Average Medicaid Prescription Medications Payments in Merced, CA: $23.99
Avg. Paid
$23.99
Range
$0.00 – $1,059
Total Claims
31,049
Providers
24
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 Merced, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Dignity Health
333 Mercy Ave |
$10.66 | 20,346 | 17,097 |
|
Satellite Dialysis Of Merced Llc
3376 N Highway 59 |
$103.69 | 3,903 | 1,012 |
|
Parminder Singh Sidhu
333 Mercy Ave |
$7.49 | 1,408 | 779 |
|
Dennis Stephen Cesar
220 E 13Th St |
$0.02 | 930 | 574 |
|
Satnam Singh Uppal
650 West Olive Avenue |
$8.57 | 863 | 857 |
|
Alireza Mahmoudieh
3303 M St |
$1.94 | 852 | 480 |
|
Abner Michael Ward
3365 G St Ste 60 |
$9.61 | 387 | 372 |
|
Ellen E Piernot
737 W Childs Ave |
$7.01 | 366 | 349 |
|
Vikram Lakireddy
310 Mercy Ave |
$18.99 | 358 | 358 |
|
Imtiaz A Malik
3303 M St |
$3.53 | 301 | 181 |
|
Pushpinderdeep Singh Kahlon
3850 G St |
$5.78 | 276 | 165 |
|
Alissa K Smouse
333 Mercy Ave |
$10.99 | 227 | 223 |
|
Steven Hernandez
333 Mercy Ave |
$11.49 | 180 | 175 |
|
Scott S Newdang
936 W Main St |
$0.00 | 148 | 146 |
|
Nadir Edmon Adam
315 Mercy Ave Ste 400 |
$11.44 | 126 | 118 |
|
Mario Kekona Sablan
330 E Yosemite Ave Ste 101 |
$4.31 | 100 | 79 |
|
Eduardo Trinidad Villarama
847 W Childs Ave Ste C |
$8.65 | 67 | 61 |
|
Kenneth Randell Grossman
580 Collins Dr |
$1,059 | 58 | 57 |
|
Ibrahim W Azer
450 E Yosemite Ave Ste D |
$11.85 | 48 | 48 |
|
Kevin Yu
333 Mercy Ave |
$11.77 | 28 | 28 |
|
Gagan Deep Singh
836 Round Hill Dr |
$4.78 | 28 | 28 |
|
Daniel F Ikemiyashiro
1140 Olivewood Dr |
$155.93 | 19 | 13 |
|
Priyanka Jain
1100 Olivewood Dr |
$952.20 | 16 | 13 |
|
Dirk Harmen Mous
374 W Olive Avenue |
$6.39 | 14 | 14 |
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 Merced, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Merced, CA is $23.99 per claim, based on 31,049 claims from 24 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 Merced, CA?
There are 24 Medicaid providers offering Prescription Medications related services in Merced, CA according to public payment data.
What is the price range for Prescription Medications in Merced, CA?
Medicaid reimbursement for Prescription Medications in Merced, CA ranges from $0.00 to $1,059 per claim, with an average of $23.99. 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 Merced, CA
Office Visit
Avg $28.40
2,195,639 claims
Blood Work & Lab Tests
Avg $11.11
448,682 claims
Physical Therapy
Avg $31.09
426,908 claims
Urinalysis & Urine Tests
Avg $3.09
310,116 claims
Vaccines & Immunizations
Avg $15.31
300,011 claims
Emergency Room Visit
Avg $84.49
249,697 claims
Dental Cleaning & Exam
Avg $51.73
249,023 claims
Substance Abuse Treatment
Avg $85.66
223,627 claims