Average Medicaid Prescription Medications Payments in Pasadena, CA: $34.12
Avg. Paid
$34.12
Range
$0.00 – $629.82
Total Claims
19,459
Providers
26
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 Pasadena, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Pasadena Hospital Association, Ltd
100 W California Blvd |
$7.32 | 9,913 | 8,902 |
|
Arcadia Gardens Dialysis Llc
3722 E Colorado Blvd |
$31.57 | 3,633 | 447 |
|
Total Renal Care Inc
2551 E Washington Blvd |
$1.74 | 1,346 | 166 |
|
Total Renal Care Eaton Canyon Dialysis Center Partnership
2551 E Washington Blvd |
$84.54 | 1,105 | 214 |
|
Weber Chen
50 Alessandro Pl Ste 310 |
$0.86 | 809 | 474 |
|
Retina Institute Of California Medical Group, A California Medical Par
100 E California Blvd |
$359.95 | 748 | 681 |
|
Kaiser Foundation Hospitals
74 N Pasadena Ave Fl 6 |
$0.03 | 499 | 438 |
|
Albert Kashanian
100 W California Blvd |
$0.47 | 382 | 367 |
|
Hemodialysis,Inc.
806 S Fair Oaks Ave |
$174.21 | 276 | 90 |
|
Taher Mir Saifullah
625 S Fair Oaks Ave Ste 230 |
$0.66 | 101 | 95 |
|
Ronald Tang
50 Alessandro Pl Ste 310 |
$1.70 | 98 | 70 |
|
Jeffrey Lyle Stevens
100 E California Blvd |
$629.82 | 96 | 83 |
|
Ryan Mattie
1017 S Fair Oaks Ave |
$0.05 | 95 | 94 |
|
Huntington Hospital
75 Marion Ave |
$0.00 | 67 | 61 |
|
Charles Evan Omondi Otieno
960 E Green St. Thatcher Medical Center |
$5.02 | 61 | 61 |
|
George Tang
10 Congress St |
$0.49 | 36 | 27 |
|
Timothy Cross Ballard
401 S Fair Oaks Ave |
$5.41 | 33 | 26 |
|
Grace Floutsis
1855 N Fair Oaks Ave |
$27.80 | 31 | 25 |
|
Pasadena Dialysis, Llc
1111 S Arroyo Pkwy Ste 150 |
$7.36 | 27 | 12 |
|
Niki Himat Tank
625 South Fair Oaks Ave |
$1.63 | 20 | 12 |
|
Swapnil B Shah
2627 E Washington Blvd |
$10.39 | 16 | 12 |
|
Congress Associates Inc
800 S Raymond Ave |
$2.31 | 15 | 14 |
|
Vahe Panossian
10 Congress St |
$0.00 | 15 | 15 |
|
Planned Parenthood Pasadena And San Gabriel Valley Inc
1045 N Lake Ave |
$3.89 | 13 | 13 |
|
Reed Loring Levine
1017 S Fair Oaks Ave |
$0.76 | 12 | 12 |
|
Tina Brenner
475 S Lake Ave |
$5.00 | 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 Pasadena, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Pasadena, CA is $34.12 per claim, based on 19,459 claims from 26 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 Pasadena, CA?
There are 26 Medicaid providers offering Prescription Medications related services in Pasadena, CA according to public payment data.
What is the price range for Prescription Medications in Pasadena, CA?
Medicaid reimbursement for Prescription Medications in Pasadena, CA ranges from $0.00 to $629.82 per claim, with an average of $34.12. 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 Pasadena, CA
Non-Emergency Medical Transportation
Avg $23.66
13,387,849 claims
Ambulance Transport
Avg $23.22
11,783,684 claims
Office Visit
Avg $21.48
1,036,760 claims
Behavioral & Mental Health Therapy
Avg $233.66
555,263 claims
Blood Work & Lab Tests
Avg $3.51
521,414 claims
Substance Abuse Treatment
Avg $65.64
408,555 claims
Eye Exam
Avg $22.37
329,869 claims
Dental Cleaning & Exam
Avg $48.59
299,357 claims