Average Medicaid Vaccines & Immunizations Payments in Sumter, SC: $19.55
Avg. Paid
$19.55
Range
$0.13 – $296.34
Total Claims
162,920
Providers
52
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 Sumter, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Timothy L Key
237 Church St |
$17.34 | 27,041 | 26,586 |
|
James M Durant
237 Church St |
$23.17 | 20,340 | 19,998 |
|
Melissa W Arscott
237 Church St |
$23.17 | 18,277 | 17,984 |
|
John Mark Mitchiner
237 Church St |
$23.77 | 18,185 | 17,859 |
|
Jason Brooks Grier
237 Church St |
$23.89 | 17,228 | 16,857 |
|
Michele Renee Easler
237 Church St |
$24.14 | 16,356 | 16,105 |
|
David C Turell
370 S. Pike West |
$5.29 | 9,401 | 9,265 |
|
Nelson H Sturgis
370 S Pike W |
$4.93 | 4,715 | 4,641 |
|
Elizabeth Brockinton
742 W Liberty St |
$10.57 | 3,624 | 3,553 |
|
Hanna S Rivers
325 Broad St |
$30.41 | 3,102 | 3,000 |
|
John Evans James
237 Church St |
$41.54 | 2,966 | 2,899 |
|
Joseph P Grant
325 Broad St |
$7.85 | 2,868 | 2,831 |
|
State Of South Carolina
407 N Salem Ave |
$15.00 | 2,586 | 2,529 |
|
Prisma Health-Midlands
129 N. Washington Street |
$0.13 | 2,356 | 2,221 |
|
Kimberly Daves Ashley
370 South Pike West |
$18.74 | 2,296 | 2,267 |
|
Efua Akyea Wilmot
370 S Pike W |
$10.29 | 1,969 | 1,945 |
|
Steven Jon Bosc
325 Broad St |
$30.43 | 1,318 | 1,295 |
|
Alisha Janette Davis
129 N Washington St |
$0.45 | 1,237 | 804 |
|
Shao-Zheng Ding
115 N Sumter St Ste 400 |
$0.59 | 852 | 783 |
|
Jennifer J Mcbrayer
370 South Pike West |
$18.49 | 679 | 665 |
|
Melinda A. Carr
115 N Sumter St Ste 400 |
$1.82 | 667 | 660 |
|
Russell V Brant
1278 N Lafayette Dr |
$11.38 | 553 | 542 |
|
Jessica Ellis Fralick
370 S Pike W |
$6.15 | 500 | 476 |
|
Mark A Hucks
115 N Sumter St |
$14.34 | 420 | 408 |
|
Triz Van Smith
115 N Sumter St |
$12.17 | 382 | 372 |
|
Patricia Ann Trzcinski
370 South Pike West |
$1.32 | 366 | 350 |
|
Arvie Cecil Collins
115 N Sumter St |
$12.04 | 314 | 293 |
|
Gabriel Thomas Clinton
237 Church St |
$56.25 | 294 | 287 |
|
Mollie Williams
370 S Pike W |
$16.46 | 259 | 252 |
|
Fresenius Medical Care Cna Kidney Centers, Llc
615 W Wesmark Blvd |
$3.96 | 246 | 243 |
|
Christopher Mahr
698 Bultman Dr |
$8.69 | 188 | 183 |
|
Joel Janeen-Belton Snipe
319 N Main St |
$13.79 | 168 | 159 |
|
Teresa L Buschor
380 W Wesmark Blvd |
$8.70 | 140 | 116 |
|
Allison Whitney Moses
129 N Washington St |
$3.26 | 137 | 136 |
|
Thomas Lawman Lucas
325 Broad St |
$10.20 | 133 | 130 |
|
Michael Abercrombie
129 N Washington St |
$36.97 | 104 | 84 |
|
Lauren Taylor Mclean
370 S Pike W |
$16.65 | 85 | 83 |
|
Fresenius Medical Care Cna Kidney Centers, Llc
520 Physicians Ln |
$2.75 | 78 | 76 |
|
Linda S Crabbe
370 S Pike W |
$0.98 | 74 | 74 |
|
Brittany Monae Hall
319 N Main St |
$8.22 | 55 | 55 |
|
Tracy Debolt Ridgill
649 W Wesmark Blvd |
$15.08 | 49 | 46 |
|
Jill Braddy Mcleod
115 N Sumter St Ste 200 |
$15.73 | 44 | 42 |
|
Tandem Health Sc
1278 N Lafayette Dr |
$11.71 | 42 | 40 |
|
Frederick C. Stone
115 N Sumter St Ste 400 |
$16.03 | 41 | 41 |
|
Navid Brian Noori
Tandem Health Family Medicine |
$17.27 | 33 | 30 |
|
Total Renal Care Inc
418 Broad St |
$296.34 | 32 | 31 |
|
Kristy Bass
1278 N Lafayette Dr |
$16.42 | 29 | 29 |
|
Ugochukwu N Okereke
325 W Liberty St |
$15.23 | 28 | 28 |
|
Ike Christopher Stewart
308 W Wesmark Blvd |
$11.23 | 25 | 24 |
|
Jason M Leonard
325 Broad St |
$8.30 | 14 | 14 |
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 Sumter, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Vaccines & Immunizations in Sumter, SC is $19.55 per claim, based on 162,920 claims from 52 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 Sumter, SC?
There are 52 Medicaid providers offering Vaccines & Immunizations related services in Sumter, SC according to public payment data.
What is the price range for Vaccines & Immunizations in Sumter, SC?
Medicaid reimbursement for Vaccines & Immunizations in Sumter, SC ranges from $0.13 to $296.34 per claim, with an average of $19.55. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Vaccines & Immunizations in Other Cities
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Avg $16.42
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Avg $6.36
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Chicago, IL
Avg $3.36
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Avg $15.83
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Avg $6.82
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Other Procedures in Sumter, SC
Office Visit
Avg $76.88
592,225 claims
Blood Work & Lab Tests
Avg $12.51
300,851 claims
Dental Cleaning & Exam
Avg $34.02
167,492 claims
Emergency Room Visit
Avg $38.43
157,791 claims
Urinalysis & Urine Tests
Avg $21.60
129,948 claims
Speech Therapy
Avg $38.90
125,766 claims
Home Health Visit
Avg $44.33
116,753 claims
Psychiatric Evaluation
Avg $158.47
109,398 claims