Average Medicaid Prescription Medications Payments in Modesto, CA: $50.08
Avg. Paid
$50.08
Range
$0.00 – $2,106
Total Claims
62,251
Providers
43
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 Modesto, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sutter Valley Hospitals
1700 Coffee Rd |
$29.41 | 27,980 | 23,632 |
|
Doctors Medical Center Of Modesto, Inc.
1441 Florida Ave |
$10.79 | 13,376 | 11,741 |
|
Amarjit Singh Dhaliwal
1401 Spanos Ct |
$73.81 | 6,350 | 3,393 |
|
Satellite Dialysis-Central Modesto Llc
1315 10Th St |
$173.54 | 4,211 | 1,097 |
|
Denice Starley
1130 Coffee Rd |
$28.31 | 2,106 | 1,576 |
|
Jose M. R. Santos
608 E Orangeburg Ave |
$0.00 | 1,446 | 448 |
|
Briggsmore Kidney Center, Llc
2200 Plaza Pkwy |
$42.41 | 1,110 | 365 |
|
Silvia Margarita Diego
1317 Oakdale Rd |
$229.12 | 1,031 | 1,000 |
|
Total Renal Care, Inc.
3001 Health Care Way |
$8.44 | 559 | 90 |
|
Modesto Kidney Center, Llc
305 E Granger Ave Ste 102 |
$41.38 | 497 | 176 |
|
Pankaj Malhotra
1441 Florida Ave |
$14.03 | 490 | 446 |
|
Satellite Healthcare Inc
3500 Coffee Rd |
$39.01 | 387 | 110 |
|
Amrik Singh Basi
1524 Mchenry Ave 340 |
$21.23 | 351 | 240 |
|
Rohini Devi Bogineni
1541 Florida Ave Ste 200 |
$37.03 | 318 | 298 |
|
Robert Lee Levy
1401 Spanos Ct |
$81.79 | 318 | 169 |
|
Tony Yuk Man Tam
1700 Coffee Rd |
$13.90 | 306 | 220 |
|
Patrick Gainey
1541 Florida Ave Ste 301 |
$2,106 | 231 | 220 |
|
John Joseph Casey
609 E Orangeburg Ave |
$10.57 | 198 | 197 |
|
William Louis Pistel
609 E Orangeburg Ave |
$18.52 | 132 | 115 |
|
Gina A Quaid
1541 Florida Ave |
$18.20 | 90 | 86 |
|
Satellite Healthcare Inc
4207 Bangs Ave |
$0.00 | 78 | 15 |
|
Giang Ngoc Lam
1541 Florida Ave |
$5.42 | 70 | 64 |
|
Michael Wolterbeek
609 E Orangeburg Ave |
$25.95 | 55 | 54 |
|
Robert Edward Caton
1524 Mchenry Ave |
$52.79 | 54 | 52 |
|
Raymundo Cavosora Racela
1541 Florida Ave |
$20.94 | 51 | 50 |
|
Muhammad A Mattu
1908 Coffee Rd Ste 3 |
$12.73 | 46 | 46 |
|
Rachel Hyunah Teng
1541 Florida Ave Ste 200 |
$22.89 | 43 | 43 |
|
Marc A Trzeciak
609 E Orangeburg Ave |
$14.88 | 43 | 43 |
|
Elaine Joy Tubayan Soriano
1510 Florida Ave |
$40.64 | 43 | 43 |
|
Joseph K Fluence
600 Coffee Rd |
$3.25 | 38 | 38 |
|
Keliang Xiao
1541 Florida Ave Ste 103 |
$29.83 | 37 | 36 |
|
County Of Stanislaus
830 Scenic Dr |
$21.75 | 32 | 32 |
|
Jihan Hegazy
3848 Mchenry Ave Ste 135 |
$13.01 | 27 | 24 |
|
Sheila M. Hodgson
1541 Florida Ave Ste 200 |
$26.95 | 26 | 24 |
|
Pardeep S Brar
803 Coffee Rd |
$5.75 | 15 | 15 |
|
Michael Rossini
1524 Mchenry Ave |
$20.96 | 15 | 15 |
|
Thein Swe
600 Coffee Rd |
$2.51 | 14 | 14 |
|
James Spencer Hoyt
1541 Florida Ave |
$20.23 | 14 | 12 |
|
Eric Le Giang
2116 E Orangeburg Ave Ste A |
$16.34 | 13 | 12 |
|
Frank Fower
1700 Coffee Rd |
$3.97 | 13 | 12 |
|
Sulman Razzaq
1409 E Briggsmore Ave |
$0.25 | 13 | 13 |
|
Lloyd James Lee
1500 Florida Ave |
$7.53 | 12 | 12 |
|
Jonathan Matthew Pettegrew
609 E Orangeburg Ave |
$427.98 | 12 | 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 | — |
| 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 Modesto, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Modesto, CA is $50.08 per claim, based on 62,251 claims from 43 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 Modesto, CA?
There are 43 Medicaid providers offering Prescription Medications related services in Modesto, CA according to public payment data.
What is the price range for Prescription Medications in Modesto, CA?
Medicaid reimbursement for Prescription Medications in Modesto, CA ranges from $0.00 to $2,106 per claim, with an average of $50.08. 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 Modesto, CA
Office Visit
Avg $28.79
2,335,494 claims
Blood Work & Lab Tests
Avg $7.39
1,231,704 claims
Substance Abuse Treatment
Avg $58.76
737,923 claims
Physical Therapy
Avg $26.45
700,100 claims
Emergency Room Visit
Avg $82.65
624,564 claims
Dental Cleaning & Exam
Avg $51.91
543,449 claims
Urinalysis & Urine Tests
Avg $2.49
526,756 claims
Vaccines & Immunizations
Avg $8.27
517,898 claims