Average Medicaid Prescription Medications Payments in Waco, TX: $17.36
Avg. Paid
$17.36
Range
$0.02 – $280.32
Total Claims
2,768
Providers
22
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 Waco, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Hillcrest Baptist Medical Center
100 Hillcrest Medical Blvd |
$0.60 | 1,083 | 858 |
|
Donald Eugene Hicks
4205 Franklin Ave |
$3.94 | 191 | 179 |
|
Marcos Perez
851 N Loop 340 |
$4.07 | 187 | 184 |
|
Ascension Providence
6901 Medical Pkwy |
$6.02 | 149 | 133 |
|
Baochong B Chang
3420 Pine Ave |
$2.53 | 149 | 80 |
|
Ivan G Castillo-Salazar
7030 New Sanger Rd Ste 102 |
$280.32 | 141 | 136 |
|
Daniel Mark Elwell
6901 Medical Pkwy |
$9.93 | 138 | 130 |
|
Christopher Charles Happel
1600 Providence Dr |
$12.80 | 111 | 105 |
|
Shannon Garitty
205 Woodhew Dr Ste 220 |
$0.83 | 105 | 100 |
|
Jesse Ian Baker
851 N Loop 340 |
$3.48 | 100 | 100 |
|
Michael Paul Fichter
321 Richland West Cir |
$2.15 | 66 | 63 |
|
Jay A Allport
100 Hillcrest Medical Blvd |
$2.93 | 54 | 39 |
|
Omair Hafeez Toor
50 Hillcrest Medical Blvd Ste 2018 |
$6.48 | 51 | 25 |
|
Rizwan H Khan
3500 Hillcrest Dr Ste 1 |
$1.57 | 50 | 50 |
|
Robert T Collier
100 Hillcrest Medical Blvd |
$4.09 | 45 | 44 |
|
Jean M Herzog
7104 New Sanger Rd |
$1.40 | 44 | 41 |
|
Laurie Wagnon Lazott
50 Hillcrest Medical Blvd Ste 201B |
$8.69 | 26 | 12 |
|
James Howard Matthews
50 Hillcrest Medical Blvd |
$6.80 | 21 | 13 |
|
Heart Of Texas Community Health Center, Inc
1800 Gurley Ln |
$14.68 | 17 | 16 |
|
Hector Barrezueta
6101 Woodway Dr |
$0.43 | 16 | 16 |
|
Hilda Ana Deen
1600 Providence Dr |
$24.39 | 12 | 12 |
|
Heart Of Texas Community Health Center, Inc
120 Hillcrest Medical Blvd |
$0.02 | 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 | — |
| 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 Waco, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Waco, TX is $17.36 per claim, based on 2,768 claims from 22 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 Waco, TX?
There are 22 Medicaid providers offering Prescription Medications related services in Waco, TX according to public payment data.
What is the price range for Prescription Medications in Waco, TX?
Medicaid reimbursement for Prescription Medications in Waco, TX ranges from $0.02 to $280.32 per claim, with an average of $17.36. 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 Waco, TX
Office Visit
Avg $45.75
476,451 claims
Dental Cleaning & Exam
Avg $31.85
223,056 claims
Vaccines & Immunizations
Avg $2.89
200,017 claims
Physical Therapy
Avg $32.60
188,402 claims
Blood Work & Lab Tests
Avg $5.74
115,573 claims
Emergency Room Visit
Avg $111.38
109,207 claims
Speech Therapy
Avg $98.50
83,337 claims
X-Ray
Avg $7.33
60,826 claims