ASTHO Article

ATTACHMENT – E: ASTHO article

Cost to Immunize One Child in the Public Sector
Has Risen by 500% Since 2000
2000

2002

2004

2006

2007

2008

2009

2010

2011

2012

DTaP

$46.25

$59.65

$62.05

$63.98

$63.25

$63.25

$66.25

$66.25

$66.25

$75.00

Hib

$21.96

$28.44

$33.60

$31.74

$32.49

$33.78

$34.64

$34.53

$34.92

$48.96

MMR

$30.16

$31.22

$32.38

$34.56

$35.20

$36.52

$36.60

$37.27

$37.98

$38.66

Polio

$31.00

$34.64

$40.40

$43.28

$44.24

$45.92

$46.04

$46.96

$47.88

$35.91

Hep B

$27.18

$28.11

$27.45

$27.65

$27.30

$28.50

$29.25

$30.75

$31.05

$32.19

Varicella

$37.14

$40.87

$47.02 $113.801 $118.30

$123.00

$129.06

$134.16

$139.47

$144.98

PCV

$88.502 $183.96 $203.00 $230.36

$248.56

$265.76

$284.16

$367.00

$388.84

$408.12

Flu

--

--

$30.00

$69.18

$60.92

$205.363

$170.76

$175.67

$184.69

$186.44

Tdap

--

--

--

$30.754

$30.75

$30.75

$30.75

$28.54

$29.59

$29.59

MCV-4

--

--

--

$68.00

$73.09

$76.35

$80.13

$79.75

$164.24

$164.24

Hep A

--

--

--

$24.31

$24.50

$24.50

$25.50

$26.50

$28.50

$29.50

Rotavirus

--

--

--

$156.00

$165.15

$171.60

$166.50

$167.50

$178.50

$182.04

HPV

--

--

--

--

$290.255

$301.77

$316.74

$288.24

$288.24

$335.89

$282.19 $406.89 $475.90 $893.61 $1214.00 $1407.06 $1416.38 $1483.12

$1620.15

$1711.52

TOTAL6

1. In 2006, ACIP recommended two doses of varicella.
2. In 2000, the PCV cost to fully vaccinate one child was for half the calendar year. The CDC
contract was not in place until July 1, 2000.
3. In 2008, ACIP recommended annual influenza vaccination for all children up to age 18. Two
doses are needed the first year of vaccination and 1 dose is needed annually thereafter,
for a total of 20 doses.

4. Tdap replaced Td as the adolescent booster recommended by ACIP in June 2005, to provide
protection against pertussis. The cost of Td has not been included in previous years due
to the absence of a CDC contract.
5. Beginning in 2007 the total represents the cost to fully vaccinate a female including the HPV
vaccine. The HPV vaccine is also recommended for males as of late 2011.
6. The cost of recommended vaccines is significantly higher when combination vaccines are
factored in to the total cost. This table shows only the lower cost of single vaccines.

Source: Centers for Disease Control and Prevention

March 2012

Association of State and Territorial Health Officials