Immunizations

2009 Fees

Community Clinical Services

Effective October 1st 2009

Vaccine Child
0-18 years of age
Adult
19+ years of age
DT (Diptheria and Tetanus) $40 NA
DTaP (Diptheria, Tetanus and Pertussis) $24 NA
Hep A $26 $32
Hep B *(Child =0-19 yrs., Adult=20+ yrs.) $22* $39*
Hib (Haemophilus Influenza Type b) $27 $27
HPV (Human Papillomavirus Vaccine) $140 $140
Immune Globulin $43 $43
Influenza $19 $19
MMR (Measles, Mumps and Rubella) $57 $57
Meningococcal Meningitis $110 $110
Pediarix (DTap-Hep B-IPV) $65 NA
Pentacel (DTap - ActHib - IPV) $83 NA
Pneumococcal Conjugate PCV7 $94 NA
Pneumococcal Polysaccharide PPV 23 $48 $48
Polio (IPV) $34 $34
Rabies $208 $208
Rotavirus $79 NA
TB Skin Test $13 $13
Td (Tetanus and Diptheria) $30 $30
Tdap (Tetanus, Diptheria and Pertussis) $43 $43
Typhim Vi (Injectable Typhoid) $53 $53
Typhoid (Oral Typhoid) $42 $42
Varicella (Chicken Pox) $90 $90
Yellow Fever $85 $85
Copy of Immunization Record $1 $1

Clients may qualify for free vaccine through the Vaccines for Children (VFC) program or the Michigan Vaccine Replacement Program (MI-VRP). However, a sliding scale vaccine administration fee ($0 - $10) may be charged for each injection.

Show the clerk your current Medicaid Card & Immunization Record