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County Home => Health => Administrative Health Services => Department Schedule of Fees => Fees - Community and Clinical Health Services

Community & Clinical Health Services Fees

Community and Clinical Health Services clinics are "fee-for-service," however fee adjustments may be made based on income status. In some clinics, proof of income may be required. You will be seen and receive the same quality of care regardless of your ability to pay. Immunization Clinic fees vary, please discuss with staff when making an appointment or check the Immunization Program website for more information.

Payments and/or donations help support the clinical services provided to individuals in the community.

Family Planning | Immunizations |
Prevention & Control of Communicable Disease in the Childcare Setting |
Sexual Health | Tuberculosis

Family Planning

Family Planning
Description Fee
New Patient Visit - APN $34
New Patient Visit - RN $31
New Patient Visit (WHC) $39
Established Patient Visit - Level I - APN $18
Established Patient Visit - Level I - RN $24
Established Patient Visit - Level II $27
Established Patient Visit - Level III $33
Established Patient Visit - Level IV $45
Established Patient Visit - Level V $63
Initial Comprehensive Preventative Medicine (Age 12 - 17) $58
Initial Comprehensive Preventative Medicine (Age 18 - 39) $52
Initial Comprehensive Preventative Medicine (Age 40 - 64) $52
Periodic Comprehensive Preventative Medicine (Age 12 - 17) $39
Periodic Comprehensive Preventative Medicine (Age 18 - 39) $33
Periodic Comprehensive Preventative Medicine (Age 40 - 64) $33
Counseling Code - APN (15 - 25 min) $45
Counseling Code - RN (15 - 25 min) $38
Counseling Code - APN (30 - 40 min) $63
Counseling Code - RN (30 - 40 min) $51
Counseling Code - APN (45 - 55 min) $81
Counseling Code - RN (45 - 55 min) $65
Counseling Code - RN (60 min or longer) $70
Vasectomy Counseling* $83
Procedure/treatment Recheck $15
MD Visit $65
MD Visit - Extended $90
Nexplanon Kit $375
Contraceptive Implant Insertion (Nexplanon) $50
Contraceptive Implant Removal (Nexplanon) $32
Contraceptive Implant Removal with Reinsertion (Nexplanon) $50
Contraceptive Implant Removal $50
IUD Removal $33
IUD Insert - Paragard $50
Wart Treatment $33
IUD Insert - Mirena (private) $50
IUD Insert - Mirena (ARCH Foundation) $50

* - If the client completes the vasectomy process, $452 is billed to the WCHD Family Planning Program from Family Medicine Center. The client is subsequently billed for the cost based on application of the sliding fee schedule. Some clients complete the counseling but decide against going through with the procedure.


Immunizations

Immunizations
Vaccine Cost/Dose
HBV - Hepatitis B (Perinatal - mother, child or contact) $47
HBIG - Hepatitis B Immune Globulin (per cc) $120
IG - Immune Globulin $37
Vaccinations for children who are VFC eligible (per shot) $19

Immunization Fees for Children who are not VFC Eligible

Vaccine availability and fees are subject to change without notice. For flu vaccines, please call the Health District at 328-2402 for availability.
Vaccine Protects Against Fee Per Dose
DTaP (Daptacel) Diphtheria, Tetanus, Pertussis $45
DTaP (Infanrix) Diphtheria, Tetanus, Pertussis $34
DTaP-HBV-IPV (Pediarix) Diphtheria, Tetanus, Pertussis, Hepatitis B, Polio $69
DTaP-IPV/Hib (Pentacel) Diphtheria, Tetanus, Pertussis, Polio, Haemophilus Influenzae type b $100
DTaP-IPV (Kinrix) Diphtheria, Tetanus, Pertussis, Polio $52
Flu, inactivated quadrivalent, pediatric (6-35 months)* Seasonal Influenza $38
Flu, inactivated quadrivalent, pediatric (3-18 years) Seasonal Influenza $34
Flu, live attenuated, quadrivalent, intranasal (ages 2 - 49 years) Seasonal Influenza $41
HAV (Havrix) Hepatitis A $32
HBV (child through age 19) Hepatitis B $29
Hib (ActHIB) Haemophilus Influenzae type b $45
Hib (PedvaxHIB) Haemophilus Influenzae type b $42
HPV (Gardasil) Human Papillomavirus $150
IPV Polio $46
MCV-4 (Menactra) Meningococcal $129
MMR Measles, Mumps, Rubella $71
MMRV (ProQuad) Measles, Mumps, Rubella, Varicella $148
PCV-13 (Prevnar) Streptococcus Pneumoniae $140
RV1 (Rotarix) Rotavirus $103
RV5 (RotaTeq) Rotavirus $92
Td Tetanus, Diphtheria $39
Tdap (Adacel - 11 - 18 years) Tetanus, Diphtheria, Pertussis $59
Tdap (Boostrix - 10 - 18 years) Tetanus, Diphtheria, Pertussis $57
VZV (Varicella) Chickenpox $106

Fees in bold are determined by verbal agreements with other providers in the community.

* - supply is limited - call for availability

Immunization Fees for Adults

The Washoe County Health District provides a limited selection of the following vaccines for adults. For flu vaccines, please call the Health District at 328-2402 for availability.
Vaccine Protects Against Fee Per Dose
Flu, inactivated, quadrivalent, adult (>= 3 years) Seasonal Influenza $34
Flu, live attenuated, quadrivalent, intranasal (ages 2 - 49 years)* Seasonal Influenza $41
HAV (Havrix) Hepatitis A $41
HBV (Engerix) Hepatitis B $47
Hepatitis A/B (Twinrix) Hepatitis A, Hepatitis B $63
HPV Human Papillomavirus $150
MMR Measles, Mumps, Rubella $71
MCV (Menactra - 11 - 55 years) Meningococcal $129
MPSV (Menomune - 2 years - adult) Meningococcal $136
PPV-23 (Pneumovax) Pneumonia $70
IPV Polio $46
Td Tetanus, Diphtheria $39
Tdap (Adacel - 18 years and older) Tetanus, Diphtheria, Pertussis $59
Tdap (Boostrix - 18 years and older) Tetanus, Diphtheria, Pertussis $57
VZV (Varicella) Chickenpox $106

Fees in bold are determined by verbal agreements with other providers in the community.

* - restricted to School Located Vaccination Clinics

Zostavax (shingles vaccine) is unavailable at the Washoe County Health District. Please check with a private provider or clinic for availability. Get more information on shingles and the shingles vaccine.


Prevention & Control of Communicable Disease in the Childcare Setting

Prevention & Control of Communicable Disease in the Childcare Setting
Description Fee
Day Care Facility Employee Training $40
Day Care Facility Employee Re-Issue Certification $7

Sexual Health

Sexual Health
Description Fee
First Offender Sexual Health Class $96
STD Visit - Low Risk $38
STD Exam - Limited $54
STD Exam - Extended $70
STD Exam - Comprehensive $87

Tuberculosis

Tuberculosis
Description Fee
Tuberculosis Risk Assessment $74
Tuberculin Skin Test $17
TST Reading $24
Chest X-ray review by physician $12
Abnormal diagnostic results review $12
Abnormal chest X-ray review by physician $12
Office Visit - medication start $59
Office Visit - medication refill $26
Office Visit - brief (10) $12
Office Visit - (20) $21
Office Visit - Daily Observed Therapy (10) $10
Office Visit - Daily Observed Therapy (15) $15
Home Visit Services (M - F) $42
Home Visit Services (Sa - Su & holidays) $42
Home Visit Services - New patient/limited $37
Home Visit Services - New patient/extended $113
AFB collection $21