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
67
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 |
|---|---|---|---|
|
Jennifer Chen
845 Jackson St # B1 |
$99.35 | 12 | 12 |
|
John P. Cello
505 Parnassus Ave |
$0.00 | 12 | 12 |
|
Kirsten Alyse Patterson
333 1St St Ste A |
$0.92 | 12 | 12 |
|
Nicole Shahdee Evans
2425 Geary Blvd # M115 |
$1.15 | 12 | 12 |
|
Azam Qureshi
1100 Van Ness Ave |
$0.32 | 13 | 13 |
|
Ma Somsouk
1001 Potrero Ave # 3D-2 |
$1.75 | 13 | 13 |
|
Scott Carney
513 Parnassus Ave |
$2.54 | 13 | 13 |
|
Danny Y Lin
2100 Webster St |
$0.00 | 15 | 12 |
|
Destiny Nicole Mcgill
333 1St St Ste A |
$7.23 | 17 | 13 |
|
Sriranjani Parthasarathy Padmanabhan
1001 Potrero Ave # 4M |
$0.59 | 18 | 12 |
|
Malini Veerappan Pasricha
1445 Bush St |
$1,015 | 18 | 15 |
|
Vernon Kent Fong
728 Pacific Ave Ste 501 |
$0.26 | 19 | 19 |
|
Michael Flannery
2330 Post St Fl 6 |
$1,704 | 24 | 12 |
|
Suzanne Seger
400 Parnassus Ave |
$3.92 | 24 | 14 |
|
Gina Martinez Medina
50 Phelan Ave |
$0.00 | 25 | 25 |
|
Sutter Bay Hospitals
601 Duboce Ave |
$21.50 | 25 | 15 |
|
Jon Daniel Wender
2340 Clay St Fl 5 |
$2,592 | 26 | 26 |
|
Ravi Patel
333 1St St Ste A |
$10.33 | 28 | 28 |
|
Jerome Nicholas Jew
919 Clay St |
$0.00 | 30 | 29 |
|
Jay M. Stewart
400 Parnassus Ave |
$5.41 | 34 | 14 |
|
Robert Bradley Williams
240 Shotwell St |
$16.05 | 37 | 37 |
|
James L Chen
450 Sutter St |
$0.00 | 42 | 42 |
|
Ucsf Health Community Hospitals
450 Stanyan St |
$6.29 | 43 | 40 |
|
Justin P Quock
929 Clay St |
$14.82 | 51 | 25 |
|
Chinese Hospital Association
845 Jackson St |
$1.09 | 57 | 51 |
|
Stephen Johnson
1500 Owens St |
$16.63 | 70 | 63 |
|
Jacqueline Eva Weinstein
400 Parnassus Ave |
$1.28 | 70 | 69 |
|
Ali Akbar Zaidi
2100 Webster St |
$256.43 | 74 | 73 |
|
Michael James Terry
505 Parnassus Ave |
$2.92 | 80 | 39 |
|
Robert B. Bhisitkul
400 Parnassus Ave |
$397.69 | 105 | 103 |
|
Masato Nagao
1001 Potrero Avenue |
$11.42 | 112 | 92 |
|
University Of California, San Francisco
505 Parnassus Ave |
$4.90 | 125 | 106 |
|
Lukejohn Welch Day
505 Parnassus Ave |
$0.91 | 125 | 125 |
|
Nikia D Grayson
2356 Sutter St |
$0.43 | 130 | 117 |
|
H. Richard Mcdonald
1445 Bush St |
$1,472 | 131 | 101 |
|
J Michael Jumper
1445 Bush St |
$1,044 | 136 | 105 |
|
Joy S. Meng
950 Stockton St Ste 368 |
$259.03 | 150 | 148 |
|
Josephine Ann Czechowicz
550 16Th St Fl 6 |
$0.40 | 154 | 154 |
|
Brian T. Bast
513 Parnassus Ave Rm S738 |
$0.43 | 168 | 159 |
|
Judy Ju-Yi Chen
1445 Bush St |
$1,069 | 169 | 133 |
|
Manesha Lankachandra
500 Parnassus Ave |
$4.99 | 184 | 162 |
|
Jonathan Li
513 Parnassus Ave |
$15.96 | 194 | 88 |
|
City & County Of San Francisco
1001 Potrero Ave |
$208.26 | 197 | 134 |
|
Robert Cobb
2 Embarcadero Ctr Lbby Level |
$4.13 | 243 | 242 |
|
Sutter West Bay Hospitals
2333 Buchanan Street |
$9.79 | 330 | 311 |
|
Anita Agarwal
1445 Bush St |
$961.10 | 417 | 327 |
|
Satellite Dialysis Of San Francisco Llc
1700 California Street |
$16.90 | 448 | 119 |
|
Paolo Mimbella
400 Parnassus Ave Fl 2 |
$0.45 | 472 | 384 |
|
Lauren Downs
2 Embarcadero Ctr Lbby Level |
$2.30 | 558 | 458 |
|
Lisa G Netherland
995 Potrero Avenue |
$7.76 | 641 | 621 |
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.
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 Francisco, CA
Office Visit
Avg $27.38
4,381,925 claims
Substance Abuse Treatment
Avg $24.87
3,627,413 claims
Blood Work & Lab Tests
Avg $9.39
1,330,034 claims
Emergency Room Visit
Avg $99.86
864,304 claims
Case Management Services
Avg $219.34
857,389 claims
X-Ray
Avg $10.29
837,190 claims
Vaccines & Immunizations
Avg $4.60
793,901 claims
EKG / ECG (Electrocardiogram)
Avg $13.42
477,994 claims