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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
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

Other Procedures in Sacramento, CA