Vaccines' self pay fee schedule

*Please note that fee-schedule for insured patients is determined by insurance contract

Vaccine Type Vaccine Name Price CPT
Tdap Adacel 100$
Meninggococcal Menactra 200$
Hep B Engerix-B (adult) 100$
Hep B Engerix-B (ped) 100$
Hep A Havrix (adult) 100$
Hep A Havrix (ped) 100$
HIB Hiberix 100$
DTAP Infanrix 100$
Polio IPOL 100$
DTAP, IPV Kinrix 100$
MMR MMR II 100$
DTAp, IPV, Hep B Pediarix 200$
DTAp. IPV, HIP Pentacel 150$
Dtap/ IPV Quadracel 150$
Pneumococcal Pneumovax 23 300$
Pneumococcal Prevnar 13 300$
MMR, Varicella Proquad 250$
Rotavirus Rotateq 200$
PPD (TB) Tubersol 30$
Varicella Verivax 300$
Influenza Flucelvax (4-65) 50$
Influenza FLUZONE QUADRIVALENT 6-35MO 50$
Influenza Fluzone Quad (3) 50$
Influenza Fluad ( 65+) 75$