Average Medicaid Vaccines & Immunizations Payments in Rochester, NY: $20.81
Avg. Paid
$20.81
Range
$0.00 – $66.20
Total Claims
537,114
Providers
542
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 Rochester, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Vidush Philip Athyal
777 Clinton Ave S |
$7.43 | 98,510 | 98,319 |
|
Rochester General Hospital
1425 Portland Ave |
$16.36 | 60,534 | 60,141 |
|
Meenu Mittal Jindal
601 Elmwood Ave # 632B |
$5.62 | 47,183 | 34,462 |
|
The Unity Hospital Of Rochester
1555 Long Pond Rd |
$15.21 | 8,940 | 8,896 |
|
University Of Rochester
601 Elmwood Ave |
$21.16 | 6,402 | 6,385 |
|
Douglas Liano
65 Genesee St Fl 1 |
$34.81 | 6,097 | 5,482 |
|
Syed Siraj Masood
1295 Portland Ave |
$37.64 | 6,029 | 5,905 |
|
Gretchen Smith Burke
170 Science Pkwy |
$17.54 | 5,792 | 5,540 |
|
Neil E Herendeen
601 Elmwood Ave |
$33.19 | 5,139 | 5,134 |
|
Kevin George O'Gara
1800 English Rd Ste 10 |
$29.19 | 5,047 | 4,976 |
|
Sakinah Miller
82 Holland St |
$29.20 | 4,972 | 4,964 |
|
Danielle Fleissig
82 Holland St |
$26.76 | 4,945 | 4,929 |
|
Ruvim Falkovich
1425 Portland Ave |
$32.33 | 4,759 | 4,620 |
|
Benedetto Benny Vitullo
1800 English Road |
$28.10 | 4,513 | 4,484 |
|
Crystal Craig
601 Elmwood Ave |
$6.30 | 4,113 | 2,607 |
|
Pradip R Kadakia
1425 Portland Ave |
$36.66 | 4,043 | 3,823 |
|
Chad B Preston
1700 Hudson Ave |
$17.67 | 3,980 | 3,969 |
|
Michael Dale Mendoza
777 S Clinton Ave |
$32.87 | 3,560 | 3,080 |
|
Katie Goonan Sussman
222 Alexander St |
$31.55 | 3,486 | 3,187 |
|
Melissa Beisheim
1800 English Rd |
$38.31 | 3,333 | 3,301 |
|
Genesis Pediatrics, Llc
900 Elmgrove Road |
$29.25 | 3,171 | 3,154 |
|
Maria Elena Banghart
222 Alexander St |
$32.99 | 3,000 | 2,716 |
|
Grace Elizabeth Black
601 Elmwood Ave |
$38.11 | 2,915 | 2,912 |
|
English Road Pediatrics And Adolescent Medicine
1800 English Rd |
$32.87 | 2,723 | 2,679 |
|
Carina Malec
601 Elmwood Ave |
$27.40 | 2,657 | 2,369 |
|
Galina Semenovna Radunsky
125 Lattimore Rd Ste 280 |
$32.29 | 2,636 | 2,373 |
|
Heidi Witmer Smith
1425 Portland Ave |
$35.82 | 2,626 | 2,541 |
|
Sandra Jane Stodola
1455 E Ridge Rd |
$9.46 | 2,620 | 2,492 |
|
Karla Suter
1800 English Rd. |
$40.12 | 2,581 | 2,556 |
|
Valerie Maria Rozak Brunson
1425 Portland Avenue |
$33.43 | 2,535 | 2,455 |
|
Wail Tfankji
900 Elmgrove Rd |
$34.13 | 2,510 | 2,496 |
|
Emilie Ellicott
1200 Jefferson Rd |
$32.50 | 2,474 | 2,427 |
|
Margaret Sayre Connor
601 Elmwood Ave |
$36.36 | 2,432 | 2,431 |
|
Olutoyin Modupe Malomo
1800 English Rd |
$39.90 | 2,356 | 2,324 |
|
Vicky Liu
65 Genesee St Fl Suite2 |
$32.88 | 2,335 | 2,017 |
|
Kathleen Louise Wania
3208 Latta Rd Ste 1 |
$34.32 | 2,300 | 2,279 |
|
Danielle Gress
1455 E Ridge Rd |
$35.86 | 2,286 | 2,285 |
|
Kristen Carnahan
222 Alexander St |
$26.62 | 2,175 | 1,985 |
|
Jennifer L Radi
900 Elmgrove Rd |
$32.88 | 2,165 | 2,155 |
|
Joseph Kilimnick
39 Goodman St N |
$16.01 | 2,153 | 2,146 |
|
Diana R. Williams
3 Saredon Place |
$36.90 | 2,151 | 2,135 |
|
Roderick Garfield Davis
1700 Hudson Ave |
$16.98 | 2,132 | 2,118 |
|
Amanda Sogn Knapp
809 East Ridge Road |
$21.79 | 2,128 | 2,115 |
|
Emilia Maria Nymander
900 Elmgrove Rd |
$31.10 | 2,125 | 2,105 |
|
Carolyn Yvette Jacobs
1425 Portland Ave |
$16.84 | 2,106 | 1,905 |
|
Lisa A Lyle
1425 Portland Ave |
$33.63 | 2,104 | 2,053 |
|
Todd L Bingemann
913 Culver Rd |
$32.33 | 2,103 | 2,098 |
|
Sarah E. Leddy
3 Saredon Place |
$33.36 | 2,029 | 2,016 |
|
Enrico Caiola
913 Culver Rd |
$31.71 | 2,021 | 2,018 |
|
U Of R Neurology Department
601 Elmwood Ave |
$11.18 | 1,990 | 1,979 |
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 Rochester, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Vaccines & Immunizations in Rochester, NY is $20.81 per claim, based on 537,114 claims from 542 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 Rochester, NY?
There are 542 Medicaid providers offering Vaccines & Immunizations related services in Rochester, NY according to public payment data.
What is the price range for Vaccines & Immunizations in Rochester, NY?
Medicaid reimbursement for Vaccines & Immunizations in Rochester, NY ranges from $0.00 to $66.20 per claim, with an average of $20.81. 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 Rochester, NY
Home Health Visit
Avg $155.96
4,468,559 claims
Blood Work & Lab Tests
Avg $13.58
3,406,771 claims
Office Visit
Avg $80.81
3,372,720 claims
Emergency Room Visit
Avg $129.50
1,243,277 claims
Case Management Services
Avg $416.23
1,188,020 claims
Psychiatric Evaluation
Avg $142.49
1,087,559 claims
Substance Abuse Treatment
Avg $66.55
788,422 claims
Physical Therapy
Avg $59.14
727,107 claims