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Service Fees

Effective 07/01/2010

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
  (Each child up to 3 children per family per visit - Any number of shots )
Maximum each family (Over 3 children) Per Visit $30.00
  (Not to exceed $30.00 per family per visit)

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)
Flu (6 months through 18 years)


Adult Immunization Non-Waivable Fees - 19 years & over

Service Unit of Service Recommend Rate
Td or Tdap - (waivable) Per Dose $15.00
Hepatitis A Per Dose $70.00
Hepatitis B Per Dose $65.00
Adult Pneumococcal Per Dose $46.00
Varicella Per Dose $120.00
MMR Per Dose $80.00
Polio - (waivable) 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 (19 years and older) - (waivable) Per Dose $15.00