Average Medicaid Prescription Medications Payments in Oakland, CA: $34.41
Avg. Paid
$34.41
Range
$0.00 โ $1,155
Total Claims
205,855
Providers
49
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 Oakland, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kaiser Foundation Hospitals
280 W Macarthur Blvd |
$11.86 | 36,470 | 32,882 |
|
Rai Care Centers Of Northern California Ii, Llc
610 Hegenberger Rd Ste 101B |
$1.32 | 25,763 | 3,015 |
|
Dva Renal Healthcare Inc
10700 Macarthur Blvd |
$0.00 | 20,833 | 1,760 |
|
Dva Healthcare Renal Care Inc
5354 Claremont Ave |
$0.62 | 20,564 | 1,772 |
|
Alameda Health System
1411 E 31St Street |
$39.98 | 17,920 | 14,918 |
|
Rai Care Centers Of Oakland Ii, Llc
2628 International Blvd Ste 100 |
$3.19 | 17,195 | 2,662 |
|
Rai Care Centers Of Northern California Ii, Llc
2710 Telegraph Ave Ste 100 |
$1.91 | 16,995 | 2,368 |
|
Sutter Bay Hospitals
350 Hawthorne Avenue |
$50.88 | 12,451 | 9,283 |
|
Rai Care Centers Of Northern California Ii, Llc
2757 Telegraph Ave |
$1.98 | 11,749 | 2,407 |
|
Min Yan
2633 Telegraph Ave |
$34.02 | 4,630 | 2,447 |
|
Children'S Hospital & Research Center At Oakland
747 52Nd St |
$19.89 | 4,359 | 4,026 |
|
Tuow Daniel Ting
491 30Th St Ste 102 |
$770.91 | 3,931 | 3,687 |
|
Kaiser Foundation Health Plan Inc
1800 Harrison St Fl 25 |
$0.96 | 3,448 | 1,210 |
|
Minneopa Dialysis, Llc
3814 Macarthur Blvd Ste 201 |
$0.04 | 1,443 | 138 |
|
Yakuan Yvonne Chen
3300 Webster St |
$0.00 | 1,204 | 210 |
|
Soon T Lee
3300 Telegraph Ave |
$452.27 | 1,176 | 1,067 |
|
Eugene S. Lit
3300 Telegraph Ave |
$450.95 | 1,073 | 1,019 |
|
Chau Y. Tai
744 52Nd St |
$1.04 | 1,004 | 964 |
|
Thomas B Hargrave
300 Frank Ogawa Plaza |
$0.21 | 509 | 496 |
|
Soraya Rofagha
3300 Telegraph Ave |
$1,155 | 476 | 450 |
|
Leia Dianne Harbour
1411 E 31St St |
$130.09 | 453 | 433 |
|
Sutter East Bay Hospitals
350 Hawthorne Ave |
$33.03 | 336 | 254 |
|
Dolphin Health Inc
7400 Macarthur Blvd |
$0.00 | 326 | 290 |
|
Denise Tukenmez
1411 E 31St Street |
$375.73 | 225 | 210 |
|
Jessica Hamilton
8480 Enterprise Way |
$42.14 | 180 | 162 |
|
Rebecca Celeste Cohen Falik
1411 E 31St St |
$228.24 | 169 | 142 |
|
Alameda Health System
1411 E 31St St |
$0.78 | 133 | 113 |
|
Nirav K Pandya
747 52Nd Street |
$0.61 | 119 | 115 |
|
Andrew Grimes
6955 Foothill Blvd Ste 200 |
$82.69 | 91 | 90 |
|
Jesse Jung
3300 Telegraph Ave |
$844.53 | 87 | 80 |
|
Ivan Eck
1411 E 31St St |
$11.68 | 86 | 67 |
|
Sophia Tzu-Huei Chen
345 9Th St |
$32.93 | 54 | 52 |
|
Alta Bates Summit Medical Center
350 Hawthorne Ave |
$8.19 | 47 | 46 |
|
Michael Joseph Disandro
747 52Nd St |
$0.60 | 43 | 43 |
|
Stephen Yee
1411 East 31St Street |
$5.79 | 42 | 13 |
|
Aaron Berger
744 52Nd St |
$9.04 | 42 | 36 |
|
Timothy Truong
1411 E 31St St |
$22.42 | 31 | 29 |
|
Benjamin David Wiederhold
1411 E 31St St |
$0.65 | 28 | 28 |
|
Irina V Williams
1411 E 31St St |
$34.18 | 27 | 24 |
|
Stephanie Ho
1411 E 31St St |
$203.15 | 25 | 25 |
|
Matthew Vy Ton-That
1411 E 31St St # 22134 |
$13.07 | 17 | 14 |
|
Tanya Singleton
280 W Macarthur Blvd |
$3.99 | 14 | 14 |
|
Rakesh Donthineni
5700 Telegraph Avenue |
$38.95 | 13 | 12 |
|
Barnard James Agana Palmer
1411 East 31St Street |
$19.30 | 13 | 12 |
|
Samuel Reiter
3772 Howe St Fl 3 |
$19.23 | 13 | 12 |
|
Lasha Pierce
1411 E 31St St |
$232.34 | 12 | 12 |
|
Tom Mcbride
10700 Macarthur Blvd |
$30.00 | 12 | 12 |
|
Cara Susan Stone
1682 7Th St |
$0.00 | 12 | 12 |
|
Monica Berletti
490 Grand Ave |
$230.83 | 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 | 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 Oakland, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Oakland, CA is $34.41 per claim, based on 205,855 claims from 49 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 Oakland, CA?
There are 49 Medicaid providers offering Prescription Medications related services in Oakland, CA according to public payment data.
What is the price range for Prescription Medications in Oakland, CA?
Medicaid reimbursement for Prescription Medications in Oakland, CA ranges from $0.00 to $1,155 per claim, with an average of $34.41. 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 ยท 235 providers
Milwaukee, WI
Avg $9.22
755,550 claims ยท 88 providers
Washington, DC
Avg $6.48
675,765 claims ยท 92 providers
Los Angeles, CA
Avg $61.23
617,979 claims ยท 282 providers
Louisville, KY
Avg $31.67
601,676 claims ยท 181 providers
New York, NY
Avg $40.26
587,024 claims ยท 195 providers
San Diego, CA
Avg $27.34
493,429 claims ยท 162 providers
Tucson, AZ
Avg $24.34
489,015 claims ยท 169 providers
Other Procedures in Oakland, CA
Office Visit
Avg $19.22
2,992,452 claims
Substance Abuse Treatment
Avg $23.42
1,786,349 claims
Blood Work & Lab Tests
Avg $9.55
1,668,108 claims
Emergency Room Visit
Avg $83.54
1,142,476 claims
Behavioral & Mental Health Therapy
Avg $224.83
867,225 claims
Vaccines & Immunizations
Avg $3.16
684,001 claims
X-Ray
Avg $24.32
646,804 claims
Urinalysis & Urine Tests
Avg $3.70
415,978 claims