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
$3.0k
Median
$319
High
$2250.9k
Each hospital's average Humana rate, under the methodology and billing class chosen below.
901 hospitals; the 90th percentile is 4.9× 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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1,248 hospital rates
iThe hospitals that file a Humana 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 | 1 | $748 | $748 | — | — | 784 | $748 – $748 |
| 2 | University Medical Center, Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $538 | $438 | $190 | 43% | 170 | $111 – $567 |
| 3 | UofL Health -Shelbyville, Inc. Shelbyville, KY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $546 | $548 | $15 | 3% | 170 | $530 – $567 |
| 4 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $596 | $593 | $20 | 3% | 170 | $567 – $615 |
| 5 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $596 | $593 | $20 | 3% | 170 | $567 – $615 |
| 6 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $596 | $593 | $20 | 3% | 170 | $567 – $615 |
| 7 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $596 | $593 | $20 | 3% | 170 | $567 – $615 |
| 8 | UofL Health-Louisville Inc. Shepherdville, KY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $596 | $593 | $20 | 3% | 170 | $567 – $615 |
| 9 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $596 | $593 | $20 | 3% | 170 | $567 – $615 |
| 10 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $596 | $593 | $20 | 3% | 170 | $567 – $615 |
| 11 | The University of Tennessee Medical Center Knoxville, TN facility · percent of total billed charges · outpatientfrom % of charges | 4 | $428 | $429 | $1 | 0% | 148–166 | $428 – $430 |
| 12 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 4 | $307 | $304 | $9 | 3% | 121–130 | $288 – $313 |
| 13 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 1 | $267 | $267 | — | — | 116 | $267 – $267 |
| 14 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · outpatient | 1 | $267 | $267 | — | — | 116 | $267 – $267 |
| 15 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · both | 1 | $372 | $372 | $76 | 21% | 104 | $295 – $448 |
| 16 | University of Virginia Medical Center Charlottesville, VA percent of total billed charges · bothfrom % of charges | 1 | $113 | $113 | — | — | 101 | $113 – $113 |
| 17 | University of Virginia Medical Center Charlottesville, VA percent of total billed charges · outpatientfrom % of charges | 1 | $91 | $91 | — | — | 101 | $91 – $91 |
| 18 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC percent of total billed charges · bothfrom % of charges | 3 | $459 | $500 | $305 | 61% | 87–105 | $169 – $858 |
| 19 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 3 | $459 | $500 | $305 | 61% | 87–105 | $169 – $858 |
| 20 | Boone Memorial Hospital Madison, WV other · both | 1 | $271 | $271 | — | — | 84 | $271 – $271 |
| 21 | Boone Memorial Hospital Madison, WV other · outpatient | 1 | $246 | $246 | — | — | 84 | $246 – $246 |
| 22 | OU Health - University of Oklahoma Medical Center Edmond, OK facility · other · outpatient | 2 | $236 | $236 | $57 | 24% | 71 | $180 – $293 |
| 23 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 3 | $344 | $637 | $674 | 106% | 42–51 | $0 – $1.8k |
| 24 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 3 | $344 | $637 | $674 | 106% | 42–51 | $0 – $1.8k |
| 25 | Eskenazi Health Indianapolis, IN facility · other · outpatient | 1 | $140 | $140 | — | — | 26 | $140 – $140 |
← Payers reporting CPT 90677 · Snapshot 20261111T120946Z-9134e7f7