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
$606
Median
$489
High
$8.9k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
1022 hospitals; the 90th percentile is 3.9× 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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1,560 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 3 | $299 | $302 | $4 | 1% | 2,328–2,445 | $299 – $307 |
| 2 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 8 | $291 | $293 | $10 | 3% | 2,318–2,354 | $284 – $313 |
| 3 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 6 | $242 | $253 | $20 | 8% | 1,122–1,140 | $242 – $291 |
| 4 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 8 | $291 | $294 | $16 | 5% | 860–887 | $275 – $323 |
| 5 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 8 | $291 | $294 | $16 | 5% | 805–850 | $275 – $323 |
| 6 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 3 | $299 | $302 | $4 | 1% | 511–610 | $299 – $307 |
| 7 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 3 | $313 | $303 | $19 | 6% | 501–636 | $257 – $313 |
| 8 | St Luke's Regional Medical Center, LTD Mountain Home, ID percent of total billed charges · outpatientfrom % of charges | 1 | $265 | $234 | $49 | 21% | 394 | $166 – $273 |
| 9 | Tufts Medical Center BOSTON, MA other · both | 3 | $0 | $328 | $548 | 167% | 379–406 | $0 – $1.7k |
| 10 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 3 | $310 | $306 | $7 | 2% | 342–423 | $288 – $310 |
| 11 | Mayo Clinic Health System Eau Claire 54703-5270 professional · fee schedule · outpatient | 3 | $323 | $323 | — | — | 340 | $323 – $323 |
| 12 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 3 | $385 | $641 | $355 | 55% | 309–327 | $139 – $1.0k |
| 13 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $400 | $400 | — | — | 297–423 | $400 – $400 |
| 14 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $400 | $400 | — | — | 271–379 | $400 – $400 |
| 15 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $261 | $261 | $245 | 94% | 256 | $16 – $506 |
| 16 | Mayo Clinic Health System Bloomer, WI facility · percent of total billed charges · bothfrom % of charges | 4 | $307 | $273 | $71 | 26% | 252 | $119 – $317 |
| 17 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 4 | $307 | $271 | $76 | 28% | 250 | $103 – $317 |
| 18 | Mayo Clinic Health System Barron, WI facility · percent of total billed charges · bothfrom % of charges | 4 | $307 | $271 | $76 | 28% | 245 | $105 – $317 |
| 19 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $297 | $297 | $190 | 64% | 235 | $107 – $487 |
| 20 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 3 | $304 | $308 | $7 | 2% | 211–220 | $300 – $317 |
| 21 | Mayo Clinic Rochester, MN professional · fee schedule · outpatient | 4 | $323 | $322 | $2 | 0% | 201–219 | $319 – $323 |
| 22 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 3 | $299 | $302 | $4 | 1% | 201–282 | $299 – $307 |
| 23 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 3 | $168 | $168 | $146 | 87% | 200–218 | $22 – $314 |
| 24 | NYU Langone New York, NY percent of total billed charges · outpatientfrom % of charges | 50 | $1.0k | $998 | $51 | 5% | 187–277 | $811 – $1.0k |
| 25 | St Luke's Magic Valley Regional Medical Center, LTD Jerome, ID percent of total billed charges · outpatientfrom % of charges | 1 | $278 | $246 | $51 | 21% | 158 | $174 – $286 |
← Payers reporting CPT 90677 · Snapshot 20261111T120946Z-9134e7f7