Based on public Medicaid payment data.

Average Medicaid Vaccines & Immunizations Payments in Sioux Falls, SD: $11.07

Avg. Paid

$11.07

Range

$0.00 – $125.52

Total Claims

358,214

Providers

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 Sioux Falls, SD

Provider	Avg. Paid	Claims	Patients
Sanford Medical Center 1420 W 22Ndst Ste 104	$10.66	204,217	197,368
Avera Mckennan 1200 S 7Th Ave	$6.87	106,897	102,745
Center For Family Medicine 1115 E 20Th St	$8.37	20,720	20,311
City Of Sioux Falls 521 N Main Ave	$72.22	7,369	6,788
City Of Sioux Falls 521 N Main Ave	$17.21	5,035	4,364
Avera Mckennan 1417 S. Cliff Ave.	$18.21	3,278	3,083
Lianne Farley 1600 S Highline Ave	$24.23	2,637	2,620
Bianca Johnson 2601 S Ellis Rd	$11.44	2,442	2,359
Gisella Sarita Wong Nano 1205 S Grange Ave Ste 307	$5.60	921	915
Misty Marie Folkestad 1321 W 22Nd St	$18.58	834	775
Sanford Clinic 1600 W 22Nd St	$5.01	774	744
Sanford Medical Center 1305 W 18Th St	$0.03	477	457
Lauren Hsiao 4405 E 26Th St	$0.00	321	190
City Of Sioux Falls 410 N Valley View Rd	$119.46	215	209
City Of Sioux Falls 601 N Spring Ave	$120.87	176	176
City Of Sioux Falls 1722 E 8Th St	$125.52	173	167
Santiago Enrique Encalada 1600 W 22Nd St	$5.61	166	164
Ashley M. Sands 1600 W 22Nd St	$13.54	137	133
Avera Mckennan 1325 S Cliff Ave	$0.00	136	133
Kathy L Reynolds 800 East 21St Street	$9.30	115	115
Rosanne Linda Bosch 1205 S Grange Ave	$12.26	104	104
Dawn M. Snow 2100 S Marion Rd	$8.22	103	103
The Evangelical Lutheran Good Samaritan Society 3700 S Kiwanis Ave	$13.19	94	91
Avera At Home 2400 S Minnesota Ave	$13.42	83	83
Joshua D Chapman 1600 W 22Nd St	$11.92	76	71
Amber Holmes 2501 W 22Nd St	$5.79	70	68
Amanda Glanzer 7701 W 65Th St	$0.00	60	29
Leah Marie Johnson 1200 S 7Th Ave	$9.31	56	56
Destiny Healthcare International, Inc 1417 S Minnesota Ave	$9.45	52	41
Tyler Lee Faber 1115 E 20Th St	$11.94	46	44
Christopher Lloyd Baumbach 2100 S Marion Rd	$4.28	45	45
Lewis Drugs, Inc. 1301 E 10Th St	$9.19	43	42
Avera Mckennan 6100 S Louise Ave Ste 1120	$14.28	42	41
Cinthya Del Castillo Lemos 1420 W 22Nd St Ste 307	$0.00	40	40
Gulsah Olgun 1205 S Grange Ave Ste 307	$10.13	37	37
Avera Mckennan 4210 W 53Rd St	$0.00	32	29
Alicia Daum 2701 S Kiwanis Ave	$6.22	31	31
Sanford Clinic 1500 W 22Nd St	$13.23	29	29
Sabrina Leigh Taylor 1200 S 7Th Ave	$10.38	29	29
Jacob Paul Prunuske 1115 E 20Th St	$8.69	26	26
Syed Haris Zamir Kazmi 1600 W 22Nd St	$37.84	26	26
Heidi Jo Vogel 1417 S Cliff Avenue	$19.09	13	13
Rashmi Jain 1600 W 22Nd St	$0.81	13	13
Carl Peter Rasmussen 3401 W 49Th St	$20.00	12	12
Lewis Family Drug, Llc 2700 W 12Th St Ste 100	$0.00	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 Sioux Falls, SD?

Based on public Medicaid payment data, the average Medicaid reimbursement for Vaccines & Immunizations in Sioux Falls, SD is $11.07 per claim, based on 358,214 claims from 45 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 Sioux Falls, SD?

There are 45 Medicaid providers offering Vaccines & Immunizations related services in Sioux Falls, SD according to public payment data.

What is the price range for Vaccines & Immunizations in Sioux Falls, SD?

Medicaid reimbursement for Vaccines & Immunizations in Sioux Falls, SD ranges from $0.00 to $125.52 per claim, with an average of $11.07. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Vaccines & Immunizations Payments in Sioux Falls, SD: $11.07

Providers Offering Vaccines & Immunizations in Sioux Falls, SD

What to Expect: Vaccines & Immunizations

Cost Components

Frequently Asked Questions

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