Immunizations Fee Schedule

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  • 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 TypeVaccine 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