Based on public Medicaid payment data.

Average Medicaid Prescription Medications Payments in San Francisco, CA: $33.66

Avg. Paid

$33.66

Range

$0.00 – $2,592

Total Claims

81,516

Providers

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 Francisco, CA

Provider	Avg. Paid	Claims	Patients
University Of California San Francisco Medical Center 505 Parnassus Ave	$26.11	18,513	16,207
City & County Of San Francisco 1001 Potrero Ave	$10.31	12,206	11,146
Rai Care Centers Of Northern California Ii, Llc 626 Potrero Ave	$0.28	8,597	819
Rai Care Centers Of Northern California Ii, Llc 1738 Ocean Ave	$0.38	7,227	688
Fred Y H Lui 728 Pacific Ave	$1.38	6,767	1,480
Sutter Bay Hospitals 1101 Van Ness Ave	$14.53	3,933	3,168
Kaiser Foundation Hospitals 2425 Geary Blvd	$14.10	3,220	2,978
Sutter West Bay Hospitals 2333 Buchanan Street	$0.15	2,233	1,947
City & County Of San Francisco 1001 Potrero Ave	$2.80	2,212	776
Ilyas F Iliya 1580 Valencia Street	$0.71	2,011	341
Sutter Bay Hospitals 3555 Cesar Chavez	$14.62	1,838	1,684
Roger Rongqing Wang 950 Stockton St	$6.80	1,802	1,627
Ucsf Health Community Hospitals 900 Hyde St	$9.26	1,270	1,194
Jay Chong Wang 1001 Potrero Avenue	$656.55	1,088	884
Dayana Othonie Carcamo-Molina 2351 Clay St Ste 380	$0.07	943	923
Eli Kamara 400 Parnassus Ave	$6.12	882	878
Jianghui Zhang 950 Stockton St Ste 205	$38.34	671	619
Lisa G Netherland 995 Potrero Avenue	$7.76	641	621
Lauren Downs 2 Embarcadero Ctr Lbby Level	$2.30	558	458
Paolo Mimbella 400 Parnassus Ave Fl 2	$0.45	472	384
Satellite Dialysis Of San Francisco Llc 1700 California Street	$16.90	448	119
Anita Agarwal 1445 Bush St	$961.10	417	327
Sutter West Bay Hospitals 2333 Buchanan Street	$9.79	330	311
Robert Cobb 2 Embarcadero Ctr Lbby Level	$4.13	243	242
City & County Of San Francisco 1001 Potrero Ave	$208.26	197	134
Jonathan Li 513 Parnassus Ave	$15.96	194	88
Manesha Lankachandra 500 Parnassus Ave	$4.99	184	162
Judy Ju-Yi Chen 1445 Bush St	$1,069	169	133
Brian T. Bast 513 Parnassus Ave Rm S738	$0.43	168	159
Josephine Ann Czechowicz 550 16Th St Fl 6	$0.40	154	154
Joy S. Meng 950 Stockton St Ste 368	$259.03	150	148
J Michael Jumper 1445 Bush St	$1,044	136	105
H. Richard Mcdonald 1445 Bush St	$1,472	131	101
Nikia D Grayson 2356 Sutter St	$0.43	130	117
Lukejohn Welch Day 505 Parnassus Ave	$0.91	125	125
University Of California, San Francisco 505 Parnassus Ave	$4.90	125	106
Masato Nagao 1001 Potrero Avenue	$11.42	112	92
Robert B. Bhisitkul 400 Parnassus Ave	$397.69	105	103
Michael James Terry 505 Parnassus Ave	$2.92	80	39
Ali Akbar Zaidi 2100 Webster St	$256.43	74	73
Stephen Johnson 1500 Owens St	$16.63	70	63
Jacqueline Eva Weinstein 400 Parnassus Ave	$1.28	70	69
Chinese Hospital Association 845 Jackson St	$1.09	57	51
Justin P Quock 929 Clay St	$14.82	51	25
Ucsf Health Community Hospitals 450 Stanyan St	$6.29	43	40
James L Chen 450 Sutter St	$0.00	42	42
Robert Bradley Williams 240 Shotwell St	$16.05	37	37
Jay M. Stewart 400 Parnassus Ave	$5.41	34	14
Jerome Nicholas Jew 919 Clay St	$0.00	30	29
Ravi Patel 333 1St St Ste A	$10.33	28	28

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 Francisco, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in San Francisco, CA is $33.66 per claim, based on 81,516 claims from 67 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 Francisco, CA?

There are 67 Medicaid providers offering Prescription Medications related services in San Francisco, CA according to public payment data.

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

Medicaid reimbursement for Prescription Medications in San Francisco, CA ranges from $0.00 to $2,592 per claim, with an average of $33.66. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Prescription Medications Payments in San Francisco, CA: $33.66

Providers Offering Prescription Medications in San Francisco, CA

What to Expect: Prescription Medications

Cost Components

Frequently Asked Questions

Prescription Medications in Other Cities

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Washington, DC

Los Angeles, CA

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New York, NY

San Diego, CA

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Other Procedures in San Francisco, CA

Office Visit

Substance Abuse Treatment

Blood Work & Lab Tests

Emergency Room Visit

Case Management Services

X-Ray

Vaccines & Immunizations

EKG / ECG (Electrocardiogram)