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Based on public Medicaid payment data.

Average Medicaid Prescription Medications Payments in Sacramento, CA: $37.82

Avg. Paid

$37.82

Range

$0.00 โ€“ $2,631

Total Claims

318,080

Providers

113

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 Sacramento, CA

Provider Avg. Paid Claims Patients
Kaiser Foundation Hospitals

6600 Bruceville Rd

$8.89 46,333 41,702
Kaiser Foundation Hospitals

2025 Morse Ave

$6.80 44,658 40,675
Regents Of The University Of California

2315 Stockton Blvd

$71.30 42,775 34,860
Sutter Valley Hospitals

2825 Capitol Avenue

$15.66 30,774 25,859
Total Renal Care Inc

7000 Stockton Blvd

$0.11 16,149 1,723
Dignity Community Care

7500 Hospital Dr

$2.03 15,639 14,842
Natomas Dialysis Llc

30 Golden Land Ct

$0.54 11,019 1,020
Dialysis Clinic Inc.

7231 E Southgate Dr

$34.99 10,998 1,642
Dignity Health

4001 J St

$3.72 9,723 9,085
Griffin Dialysis Llc

8243 E Stockton Blvd

$0.94 9,209 862
University Dialysis Center Llc

333 University Ave

$0.42 8,774 800
Glosser Dialysis Llc

2624 Stockton Blvd

$0.08 8,320 826
Goliad Dialysis Llc

251 Lathrop Way

$1.35 7,362 850
Kayvan D Haddadan

650 Howe Ave Ste 600

$0.88 6,203 5,137
Lyndale Dialysis Llc

4401 Mack Rd

$0.28 5,728 601
David Pai

777 Campus Commons Rd

$1.19 5,618 897
Dialysis Clinic Inc.

1771 Stockton Blvd

$26.06 4,937 1,120
Elena V Gelfand

777 Campus Commons Rd

$1.76 4,907 729
Rohit Kashyap

1111 Exposition Blvd Ste 300

$2.04 4,770 677
Satellite Healthcare Inc

646 N Market Blvd

$88.15 3,878 1,067
Carlos Alonso Medina Mendez

3939 J St

$1,961 1,766 1,719
Sutter Valley Hospitals

7700 Folsom Blvd

$28.93 1,697 1,475
Nathan Hale Allen

7237 E Southgate Dr

$1.12 1,429 1,425
Sarju S Patel

3939 J St

$1,360 995 963
Jianxun Zhou

1104 Corporate Way

$0.28 982 930
Total Renal Care Inc

1315 Alhambra Blvd Ste 100

$0.30 829 75
Corin Emmanuelle Massoud

201 29Th St Ste B

$83.29 767 693
River City Medical Group, Inc.

7311 Greenhaven Drive

$0.00 678 618
Walteria Dialysis Llc

8275 Bruceville Rd

$0.00 630 58
David A Evans

1111 Exposition Blvd Bldg 700

$21.98 605 572
Gabriel Jacob

8120 Timberlake Way

$3.82 539 526
Grigorios Chrysofakis

2800 L St Ste 300

$1.43 536 283
Chainaronk Limanon

7248 Southland Park Dr

$0.16 536 430
Eric Chang

333 University Ave Ste 120

$0.67 508 93
Landor Dialysis Llc

2980 Advantage Way

$1.39 484 53
Hema Manickam

6600 Bruceville Rd

$0.17 369 67
Prithipal S Sethi

8715 Center Pkwy

$159.80 366 351
Wen Long

8100 Bruceville Rd

$3.14 355 340
Capitol Urgent Care Inc

7200 S Land Park Dr

$0.00 342 260
Jonathan Hernandez

4860 Y St Ste 2400

$15.20 335 313
Glenn Quijano

4610 X St

$0.60 323 310
Jose Roberto Bosque

4860 Y St

$11.46 311 309
Karen M. Webster

201 29Th St

$3.74 283 270
Joshua Yap

3765 Greenback Ln

$59.11 248 248
Jason Kung

4420 Duckhorn Dr Ste 200

$0.45 220 199
Greg M Wilkinson

2288 Auburn Blvd

$2.83 216 136
Harry Alfred Khasigian

8120 Timberlake Way

$3.96 180 134
Joel Abrahm Pearlman

3939 J St

$1,053 173 166
Namrata Mastey

201 29Th St Ste B

$5.30 164 162
Victor K Chan

2901 K St

$4.13 160 146

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 Sacramento, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Sacramento, CA is $37.82 per claim, based on 318,080 claims from 113 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 Sacramento, CA?

There are 113 Medicaid providers offering Prescription Medications related services in Sacramento, CA according to public payment data.

What is the price range for Prescription Medications in Sacramento, CA?

Medicaid reimbursement for Prescription Medications in Sacramento, CA ranges from $0.00 to $2,631 per claim, with an average of $37.82. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Prescription Medications in Other Cities

Other Procedures in Sacramento, CA