Average Medicaid Prescription Medications Payments in Orange, CA: $31.40
Avg. Paid
$31.40
Range
$0.00 – $2,351
Total Claims
284,281
Providers
46
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 Orange, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Omar Medhat Amr
101 The City Dr S |
$0.56 | 12 | 12 |
|
Children'S Hospital Of Orange County
1201 W La Veta Ave |
$0.00 | 12 | 12 |
|
Tiffany Walker
1100 W Town And Country Rd Ste 1600 |
$0.97 | 12 | 12 |
|
Babak Fardin
101 The City Dr S |
$2,351 | 13 | 12 |
|
Justin Philip Anderson
1310 W Stewart Dr Ste 212 |
$6.82 | 14 | 13 |
|
Amirhossein Misaghi
1310 W Stewart Dr Ste 508 |
$7.29 | 15 | 12 |
|
Kevin M Vuchinich
200 S. Manchester Ave |
$1.48 | 17 | 14 |
|
Madhavi Mummaneni
805 W La Veta Ave Ste 101 |
$4.09 | 17 | 12 |
|
Katie Jo Doering
1310 W Stewart Dr Ste 212 |
$5.95 | 19 | 12 |
|
Childrens Hospital Of Orange County
455 S Main St |
$4.56 | 19 | 19 |
|
Daniel B Starr
1100 West Stewart Drive |
$6.18 | 21 | 14 |
|
Vinh Thuy Lam
396 S Main St Ste 200 |
$10.95 | 25 | 24 |
|
Gabriel Adam Arom
1201 W La Veta Ave |
$8.75 | 33 | 31 |
|
Winnie Anne Palispis
101 The City Dr S |
$11.40 | 33 | 32 |
|
Kristine Astvatsaturyan
101 The City Dr S |
$0.22 | 38 | 29 |
|
Troy Michael Reyna
1010 W La Veta Ave |
$6.94 | 42 | 40 |
|
Orthopaedic Specialty Institute Medical Group Of Orange County
363 S Main St Ste 220 |
$0.39 | 44 | 41 |
|
Daniel Christopher Jaffurs
1201 W La Veta Ave |
$4.88 | 47 | 25 |
|
Ahmed Abdelhalim Abdelaziz Ali
505 S Main St |
$0.54 | 51 | 36 |
|
William H Murphy
1100 West Stewart Drive |
$5.98 | 55 | 41 |
|
John Anthony Schlechter
1310 W Stewart Dr |
$7.63 | 64 | 50 |
|
Heidi Ann Stephany
505 S Main St Ste 100 |
$6.60 | 64 | 63 |
|
Bio-Medical Applications Of California, Inc.
1809 W Chapman Ave |
$0.07 | 68 | 12 |
|
Kyle Daniels
1100 W Stewart Dr |
$2.89 | 101 | 94 |
|
Rahul Bhola
1201 W La Veta Ave |
$5.46 | 113 | 93 |
|
Kai-Wen Chuang
505 S Main St Ste 100 |
$6.43 | 122 | 119 |
|
Elias Wehbi
101 The City Dr S |
$7.67 | 127 | 123 |
|
Kevin Chung-Kai Huoh
1010 W La Veta Ave |
$7.24 | 175 | 174 |
|
Aditi Majumdar
1310 W Stewart Dr Ste 508 |
$7.40 | 178 | 164 |
|
John Gunn Lee
101 The City Drive South |
$0.52 | 197 | 184 |
|
Jeffrey Michael Hughes
1100 W Stewart Dr |
$6.25 | 204 | 129 |
|
Jay M Bhatt
1010 W La Veta Ave Ste 640 |
$6.62 | 234 | 232 |
|
Felizardo S. Camilon
505 S Main St |
$6.17 | 299 | 298 |
|
Jennefer Allyn Russo
700 S. Tustin Street |
$60.26 | 306 | 291 |
|
Kyle Arthur Strodtbeck
3745 W Chapman Ave |
$4.59 | 419 | 406 |
|
Chapman Global Medical Center, Inc
2601 E Chapman Ave |
$6.27 | 754 | 607 |
|
Melanie C. Nicole Irwin
1010 W. Laveta Ave |
$1,154 | 775 | 581 |
|
David Alan Chamberlin
725 W La Veta Ave |
$5.69 | 818 | 814 |
|
Planned Parenthood/Orange And San Bernardino Counties, Inc.
700 S Tustin St |
$24.30 | 2,413 | 2,352 |
|
Satellite Dialysis Of Orange Llc
1518 W La Veta Ave |
$34.79 | 3,643 | 1,054 |
|
St. Joseph Satellite Dialysis Centers, Llc
1518 W La Veta Ave |
$5.29 | 4,688 | 1,330 |
|
Janet Carol Jacobson
700 S Tustin St |
$46.42 | 5,697 | 5,294 |
|
Children'S Hospital Of Orange County
1201 W La Veta Ave |
$6.72 | 45,811 | 40,293 |
|
Bruno Dialysis Llc
146 S Main St |
$4.11 | 48,247 | 4,029 |
|
St. Joseph Hospital Of Orange
1100 W Stewart Dr |
$34.90 | 78,526 | 51,099 |
|
University Of California Irvine
101 The City Dr S |
$47.24 | 89,699 | 62,441 |
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 Orange, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Orange, CA is $31.40 per claim, based on 284,281 claims from 46 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 Orange, CA?
There are 46 Medicaid providers offering Prescription Medications related services in Orange, CA according to public payment data.
What is the price range for Prescription Medications in Orange, CA?
Medicaid reimbursement for Prescription Medications in Orange, CA ranges from $0.00 to $2,351 per claim, with an average of $31.40. 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 Orange, CA
Blood Work & Lab Tests
Avg $4.74
2,673,584 claims
Office Visit
Avg $52.01
2,116,805 claims
Ambulance Transport
Avg $108.94
1,443,285 claims
X-Ray
Avg $8.74
1,084,008 claims
Emergency Room Visit
Avg $91.53
892,554 claims
Urinalysis & Urine Tests
Avg $2.54
841,684 claims
Dental Cleaning & Exam
Avg $49.98
541,480 claims
EKG / ECG (Electrocardiogram)
Avg $12.71
437,065 claims