Independent cost reference. Not a pharmacy, not an insurance carrier, not a clinic finder, not a medical practice. For an injury that may require a tetanus shot, contact a healthcare provider promptly.

Last verified: April 2026
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State detail / Texas

Tetanus shot cost in Texas: 2026 pricing, free-shot programmes, and insurance coverage

Tetanus pricing at major pharmacy chains in Texas follows the national pattern: cash $48 to $95 for Tdap depending on the chain, $0 with most ACA-compliant insurance in-network. The Texas-specific differences are in the state vaccine-for-adults programme and the state Medicaid coverage.
Cost data verified: April 2026

Texas state vaccine-for-adults programme

Texas runs the Texas DSHS adult immunization program, accessed through the state Department of Health.[1] The programme is funded through CDC Section 317 grants and serves uninsured and underinsured adults aged 19 and above.[2] Eligibility typically does not include an income test; the criterion is insurance status. State residency is usually required.

State-specific programme detail

Texas DSHS runs regional public health offices that operate adult immunization clinics in many counties. Houston Health Department and Dallas County Health and Human Services run their own adult clinics.

Texas Medicaid coverage

Texas has not expanded Medicaid; adult Medicaid eligibility is more restrictive than expansion states. The IRA expansion still applies to those who qualify under traditional Texas Medicaid.[4]

Children under 19 in Texas have access to ACIP-recommended vaccines (including DTaP and Tdap) through the Vaccines for Children programme, regardless of state Medicaid status, if VFC-eligible (uninsured, Medicaid-enrolled, AI/AN, or underinsured at FQHC/RHC).[5]

FQHCs and county health departments in Texas

Texas has federally qualified health centres in most metro areas and many rural counties. The HRSA Find a Health Center tool locates participating centres by ZIP code.[3] Most Texas FQHCs participate in Section 317 and offer Tdap and Td free or at sliding-scale fee for the uninsured.

Pharmacy chain footprint in Texas

Major metros (Dallas-Fort Worth, Houston, Austin, San Antonio) have strong pharmacy chain density. H-E-B is a Texas-specific grocery-pharmacy worth knowing about; H-E-B pharmacy administers Tdap with pricing similar to Kroger.

Pricing recap

National pharmacy pricing does not vary by state. For the cash range and per-chain detail, see the national pharmacy comparison. For insurance coverage applicable in Texas, see the insurance overview. For free pathway options through Section 317 and FQHCs in Texas, see /free-tetanus-shot.

Adjacent reading

Primary sources

References cited on this page

  1. [1]Texas DSHS adult immunization program. Texas Department of Health. Accessed April 2026. https://www.dshs.texas.gov/immunizations/providers/overview
  2. [2]Section 317 Immunization Program. CDC. Accessed April 2026. https://www.cdc.gov/vaccines/programs/funding/awardee-list.html
  3. [3]Find a Health Center (HRSA). HRSA Health Center Program. Accessed April 2026. https://findahealthcenter.hrsa.gov/
  4. [4]Medicaid Inflation Reduction Act adult vaccine coverage. CMS / Medicaid.gov. October 2023. https://www.medicaid.gov/medicaid/benefits/preventive-services/index.html
  5. [5]Vaccines for Children (VFC) Program. CDC. Accessed April 2026. https://www.cdc.gov/vaccines/programs/vfc/index.html