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
PR Vaccine Pneumococcal Conjugate 20 Valent (Pcv20) Im
Low
$0
Average
$2.1k
Median
$490
High
$1922.4k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1299 hospitals; the 90th percentile is 4.7× 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.
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2,312 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Grady Memorial Hospital Atlanta, GA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $388 | $479 | $190 | 40% | 429 | $305 – $743 |
| 2 | Mount Carmel East Reynoldsburg, OH professional · fee schedule · both | 2 | $361 | $343 | $26 | 8% | 342 | $307 – $361 |
| 3 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $242 | $245 | $6 | 3% | 291 | $242 – $258 |
| 4 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $331 | $331 | — | — | 272 | $331 – $331 |
| 5 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 3 | $307 | $309 | $3 | 1% | 245–254 | $307 – $313 |
| 6 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 4 | $310 | $401 | $132 | 33% | 243 | $307 – $587 |
| 7 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $307 | $307 | — | — | 174–183 | $307 – $307 |
| 8 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $216 | $216 | $202 | 94% | 141 | $13 – $418 |
| 9 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 5 | $307 | $308 | $12 | 4% | 127 | $288 – $329 |
| 10 | Eastern Maine Medical Center Bangor, ME facility · percent of total billed charges · outpatientfrom % of charges | 2 | $307 | $292 | $53 | 18% | 110 | $232 – $346 |
| 11 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 2 | $562 | $562 | $33 | 6% | 108 | $529 – $595 |
| 12 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 2 | $519 | $364 | $384 | 105% | 82–127 | $0 – $1.1k |
| 13 | University of Virginia Medical Center Charlottesville, VA percent of total billed charges · bothfrom % of charges | 5 | $355 | $290 | $114 | 39% | 68–95 | $113 – $381 |
| 14 | University of Virginia Medical Center Charlottesville, VA percent of total billed charges · outpatientfrom % of charges | 3 | $334 | $284 | $114 | 40% | 68–95 | $91 – $377 |
| 15 | Mercy Hospital Portland, ME facility · percent of total billed charges · outpatientfrom % of charges | 2 | $302 | $297 | $47 | 16% | 63 | $243 – $347 |
| 16 | NYU Langone New York, NY percent of total billed charges · outpatientfrom % of charges | 25 | $1.4k | $1.4k | $177 | 13% | 57–84 | $1.4k – $2.3k |
| 17 | Cheshire Medical Center Keene, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $328 | $328 | — | — | 53 | $328 – $328 |
| 18 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 2 | $312 | $340 | $223 | 66% | 50 | $107 – $628 |
| 19 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $500 | $641 | $300 | 47% | 47 | $365 – $1.1k |
| 20 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $335 | $335 | $24 | 7% | 44–53 | $312 – $359 |
| 21 | Mount Carmel St Ann's Lewis Center, OH professional · fee schedule · both | 2 | $361 | $343 | $26 | 8% | 44 | $307 – $361 |
| 22 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 3 | $307 | $309 | $3 | 1% | 43 | $307 – $313 |
| 23 | Virginia Mason Medical Center Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $379 | $305 | $160 | 53% | 41–50 | $15 – $463 |
| 24 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $308 | $308 | — | — | 36 | $308 – $308 |
| 25 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 3 | $307 | $309 | $3 | 1% | 35 | $307 – $313 |
← Payers reporting CPT 90677 · Snapshot 20261111T120946Z-9134e7f7