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Based on public Medicaid payment data.

Average Medicaid Vaccines & Immunizations Payments in Worcester, MA: $10.57

Avg. Paid

$10.57

Range

$0.00 – $57.65

Total Claims

548,577

Providers

175

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 Worcester, MA

Provider Avg. Paid Claims Patients
Family Health Center Of Worcester, Inc.

26 Queen St

$9.60 172,497 170,706
Edward M. Kennedy Community Health Center, Inc

19 Tacoma St

$5.24 146,951 146,176
Umass Memorial Medical Center, Inc.

55 Lake Avenue

$8.13 35,110 34,583
Paulette R Kimball-Wren

10 Winthrop St

$18.52 13,056 12,898
Nada M Mowlood

55 Lake Ave N

$0.00 12,568 11,630
Himabindu Muddana

10 Winthrop St

$15.47 12,372 12,272
Sahdev R Passey

10 Winthrop St

$8.56 9,657 9,619
Kirti Nagpal

10 Winthrop St

$9.43 8,786 8,764
Luis A Garcia

291 Lincoln St

$19.94 7,941 7,895
Commonwealth Medicine

55 Lake Ave N

$15.37 7,564 7,198
City Of Worcester

20 Irving St

$7.09 7,282 6,515
Karen A Heveron

5 Neponset St

$25.60 6,720 6,701
Scott R. Cushman

123 Summer St

$20.75 6,588 6,501
Amanda Mccoy

421 Chandler St

$16.08 5,902 5,873
Indrani Malkani

421 Chandler St

$16.29 5,747 5,723
Ian A Harding

45 Oak Ave

$15.10 5,105 5,038
Joanne M Samant

5 Neponset St

$33.70 4,700 4,688
Nicholas Peter Pacella

45 Oak Ave

$17.31 4,486 4,417
Quang P Le

456 Park Ave

$11.80 4,103 3,705
Alyssa Ann Sundstrom

630 Plantation St

$18.65 3,467 3,452
Tam Chang

456 Park Avenue

$7.98 3,397 3,223
Katherine Rose Marino

123 Summer St

$17.06 3,075 2,589
Rosa Isabel Rincon - Rivero

45 Oak Ave

$21.51 3,023 2,971
Anitha Kamalanathan

291 Lincoln St

$12.25 2,924 2,917
Julia M. Feudo

45 Oak Ave

$17.30 2,903 2,858
Nosheen Ali Ishaque

291 Lincoln St

$17.60 2,621 2,588
Catherine Anne Riordan

421 Chandler St

$18.54 2,479 2,471
Diana K Mcmanus

630 Plantation St

$25.25 2,360 2,353
Jocelyne M. Durrenberger

630 Plantation St

$31.27 2,120 2,111
Cindy Barbash

10 Winthrop St

$14.54 2,056 2,049
Muddana Haribabu

10 Winthrop St

$15.40 2,053 2,037
Dhara Patel

299 Lincoln St Ste 203

$12.38 1,800 1,479
William W Woodruff

291 Lincoln St

$21.24 1,729 1,718
Vincent T Nishino

5 Neponset St

$36.52 1,643 1,639
Michelle J. Ro

55 Lake Ave N

$0.33 1,395 1,150
Rita J Semaan

1 W Boylston St

$14.49 1,316 1,307
Rebecca Lynn Mcdonald

55 Lake Ave N

$33.58 1,275 1,270
Jessica L. Ngo

55 Lake Ave N

$32.11 1,258 1,153
Vhs Acquisition Subsidiary Number 7 Inc

123 Summer St

$9.35 1,207 1,148
Mohsina Alom

366 Shrewsbury St

$38.94 1,086 1,076
Deanna Sahady Richmond

55 Lake Ave N

$18.11 1,085 1,084
Johanna Mcdermott

119 Belmont St

$16.36 1,033 1,006
Margaret Scott Hunt

55 Lake Ave N

$11.06 1,029 1,025
Kristen Markie

55 Lake Ave N

$25.28 1,009 764
Emma Hughes

45 Oak Ave

$19.42 1,003 984
Ronald B Cruz

291 Lincoln St

$9.36 995 995
Nasifa Nur

291 Lincoln St

$23.27 989 974
Dale G St. Lawrence

5 Neponset St

$30.49 945 939
Sarah Gyllstrom

55 Lake Ave N

$32.68 939 938
James Quaicoe

29 Narragansett Ave

$31.58 904 904

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 Worcester, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Vaccines & Immunizations in Worcester, MA is $10.57 per claim, based on 548,577 claims from 175 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 Worcester, MA?

There are 175 Medicaid providers offering Vaccines & Immunizations related services in Worcester, MA according to public payment data.

What is the price range for Vaccines & Immunizations in Worcester, MA?

Medicaid reimbursement for Vaccines & Immunizations in Worcester, MA ranges from $0.00 to $57.65 per claim, with an average of $10.57. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Vaccines & Immunizations in Other Cities

Other Procedures in Worcester, MA