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Based on public Medicaid payment data.

Average Medicaid Prescription Medications Payments in Visalia, CA: $14.80

Avg. Paid

$14.80

Range

$0.00 โ€“ $146.92

Total Claims

74,400

Providers

41

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 Visalia, CA

Provider Avg. Paid Claims Patients
Kaweah Delta Health Care District

400 W Mineral King Ave

$3.56 30,504 27,945
Kaweah Delta Health Care District

5040 W Tulare Ave

$5.12 18,872 2,108
David R. Bryson

5345 W Hillsdale Dr.

$62.90 5,428 3,041
Dva Renal Healthcare Inc

5429 W Cypress Ave

$1.22 4,851 352
Daniel Arthur Watrous

5315 W Hillsdale Ave

$146.92 2,758 2,406
Barnes Dental Corporation Inc

2626 S. Mooney Blvd, Suite C

$4.25 1,905 1,835
Hany Morcos Nasr

201 W Noble Ave

$7.84 1,605 1,569
Kusai S Aziz

101 E Noble Ave

$45.14 1,516 1,470
Jonathan Chin Hua Liu

2300 W Sunnyside Ave

$6.90 1,282 1,098
Abiy Akalu Meshesha

220 S Akers St

$8.33 1,228 1,178
Helmer Dialysis, Llc

1140 S Ben Maddox Way

$0.03 1,182 147
Tyler P May

2914 W Main St

$2.24 325 266
Derek James Florek

2914 W Main St

$0.00 313 183
Ameneh Donya Kalani

202 W Willow Ave

$9.96 288 287
Robert Allan Havard

4945 W Cypress Ave

$1.12 287 140
Amitoj Singh Gill

4945 W Cypress Ave

$0.03 238 65
Juan C Sabogal Tamayo

501 North Bridge Street

$55.40 224 152
Sreedhar Reddy Adapa

233 E Caldwell Ave

$39.43 194 104
Jonathan David Grossman

137 S Aspen St Ste A

$6.80 159 159
Mohsen T Thomas

128 N Akers

$40.41 135 106
Abiy Meshesha Md, Inc.

220 S Akers St

$14.98 121 118
Nauman Qureshi

401 E School Ave

$0.10 113 53
Seth Hall Criner

820 S Akers St

$1.54 103 92
Lupita Noemi Alvarez

1910 N Park St

$4.30 99 87
Calvon Voong

800 W Center Ave

$5.68 90 60
Adeyimika Omololu

401 E School Ave

$0.00 90 70
Bryson Cancer Care Inc

5345 W Hillsdale Dr.

$4.96 78 49
Richard William Barnes

2626 S Mooney Blvd

$2.74 64 64
Christopher Lee Seitz

31180 Road 72

$0.00 63 62
Integrated Care Systems Inc

7140 W. Pershing Ct.

$0.00 42 12
Satish Kesavaramanujam

107 N Hall St

$3.42 39 39
Luke Steven Bianco

505 N Church St

$10.68 38 37
Hoang U Le

2611 N. Dinuba Blvd

$0.00 27 27
Eva Hirwe

400 East Oak Street

$0.00 25 25
David J. Borge

501 North Bridge Street

$0.00 25 25
Guadalupe Angelina Neria

1410 S Mooney Blvd

$0.00 18 16
Fausto J Castillo Mairena

5405 W Hillsdale Ave

$0.00 16 15
Nathan Alan Loeffler

2626 S. Mooney Blvd.

$3.71 15 15
Joseph Ford

5400 W Hillsdale Ave

$8.93 14 14
Reygil Solis Trinidad

1633 S Court St

$2.58 13 12
Visalia Cardiovascular And Medical Center, Inc

101 E Noble Ave

$28.58 13 13

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 Visalia, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Visalia, CA is $14.80 per claim, based on 74,400 claims from 41 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 Visalia, CA?

There are 41 Medicaid providers offering Prescription Medications related services in Visalia, CA according to public payment data.

What is the price range for Prescription Medications in Visalia, CA?

Medicaid reimbursement for Prescription Medications in Visalia, CA ranges from $0.00 to $146.92 per claim, with an average of $14.80. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Prescription Medications in Other Cities

Other Procedures in Visalia, CA