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Travel Immunization Vaccines and Pricing

Your insurance may or may not cover charges for clinic visits and immunizations. Please check with your insurance provider to find out what’s covered.

St. Luke's is happy to bill your insurance for services provided at our clinic, but this does not guarantee payment. You must accept full financial responsibility should your insurance decline to cover all or part of the services provided. 

Pricing is subject to change. 

Please note: State funded vaccines will be used for patients age 18 years and younger, when appropriate.

Administration 

  • Initial evaluation fee: Contingent on services provided according to St. Luke's coding and billing policies. 
  • Administration fee for 1st injection: $45.00 
  • Administration fee for each additional injection: $21.00 

Vaccinations 

*Price per dose

CPT Code  Immunization  Brand  Cost 
90625 Cholera (Vaxchora®) $337.50
90474 Cholera Admin Fee   $21.00
90632 Hepatitis A* (Havrix®) $88.47
90746 Hepatitis B* (Energix-B®) $72.89
90636 Hepatitis A/B Combination* (Twinrix®) $113.32
90648 Hib   $43.91
90651 HPV* (Gardasil®) $180.52
90658 Influenza   $35.00
90662 Influenza (HD)   $60.00
90738 Japanese Encephalitis* (Ixiaro®) $328.65
86580 Mantoux TB (tuberculin skin test)   $15.00
90620 Meningococcal B* (Bexsero®) $226.68
90734 Meningococcal (Menactra®) $138.47
90734 Meningococcal (Menveo®) $138.47
90707 MMR*   $107.13
90670 Pneumococcal 13-valent Conjugate (Prevnar 13®) $213.26
90732 Pneumococcal Polysaccharide (Pneumovax 23®) $126.84
90713 Polio   $55.56
90675 Rabies* (RabAvert®) $319.17
90750 Shingles* (Shingrix) $196.16
90736 Shingles (Zostavax) $239.25
90715 Tdap   $58.27
90714 Tetanus/Diphtheria   $57.74
90691 Typhoid Injectable (Typhim Vi®) $106.50
90690 Typhoid Oral (Vivotif) $77.65
90716 Varicella*   $155.58
90717 Yellow Fever (Stamaril) $158.24


Make an appointment with St. Luke's Clinic - Travel Medicine and Immunizations