Average Medicaid Prescription Medications Payments in Stanford, CA: $252.93
Avg. Paid
$252.93
Range
$0.00 โ $1,866
Total Claims
40,520
Providers
25
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 โ 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 Stanford, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Stanford Health Care
300 Pasteur Dr |
$213.40 | 37,562 | 31,448 |
|
Carol Ann Barch
300 Pasteur Dr |
$815.20 | 766 | 555 |
|
Stephen John Smith
300 Pasteur Dr |
$1,866 | 436 | 428 |
|
Theodore Leng
300 Pasteur Dr |
$630.29 | 289 | 276 |
|
Shyam Mohan Sivasankar
300 Pasteur Dr |
$0.19 | 263 | 252 |
|
Robert Paul Cowan
300 Pasteur Dr |
$802.79 | 237 | 154 |
|
Niushen Zhang
300 Pasteur Dr |
$651.79 | 140 | 83 |
|
Addie Mazal Peretz
300 Pasteur Dr |
$808.27 | 136 | 82 |
|
Kevin Andrew Lawson
300 Pasteur Dr |
$5.41 | 103 | 101 |
|
Leon Samuel Moskatel
300 Pasteur Dr |
$838.07 | 71 | 42 |
|
Ehsan Rahimy
300 Pasteur Dr |
$738.27 | 59 | 55 |
|
Artis Ann Montague
300 Pasteur Dr |
$3.57 | 57 | 55 |
|
Ramsudha Narala
300 Pasteur Dr |
$158.42 | 56 | 56 |
|
Victoria Thida Redmond
300 Pasteur Dr |
$0.00 | 55 | 48 |
|
Steven Richard Sanislo
300 Pasteur Dr |
$1,236 | 54 | 53 |
|
Carolyn K Pan
300 Pasteur Dr |
$53.14 | 51 | 51 |
|
Claudine Cruz Bae
300 Pasteur Dr |
$1.95 | 46 | 30 |
|
Ann Caroline Fisher
300 Pasteur Dr |
$4.41 | 28 | 27 |
|
Amila Ruwan Silva
300 Pasteur Dr |
$1,093 | 27 | 27 |
|
Jaime Rodriguez Lopez
300 Pasteur Dr |
$470.54 | 19 | 12 |
|
Angeline Michelle Nguyen
300 Pasteur Dr |
$4.91 | 14 | 14 |
|
Aaron Justin Yeoh
300 Pasteur Dr |
$6.58 | 13 | 13 |
|
Stephanie Marie Cizek
300 Pasteur Dr |
$3.60 | 13 | 13 |
|
Robert T Chang
300 Pasteur Dr |
$4.50 | 13 | 13 |
|
Eric Anthony Nash
300 Pasteur Dr |
$61.83 | 12 | 12 |
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 | โ |
| J0120 | Tetracyclin injection | โ | โ | โ |
| J0133 | Acyclovir injection | โ | โ | โ |
| J0202 | Injection, alemtuzumab | โ | โ | โ |
| J0795 | Corticorelin ovine triflutal | โ | โ | โ |
| J1160 | Digoxin injection | โ | โ | โ |
| J1205 | Chlorothiazide sodium inj | โ | โ | โ |
| J1260 | Dolasetron mesylate | โ | โ | โ |
| J1290 | Ecallantide injection | โ | โ | โ |
| J1300 | Eculizumab injection | โ | โ | โ |
| J1301 | Injection, edaravone, 1 mg | โ | โ | โ |
| J1303 | Inj., ravulizumab-cwvz 10 mg | โ | โ | โ |
| J1305 | Inj, evinacumab-dgnb, 5mg | โ | โ | โ |
| J1320 | Amitriptyline injection | โ | โ | โ |
| J1322 | Elosulfase alfa, injection | โ | โ | โ |
| J1327 | Eptifibatide injection | โ | โ | โ |
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 Stanford, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Stanford, CA is $252.93 per claim, based on 40,520 claims from 25 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 Stanford, CA?
There are 25 Medicaid providers offering Prescription Medications related services in Stanford, CA according to public payment data.
What is the price range for Prescription Medications in Stanford, CA?
Medicaid reimbursement for Prescription Medications in Stanford, CA ranges from $0.00 to $1,866 per claim, with an average of $252.93. 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 ยท 235 providers
Milwaukee, WI
Avg $9.22
755,550 claims ยท 88 providers
Washington, DC
Avg $6.48
675,765 claims ยท 92 providers
Los Angeles, CA
Avg $61.23
617,979 claims ยท 282 providers
Louisville, KY
Avg $31.67
601,676 claims ยท 181 providers
New York, NY
Avg $40.26
587,024 claims ยท 195 providers
San Diego, CA
Avg $27.34
493,429 claims ยท 162 providers
Tucson, AZ
Avg $24.34
489,015 claims ยท 169 providers
Other Procedures in Stanford, CA
Blood Work & Lab Tests
Avg $11.63
860,058 claims
X-Ray
Avg $10.01
606,397 claims
Office Visit
Avg $35.97
570,196 claims
Emergency Room Visit
Avg $105.79
411,677 claims
CT Scan (Computed Tomography)
Avg $92.03
305,952 claims
EKG / ECG (Electrocardiogram)
Avg $14.91
284,988 claims
Urinalysis & Urine Tests
Avg $5.54
137,865 claims
Pathology & Lab Services
Avg $42.94
136,205 claims