Immunization Fee Schedule
Effective 10/1/2022
| Vaccine | Fee (Includes Admin Charge) |
|---|---|
| Hepatitis A - Adult | $95.00 |
| Hepatitis A - Adolescent | $70.00 |
| Hepatitis B - Adult | $100.00 |
| Hepatitis B - Adolescent | $60.00 |
| DTaP | $65.00 |
| DTaP - IPV - Kinrix | $85.00 |
| DTaP - IPV - HIB - Pentacel | $140.00 |
| DTap - Hep B - IPV - Pediarix | $125.00 |
| Dtap-IPV-Hib-HepB Vaxelis | $170.00 |
| DT | $90.00 |
| Flu | $50.00 |
| Flu - High Dose | $100.00 |
| HPV9 | $275.00 |
| IPV | $70.00 |
| Meningitis | $185.00 |
| Meningococcal B - Bexsero | $225.00 |
| Meningococcal B - Trumenba | $190.00 |
| MMR | $130.00 |
| MMRV - ProQuad | $290.00 |
| Hib | $60.00 |
| Pneumonia | $165.00 |
| PCV15 | $290.00 |
| Prevnar13 | $275.00 |
| Prevnar20 | $300.00 |
| Rotavirus | $160.00 |
| Shingrix | $205.00 |
| TB Test | $15.00 |
| TD | $75.00 |
| Tdap | $75.00 |
| Varicella | $170.00 |
| Administrative Charge Per Injection | $20.00 |
| Immunization Record (without services) | $1.00/page |