Average Medicaid Prescription Medications Payments in San Jose, CA: $22.62
Avg. Paid
$22.62
Range
$0.00 – $1,592
Total Claims
219,370
Providers
62
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 Jose, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
County Of Santa Clara
751 S. Bascom Avenue |
$29.62 | 63,148 | 52,385 |
|
Total Renal Care Inc
1290 Tully Rd |
$0.74 | 16,116 | 1,634 |
|
Satellite Healthcare Silver Creek Llc
1620 E Capitol Expy |
$25.32 | 15,907 | 4,186 |
|
Satellite Healthcare San Jose Llc
888 S Bascom Ave |
$26.17 | 15,410 | 3,846 |
|
Satellite Healthcare Inc
2121 Alexian Dr |
$28.55 | 15,071 | 4,113 |
|
Kaiser Foundation Hospitals
250 Hospital Pkwy |
$4.08 | 14,121 | 13,103 |
|
Satellite Dialysis Of White Road Llc
1450 S White Rd |
$23.31 | 11,105 | 2,797 |
|
Clover Dialysis Llc
275 Di Salvo Ave |
$0.82 | 8,363 | 970 |
|
Skagit Dialysis Llc
725 Ridder Park Dr |
$0.80 | 8,170 | 859 |
|
Satellite Healthcare Inc
393 Blossom Hill Rd |
$30.39 | 8,160 | 2,206 |
|
Total Renal Care Inc
3162 S White Rd |
$0.46 | 6,547 | 772 |
|
Satellite Healthcare Inc
7019 Realm Dr |
$19.87 | 6,143 | 1,553 |
|
San Jose Healthcare System, L.P.
225 N Jackson Ave |
$1.66 | 5,511 | 4,583 |
|
Satellite Healthcare Inc
1450 Kooser Road |
$20.63 | 4,974 | 1,401 |
|
Total Renal Care Inc
2005 Naglee Ave |
$0.86 | 4,695 | 492 |
|
Satellite Dialysis Of White Road Llc
3251 S White Rd Ste 10 |
$9.74 | 1,972 | 568 |
|
Fook Y Wong
175 N Jackson Ave |
$1.36 | 1,879 | 1,746 |
|
Good Samaritan Hospital, L.P.
2425 Samaritan Dr |
$0.82 | 1,766 | 1,591 |
|
O'Connor Hospital
2105 Forest Ave |
$1.77 | 1,387 | 1,130 |
|
Nicholas Faberowski
751 S Bascom Ave |
$0.75 | 900 | 887 |
|
Hector L Cervantes
2114 Mckee Road |
$1.09 | 781 | 745 |
|
Joselito C Cabaccan
2690 S White Rd Ste 50 |
$344.83 | 709 | 702 |
|
Tung Thanh Nguyen
621 Tully Rd |
$279.71 | 661 | 647 |
|
Adrian On-Ning Ma
200 Jose Figueres Ave Ste 215 |
$3.07 | 649 | 635 |
|
Ranjani Chandramouli
3030 Alum Rock Ave |
$8.97 | 560 | 415 |
|
Laura Elizabeth Dalton
1691 The Alameda |
$17.09 | 552 | 523 |
|
Ngai Xuan Nguyen
696 E Santa Clara St |
$3.72 | 424 | 353 |
|
Gerardo Solorio Cortes
751 S Bascom Ave |
$1.66 | 386 | 290 |
|
Hau Thi Nguyen
751 S Bascom Ave |
$0.48 | 376 | 364 |
|
Khurram Abbass
200 Jose Figueres Ave Ste 480 |
$1,592 | 324 | 289 |
|
Toulouse Dialysis Llc
3501 E Capitol Expy |
$0.58 | 295 | 49 |
|
Jonelon Gabriel Tsang
2101 Forest Ave Ste 220A |
$0.53 | 221 | 142 |
|
Maria A. Rodriguez Ballestas
2400 Samaritan Dr Ste 105 |
$84.14 | 209 | 165 |
|
Santhi Sree Lingamneni
751 S Bascom Ave |
$0.99 | 192 | 158 |
|
Abha Barry Kumar
751 S Bascom Ave |
$1.41 | 180 | 161 |
|
Abraham Cabico Cabebe
5440 Thornwood Dr |
$3.60 | 161 | 160 |
|
Katherine S Leu
225 N Jackson Ave |
$3.93 | 160 | 158 |
|
John Hau Lien
200 Jose Figueres Ave |
$8.92 | 144 | 143 |
|
Shahid K Siddiqui
200 Jose Figueres Ave |
$5.87 | 120 | 120 |
|
Frederick Hopkins
2365 Montpelier Dr |
$4.86 | 115 | 115 |
|
County Of Santa Clara
2400 Moorpark Ave |
$0.00 | 114 | 103 |
|
Vladimir G. Skorokhod
1375 Blossom Hill Rd |
$1.99 | 72 | 69 |
|
Christopher John Mele
160 E Virginia St |
$7.80 | 70 | 46 |
|
Mary Kathryn Stark
1691 The Alameda |
$35.21 | 59 | 58 |
|
County Of Santa Clara
777 E Santa Clara St |
$0.25 | 58 | 54 |
|
Nataliya Carlson
1066 S White Rd Ste 170 |
$0.27 | 51 | 44 |
|
Silpa Avula
2081 Forest Ave |
$2.27 | 48 | 48 |
|
Beth L. Bratt
2425 Samaritan Drive |
$2.10 | 46 | 39 |
|
San Jose Healthcare System, L.P.
225 N Jackson Ave |
$0.91 | 35 | 31 |
|
Mona V Dalal
2470 Alvin Ave Ste 60 |
$3.92 | 32 | 32 |
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 Jose, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in San Jose, CA is $22.62 per claim, based on 219,370 claims from 62 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 Jose, CA?
There are 62 Medicaid providers offering Prescription Medications related services in San Jose, CA according to public payment data.
What is the price range for Prescription Medications in San Jose, CA?
Medicaid reimbursement for Prescription Medications in San Jose, CA ranges from $0.00 to $1,592 per claim, with an average of $22.62. 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 Jose, CA
Office Visit
Avg $17.76
4,087,517 claims
Blood Work & Lab Tests
Avg $2.57
2,345,819 claims
Dental Cleaning & Exam
Avg $52.74
1,100,494 claims
Case Management Services
Avg $220.56
998,173 claims
Behavioral & Mental Health Therapy
Avg $198.51
836,218 claims
Vaccines & Immunizations
Avg $3.93
755,787 claims
X-Ray
Avg $7.17
627,443 claims
Substance Abuse Treatment
Avg $69.65
603,596 claims