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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 

  • Office visit 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: $28.00 

Vaccinations 

Costs listed are per dose.

CPT Code  Immunization  Brand  Cost 
90589 Chikungunya (IXCHIQ®) $412.50
90632 Hepatitis A (Havrix®) $96.80
90746 Hepatitis B (Energix-B®) $95.51
90739 Hepatitis B (Heplisav-B®) $188.23
90636 Hepatitis A/B Combination (Twinrix®) $129.70
90648 Hib   $23.12
90651 HPV (Gardasil®) $430.18
90658 Influenza   $45.00
90662 Influenza (HD)   $57.00
90738 Japanese Encephalitis (Ixiaro®) $323.55
86580 Mantoux TB (tuberculin skin test)   $18.00
90620 Meningococcal B (Bexsero®) $250.87
90619 Meningococcal ACWY (Menquadfi®, Menveo) $211.17
90707 MMR   $144.61
90611 MPOX (formerly known as monkeypox) (JYNNEOS®) *
90677 Pneumococcal 20-valent Conjugate (Prevnar 20®) $372.37
90732 Pneumococcal Polysaccharide (Pneumovax 23®) $149.28
90713 Polio   $75.80
90675 Rabies (RabAvert®) $417.89
90678 Respiratory Syncytial Virus (RSV) (AbrysvoTM) $442.50
90750 Shingles (Shingrix) $296.84
90715 Tdap   $70.78
90714 Tetanus/Diphtheria   $70.78
90627 Tick Borne Encephalitis (TicoVacTM) $434.15
90691 Typhoid Injectable (Typhim Vi®) $149.56
90690 Typhoid Oral (Vivotif) $120.49
90716 Varicella   $221.31
90717 Yellow Fever (YF-Vax) $220.14

*Vaccine cost covered by government grant.
Make an appointment with St. Luke's Clinic - Travel Medicine and Immunizations