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 |
|---|---|---|---|
|
Elizabeth M Yust
5282 Medical Dr Ste 310 |
$0.33 | 12 | 12 |
|
Clorinda Kay Zawacki
3851 Roger Brooke Dr |
$2.28 | 12 | 12 |
|
Stephen M Paulson
8401 Datapoint Dr |
$1.61 | 12 | 12 |
|
Kimberly Stachniak
3066 E Commerce St |
$1.07 | 12 | 12 |
|
Erin Brooke Madison
810 S General Mcmullen Dr Ste 101 |
$0.00 | 12 | 12 |
|
Jessica Tsai Goetz
8300 Floyd Curl Dr Fl 4 |
$7.93 | 12 | 12 |
|
Sara Catherine Marshall
14249 Potranco Rd Ste 102 |
$0.00 | 13 | 12 |
|
Moshin Kapasi
1200 Brooklyn Ave Ste 245 |
$84.77 | 13 | 13 |
|
Matthew James Butler
7979 Wurzbach Rd |
$0.56 | 13 | 12 |
|
Andrzej C Skarpetowski
10811 Town Center Dr |
$6.11 | 13 | 13 |
|
Genevieve Ann Fonseca
315 N San Saba Ste 960 |
$3.58 | 13 | 13 |
|
Michelle Joy Brucal
4458 Medical Dr Ste 505 |
$0.37 | 13 | 13 |
|
James Davidson
111 Dallas St |
$17.45 | 14 | 14 |
|
Sonia Edrisi
9150 Huebner Rd Ste 290 |
$0.00 | 14 | 14 |
|
John E Konkol
215 E Quincy St |
$0.00 | 14 | 12 |
|
Steven David Gibbons
8300 Floyd Curl Dr Fl 3 |
$0.41 | 14 | 13 |
|
David Bruce Bartos
1310 Mccullough Ave |
$5.48 | 14 | 14 |
|
Gregory Brant Meador
7400 Barlite Blvd |
$23.63 | 14 | 12 |
|
Katherine Ann Barsness
333 N Santa Rosa St |
$1.65 | 14 | 13 |
|
Duane Allen Penshorn
8401 Datapoint Dr Ste 500 |
$0.00 | 14 | 12 |
|
Christopher M. Quitadamo
111 Dallas St |
$3.23 | 14 | 14 |
|
Emily Yvonne Martinez
11398 Bandera Rd Ste 201 |
$0.00 | 14 | 14 |
|
Michael Barakat
3851 Roger Brooke Dr |
$3.28 | 14 | 14 |
|
Lisa Diane Witherspoon
4502 Medical Dr |
$33.35 | 15 | 15 |
|
Betty Jean Ramos-Dobry
3110 Nogalitos |
$0.19 | 15 | 12 |
|
Roy Joseph Dileo
10811 Town Center Dr |
$6.18 | 15 | 14 |
|
Deanna Farley
333 N Santa Rosa |
$0.00 | 15 | 12 |
|
Denise Flores Hickman
2829 Babcock Rd |
$1.51 | 15 | 15 |
|
Robert Adam Noel
333 N Santa Rosa |
$0.00 | 15 | 14 |
|
Joshua Alan Stone
8210 Floyd Curl Dr |
$16.44 | 15 | 12 |
|
Abisola Ibrahim
4502 Medical Dr |
$0.57 | 16 | 13 |
|
Jared Walker
4502 Medical Dr |
$0.36 | 16 | 14 |
|
Lisa H Tomlin
5107 Medical Dr |
$0.19 | 16 | 14 |
|
Sukeshi Patel Arora
7979 Wurzbach Rd |
$1.17 | 16 | 14 |
|
John Sarantopoulos
7979 Wurzbach Rd |
$1.93 | 17 | 15 |
|
Alexander Bradley Kreines
10010 Rogers Xing Ste 308 |
$15.75 | 17 | 14 |
|
Dasha Alexandra Dewberry
7700 Floyd Curl Dr |
$0.29 | 17 | 13 |
|
Thimios D. Partalas
303 E Quincy St |
$6.72 | 18 | 16 |
|
Victor Octavio Diaz De Leon
9002 Culebra Rd |
$0.84 | 18 | 12 |
|
Virginia Kaklamani
7979 Wurzbach Rd Fl Z5 |
$1.21 | 19 | 13 |
|
James Manning Lackey
2235 Thousand Oaks Dr |
$1.72 | 20 | 18 |
|
Rebecca Curry
4502 Medical Dr |
$1.61 | 22 | 16 |
|
Michael J Troy
1303 Mccullough Ave |
$71.57 | 24 | 24 |
|
Dennis Edward Karasek
3903 Wiseman Blvd, Ste 311 |
$0.12 | 25 | 25 |
|
Luke Franklin Husby
4502 Medical Dr |
$2.96 | 25 | 24 |
|
Harry Hernandez
12650 Nacogdoches |
$0.10 | 27 | 24 |
|
Tyler James Stavinoha
333 N Santa Rosa |
$3.02 | 28 | 25 |
|
Tia C. Manning
333 N Santa Rosa |
$0.00 | 28 | 28 |
|
Gabriel Rodriguez
250 E Basse Rd |
$0.40 | 28 | 25 |
|
Fernando Frescas
9139 Westover Hills Blvd Ste 101 |
$0.00 | 29 | 26 |
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