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Service Fees
Effective 07/01/2008
Cash or check only - no credit or ATM cards accepted.
Child and Adolescent Immunizations Birth through 18 Years:
Fees Waivable if Unable to Pay
| Service |
Unit of Service |
Recommend Rate |
| Birth through 18 years per visit |
Per Visit |
$10.00 |
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(Each child up to 3 children per family per visit - Any number of shots )
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| Maximum each family (Over 3 children) |
Per Visit |
$30.00 |
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(Not to exceed $30.00 per family per visit)
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Includes the Following Immunizations:
Tetanus,Diphtheria,Pertussis (Tdap) (10 through 18 years, 1 dose)
Diphtheria,Tetanus,Pertussis (DTaP) (up to age 7, 4 doses required) or DT
Tetanus,Diphtheria (Td) (7 through 18 years)
Polio (IPV) (4 doses required)
Haemophilus Influenzae B (HIB) (4 doses recommended)
Pediatric Pneumococcal (4 doses recommended)
Measles,Mumps,Rubella (MMR) (12 months & older, 2 doses required)
Chicken Pox (Varicella) (12 months & older, 2 doses recommended)
Hepatitis A (1 through 18 years, 2 doses recommended)
Hepatitis B (Birth through 18 years, 3 doses required)
Meningococcal (11 through 18 years of age, 1 dose recommended)
Rotavirus (up to 32 weeks, 3 doses recommended)
HPV (girls 9 through 18 years, 3 doses recommended)
Adult Immunization Non-Waivable Fees - 19 years & over
| Service |
Unit of Service |
Recommend Rate |
| Td or Tdap |
Per Dose |
$15.00 |
| Hepatitis A |
Per Dose |
$70.00 |
| Hepatitis B |
Per Dose |
$65.00 |
| Adult Pneumococcal |
Per Dose |
$40.00 |
| Varicella |
Per Dose |
$120.00 |
| MMR |
Per Dose |
$80.00 |
| Polio(injectible) |
Per Dose |
$15.00 |
| Meningococcal |
Per Dose |
$140.00 |
| HPV (19 through 26 years) |
Per Dose |
$140.00 |
| Shingles (60 and older) |
Per Dose |
$175.00 |
Flu Vaccination |
| Flu (6 months through 18 years) |
Per Dose |
$10.00 |
| Flu (Adult) |
Per Dose |
$15.00 |
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