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
$756
Median
$519
High
$6.8k
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
266 hospitals; the 90th percentile is 3.8× 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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317 hospital rates
iThe hospitals that file a Ambetter 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 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · bothfrom % of charges | 1 | $491 | $491 | $101 | 21% | 121 | $391 – $592 |
| 2 | Piedmont Columbus Regional - Midtown Columbus, GA percent of total billed charges · bothfrom % of charges | 1 | $331 | $331 | $198 | 60% | 42 | $133 – $529 |
| 3 | Piedmont Athens Regional Athens, GA percent of total billed charges · bothfrom % of charges | 1 | $283 | $283 | $172 | 61% | 35 | $111 – $455 |
| 4 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 1 | $411 | $382 | $318 | 83% | 32 | $0 – $707 |
| 5 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 1 | $411 | $382 | $318 | 83% | 32 | $0 – $707 |
| 6 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC percent of total billed charges · bothfrom % of charges | 1 | $404 | $404 | $270 | 67% | 21 | $135 – $674 |
| 7 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 1 | $404 | $404 | $270 | 67% | 21 | $135 – $674 |
| 8 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $36 | $124 | $108 | 87% | 5–50 | $35 – $265 |
| 9 | Ste. Genevieve County Memorial Hospital Ste. Genevieve, MO percent of total billed charges · outpatientfrom % of charges | 1 | $122 | $122 | $9 | 8% | 2–20 | $113 – $131 |
| 10 | The University of Kansas Health System Great Bend Campus Bend, KS fee schedule · both | 1 | $360 | $257 | $163 | 63% | 2–20 | $0 – $360 |
| 11 | University Medical Center of Southern Nevada Las Vegas, NV percent of total billed charges · outpatientfrom % of charges | 1 | $150 | $150 | — | — | 2–20 | $150 – $150 |
| 12 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $362 | $362 | — | — | 1–10 | $362 – $362 |
| 13 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $532 | $532 | — | — | 1–10 | $532 – $532 |
| 14 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | 1–10 | $1.3k – $1.3k |
| 15 | Columbus Regional Hospital Columbus, IN percent of total billed charges · bothfrom % of charges | 1 | $532 | $532 | — | — | 1–10 | $532 – $532 |
| 16 | Mercy Hospital Fort Smith Smith, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $548 | $548 | — | — | 1–10 | $548 – $548 |
| 17 | Mercy Hospital Fort Smith Smith, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $548 | $548 | — | — | 1–10 | $548 – $548 |
| 18 | Mercy Hospital Oklahoma City Inc City, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $622 | $622 | — | — | 1–10 | $622 – $622 |
| 19 | PRISMA HEALTH GREER MEMORIAL HOSPITAL GREER, SC percent of total billed charges · bothfrom % of charges | 1 | $867 | $867 | $578 | 67% | 1–10 | $289 – $1.4k |
| 20 | University of Arkansas for Medical Sciences Little Rock, AR facility · other · outpatient | 1 | $391 | $391 | — | — | 1–10 | $391 – $391 |
| 21 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · case rate · outpatient | 1 | $454 | $454 | — | — | — | $454 – $454 |
| 22 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · case rate · outpatient | 1 | $454 | $454 | — | — | — | $454 – $454 |
| 23 | Advocate Christ Medical Center Oak Lawn, IL facility · case rate · outpatient | 1 | $454 | $454 | — | — | — | $454 – $454 |
| 24 | Advocate Condell Medical Center Libertyville, IL case rate · outpatient | 1 | $454 | $454 | — | — | — | $454 – $454 |
| 25 | Advocate Good Samaritan Hospital Downers Grove, IL case rate · outpatient | 1 | $454 | $454 | — | — | — | $454 – $454 |
← Payers reporting CPT 90677 · Snapshot 20261111T120946Z-9134e7f7