Average Medicaid Vaccines & Immunizations Payments in Madison, WI: $7.15
Avg. Paid
$7.15
Range
$0.00 – $96.03
Total Claims
111,182
Providers
224
Typical Payment Range
Typical Medicaid Vaccines & Immunizations payments fall between $6.71 and $17.15 per claim (median: $11.70). The top 10% of payments exceed $23.30.
Based on per-provider averages across all Medicaid claims in this category.
Preventive vaccines and immunizations protect against infectious diseases. Includes childhood vaccines, flu shots, and adult immunizations.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Vaccines & Immunizations in Madison, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
University Of Wisconsin Hospitals And Clinics Authority
600 Highland Ave |
$7.23 | 48,501 | 45,073 |
|
Meriter Hospital, Inc.
202 S Park St |
$2.70 | 5,282 | 4,551 |
|
Trisha E Schimek
701 Dane St |
$0.00 | 4,104 | 2,567 |
|
Hannah Wakefield
5249 E Terrace Dr |
$0.93 | 3,536 | 3,493 |
|
Maria Rosa
20 S Park St |
$8.41 | 3,165 | 2,698 |
|
Katherine F Moriarty
1211 Fish Hatchery Rd |
$0.93 | 3,048 | 2,935 |
|
Douglas Gregory Olk
2402 Winnebago St |
$15.00 | 2,512 | 2,465 |
|
Lydia T. Mawad Melendez
202 S Park St |
$14.96 | 2,380 | 2,376 |
|
Jeanette Di Everson
5249 E Terrace Dr |
$13.59 | 2,309 | 2,261 |
|
Sumita Ram
2275 Deming Way |
$3.47 | 1,479 | 1,442 |
|
Rachel Rongstad Mifflin
451 Junction Rd |
$23.81 | 1,457 | 1,205 |
|
Deirdre A Burns
2402 Winnebago St |
$3.80 | 1,321 | 1,306 |
|
Kirsten S Abramson
701 Dane Street |
$9.48 | 1,279 | 1,236 |
|
Ssm Health Care Of Wisconsin, Inc.
700 S. Park St. |
$3.22 | 1,180 | 1,081 |
|
Kok-Peng Yu
210 Green Lake Pass |
$0.79 | 1,148 | 1,134 |
|
Kevin E. Fehr
3434 E. Washington Ave. |
$6.22 | 1,115 | 1,102 |
|
Kristy L Fitzpatrick
1211 Fish Hatchery Rd |
$0.72 | 988 | 962 |
|
Sarah E Straka
1705 Hoffman St |
$5.09 | 901 | 850 |
|
Patricia L. Bellissimo
1821 S Stoughton Rd |
$0.99 | 774 | 736 |
|
Katherine A. Lemon
5249 E Terrace Dr |
$1.38 | 761 | 645 |
|
Patricia L Deffner-Valley
2402 Winnebago St |
$3.42 | 731 | 727 |
|
Elizabeth Rose Doherty
2202 S Park St |
$6.54 | 676 | 665 |
|
Angela M Oconnor
7102 Mineral Point Rd |
$5.97 | 675 | 611 |
|
Sean Miran
202 S Park St |
$6.49 | 620 | 580 |
|
Jody C Epstein
1102 S Park St |
$8.62 | 614 | 573 |
|
Patricia V Staats
1217 Gilbert Rd |
$0.76 | 593 | 582 |
|
Perry Krumenacher
600 Highland Ave |
$3.54 | 564 | 539 |
|
Heidi Marie Kloster
600 Highland Ave |
$9.95 | 561 | 430 |
|
Caitlin J Regner
1102 S Park St |
$9.16 | 554 | 523 |
|
Anne-Marie Lozeau
752 N High Point Rd |
$19.82 | 526 | 497 |
|
Timothy J Chybowski
7102 Mineral Point Rd |
$0.89 | 495 | 490 |
|
Nicholas A Hallett
1821 S Stoughton Rd |
$0.76 | 491 | 463 |
|
Cristina M Delgadillo
4122 E Towne Blvd |
$3.97 | 467 | 459 |
|
Julia Marie Weiser
3434 E Washington Ave |
$11.80 | 466 | 459 |
|
Adrienne R Hampton
5618 Odana Rd |
$11.04 | 455 | 446 |
|
Andrea Nicole Jones
600 Highland Ave |
$1.89 | 435 | 426 |
|
Stacy A Leidel
1102 S Park St |
$14.21 | 396 | 387 |
|
Aditya Sukhwal
7102 Mineral Point Rd |
$2.14 | 386 | 384 |
|
Paul F Dvorak
1211 Fish Hatchery Rd |
$1.03 | 357 | 346 |
|
Dana M Johnson
3102 Meriter Way |
$5.01 | 355 | 340 |
|
Martha W Kirk
1821 S Stoughton Rd |
$4.37 | 353 | 315 |
|
Michael J Trias
1821 S Stoughton Rd |
$1.16 | 349 | 335 |
|
Carleen L Hanson
345 W Washington Ave |
$2.99 | 334 | 321 |
|
Megan Elizabeth Yanny
2402 Winnebago St |
$4.90 | 324 | 321 |
|
Megan Farrell Neuman
20 S Park St |
$1.77 | 290 | 289 |
|
Bridget Rose O'Connell-Long
5249 E Terrace Dr |
$36.51 | 285 | 284 |
|
Nicholas Dimitri David
Uw Hospitals And Clinics |
$15.17 | 279 | 279 |
|
Marty G. Mozena
4122 E Towne Blvd |
$11.48 | 270 | 259 |
|
Planned Parenthood Of Wisconsin
2222 S Park St |
$96.03 | 255 | 243 |
|
Russell L Lemmon
3209 Dryden Dr |
$4.41 | 249 | 242 |
What to Expect: Vaccines & Immunizations
Vaccinations take just a few minutes. The vaccine is given as an injection, usually in the upper arm. Minor side effects like soreness at the injection site, mild fever, or fatigue may occur and typically resolve within 1-2 days. Your provider may recommend waiting 15 minutes after certain vaccines to monitor for any allergic reactions.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 90460 | Immunization admin thru 18 | $19.20 | 68,551,665 | 43,815 |
| 90471 | Immunization admin 1st inj | $9.66 | 57,130,368 | 98,445 |
| 90686 | Flu vaccine IIV4 pf 3+ | $5.45 | 39,418,111 | 97,965 |
| 90472 | Immunization admin each addl | $12.92 | 20,815,186 | 28,106 |
| 90670 | PCV13 pneumococcal vaccine | $6.38 | 19,269,963 | 34,047 |
| 90461 | Immunization admin addl comp | $8.83 | 16,859,567 | 21,627 |
| 90633 | Hepatitis A vaccine ped 2-dose | $3.37 | 9,767,245 | 26,524 |
| 90680 | Rotavirus vaccine 3-dose | $3.46 | 7,993,355 | 19,524 |
| 90723 | DTaP-HepB-IPV vaccine | $3.92 | 7,098,290 | 16,826 |
| 90715 | Tdap vaccine | $11.85 | 6,717,093 | 22,225 |
| 90651 | HPV vaccine 9-valent | $15.95 | 6,526,878 | 22,658 |
| 90648 | Hib vaccine 4-dose | $3.83 | 6,018,911 | 13,271 |
| 90698 | DTaP-IPV/Hib vaccine | $4.60 | 5,666,589 | 14,010 |
| 90734 | Meningococcal vaccine MCV4 | $6.16 | 4,232,186 | 19,287 |
| 90647 | Hib vaccine 3-dose | $2.36 | 4,009,651 | 9,899 |
| 90688 | Flu vaccine IIV4 3 yrs+ | $6.95 | 3,844,650 | 22,235 |
| 90716 | Varicella vaccine | $7.15 | 3,626,719 | 12,830 |
| 90707 | MMR vaccine | $5.40 | 3,456,536 | 12,527 |
| 90700 | DTaP vaccine | $3.40 | 3,091,238 | 9,829 |
| 90656 | Influenza vaccine 3+ pf | $5.83 | 2,918,961 | 30,479 |
| 90744 | HepB vaccine ped 3-dose | $3.49 | 2,870,013 | 10,205 |
| 90710 | MMRV vaccine | $4.77 | 2,595,476 | 11,273 |
| 90674 | Influenza vaccine ccIIV4 pf | $12.97 | 2,068,360 | 15,688 |
| 90681 | Rotavirus vaccine 2-dose | $3.80 | 2,035,812 | 7,164 |
| 90474 | Immunization admin addl intrn | $7.86 | 1,972,978 | 6,114 |
| 90696 | DTaP-IPV vaccine | $3.68 | 1,737,945 | 9,616 |
| 90713 | IPV vaccine | $4.24 | 1,284,417 | 3,821 |
| 90658 | Influenza vaccine 3 yrs+ | $5.70 | 1,068,634 | 5,968 |
| 90685 | Flu vaccine IIV4 pf 6-35mo | $3.69 | 976,735 | 9,467 |
| 90473 | Immunization admin oral/nasal | $7.96 | 626,154 | 2,775 |
| 90649 | HPV vaccine 4-valent 3-dose | $7.39 | 517,956 | 2,452 |
| 90672 | Influenza vaccine LAIV4 nasal | $3.58 | 487,623 | 3,404 |
| 90750 | Zoster vaccine recombinant | $77.62 | 400,713 | 1,816 |
| 90746 | HepB vaccine adult | $40.42 | 385,011 | 1,527 |
| 90732 | PPSV23 pneumococcal vaccine | $44.97 | 235,648 | 1,520 |
| 90714 | Td vaccine preservative free | $12.49 | 218,801 | 628 |
| 90632 | Hepatitis A vaccine adult | $35.26 | 143,816 | 794 |
| 90687 | Flu vaccine IIV4 6-35 months | $3.74 | 141,649 | 1,469 |
| 90657 | Influenza vaccine 6-35 months | $2.60 | 136,684 | 857 |
| 90660 | Influenza vaccine live nasal | $4.09 | 93,337 | 1,123 |
| 90653 | Influenza vaccine adjuvanted | $10.72 | 83,986 | 1,301 |
| 90733 | Meningococcal vaccine MPSV4 | $12.70 | 56,310 | 285 |
| 90636 | Hepatitis A & B vaccine adult | $61.18 | 28,289 | 142 |
| 90630 | Influenza vaccine IIV-HD | $6.56 | 17,349 | 198 |
| 90747 | HepB vaccine dialysis | $32.69 | 12,100 | 147 |
| 90740 | HepB vaccine dialysis ped | $30.98 | 11,585 | 115 |
| 90743 | HepB vaccine adolescent 2-dose | $8.62 | 7,901 | 70 |
| 90654 | Influenza vaccine preserv free | $5.46 | 7,872 | 74 |
| 90736 | Zoster vaccine live | $90.00 | 6,897 | 71 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Vaccines & Immunizations cost in Madison, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Vaccines & Immunizations in Madison, WI is $7.15 per claim, based on 111,182 claims from 224 providers. Typical payments fall between $6.71 and $17.15. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Vaccines & Immunizations in Madison, WI?
There are 224 Medicaid providers offering Vaccines & Immunizations related services in Madison, WI according to public payment data.
What is the price range for Vaccines & Immunizations in Madison, WI?
Medicaid reimbursement for Vaccines & Immunizations in Madison, WI ranges from $0.00 to $96.03 per claim, with an average of $7.15. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Vaccines & Immunizations in Other Cities
Brooklyn, NY
Avg $16.42
5,480,176 claims · 1302 providers
Houston, TX
Avg $6.36
4,720,768 claims · 1082 providers
Chicago, IL
Avg $3.36
3,818,199 claims · 905 providers
Los Angeles, CA
Avg $3.85
3,256,340 claims · 1957 providers
Bronx, NY
Avg $14.84
3,068,629 claims · 905 providers
Phoenix, AZ
Avg $12.40
3,014,232 claims · 779 providers
New York, NY
Avg $15.83
2,903,252 claims · 1093 providers
San Antonio, TX
Avg $6.82
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Other Procedures in Madison, WI
Substance Abuse Treatment
Avg $12.67
1,509,772 claims
Behavioral & Mental Health Therapy
Avg $110.40
1,504,873 claims
Office Visit
Avg $49.22
1,187,844 claims
Blood Work & Lab Tests
Avg $11.76
1,154,690 claims
Emergency Room Visit
Avg $59.96
734,593 claims
X-Ray
Avg $5.48
502,669 claims
Physical Therapy
Avg $19.46
343,028 claims
EKG / ECG (Electrocardiogram)
Avg $5.11
290,457 claims