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 |
|---|---|---|---|
|
Anna Livia Yearous-Algozin
451 Junction Rd |
$0.00 | 12 | 12 |
|
Sarina B Schrager
3209 Dryden Dr |
$8.46 | 12 | 12 |
|
Ashleigh A Olson
1821 S Stoughton Rd |
$14.58 | 12 | 12 |
|
Sancia Ferguson
345 W Washington Ave |
$0.01 | 12 | 12 |
|
Anthony James Sturm
4901 Cottage Grove Rd |
$8.85 | 12 | 12 |
|
Jessica C Babal
2880 University Ave |
$1.38 | 12 | 12 |
|
Jennifer E Kuhl
752 N High Point Rd |
$29.07 | 12 | 12 |
|
University Of Wisconsin Hospitals And Clinics Authority
1 S Park St |
$27.36 | 12 | 12 |
|
Phoebe Manning Sullivan
333 E Campus Mall # 6140 |
$9.08 | 12 | 12 |
|
Walgreen Co
3700 University Ave |
$46.32 | 12 | 12 |
|
Anne Marie Schmitz
3209 Dryden Dr |
$1.02 | 13 | 12 |
|
Abbie Elizabeth Treiber
2601 W Beltline Hwy |
$0.00 | 13 | 12 |
|
Garrett Allen Mcnulty
1211 Fish Hatchery Rd |
$7.49 | 13 | 13 |
|
Karen R Lentfer
4901 Cottage Grove Rd |
$26.96 | 13 | 13 |
|
Maciej M Czechowski
1211 Fish Hatchery Rd |
$4.98 | 13 | 12 |
|
Kristen L Knoepke
7102 Mineral Point Rd |
$0.00 | 13 | 13 |
|
Sarah M Rowe
2202 S Park St |
$13.21 | 13 | 13 |
|
Louis A Sanner
2402 Winnebago St |
$5.32 | 13 | 13 |
|
Sarah A Hackman
1821 S Stoughton Rd |
$12.33 | 14 | 14 |
|
Caitlin A Verstegen
1313 Fish Hatchery Rd |
$6.17 | 14 | 14 |
|
Andrew B Schmitt
4901 Cottage Grove Rd |
$13.51 | 14 | 12 |
|
Angela S Lothe
4602 Eastpark Blvd |
$7.71 | 14 | 12 |
|
Jason Anthony Dambach
20 S Park St |
$4.60 | 14 | 14 |
|
Ashley M Braithwaite
20 S Park St Ste 405 |
$14.35 | 14 | 14 |
|
Cynthia Griffin
502 Lone Eagle Dr |
$3.48 | 14 | 14 |
|
Jonathan S Anderson
2402 Winnebago St |
$8.58 | 15 | 15 |
|
Renee Burk
5249 E Terrace Dr |
$0.00 | 15 | 14 |
|
Jennifer A Meyer-Carper
1821 S Stoughton Rd |
$19.04 | 15 | 15 |
|
Nicholas W Sullivan
3209 Dryden Dr |
$15.00 | 16 | 14 |
|
University Of Wisconsin Hospitals And Clinics Authority
5249 E Terrace Dr |
$21.81 | 16 | 16 |
|
Lisa A Netkowicz
4602 Eastpark Blvd |
$7.52 | 16 | 16 |
|
Brittany J. Chambers
451 Junction Rd |
$0.00 | 16 | 14 |
|
Wal-Mart Stores East Lp
7202 Watts Rd |
$27.73 | 17 | 13 |
|
Amy Irene Pease
600 Highland Ave |
$12.62 | 17 | 13 |
|
Sarah K Mcniel
3209 Dryden Dr |
$8.16 | 17 | 16 |
|
Preston Michael Stephens
5618 Odana Rd |
$3.80 | 17 | 16 |
|
Jared Dubey
1102 S Park St |
$6.04 | 18 | 18 |
|
James C Nettum
1313 Fish Hatchery Rd |
$7.56 | 18 | 18 |
|
Wendy S Coleman
2115 Chadbourne Ave |
$2.02 | 18 | 18 |
|
Erica E.S. Swenson
4410 Regent St |
$15.04 | 18 | 14 |
|
Wisconsin Dialysis, Inc.
4600 American Pkwy |
$0.00 | 19 | 19 |
|
Lashika Yogendran
3209 Dryden Dr |
$2.61 | 19 | 16 |
|
Don E Breckbill
1821 S Stoughton Rd |
$6.03 | 19 | 19 |
|
Rosa A Gilestra
1821 S Stoughton Rd |
$1.24 | 20 | 20 |
|
Roundys Supermarkets Inc
2502 Shopko Dr |
$0.00 | 22 | 22 |
|
Fresenius Kidney Care Madison, Llc
4600 American Pkwy Ste 102 |
$0.00 | 22 | 20 |
|
Amy E Daley
1211 Fish Hatchery Rd |
$4.39 | 22 | 22 |
|
Robert W Cambray
1821 S Stoughton Rd |
$4.07 | 22 | 22 |
|
Meredith Grace Loewenstein
2217 Keyes Ave |
$1.06 | 22 | 22 |
|
Kellie Marie Donahue
752 N High Point Rd |
$0.52 | 23 | 20 |
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
1,972,578 claims · 508 providers
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