Average Medicaid Prescription Medications Payments in San Antonio, TX: $28.31
Avg. Paid
$28.31
Range
$0.00 – $1,013
Total Claims
51,984
Providers
189
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 San Antonio, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bexar County Hospital District
4502 Medical Dr |
$6.67 | 5,508 | 4,387 |
|
Vhs San Antonio Partners Llc
111 Dallas St |
$2.10 | 4,866 | 4,361 |
|
Methodist Healthcare System Of San Antonio, Ltd., L.L.P.
7700 Floyd Curl Drive |
$1.27 | 3,654 | 3,140 |
|
Lama Hashish
4910 Golden Quail |
$305.18 | 1,882 | 1,759 |
|
Jayasree N Rao
202 Baltimore |
$0.61 | 1,367 | 619 |
|
Nimesh K Patel
19422 N Us Highway 281 |
$0.63 | 1,348 | 1,254 |
|
Morey J Silverman
333 N Santa Rosa |
$0.62 | 1,113 | 667 |
|
David F Piper
333 N Santa Rosa |
$5.15 | 1,049 | 1,008 |
|
Cathy Waldon Benavides
6393 Babcock Rd # 102 |
$0.23 | 1,022 | 458 |
|
David Scott Burkett
1123 N Main Ave Ste 110 |
$2.81 | 983 | 894 |
|
Paula Angelica Shelton
4502 Medical Dr |
$1.56 | 937 | 891 |
|
Lisa Garza
8223 Marbach Rd Ste 102 |
$0.42 | 882 | 801 |
|
Hugo Alonzo Rojas
2115 Pleasanton Rd |
$2.31 | 857 | 782 |
|
Valerie Erwin Parr
333 N Santa Rosa |
$16.81 | 857 | 824 |
|
Christus Santa Rosa Health Care Corporation
11212 State Highway 151 Bldg 3 |
$1.72 | 834 | 702 |
|
Arun R Rao
3327 Research Plz Ste 102 |
$0.85 | 794 | 296 |
|
Sergio Jose Alvarado
3903 Wiseman Blvd Ste 101 |
$1.56 | 700 | 601 |
|
Mahendra C Patel
7711 Louis Pasteur Dr |
$0.72 | 695 | 612 |
|
Magdalena C Traudt
1202 E Sonterra Blvd Ste 201 |
$15.45 | 680 | 638 |
|
Erin M Maturin
9234 N Loop 1604 W |
$0.23 | 646 | 478 |
|
Iliana L Cardona Orellana
4458 Medical Dr Ste 205 |
$20.50 | 631 | 314 |
|
Thaddeus David Wilson
4204 Gardendale St |
$2.46 | 615 | 594 |
|
Mustafa Monis
5939 Babcock Rd Ste 112 |
$2.05 | 607 | 550 |
|
Arthur Samuel Hernandez
88 Briggs St Ste 250 |
$0.17 | 607 | 598 |
|
John Franka
5282 Medical Dr Ste 240 |
$75.04 | 563 | 555 |
|
Naomi Lynnea Burr
Kind Clinic |
$2.66 | 553 | 230 |
|
Marisa Anne Earley
8300 Floyd Curl Dr |
$0.15 | 531 | 443 |
|
Kristen Allison Plastino
8300 Floyd Curl Dr Fl 5 |
$66.64 | 481 | 463 |
|
Thomas O Oei
1100 N Main Ave |
$521.22 | 452 | 388 |
|
David C Riojas
8401 Datapoint Dr |
$0.63 | 443 | 275 |
|
Thomas Jorge Sanchez
9514 Potranco Rd |
$0.00 | 439 | 393 |
|
Brittney N. Mitchell
4502 Medical Dr |
$2.99 | 407 | 389 |
|
Lee M Armstrong
333 N Santa Rosa |
$0.20 | 404 | 224 |
|
Jack C Borders
333 N Santa Rosa |
$2.05 | 378 | 315 |
|
Leslie Marie Hunter
Christus Santa Rosa Childrens Hospital |
$0.51 | 354 | 223 |
|
Mary Gomez Curll
1025 S Presa St |
$0.29 | 345 | 272 |
|
Mario Cristobal Eres
8210 Callaghan Rd |
$0.46 | 332 | 326 |
|
Gulam Hussain Musharaf
11019 Culebra Road |
$0.00 | 329 | 304 |
|
Sarah Elizabeth Trampota
4243 E Southcross Blvd Ste 201 |
$5.58 | 329 | 247 |
|
Santos Cantu
333 N Santa Rosa St |
$2.37 | 311 | 295 |
|
Amber Marie Hathcock
333 N Santa Rosa |
$1.14 | 308 | 298 |
|
Stephanie Izral
2140 Babcock Rd |
$27.33 | 305 | 254 |
|
Roland Dominguez
2829 Babcock Rd Ste 407 |
$1.10 | 303 | 255 |
|
Luis Gaston Prieto
730 N Main Ave |
$71.68 | 303 | 298 |
|
Christine Lee Johnson
8401 Datapoint Dr |
$0.39 | 302 | 181 |
|
Timothy Patrick Mcevoy
525 Oak Centre Dr Ste 350 |
$0.12 | 292 | 271 |
|
Brian Michael Faux
7703 Floyd Curl Dr |
$573.24 | 268 | 258 |
|
Marisol A. Garcia-Hodge
315 N San Saba Ste 960 |
$26.68 | 245 | 237 |
|
Hussain Shakir
333 N Santa Rosa |
$9.19 | 232 | 216 |
|
Raheel Bengali
21038 Us Highway 281 N Ste 100 |
$0.64 | 225 | 193 |
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 San Antonio, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in San Antonio, TX is $28.31 per claim, based on 51,984 claims from 189 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 San Antonio, TX?
There are 189 Medicaid providers offering Prescription Medications related services in San Antonio, TX according to public payment data.
What is the price range for Prescription Medications in San Antonio, TX?
Medicaid reimbursement for Prescription Medications in San Antonio, TX ranges from $0.00 to $1,013 per claim, with an average of $28.31. 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 San Antonio, TX
Office Visit
Avg $47.25
4,471,070 claims
Personal Care Services
Avg $59.18
4,411,375 claims
Dental Cleaning & Exam
Avg $40.74
2,116,599 claims
Vaccines & Immunizations
Avg $6.82
1,972,578 claims
Emergency Room Visit
Avg $126.61
1,783,972 claims
Home Health Visit
Avg $36.92
1,523,622 claims
Blood Work & Lab Tests
Avg $7.55
1,133,231 claims
Physical Therapy
Avg $40.31
1,006,482 claims