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 |
|---|---|---|---|
|
Stephanie Joy Sherwood
3701 J St Ste 201 |
$0.00 | 12 | 12 |
|
Allison Brashear
4610 X St Ste 3101 |
$1,337 | 12 | 12 |
|
Sara Parastu Modjtahedi
1650 Response Rd |
$2,631 | 12 | 12 |
|
Masaru Oshita
4150 V St |
$2.33 | 12 | 12 |
|
J Peter Zegarra
87 Scripps Drive |
$2.77 | 12 | 12 |
|
Fusun Ozlen Gokmen Fowler
8120 Timberlake Way Ste 211 |
$4.24 | 12 | 12 |
|
Katharine Louise Ostedgaard
2521 Stockton Blvd Ste 7200 |
$0.00 | 12 | 12 |
|
Lon Jacobus Taff
6600 Bruceville Rd |
$0.00 | 13 | 13 |
|
David Cupp
3939 J St |
$460.47 | 13 | 13 |
|
Sutter Valley Medical Foundation
2700 Gateway Oaks Dr |
$5.45 | 13 | 13 |
|
Tony Tsai
3939 J St Ste 106 |
$1,240 | 13 | 13 |
|
Eric Campion
2315 Stockton Blvd |
$0.00 | 15 | 14 |
|
Elkhorn Surgical Center
5255 Elkhorn Blvd |
$0.00 | 16 | 16 |
|
Lillian Thuy Tran
4860 Y St Ste 2400 |
$26.87 | 17 | 13 |
|
Albert S T Lee
4860 Y St Ste 2200 |
$7.74 | 18 | 14 |
|
Mikhail Palatnik
5255 Elkhorn Blvd |
$0.00 | 18 | 13 |
|
Michael Thomas Barger
3000 Q St |
$1.42 | 19 | 12 |
|
Kathryn Jean Casey
2315 Stockton Blvd |
$95.98 | 21 | 12 |
|
David G. Telander
3939 J St |
$1,848 | 24 | 24 |
|
Evelyn Amber Kaovorakarn
1495 River Park Dr Ste 200 |
$0.00 | 24 | 24 |
|
Thuy Duc Do
6600 Bruceville Rd |
$0.00 | 24 | 24 |
|
Robert Thomas Wendel
3939 J St |
$129.74 | 24 | 24 |
|
Barbara J Arnold
7551 Timberlake Way |
$2.70 | 25 | 24 |
|
Michael M Aguilar
79 Scripps Dr |
$2.34 | 25 | 24 |
|
Margaret Amy Chang
3939 J St |
$441.10 | 26 | 26 |
|
Wilfredo R. Ramos
5301 F St |
$0.73 | 28 | 28 |
|
Andrew D Factor
1201 Alhambra Blvd |
$0.19 | 28 | 15 |
|
Kristina M Hart
3160 Folsom Blvd Ste 2100 |
$163.54 | 29 | 12 |
|
Jong L. Chen
3941 J St |
$7.19 | 29 | 27 |
|
Andrea C Marquez
2315 Stockton Blvd |
$4.60 | 29 | 29 |
|
Eric Wilson
1500 21St St |
$0.00 | 32 | 17 |
|
Joseph Gerard Johnson
4860 Y St |
$1.18 | 37 | 37 |
|
Bennye D. Rodgers
7601 Hospital Dr Ste 250 |
$0.00 | 38 | 38 |
|
Neesurg Sunil Mehta
4860 Y St Ste 2400 |
$44.87 | 40 | 39 |
|
Lin Zhang
4860 Y St |
$283.39 | 42 | 25 |
|
Sutter Bay Medical Foundation
1315 Alhambra Blvd Ste 210 |
$278.37 | 45 | 30 |
|
Xiongfei Liu
1515 Response Rd |
$7.06 | 51 | 51 |
|
Yvonne Yuh-Ru Chan
2315 Stockton Blvd # Op512 |
$28.88 | 54 | 54 |
|
Melissa Carol Matulich
4860 Y St Ste 2500 |
$5.53 | 56 | 55 |
|
Nivano Physicians, Inc.
1420 River Park Dr Ste 200 |
$0.00 | 57 | 47 |
|
Monte Winston Penner
2901 K St |
$42.01 | 63 | 42 |
|
Daniel C Herman
3301 C St Ste 1600 |
$25.13 | 70 | 60 |
|
Maryam Ghiassi
3 Park Center Dr Ste 100 |
$1,483 | 71 | 70 |
|
Susan F Wilson
77 Cadillac Dr Ste 230 |
$4.66 | 71 | 71 |
|
Autumn Renee Apgar
2433 Marconi Ave |
$0.00 | 77 | 65 |
|
Galen Church
1411 Expo Pkwy Ste 140 |
$14.69 | 78 | 57 |
|
Thiru Rajagopal
3939 J St |
$2.95 | 79 | 77 |
|
William T Amess
4860 Y St Ste B0400 |
$0.00 | 83 | 37 |
|
Naveen Kumar Atray
1111 Exposition Blvd |
$1.57 | 88 | 12 |
|
Acariahealth Pharmacy #14, Inc.
4151 E Commerce Way # 1041 |
$581.51 | 92 | 81 |
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
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 Sacramento, CA
Blood Work & Lab Tests
Avg $3.77
18,102,975 claims
Office Visit
Avg $22.28
5,640,528 claims
Substance Abuse Treatment
Avg $25.46
4,355,222 claims
Urinalysis & Urine Tests
Avg $1.87
3,071,398 claims
Dental Cleaning & Exam
Avg $32.44
1,847,779 claims
Emergency Room Visit
Avg $137.25
1,743,927 claims
X-Ray
Avg $22.15
1,649,168 claims
Vaccines & Immunizations
Avg $1.91
1,382,181 claims