Ste A |
$0.00 | 153 | 113 |
|
Florencia Perez
5505 N Mccoll Rd |
$1.09 | 122 | 113 |
|
Ileana E Mendez
205 E Toronto Ave |
$7.23 | 120 | 88 |
|
Frances Myers Mitchell
801 East Nolana |
$1.27 | 102 | 86 |
|
Samuel T. Garcia
4115 Pecan Blvd Ste B |
$0.97 | 83 | 73 |
|
Kochurani Joseph
717 N Ware Rd |
$1.73 | 80 | 71 |
|
Victor Hugo Gonzalez
1309 E Ridge Road |
$697.20 | 73 | 57 |
|
Sarojini G. Bose
801 E Nolana Ave Ste 13A |
$1.52 | 71 | 63 |
|
Carlos David Mego
1200 E Savannah Ave |
$0.00 | 65 | 39 |
|
April E. Lopez
3705 N Ware Rd |
$0.01 | 63 | 55 |
|
Alfredo Lopez
2010 S Cynthia St Ste 110 |
$0.00 | 61 | 50 |
|
Isd Renal Inc
411 Lindberg Ave |
$0.00 | 58 | 12 |
|
Charles Patrick Theivagt
2101 S Cynthia St Ste A |
$0.00 | 50 | 50 |
|
Amanda Arevalo
4200 N Chai St Apt 820 |
$3.99 | 50 | 46 |
|
Gloria Patricia Simms
5405 N Mccoll Rd |
$321.80 | 42 | 14 |
|
Guillermo A Cortinas
709 S Broadway St |
$13.47 | 40 | 39 |
|
Chigozie Christine Dike
101 E Ridge Rd |
$0.24 | 38 | 24 |
|
Semper Lumine Tanamor Sojor
1018 Beech Ave Ste 100 |
$1.72 | 37 | 37 |
|
Vanessa Gonzales Martinez
110 E Savannah Ave Ste 103 |
$0.00 | 34 | 31 |
|
Daniel Mego Espinoza
4913 Quince Ave |
$0.11 | 31 | 25 |
|
Ross Joseph Chapel
222 E Ridge Rd Ste 106 |
$3.01 | 30 | 29 |
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 Mcallen, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Mcallen, TX is $4.38 per claim, based on 57,668 claims from 65 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 Mcallen, TX?
There are 65 Medicaid providers offering Prescription Medications related services in Mcallen, TX according to public payment data.
What is the price range for Prescription Medications in Mcallen, TX?
Medicaid reimbursement for Prescription Medications in Mcallen, TX ranges from $0.00 to $707.79 per claim, with an average of $4.38. 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
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Other Procedures in Mcallen, TX
Office Visit
Avg $34.30
1,812,622 claims
Personal Care Services
Avg $63.38
875,432 claims
Blood Work & Lab Tests
Avg $6.37
629,855 claims
Physical Therapy
Avg $43.78
459,714 claims
Vaccines & Immunizations
Avg $6.56
436,231 claims
Urinalysis & Urine Tests
Avg $3.15
342,921 claims
Dental Cleaning & Exam
Avg $38.45
308,893 claims
Speech Therapy
Avg $83.20
295,326 claims