The Livingston County Health Department (LCHD) Immunization Clinic provides vaccines for children, teens, and adults. Our clinic is by appointment only.

Schedule an Appointment Online

Livingston County Health Department now offers convenient online scheduling.

Immunization Waiver Education

To Waive or Delay Childhood Immunizations

Immunization Fees

Use the chart below to determine immunization fees. You may also be charged a $23 Administration Fee for every vaccine depending on your ability to pay. Fees are subject to change. Call us at (517) 546-9850 if you have any questions.

Note: LCHD is no longer offering TB Skin Testing. Please contact your primary care provider or a local urgent care for TB testing services. 

Insurance Billing

Livingston County Health Department accepts the following insurance plans.* We may also be able to bill Medicaid and Medicare B for adults depending on their type of coverage and vaccines requested. Please call (517) 546-9850 for more information.

  • Medicare A&B
  • Some Medicare Advantage Plans
  • Medicaid FFS
  • Medicaid Health Plans
  • Medicaid United Healthcare Community Plan
  • Meridian Health Plan of Michigan
  • Molina Healthcare of Michigan
  • McLaren Health Plan
  • Priority Health
  • Blue Cross Complete (MA)
  • Blue Care Network of Michigan
  • Blue Cross Blue Shield of Michigan
  • Tricare/ Humana

Livingston County Health Department (LCHD) is not able to bill other commercial insurance companies at this time. Adults and children with private insurance coverage can receive vaccines, but will be charged the cost of the vaccine in addition to the vaccine administration fee. If your insurance pays for vaccinations, please call your insurance company prior to arriving to the clinic to find out if you can be reimbursed when you receive your vaccines at LCHD. LCHD may not be a participating provider for some insurance companies, so it is important that you tell them you are receiving the vaccines at the health department. It is your responsibility to check with your insurance company to determine if the insurance company will reimburse you when you receive vaccinations at the Livingston County Health Department. LCHD will give you the correct forms to submit to your insurance carrier for reimbursement.

*Please note: We are unable to bill insurance for travel vaccines.

Discounts & Programs

Livingston County Health Department participates in the Vaccine for Children (VFC) program that covers the cost of the vaccine for children who are eligible for the program. Children age birth through 18 years are eligible for the VFC program if they:

  • Have Medicaid insurance (Medicaid will be billed) or
  • Do not have health insurance or
  • Are American Indian or Alaska Native descent or
  • Have health insurance that does not cover the cost of the vaccination
We also have special programs that may pay for certain vaccines for adults 19 years and older who are uninsured or underinsured.
Adults With Medicaid
Uninsured Adults
Adults With Private Insurance
Children With Medicaid
Uninsured Children
Children With Private Insurance
Travel Vaccines

Adults With Medicaid

​Available Vaccines ​Out-Of-Pocket Cost
Chickenpox (Varicella)** ​$0
​HPV (through age 26)** ​$0
​MMR (Measles / Mumps / Rubella)** ​$0
​PCV15 (Pneumococcal)** ​$0
​PPSV23 (Pneumococcal)** ​$0
​Shingles (Must be age 50 or older)** ​$0
​Tdap (Tetanus vaccine)** ​$0
​Hepatitis A** ​$0
​Hepatitis B** ​$0
​Hep A and Hep B (Twinrix)** ​$0
​Haemophilus Influenza type b (HIB) ​$0
​Polio (IPV) ​$0
​Flu Vaccine ​$0
​Flu Vaccine (High-dose) ​$0
​Meningococcal Conjugate (MenACWY) ​$0
​Meningococcal B (Men B) ​$0
​Polio (IPV) ​$0
​Rabies PrEP ​Call for availability
​COVID-19 Moderna Vaccine ​$0

**Must meet risk factors to receive the reduced price.

Adults Without Insurance

Available Vaccines Max Out-Of-Pocket Cost
​Chickenpox (Varicella)** ​$248
​HPV (through age 26)** $396
​MMR (Measles / Mumps / Rubella)** ​$140
​PCV15 (Pneumococcal)** ​$399
PCV20 (Pneumococcal)** $445
​PPSV23 (Pneumococcal)** ​$175
​Shingles (Must be age 50 or older)** ​$261
​Tdap (Tetanus vaccine)** ​$80
​Hepatitis A** ​$116
​Hepatitis B** ​$87
​Hep A and Hep B (Twinrix) ​$157
​Haemophilus Influenza type b (HIB) ​$38
​Polio (IPV) ​$73
​Flu Vaccine ​$47
​Flu Vaccine (High-dose) ​$103
​Meningococcal Conjugate (MenACWY) ​$181
​Meningococcal B (Men B) ​$274
RSV (Abrysvo) $403
​​Rabies PrEP ​​Call for availability
​COVID-19 Moderna Vaccine ​$0

**Must meet risk factors to receive the reduced price.

Adults With Private Insurance

Livingston County Health Department now accepts many private insurance plans. Please call (517) 546-9850 for more information.

Available Vaccines Max Out-Of-Pocket Cost*
Chickenpox (Varicella) ​$248
​HPV (through age 26) $396
​MMR (Measles / Mumps / Rubella) ​$140
​PCV15 (Pneumococcal) ​$399
PCV20 (Pneumococcal) $445
​PPSV23 (Pneumococcal) ​$175
​Shingles (Must be age 50 or older) ​$261
​Tdap (Tetanus vaccine) ​$80
​Hepatitis A ​$116
​Hepatitis B ​$87
​Hep A and Hep B (Twinrix) ​$157
​Haemophilus Influenza type b (HIB) ​$38
​Polio (IPV) ​$73
​Flu Vaccine ​$47
​Flu Vaccine (High-dose) ​$103
​Meningococcal Conjugate (MenACWY) ​$181
​Meningococcal B (Men B) ​$274
RSV (Abrysvo) $403
​Rabies PrEP ​​Call for availability
COVID-19 Moderna Vaccine $196

* Cost varies by plan. Please call (517) 546-9850 for more information.

Children With Medicaid

Available Vaccines ​Out-Of-Pocket Cost
​Chickenpox (Varicella) ​$0
​DTaP (Diphtheria / Tetanus / Pertussis)​ ​$0
​MMR (Measles / Mumps / Rubella) ​$0
​PCV15 (Pneumococcal) ​$0
​PPSV23 (Pneumococcal) ​$0
HPV (through age 26) ​$0
​Hepatitis A ​$0
​Hepatitis B ​$0
​Haemophilus Influenza type b (HIB) ​$0
​Polio (IPV) ​$0
​Flu Vaccine ​$0
​Meningococcal Conjugate (MenACWY) ​$0
​Meningococcal B (Men B) ​$0
​Polio (IPV) ​$0
​Rabies PrEP ​Call for availability
​Rotavirus ​$0
​Tdap (Tetanus / Diphtheria / Pertussis) ​$0
​MMR-V (Measles / Mumps / Rubella / Varicella) ​$0
​DTaP-HepB-IPV ​​$0
​DTaP-Hib-IPV ​​$0
​DTaP-IPV ​​$0
​COVID-19 Moderna Vaccine ​$0

Children Without Insurance

Available Vaccines ​Max Out-Of-Pocket Cost
​Chickenpox (Varicella) ​$23
​DTaP (Diphtheria / Tetanus / Pertussis)​ ​$23
​MMR (Measles / Mumps / Rubella) $23
​PCV15 (Pneumococcal) $23
​PPSV23 (Pneumococcal) ​$23
HPV (through age 26) ​$23
​Hepatitis A ​$23
​Hepatitis B ​$23
​Haemophilus Influenza type b (HIB) ​$23
​Polio (IPV) ​$23
​Flu Vaccine ​$23
​Meningococcal Conjugate (MenACWY) ​$23
​Meningococcal B (Men B) ​$23
​Polio (IPV) ​$23
​Rabies PrEP ​Call for availability
​Rotavirus ​$23
​Tdap (Tetanus / Diphtheria / Pertussis) ​$23
​MMR-V (Measles / Mumps / Rubella / Varicella) ​$23
​DTaP-HepB-IPV ​​$23
​DTaP-Hib-IPV ​$23
​DTaP-IPV ​​$23
​COVID-19 Moderna Vaccine ​$23

 

Children With Private Insurance

Livingston County Health Department now accepts several private insurances. Please call (517) 546-9850 for more information.

​Available Vaccines ​Max Out-Of-Pocket Cost*
​Chickenpox (Varicella) ​$248
​DTaP (Diphtheria / Tetanus / Pertussis)​ ​$57
​MMR (Measles / Mumps / Rubella) ​$140
​PCV15 (Pneumococcal) ​$311
PCV20 (Pneumococcal) $445
​PPSV23 (Pneumococcal) ​$175
HPV (through age 26) ​$396
​Hepatitis A ​$63
​Hepatitis B ​$47
​Haemophilus Influenza type b (HIB) ​$38
​Flu Vaccine ​$47
​Meningococcal Conjugate (MenACWY) ​$181
​Meningococcal B (Men B) ​$274
​Polio (IPV) ​$73
​Rabies PrEP ​Call for availability
​Rotavirus ​$146
RSV Nirsevimab $654
​Tdap (Tetanus / Diphtheria / Pertussis) ​$80
​MMR-V (Measles / Mumps / Rubella / Varicella) ​$370
​DTaP-HepB-IPV ​​$107
​DTaP-Hib-IPV ​​$156
​DTaP-IPV ​​$92
COVID-19 Moderna (Age 6mo-11yrs) $171
COVID-19 Moderna (Age 12+) $173

* Cost varies by plan. Please call (517) 546-9850 for more information.

Travel Vaccines

You are responsible for paying for your travel consultation ($75 per person) and your immunizations. Please note: We are unable to bill insurance for this service. Fees for vaccines are assessed on a per-dose basis. Payment is due at the time of service. We do not accept checks for travel services. For more information, visit our International Travel Clinic webpage or call (517) 546-9850.

Available Vaccines Max Out-Of-Pocket Cost
Cholera $671
Japanese Encephalitis $474
TicoVac $389
Typhoid $182
Yellow Fever $268
Chickenpox (Varicella) ​$248
COVID-19 Moderna Vaccine $196
​MMR (Measles / Mumps / Rubella) ​$140
PCV20 (Pneumococcal) $445
​PPSV23 (Pneumococcal) ​$175
​Shingles (Must be age 50 or older) ​$261
​Tdap (Tetanus vaccine) ​$80
​Hepatitis A ​$116
​Hepatitis B ​$87
​Hep A and Hep B (Twinrix) ​$157
​Polio (IPV) ​$73
​Flu Vaccine ​$47
​Flu Vaccine (High-dose) ​$103
​Meningococcal Conjugate (MenACWY) ​$181
​Meningococcal B (Men B) ​$274
RSV (Abrysvo) $403
​Rabies PrEP ​​$520

 

Last Modified May 15, 2024

Livingston County Health Department Logo
Matt Bolang

Matt Bolang
Health Officer

Phone

(517) 546-9850

Hours

Monday – Friday
8:00 a.m. – 5:00 p.m.
Closed County Holidays

Location

2300 E Grand River Ave
Suite 102
Howell, MI 48843

Fax

(517) 546-6995