Immunization Fees

Immunization Fees

Cost of Vaccines  

The current cost of vaccine plus an administration fee of $23 per vaccine will be charged.  Administration fees may be adjusted based on ability to pay. Use the chart at the bottom of this page to determine cost.

LCHD participates in the Vaccine for Children (VFC) program that covers the cost of the vaccine for children who are eligible for the program.  Children age birth through 18 years are eligible for the VFC program if they: 
  • Have Medicaid insurance (Medicaid will be billed).
  • Do not have health insurance.
  • Are American Indian or Alaska Native descent.
  • Have health insurance that does not cover the cost of the vaccination.

LCHD also has special programs that may pay for certain vaccines for adults 19 years and older who are uninsured or underinsured. 

Billing Insurance

LCHD is now accepting the following insurances. We may also be able to bill Medicaid and Medicare B for adults depending on their type of coverage and vaccines requested. Please call for more information.

  • Medicare A&B
  • Some Medicare Advantage Plans
  • Medicaid FFS
  • Medicaid Health Plans
  • Medicaid United Healthcare Community Plan
  • Meridian Health Plan of Michigan
  • Molina Healthcare of Michigan
  • McLaren Health Plan
  • Priority Health/ Cigna
  • Blue Cross Complete (MA)
  • Blue Care Network of Michigan
  • Blue Cross Blue Shield of Michigan
  • Tricare/ Humana


LCHD is not able to bill other commercial insurance companies at this time. Adults and children with private insurance coverage can receive vaccines, but will be charged the cost of the vaccine in addition to the vaccine administration fee. If your insurance pays for vaccinations, please call your insurance company prior to arriving to the clinic to find out if you can be reimbursed when you receive your vaccines at LCHD. LCHD may not be a participating provider for some insurance companies, so it is important that you tell them you are receiving the vaccines at the health department. It is your responsibility to check with your insurance company to determine if the insurance company will reimburse you when you receive vaccinations at the Livingston County Health Department. LCHD will give you the correct forms to submit to your insurance carrier for reimbursement.

Updated 4/2023

 Immunization Fees

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Adults with Medicaid,


​Vaccines available for adults with Medicaid

​Out-of-Pocket cost

​Chickenpox (Varicella)**$0
​HPV (through age 26)** $0
​MMR (Measles / Mumps / Rubella)**$0
​PCV15 (Pneumococcal)**$0
​PPSV23 (Pneumococcal)** $0
​Shingles (Must be age 50 or older)** $0
​Tdap (Tetanus vaccine)**$0
​Hepatitis A**$0
​Hepatitis B**$0
​Hep A and Hep B (Twinrix)**
​$0
​Haemophilus Influenza type b (HIB)$0
​Polio (IPV) $0
​Flu Vaccine $0
Flu Vaccine (High-dose)​$0
​Meningococcal Conjugate (MenACWY) $0
​Meningococcal B (Men B) $0
​Polio (IPV)  $0
​Rabies PrEP
​Call for availability
​COVID-19 Vaccine
​$0
​PPD (TB Skin Test) $40

**Must meet risk factors to receive the reduced price.

Fees are subject to change.

Adults with No Insurance,


​Vaccines available for adults with no insurance coverage for immunizations

​Max out-of-pocket cost

​Chickenpox (Varicella)**$230
​HPV (through age 26)** $371
​MMR (Measles / Mumps / Rubella)**$137
​PCV15 (Pneumococcal)**$312
​PPSV23 (Pneumococcal)** $175
​Shingles (Must be age 50 or older)** $245
​Tdap (Tetanus vaccine)**$79
​Hepatitis A**$108
​Hepatitis B**$82
Hep A and Hep B (Twinrix)​$149
​Haemophilus Influenza type b (HIB)$37
​Polio (IPV) $70
​Flu Vaccine $45
Flu Vaccine (High-dose)​$98
​Meningococcal Conjugate (MenACWY) $174
​Meningococcal B (Men B) $230
​​Rabies PrEP
​Call for availability
​COVID-19 Vaccine
​$0
​PPD (TB Skin Test) $40

**Must meet risk factors to receive the reduced price.

Fees are subject to change.

Adults with Private Insurance, LCHD is now accepting several private insurances. Please call for more information.

​Vaccines available for adults with private insurance that covers immunizations

​Max out-of-pocket cost (varies by plan, call for details)

​Chickenpox (Varicella)$230
​HPV (through age 26) $371
​MMR (Measles / Mumps / Rubella)**$137
​PCV15 (Pneumococcal)$312
​PPSV23 (Pneumococcal) $175
​Shingles (Must be age 50 or older) $245
​Tdap (Tetanus vaccine)$79
​Hepatitis A$108
​Hepatitis B$149
Hep A and Hep B (Twinrix)​$112
​Haemophilus Influenza type b (HIB)$37
​Polio (IPV) $70
​Flu Vaccine $45
​Flu Vaccine (High-dose)
​$98
​Meningococcal Conjugate (MenACWY) $174
​Meningococcal B (Men B) $230
​Rabies PrEP
​Call for availability
​COVID-19 Vaccine
​$0
​PPD (TB Skin Test) $40


Fees are subject to change.

Children with Medicaid,


​Vaccines available for children with Medicaid

​Out-of-Pocket cost

​Chickenpox (Varicella)$0
​DTaP (Diphtheria / Tetanus / Pertussis)$0
​MMR (Measles / Mumps / Rubella)$0
​PCV15 (Pneumococcal)$0
​PPSV23 (Pneumococcal) $0
HPV (through age 26)
$0
​Hepatitis A$0
​Hepatitis B$0
​Haemophilus Influenza type b (HIB)$0
​Polio (IPV) $0
​Flu Vaccine $0
​Meningococcal Conjugate (MenACWY) $0
​Meningococcal B (Men B) $0
​Polio (IPV)  $0
​Rabies PrEP
​Call for availability
​Rotavirus$0
​Tdap (Tetanus / Diphtheria / Pertussis)
​$0
​MMR-V (Measles / Mumps / Rubella / Varicella)
​$0
​DTaP-HepB-IPV​$0
​DTaP-Hib-IPV​$0
​DTaP-IPV​$0
​COVID-19 Vaccine
​$0
​PPD (TB Skin Test) $40


Fees are subject to change.

Children with No Insurance,


​Vaccines available for children with no insurance coverage for immunizations

​Max out-of-pocket cost

​Chickenpox (Varicella)$23
​DTaP (Diphtheria / Tetanus / Pertussis)$23
​MMR (Measles / Mumps / Rubella)$23
​PCV15 (Pneumococcal)$23
​PPSV23 (Pneumococcal) $23
HPV (through age 26)
$23
​Hepatitis A$23
​Hepatitis B$23
​Haemophilus Influenza type b (HIB)$23
​Polio (IPV) $23
​Flu Vaccine $23
​Meningococcal Conjugate (MenACWY) $23
​Meningococcal B (Men B) $23
​Polio (IPV)  $23
​Rabies PrEP
​Call for availability
​Rotavirus$23
​Tdap (Tetanus / Diphtheria / Pertussis)
$23
​MMR-V (Measles / Mumps / Rubella / Varicella)
$23
​DTaP-HepB-IPV$23
​DTaP-Hib-IPV$23
​DTaP-IPV$23
​COVID-19 Vaccine
$0
​PPD (TB Skin Test) $40


Fees are subject to change.

Children with Private Insurance,

LCHD is now accepting several private insurances. Please call for more information.

​Vaccines available for children with private insurance that covers immunizations

​Max out-of-pocket cost (varies by plan, call for details)

​Chickenpox (Varicella)$230
​DTaP (Diphtheria / Tetanus / Pertussis)$56
​MMR (Measles / Mumps / Rubella)$137
​PCV15 (Pneumococcal)$312
​PPSV23 (Pneumococcal) $175
HPV (through age 26)
$371
​Hepatitis A$61
​Hepatitis B$44
​Haemophilus Influenza type b (HIB)$37
​Flu Vaccine $45
​Meningococcal Conjugate (MenACWY) $174
​Meningococcal B (Men B) $230
​Polio (IPV)  $70
​Rabies PrEP
​Call for availability
​Rotavirus$144
​Tdap (Tetanus / Diphtheria / Pertussis)
​$79
​MMR-V (Measles / Mumps / Rubella / Varicella)
​$360
​DTaP-HepB-IPV​$106
​DTaP-Hib-IPV​$154
​DTaP-IPV​$93
​COVID-19 Vaccine
​$0
​PPD (TB Skin Test) $40


Fees are subject to change.