Elliot Health System is a non-profit organization serving your healthcare needs since 1890.

Immunizations Price Lists

Access to csv file
https://www.elliothospital.org/website/price-lists/Immunizations-pl.csv


ABCD
1
CategoryCharge CodeDescription 1/1/2019
Unit Charge
2
IMMUNIZATIONS
5102361FLUARIX QUADRIVALENT PRESERV FREE 0.5ML $ 45
3
IMMUNIZATIONS
5102360FLUZONE QUADRIVALENT PRESERV FREE 0.25ML $ 45
4
IMMUNIZATIONS
5100045HEP A VACCINE ADULT IM (PHARM) $ 110
5
IMMUNIZATIONS
5101139HEP A VACCINE PED/ADOL2DOSE IM $ 88
6
IMMUNIZATIONS
5100599HEP B VACCINE (PHARM) $ 157
7
IMMUNIZATIONS
5101213HEPA/HEPB VACCINE ADULT IM $ 292
8
IMMUNIZATIONS
5101132HEPATITIS B VACCINE (PED/ADOL) $ 39
9
IMMUNIZATIONS
5101120INF VAC,SPLIT 0.5ML(PRESERVATIVE FREE) $ 45
10
IMMUNIZATIONS
5101131MENING VAC - GRP A, C,Y, W-135 $ 144
11
IMMUNIZATIONS
5100078MMR VIRUS IMMUN (PHARM) $ 110
12
IMMUNIZATIONS
5100096PNEUMOCOCCAL IMMUN 13 VALENT $ 438
13
IMMUNIZATIONS
5100094PNEUMOCOCCAL IMMUN 23 VALENT $ 64
14
IMMUNIZATIONS
5106761SHINGRIX VACC RECOMBINANT IM $ 257
15
IMMUNIZATIONS
5100086
TD IMMUN/VAC PRSRV FREE INDIV AGE 7+IM (PHA
$ 57
16
IMMUNIZATIONS
5101130TDAP INDIV AGE 7+ IM $ 80
17
IMMUNIZATIONS
5101420VACCINE FLUZONE AGE 3+ (PHARM) $ 24
18
IMMUNIZATIONS
5101219ZOSTER(SHINGLES)VACC, SUBCU $ 266
19
IMMUNIZATIONS
7710090471ADMINISTRATION VACCINE SINGLE INJECTION $ 22
20
IMMUNIZATIONS
7710190472ADMINISTRATION VACCINE EA ADDL INJECTION $ 22
21
IMMUNIZATIONS
77100G0008
ADMINISTRATION VACCINE INFLUENZA VIRUS (FLU)
$ 66
22
IMMUNIZATIONS
77100G0009ADMINISTRATION VACCINE PNEUMOCOCCAL $ 85
23
IMMUNIZATIONS
77100G0010ADMINISTRATION VACCINE HEPATITIS B $ 85