Average Medicaid Prescription Medications Payments in Santa Rosa, CA: $321.90
Avg. Paid
$321.90
Range
$0.00 – $1,964
Total Claims
99,020
Providers
28
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 Santa Rosa, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Santa Rosa Orthopaedic Medical Group, Inc.
1405 Montgomery Dr |
$5.08 | 13 | 13 |
|
Iraida Rivera
3333 Chanate Rd |
$0.00 | 23 | 23 |
|
Gary A Stein
1405 Montgomery Dr |
$6.01 | 26 | 25 |
|
John Richard Mendius
3883 Airway Drive |
$1,172 | 39 | 38 |
|
Michael William Grafe
208 Concourse Blvd |
$9.35 | 39 | 39 |
|
Redwood Orthopaedic Surgery Associates Amc
208 Concourse Blvd |
$3.24 | 40 | 40 |
|
Walter Francis D'Costa
2281 Cleveland Ave |
$7.30 | 40 | 38 |
|
Stella Lai
1162 Montgomery Dr Ste 3 |
$459.05 | 55 | 28 |
|
Patrick J Caskey
3536 Mendocino Ave |
$1,124 | 67 | 67 |
|
Daniel Gonzalez
208 Concourse Blvd # 1 |
$4.93 | 80 | 79 |
|
Peter Barmon Brett
3883 Airway Dr # 220 |
$23.94 | 98 | 57 |
|
Michael J Star
1405 Montgomery Dr |
$0.01 | 429 | 401 |
|
Abdul Kezin Harris
1701 4Th St |
$0.98 | 455 | 425 |
|
Harjot Singh Bhandal
220 Concourse Blvd |
$2.96 | 477 | 461 |
|
Zachary R Lewton
1194 Montgomery Dr |
$789.26 | 506 | 414 |
|
Max Barnett Duncan
3883 Airway Dr |
$539.11 | 611 | 362 |
|
Jason Edward Pope
220 Concourse Blvd |
$2.90 | 699 | 681 |
|
Denise Kayser
3536 Mendocino Ave |
$1,339 | 934 | 804 |
|
Ira Schachar
3536 Mendocino Ave Ste 380 |
$1,964 | 1,373 | 1,322 |
|
Lucas Raymond King
525 Doyle Park Dr Ste 101 |
$0.44 | 1,672 | 1,465 |
|
Matthew Armstrong Powers
3536 Mendocino Ave |
$1,614 | 1,995 | 1,904 |
|
Stephen Meffert
3536 Mendocino Ave |
$1,507 | 2,756 | 2,596 |
|
Thomas K Schlesinger
3536 Mendocino Ave |
$1,443 | 3,831 | 3,634 |
|
Satellite Healthcare Inc
2301 Circadian Way |
$152.43 | 7,998 | 1,695 |
|
Shalini Yalamanchi
3536 Mendocino Ave |
$1,478 | 8,126 | 6,317 |
|
Kaiser Foundation Hospitals
401 Bicentennial Way |
$2.20 | 14,952 | 13,690 |
|
Sutter Bay Hospitals
30 Mark West Springs Road |
$10.61 | 22,652 | 16,527 |
|
St. Joseph Health Northern California, Llc
1165 Montgomery Dr |
$21.95 | 29,034 | 24,885 |
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 Santa Rosa, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Santa Rosa, CA is $321.90 per claim, based on 99,020 claims from 28 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 Santa Rosa, CA?
There are 28 Medicaid providers offering Prescription Medications related services in Santa Rosa, CA according to public payment data.
What is the price range for Prescription Medications in Santa Rosa, CA?
Medicaid reimbursement for Prescription Medications in Santa Rosa, CA ranges from $0.00 to $1,964 per claim, with an average of $321.90. 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 Santa Rosa, CA
Office Visit
Avg $21.94
1,410,868 claims
Emergency Room Visit
Avg $93.87
505,118 claims
Blood Work & Lab Tests
Avg $10.43
454,321 claims
Substance Abuse Treatment
Avg $71.21
265,758 claims
X-Ray
Avg $16.73
255,609 claims
Dental Cleaning & Exam
Avg $50.06
255,325 claims
Non-Emergency Medical Transportation
Avg $40.57
251,882 claims
Psychiatric Evaluation
Avg $37.81
234,328 claims