Based on public Medicaid payment data.

Average Medicaid Prescription Medications Payments in San Diego, CA: $27.34

Avg. Paid

$27.34

Range

$0.00 – $3,660

Total Claims

493,429

Providers

162

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 Diego, CA

Provider	Avg. Paid	Claims	Patients
San Diego Sports Medicine & Orthopaedic Center Inc. 6719 Alvarado Rd Ste 200	$11.12	12	12
Shanon Star Murillo 2401 Reo Drive	$4.92	12	12
Russel Valencia Pineda 3590 Camino Del Rio N Ste 100	$0.58	12	12
Susan Leary 3020 Children'S Way Mc#5127	$2.25	12	12
Garrett Perrin Sterling 7901 Frost St	$4.37	12	12
Paul Dong Huynh 10737 Camino Ruiz	$11.94	12	12
Leah P Farinas 6699 Alvarado Rd Ste 2210	$7.48	12	12
Gayle Michelle Kookootsedes 3633 Camino Del Rio S	$7.35	12	12
Deena S Tajran 10737 Camino Ruiz	$120.00	13	13
Marissa D. Torrigiani 7920 Frost St Ste 200	$0.42	13	12
Sandy Pham 6719 Alvarado Rd Ste 200	$26.81	13	13
Nathaniel Marc Schuster 200 W Arbor Dr	$2.39	13	13
Jose Angel Soria-Lopez 4510 Executive Dr Ste 325	$1,111	13	13
Oleg M. Gavrilyuk, M.D., Pc 6699 Alvarado Rd	$0.62	14	12
Marie E Naughton 4647 Zion Ave	$235.71	14	14
Stephanie Marie Woodward 7910 Frost St	$5.20	14	13
Gopi Bipin Shah 3030 Childrens Way	$28.04	14	13
Maya Elizabeth Pring 3030 Childrens Way	$4.56	15	13
Family Health Centers Of San Diego, Inc 2204 National Ave	$0.00	15	15
Angela Marie Moll 3030 Childrens Way	$4.70	16	12
Leng T Ky 16955 Via Del Campo Ste 215	$1.06	16	15
Anne Odom Mcevoy 3020 Childrens Way	$1.88	16	16
Byron Jeffrey Buckley 7901 Frost St	$3.49	16	16
Janine Rae Krachman 1075 Camino Del Rio South	$0.00	17	17
Shawn Devin Evans 4077 Fifth Ave	$7.17	17	15
Son Hong Nguyen 1075 Camino Del Rio S	$90.00	18	18
Cole Jackson Houston 4033 3Rd Ave Ste 400	$5.57	18	13
Jennifer K Nguyen 1466 Mariposa Street	$2.66	18	18
Mahmood Pazirandeh 3633 Camino Del Rio S	$5.99	19	14
Zhen Jason Qian 3030 Childrens Way	$13.72	19	18
Planned Parenthood Of The Pacific Southwest 4575 College Ave	$41.67	25	25
Arthur Ray Mabaquiao 5030 Camino De La Siesta Ste 106	$303.11	25	25
Seth Michael Katzen 9333 Genesee Ave Ste 350	$3.32	25	25
Coram Alternate Site Services Inc 12310 World Trade Dr	$325.36	27	13
Christopher Dwight Souder 3030 Childrens Way	$8.27	27	27
Mackenzie Elizabeth Brown 3030 Childrens Way	$1,389	28	28
Kristian L. Brown 7910 Frost St	$2.85	29	26
Logan Milad Haak 1855 1St Ave	$1,213	30	27
Madhu Alagiri 7920 Frost St	$8.88	31	24
Ali Kemal Ozcan 3020 Childrens Way	$6.41	34	27
Andrew J Skalsky 3020 Childrens Way	$1,824	34	32
Steven R Allsing 5555 Reservoir Dr Ste 104	$7.67	36	32
Gustavo A. Delgado 4647 Zion Ave	$502.06	37	37
Crescent Healthcare, Inc. 15025 Innovation Dr	$251.25	38	14
Jorge Luis Alvarado 4168 Front St	$5.38	39	39
Shelby C. Leuin 3030 Childrens Way	$4.22	39	39
Edsel Condez 1809 National Ave	$0.00	39	39
Nicholas Christopher Saenz 3030 Childrens Way	$6.25	41	39
Timothy James Furnish 200 W Arbor Dr	$1.86	42	40
Sassan Naderi 200 W Arbor Dr	$0.00	44	43

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 Diego, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in San Diego, CA is $27.34 per claim, based on 493,429 claims from 162 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 Diego, CA?

There are 162 Medicaid providers offering Prescription Medications related services in San Diego, CA according to public payment data.

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

Medicaid reimbursement for Prescription Medications in San Diego, CA ranges from $0.00 to $3,660 per claim, with an average of $27.34. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Prescription Medications Payments in San Diego, CA: $27.34

Providers Offering Prescription Medications in San Diego, CA

What to Expect: Prescription Medications

Cost Components

Frequently Asked Questions

Prescription Medications in Other Cities

Phoenix, AZ

Milwaukee, WI

Washington, DC

Los Angeles, CA

Louisville, KY

New York, NY

Tucson, AZ

Richmond, VA

Other Procedures in San Diego, CA

Blood Work & Lab Tests

Office Visit

Urinalysis & Urine Tests

Speech Therapy

X-Ray

Emergency Room Visit

Culture & Microbiology Tests

Substance Abuse Treatment