Immunization Fee Schedule
Effective 10/1/2024
| Vaccine | Fee (Includes Admin Charge) |
|---|---|
| Hepatitis A - Adult | $108.00 |
| Hepatitis A - Adolescent | $73.00 |
| Hepatitis B - Adult | $103.00 |
| Hepatitis B - Adolescent | $63.00 |
| COVID-19 - Pfizer | |
| 6m - 4y | $115.00 |
| 5y - 11y | $135.00 |
| 12yrs+ | $190.00 |
| COVID-19 - Moderna | |
| 6m - 11y | $190.00 |
| 12yrs+ | $190.00 |
| DTaP | $68.00 |
| DTaP - IPV - Kinrix | $93.00 |
| DTaP - IPV - HIB - Pentacel | $158.00 |
| DTap - Hep B - IPV - Pediarix | $128.00 |
| Dtap-IPV-Hib-Hep B Vaxelis | $208.00 |
| Flu | $53.00 |
| Flu - High Dose | $103.00 |
| HPV9 | $328.00 |
| IPV | $73.00 |
| Meningitis | $198.00 |
| Meningococcal B - Bexsero | $243.00 |
| Meningococcal B - Trumenba | $203.00 |
| MMR | $133.00 |
| MMRV - ProQuad | $313.00 |
| Hib | $63.00 |
| Pneumonia | $243.00 |
| PCV15 | $293.00 |
| Prevnar20 | $333.00 |
| Rotavirus | $163.00 |
| RSV - Abrysvo | $353.00 |
| RSV - Arexvy | $318.00 |
| Shingrix | $228.00 |
| TB Test | $20.00 |
| TD | $78.00 |
| Tdap | $88.00 |
| Varicella | $213.00 |
| Administrative Charge Per Injection | $23.00 |
| COVID Administrative Charge Per Injection | $40.00 |
| Immunization Record (without services) | $1.00/page |