Average Medicaid Vaccines & Immunizations Payments in West Chester, PA: $20.97
Avg. Paid
$20.97
Range
$7.59 – $40.04
Total Claims
22,545
Providers
31
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 West Chester, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
James David Ward
770 Miles Rd Ste 1 |
$18.83 | 10,027 | 8,995 |
|
Kimberly Bay
795 East Marshall St |
$24.04 | 1,779 | 1,740 |
|
Geoffrey R. Simon
795 E Marshall St |
$21.64 | 1,699 | 1,683 |
|
Children'S Hospital Of Philadelphia
770 Miles Rd Ste 1 |
$32.44 | 1,083 | 967 |
|
Samantha Ann Barden
1246 W Chester Pike Ste 303 |
$30.59 | 964 | 960 |
|
Advocare, Llc
1246 W Chester Pike |
$17.83 | 895 | 740 |
|
Jeffrey Fendrick
440 East Marshall St |
$18.00 | 819 | 815 |
|
Michelle Quirk
701 E Marshall St |
$25.48 | 772 | 769 |
|
Sharon Oehler
440 East Marshall St |
$25.90 | 500 | 493 |
|
Nicole Paul
681 Metro Ct |
$25.54 | 456 | 455 |
|
Amy Baumgartner Akins
440 E Marshall St |
$18.77 | 310 | 309 |
|
Kelly Ashmead
440 E Marshall St |
$19.31 | 296 | 294 |
|
Carol Curley
440 East Marshall St |
$9.62 | 273 | 273 |
|
Loretta Bonanni-Metkus
795 East Marshall St |
$36.01 | 273 | 269 |
|
Lori Schwartz
795 East Marshall St |
$20.03 | 250 | 247 |
|
Ariella Rosalie Jolly
226 W Market St |
$7.90 | 229 | 191 |
|
Children'S Hospital Of Philadelphia
795 E Marshall St |
$19.71 | 229 | 223 |
|
Manyan Ng
1246 W Chester Pike |
$12.45 | 198 | 193 |
|
Shanti Krishnan
440 East Marshall Street |
$19.92 | 190 | 189 |
|
Alison Leigh Kelley
440 E Marshall St Fl 3 |
$24.06 | 165 | 163 |
|
Nova Monteiro
440 E Marshall St |
$12.68 | 160 | 158 |
|
George Nicholas Spyropoulos
1646 W Chester Pike |
$10.62 | 152 | 152 |
|
Danielle Trojanowski
770 Miles Rd |
$17.52 | 143 | 143 |
|
Wendy Wallace
795 East Marshall St |
$19.55 | 137 | 137 |
|
Leigh Raphael Foppert
440 E Marshall St |
$21.41 | 123 | 120 |
|
Christina Logan
770 Miles Rd Ste 1 |
$9.72 | 121 | 120 |
|
Richard Rissmiller
440 East Marshall Rd |
$40.04 | 121 | 117 |
|
Mary Donovan
770 Miles Rd |
$7.59 | 115 | 113 |
|
Sarah Grace Hurd Dozier
711 Oakbourne Rd |
$14.97 | 36 | 34 |
|
Ronda Lynn Broady
1055 Andrew Dr |
$13.82 | 16 | 16 |
|
Judene W Wint-Martin
975 Westtown Rd |
$11.31 | 14 | 13 |
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 West Chester, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Vaccines & Immunizations in West Chester, PA is $20.97 per claim, based on 22,545 claims from 31 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 West Chester, PA?
There are 31 Medicaid providers offering Vaccines & Immunizations related services in West Chester, PA according to public payment data.
What is the price range for Vaccines & Immunizations in West Chester, PA?
Medicaid reimbursement for Vaccines & Immunizations in West Chester, PA ranges from $7.59 to $40.04 per claim, with an average of $20.97. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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