Average Medicaid Vaccines & Immunizations Payments in Wharton, TX: $5.68
Avg. Paid
$5.68
Range
$0.00 – $9.36
Total Claims
28,104
Providers
7
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 Wharton, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Joyce Ego Eziashi Egbe
2100 Regional Medical Dr |
$5.73 | 27,746 | 17,608 |
|
Susan A. Winchell
2112 Regional Medical Dr Ste 1313 |
$1.55 | 182 | 180 |
|
Matagorda Episcopal Health Outreach Program
10119 Us 59 Hwy |
$0.00 | 65 | 53 |
|
Henri Ann Nortman
2112 Regional Medical Dr Ste 1315 |
$0.00 | 41 | 41 |
|
Marc Alan Sangalli
2112 Regional Medical Dr Ste 1319 |
$9.36 | 40 | 38 |
|
Nathan Phuckhac Nguyen
1403 Valhalla Dr |
$0.00 | 17 | 15 |
|
Jeffery Lynn Gubbels
2100 Regional Medical Dr |
$7.48 | 13 | 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 Wharton, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Vaccines & Immunizations in Wharton, TX is $5.68 per claim, based on 28,104 claims from 7 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 Wharton, TX?
There are 7 Medicaid providers offering Vaccines & Immunizations related services in Wharton, TX according to public payment data.
What is the price range for Vaccines & Immunizations in Wharton, TX?
Medicaid reimbursement for Vaccines & Immunizations in Wharton, TX ranges from $0.00 to $9.36 per claim, with an average of $5.68. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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