- Administration Charge: $40/Vaccine
The administration fee will be based upon a sliding fee scale if income and family size is provided. Administration fee NOT to exceed $23.03 per vaccine if eligible for the Vaccines for Children or MI-AVP Program - Non-Sufficient Funds Fee (NSF) $25 if paid in 7 days, $35 if paid in 30 days
If your services(s) are not a covered benefit under your insurance plan and you have not met your deductible and/or co-pays or are out-of-network, you will be billed for the cost of the service and/or administration fees as directed by the state.
| Immunization Type | Vaccine Price Only |
|---|---|
| COVID Moderna 6mo-11Yrs (91321) | $173.00 |
| COVID Pfizer 12+Yrs (91320) | $231.00 |
| DTAP (90700) | $35.00 |
| DTAP/Hep B/IPV (90723) | $127.00 |
| DTAP/IPV (90696) | $74.00 |
| Flu (PF Syringe-90661) | $67.00 |
| Flu 65+ (PF-90653) | $123.00 |
| HEPATITIS A (Adult-90632) | $192.00 series/$96.00 per dose |
| HEPATITIS A (Pediatric-90633) | $92.00 series/$46.00 per dose |
| HEPATITIS B (Adult-90746) | $249.00 series/$83.00 per dose |
| HEPATITIS B (Pediatric-90744) | $102.00 series/$34.00 per dose |
| HEPATITIS A & B (Twinrix-90636) | $486.00 series/$162.00 per dose |
| HEPLISAV B (90739) | $378.00 series/$189.00 per dose |
| HIB (ActHIB-90648) | $19.00 |
| HIB (Pedvax-90647) | $36.00 |
| HPV9 (Gardasil-90651) | $380.00 per dose |
| IPV (INJECTABLE POLIO VACCINE-90713) | $55.00 |
| MENINGOCOCCAL VACCINE (Menveo-90734) | $202.00 |
| MENINGOCOCCAL VACCINE (Group B – Bexsero-90620) | $287.00 |
| MMR (90707) | $112.00 |
| MMR/Varicella (90710) | $330.00 |
| PNEUMONIA PCV20 (Prevnar-90677) | $362.00 |
| PNEUMONIA PCV21 (Capvaxive-90684) | $345.00 |
| PNEUMONIA PPSV23 (Pneumovax-90732) | $134.00 |
| RABIES Pre-Exposure (90675) | $516.00 per dose (2 dose series) |
| ROTAVIRUS (Rotarix-90681) | $356.00 series/$178.00 per dose |
| ROTAVIRUS (RotaTEQ-90680) | $351.00 series/$117.00 per dose |
| RSV (Abrysvo-90678) | $364.00 |
| RSV (Beyfortus-90380/90381) | $679.00 |
| SHINGRIX (90750) | $536.00 series/$268.00 per dose |
| Tdap (90715) | $57.00 |
| TETANUS TD – ADULT (90714) | $53.00 |
| VARICELLA (CHICKEN POX VACCINE-90716) | $219.00 |
| TB Test | $24.00 flat fee |
Revised 07-14-2026
