Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0
Low
$0
Average
$746
Median
$442
High
$23.9k
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 250 hospitals; the 90th percentile is 10.7× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Tufts Medical Center BOSTON, MA | $806 | $721 | $654 | 91% | 2,055–2,478 | $0 – $1.7k |
| 2 | San Bernardino County Colton, CA | $313 | $313 | — | — | 642 | $303 – $6.0k |
| 3 | Robert Packer Hospital Sayre, PA | $546 | $959 | $738 | 77% | 515–533 | $82 – $1.8k |
| 4 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA | $10 | $11 | $1 | 10% | 467–494 | $10 – $1.1k |
| 5 | Melrosewakefield Healthcare Melrose, MA | $806 | $1.1k | $414 | 37% | 255–471 | $274 – $1.8k |
| 6 | State Of Mississippi-university Of Mississippi Medical Center JACKSON, MS | $444 | $542 | $277 | 51% | 185 | $114 – $1.1k |
| 7 | Boone Memorial Hospital Madison, WV | $261 | $260 | $13 | 5% | 168 | $246 – $939 |
| 8 | St Luke's Regional Medical Center, LTD Boise, ID | $158 | $159 | $7 | 4% | 167–212 | $0 – $715 |
| 9 | OUR LADY OF LOURDES MEMORIAL HOSPITAL INC. Doing Business As: LOURDES Binghamton, NY | $235 | $184 | $73 | 40% | 152–170 | $41 – $298 |
| 10 | Lake Charles Memorial Hospital Charles, LA | $319 | $331 | $35 | 11% | 141 | $0 – $387 |
Ask Claude or any MCP client for CPT 90677 pricing at a specific hospital — see how to connect.