Service Fees
Effective 07/01/2010Cash 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 |