science

Yes, both are expensive out-of-pocket. That's part of the decision about why to not recommend gardisil (HPV vaccine) for the wider groups without the clinical outcomes to show the value. However, I addressed this in a later post in this thread, in the USA the ACA makes sure nearly all health insurance pays for recommended vaccines at 100%. So if you have insurance its most likely you can get gardisil or shingrex (for shingles) with zero out-of-pocket costs. I was surprised to see the retail price of Shingrex at $500, but I didn't pay a penny of that as it was fully covered.