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Based on public Medicaid payment data.

Average Medicaid Vaccines & Immunizations Payments in Martinsburg, WV: $11.95

Avg. Paid

$11.95

Range

$0.00 – $53.68

Total Claims

135,738

Providers

48

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 Martinsburg, WV

Provider Avg. Paid Claims Patients
Shenandoah Valley Medical System, Inc.

99 Tavern Rd

$19.00 51,907 49,006
Cherish M Crawford

99 Tavern Rd

$0.08 27,982 15,402
University Healthcare Physicians, Inc.

2500 Foundation Way

$8.93 23,621 21,293
Raja Gopal Sunkavalli

2000 Professional Ct Ste C

$15.66 5,428 5,196
City Hospital, Inc

2500 Hospital Dr

$24.21 3,187 2,864
Justina Egbichi Eke

1804 W King Street

$18.34 2,711 2,473
Rafka Chaiban

2000 Professional Ct Ste C

$14.81 2,451 2,272
Caroline E Joe

315 Pendleton Dr

$11.74 2,221 1,898
Rebecca Lee

2000 Professional Ct Ste C

$8.46 2,099 2,036
Michael Li

99 Tavern Rd

$0.08 1,978 1,199
Rebecca Lauren Furby

61 Campus Dr

$11.59 1,743 1,640
Amanda Christian Shaner

99 Tavern Rd

$12.95 1,308 1,249
City Pediatrics

1804 W King St

$12.70 1,263 1,151
Rebecca Wiles

99 Tavern Rd

$0.00 1,000 620
Heather Anne Eckenrode

99 Tavern Rd

$0.60 974 619
Pamela Longmore

2500 Hospital Dr

$14.04 920 867
Cheryl Lim Taitano

99 Tavern Rd

$2.45 654 406
Amy Pelfrey

99 Tavern Rd

$19.45 530 488
Martinsburg Pediatrics

128 Health Care Ln

$9.21 519 510
Carol Hayden Oliver

2000 Professional Ct Ste C

$17.14 469 452
Bipin Shrestha

99 Tavern Rd

$0.00 427 244
Apple Valley Family Medicine And Urgent Care

202 Foxcroft Ave

$6.72 260 233
Ryan Miller

2010 Doctor Oates Dr Ste 102

$26.93 233 227
Berkeley -Morgan County Board Of Health

122 Waverly Ct

$9.36 210 204
Karen Kay Miller

2010 Doctor Oates Dr Ste 102

$33.95 144 137
Krista Hopkins

99 Tavern Rd

$0.72 141 78
Dawn Jones

99 Tavern Rd

$7.24 139 136
Philomela Martirez Tabuena

1004 Tavern Rd

$38.49 138 135
Kolawale Adedeji Oshiyoye

2500 Hospital Dr

$22.87 138 119
Ngozi Nnennanya Ude-Oshiyoye

202 Foxcroft Ave

$18.96 131 115
Dena Yvonne Bowers

99 Tavern Rd

$8.37 122 120
Sarah Kathleen Pollack

99 Tavern Rd

$0.00 119 61
Mehran Khajavi

1004 Sushruta Dr Ste C

$32.53 119 116
Michele M Sheetz

99 Tavern Rd

$7.24 92 78
Kelli Marie Morrow

61 Campus Dr

$7.61 61 53
Linda Lee Mcgavisk

2010 Doctor Oates Dr Ste 102

$41.64 59 57
Jennifer Renee Burnett

99 Tavern Rd

$10.81 40 39
Jesse Brian Jalazo

1002 Sushruta Dr

$42.42 40 39
East Mountain Health Physicians, Inc.

120 Campus Drive

$0.00 28 28
Mary Dunn

99 Tavern Rd

$0.00 24 12
Travis Schildt

651 Foxcroft Ave

$11.78 16 13
Korie Lippai

880 N Tennessee Ave Ste 105

$0.85 15 12
Bio-Medical Applications Of West Virginia, Inc.

931 Foxcroft Ave

$0.15 15 13
Bio-Medical Applications Of West Virginia, Inc.

103 Marcley Dr

$0.07 14 14
Michelle Marie Abe

99 Tavern Rd

$9.40 12 12
Courtney Struthers

99 Tavern Rd

$7.45 12 12
Weis Markets Inc

1102 N Queen St

$18.65 12 12
Molly Anna Quinn

299 Medical Ct

$53.68 12 12

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 Martinsburg, WV?

Based on public Medicaid payment data, the average Medicaid reimbursement for Vaccines & Immunizations in Martinsburg, WV is $11.95 per claim, based on 135,738 claims from 48 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 Martinsburg, WV?

There are 48 Medicaid providers offering Vaccines & Immunizations related services in Martinsburg, WV according to public payment data.

What is the price range for Vaccines & Immunizations in Martinsburg, WV?

Medicaid reimbursement for Vaccines & Immunizations in Martinsburg, WV ranges from $0.00 to $53.68 per claim, with an average of $11.95. Private insurance and self-pay costs are typically higher than these Medicaid rates.

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