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
Regents Of The University Of California 200 West Arbor Drive	$84.05	47,062	32,960
San Diego Dialysis Services, Inc. 2252 Verus St	$1.54	36,814	4,109
San Diego Dialysis Services, Inc. 720 Gateway Center Dr Ste B	$1.35	33,020	3,943
Kaiser Foundation Hospitals 9455 Clairemont Mesa Blvd	$8.30	32,704	27,913
San Diego Dialysis Services, Inc. 3010 Del Sol Blvd	$0.89	32,488	3,923
Bio-Medical Applications Of California, Inc. 4765 Carmel Mountain Rd Ste 100	$0.32	27,483	3,659
Dva Renal Healthcare Inc 1445 30Th St	$3.31	23,913	2,227
San Diego Dialysis Services, Inc. 3960 3Rd Ave	$0.85	23,243	2,422
Fresenius Medical Care Balboa, Llc 7927 Ostrow St Ste A	$0.09	22,598	3,594
Scripps Health 4077 5Th Ave	$10.20	22,291	19,201
Sharp Memorial Hospital 7901 Frost St	$5.53	19,797	18,109
San Diego Dialysis Services, Inc. 6919 Paradise Valley Rd	$3.30	18,478	1,984
Fresenius Medical Care Balboa V, Llc 5961 University Ave Ste 317	$0.98	17,168	2,001
Dva Renal Healthcare Inc 292 Euclid Ave Ste 100	$3.48	17,140	1,506
Dva Renal Healthcare Inc 6535 University Ave	$5.92	15,920	1,586
Rai Care Centers Of Southern California Ii, Llc 7007 Mission Gorge Rd	$0.73	11,132	1,075
Dva Renal Healthcare Inc 995 Gateway Center Way	$6.44	9,284	869
Rady Children'S Hospital San Diego 3020 Childrens Way # 5002	$57.62	8,114	7,718
Rady Children'S Hospital San Diego 3020 Childrens Way	$0.03	7,687	7,562
Bio-Medical Applications Of California, Inc. 11031 Via Frontera Ste C	$0.04	7,439	864
Seung-Yil Song 7930 Frost St Ste 405	$13.10	7,067	3,749
Doves Dialysis Llc 9850 Carmel Mountain Rd	$3.32	6,008	560
Alicja Steiner 3939 Ruffin Rd	$0.38	4,338	3,806
Alvarado Hospital, Llc 6655 Alvarado Rd	$9.04	4,009	3,357
John Xiao-Jiang Qian 5395 Ruffin Road.	$1.01	3,605	3,178
San Diego Dialysis Services, Inc. 5961 University Ave Ste 317	$5.06	3,468	457
Bio-Medical Applications Of California, Inc. 499 Raven St	$0.36	2,758	273
David James Burnikel 6719 Alvarado Rd	$27.83	2,172	2,085
Michael A Sirota 9095 Rio San Diego Dr Ste 450	$27.96	1,833	1,752
Jeffrey Algra 3030 Childrens Way	$901.23	1,351	987
Family Health Centers Of San Diego, Inc 1809 National Ave	$0.51	1,255	1,254
Matthew Douglas Dickson 1628 Palm Ave	$0.71	1,152	1,119
Zachary Carl Cohen 5395 Ruffin Rd Ste 204	$1.72	978	910
Pritha Bankim Dalal 3030 Childrens Way	$965.44	958	697
Nilofar Sanaiha 16950 Via Tazon	$35.77	908	847
James P. Tasto 6719 Alvarado Rd	$25.44	729	703
Alan Bruce Hurschman 5395 Ruffin Rd Ste 204	$3.74	680	632
Susan Biffl 3030 Childrens Way	$878.28	630	425
Phoebe R Scott-Wyard 3030 Children'S Way	$745.54	542	392
Cssd Ii A Medical Group Inc 3860 Calle Fortunada	$0.00	528	510
Charles Douglas Wallace 3030 Childrens Way	$6.94	516	466
Stephanie Lorraine Lessig 200 W Arbor Dr	$1,015	515	281
Lindsey Starr Urband 8008 Frost St	$8.01	511	495
Matthew Charles Shillito 6719 Alvarado Rd Ste 200	$19.87	487	478
Bret James Langenberg 4033 3Rd Ave Ste 204	$13.59	482	453
Home Dialysis Therapies Of San Diego 10672 Wexford St	$146.64	463	228
Kyle Jonathan Ryan 3030 Childrens Way	$3,660	460	402
Henry Able Richardson 7525 Metropolitan Dr Ste 302	$2.44	425	423
Theodore S. Thomas 4060 4Th Ave	$4.28	384	37
Bruce V Foerster 6280 Jackson Dr	$8.21	377	372

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

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Milwaukee, WI

Washington, DC

Los Angeles, CA

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New York, NY

Tucson, AZ

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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