Immunization Fee Schedule

Effective 10/1/2019

Vaccine Fee (Includes Admin Charge
Hepatitis A - Adult $90.00
Hepatitis A - Adolescent $60.00
Hepatitis B - Adult $85.00
Hepatitis B - Adolescent $60.00
DTaP $55.00
DTaP - IPV - Kinrix $75.00
DTaP - IPV - HIB - Pentacel $120.00
DTap - Hep B - IPV - Pediarix $100.00
DT $75.00
Flu $40.00
HPV9 $240.00
IPV $55.00
Meningitis $150.00
Meningococcal B - Bexsero $200.00
Meningococcal B - Trumenba $160.00
MMR $100.00
MMRV - ProQuad $240.00
Hib $50.00
Pneumonia $130.00
Prevnar $225.00
Rotavirus $110.00
Shingrix $175.00
TB Test $15.00
TD $55.00
Tdap $65.00
Varicella $160.00
Administrative Charge Per Injection $20.00
Immunization Record (without services) $1.00/page