Average Medicaid Prescription Medications Payments in Tyler, TX: $14.43
Avg. Paid
$14.43
Range
$0.00 – $509.02
Total Claims
11,022
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 Tyler, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Adrian Lee Butler
700 Olympic Plaza Cir Ste 600 |
$4.29 | 3,880 | 3,547 |
|
Tyler Regional Hospital Llc
1000 S Beckham Ave |
$1.37 | 1,885 | 1,505 |
|
James Louis Wasson
649 S Broadway Ave Ste 2 |
$67.99 | 1,510 | 1,485 |
|
Justin Hillary Timmons
800 E Dawson St |
$0.74 | 478 | 415 |
|
Culberson Reeves Boren
7916 S Broadway Ave |
$0.02 | 374 | 369 |
|
Robert M Sutherland
700 Olympic Plaza Cir |
$0.50 | 324 | 279 |
|
Mother Frances Hospital Regional Health Care Center
800 E Dawson St |
$39.81 | 297 | 265 |
|
Christopher A Perro
2210 Three Lakes Pkwy Ste 100 |
$0.76 | 297 | 283 |
|
Shannon L Martin
2821 E Hwy 31 E |
$4.52 | 266 | 252 |
|
Yasser F Zeid
1212 Clinic Dr |
$54.74 | 238 | 228 |
|
Tori Johnston
733 S Fleishel Ave |
$1.21 | 215 | 205 |
|
Jennifer Daigle Hanby
1136 E Grande Blvd |
$0.12 | 206 | 166 |
|
Trung Nam Nguyen
120 E South Town Dr Ste 100 |
$0.02 | 168 | 165 |
|
Sean C Denham
800 E Dawson St |
$7.55 | 129 | 108 |
|
Dylan Patrick
419 W Southwest Loop 323 Ste 300 |
$0.02 | 113 | 112 |
|
Clinton Miller
419 W Southwest Loop 323 Ste 300 |
$0.03 | 99 | 98 |
|
University Of Texas Health Science Center At Tyler
11937 Us Highway 271 |
$0.75 | 90 | 49 |
|
Quoc-Albert D Le
7916 S Broadway Ave Ste 150 |
$0.55 | 87 | 54 |
|
John L Schnell
800 E Dawson St |
$3.54 | 86 | 82 |
|
Kent B Boozer
5540 Old Jacksonville Hwy |
$0.14 | 68 | 66 |
|
Christopher David Diaz
800 E Dawson St |
$1.76 | 53 | 53 |
|
Chandler Mccarty Hrobar
3943 Old Jacksonville Rd |
$4.85 | 32 | 32 |
|
Michael Gary Watson
800 East Dawson Street |
$2.21 | 27 | 27 |
|
Donald Pearson Ritchie
6733 Highlands Court |
$0.02 | 27 | 27 |
|
Moises A Sidransky
700 Olympic Plaza Cir |
$3.96 | 27 | 25 |
|
Robert Sigala
11937 Us Hwy 271 |
$6.62 | 17 | 15 |
|
Harshivinderjit Singh Bains
1201 W Grande Blvd |
$509.02 | 16 | 13 |
|
Luis E Vasquez
5777 New Copeland Rd |
$0.00 | 13 | 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 | — |
| 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 Tyler, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Tyler, TX is $14.43 per claim, based on 11,022 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 Tyler, TX?
There are 28 Medicaid providers offering Prescription Medications related services in Tyler, TX according to public payment data.
What is the price range for Prescription Medications in Tyler, TX?
Medicaid reimbursement for Prescription Medications in Tyler, TX ranges from $0.00 to $509.02 per claim, with an average of $14.43. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Prescription Medications in Other Cities
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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
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Louisville, KY
Avg $31.67
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New York, NY
Avg $40.26
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San Diego, CA
Avg $27.34
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Avg $24.34
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Other Procedures in Tyler, TX
Office Visit
Avg $44.43
469,139 claims
Emergency Room Visit
Avg $103.85
379,823 claims
Blood Work & Lab Tests
Avg $5.27
313,965 claims
Dental Cleaning & Exam
Avg $39.99
266,952 claims
X-Ray
Avg $7.49
188,695 claims
Vaccines & Immunizations
Avg $6.68
122,404 claims
Urinalysis & Urine Tests
Avg $2.44
97,259 claims
Ultrasound
Avg $64.23
94,613 claims