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
$11
Average
$10.2k
Median
$318
High
$1577.2k
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
160 hospitals; the 90th percentile is 49.1× 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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260 hospital rates
iThe hospitals that file a Highmark 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 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $400 | $400 | — | — | 254–281 | $400 – $400 |
| 2 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $400 | $400 | — | — | 228–255 | $400 – $400 |
| 3 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 3 | $307 | $302 | $18 | 6% | 50–68 | $257 – $313 |
| 4 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 2 | $307 | $304 | $4 | 1% | 37–46 | $299 – $307 |
| 5 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 1 | $299 | $299 | — | — | 36–45 | $299 – $299 |
| 6 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 2 | $307 | $304 | $4 | 1% | 32 | $299 – $307 |
| 7 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 3 | $307 | $305 | $7 | 2% | 29–38 | $288 – $310 |
| 8 | Mount Carmel East Reynoldsburg, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $596 | $596 | — | — | 13 | $596 – $596 |
| 9 | Mon Health Medical Center Morgantown, WV other · outpatient | 1 | $299 | $299 | — | — | 4–40 | $299 – $299 |
| 10 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · other · outpatient | 1 | $84 | $84 | — | — | 2–20 | $84 – $84 |
| 11 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · bothfrom % of charges | 2 | $512 | $589 | $133 | 23% | 2–20 | $512 – $819 |
| 12 | Preston Memorial Hospital Kingwood, WV percent of total billed charges · outpatientfrom % of charges | 3 | $439 | $430 | $54 | 12% | 2–20 | $343 – $507 |
| 13 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $596 | $596 | — | — | 1–10 | $596 – $596 |
| 14 | STONEWALL JACKSON HOSPITAL Weston, WV other · outpatient | 1 | $347 | $347 | — | — | 1–10 | $347 – $347 |
| 15 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 8 | $481 | $481 | $127 | 26% | — | $354 – $608 |
| 16 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 11 | $390 | $387 | $7 | 2% | — | $364 – $390 |
| 17 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 12 | $390 | $356 | $103 | 29% | — | $14 – $390 |
| 18 | Alice Hyde Medical Center Malone, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $778 | $778 | — | — | — | $778 – $778 |
| 19 | Alice Hyde Medical Center Malone, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $803 | $803 | — | — | — | $803 – $803 |
| 20 | Alice Hyde Medical Center Malone, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $875 | $875 | — | — | — | $875 – $875 |
| 21 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 4 | $502 | $506 | $32 | 6% | — | $470 – $550 |
| 22 | Armstrong County Memorial Hospital Kittanning, PA facility · other · outpatient | 4 | $1.2k | $1.1k | $277 | 25% | — | $629 – $1.3k |
| 23 | Armstrong County Memorial Hospital Kittanning, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 24 | Boone Memorial Hospital Madison, WV other · both | 1 | $277 | $277 | — | — | — | $277 – $277 |
| 25 | Boone Memorial Hospital Madison, WV other · outpatient | 1 | $251 | $251 | — | — | — | $251 – $251 |
← Payers reporting CPT 90677 · Snapshot 20261111T120946Z-9134e7f7