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
$393
Median
$307
High
$1.9k
Each hospital's average Medicare rate, under the methodology and billing class chosen below.
170 hospitals; the 90th percentile is 4.6× 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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195 hospital rates
iThe hospitals that file a Medicare 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 | — | — | 820 | $748 – $748 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $307 | $307 | — | — | 706 | $307 – $307 |
| 3 | Tufts Medical Center BOSTON, MA other · both | 1 | $806 | $656 | $621 | 95% | 704 | $0 – $1.7k |
| 4 | Benefis Hospitals Inc Helena, MT percent of total billed charges · outpatientfrom % of charges | 1 | $248 | $251 | $5 | 2% | 670 | $248 – $259 |
| 5 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · inpatient | 4 | $289 | $289 | — | — | 610–619 | $289 – $289 |
| 6 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $400 | $400 | — | — | 578 | $400 – $400 |
| 7 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 1 | $307 | $307 | — | — | 440 | $307 – $307 |
| 8 | Mount Carmel East Reynoldsburg, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $596 | $596 | — | — | 273 | $596 – $596 |
| 9 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · bothfrom % of charges | 1 | $143 | $143 | $29 | 21% | 136 | $114 – $172 |
| 10 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 1 | $509 | $473 | $393 | 83% | 126 | $0 – $875 |
| 11 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 1 | $509 | $473 | $393 | 83% | 126 | $0 – $875 |
| 12 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $400 | $400 | — | — | 122 | $400 – $400 |
| 13 | VALLEY REGIONAL HOSPITAL CLAREMONT, NH percent of total billed charges · bothfrom % of charges | 1 | $229 | $196 | $56 | 28% | 62 | $100 – $229 |
| 14 | St. Charles Madras Madras, OR percent of total billed charges · bothfrom % of charges | 1 | $263 | $205 | $83 | 40% | 56 | $88 – $263 |
| 15 | MELROSEWAKEFIELD HEALTHCARE Medford, MA other · both | 1 | $806 | $1.1k | $406 | 37% | 41–50 | $806 – $1.7k |
| 16 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $596 | $596 | — | — | 40 | $596 – $596 |
| 17 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 1 | $307 | $307 | — | — | 39 | $307 – $307 |
| 18 | PRISMA HEALTH OCONEE MEMORIAL HOSPITAL SENECA, SC percent of total billed charges · bothfrom % of charges | 1 | $825 | $614 | $317 | 52% | 31 | $165 – $851 |
| 19 | Eskenazi Health Indianapolis, IN facility · other · outpatient | 1 | $140 | $140 | — | — | 27 | $140 – $140 |
| 20 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC percent of total billed charges · bothfrom % of charges | 1 | $495 | $495 | $330 | 67% | 23 | $165 – $825 |
| 21 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 1 | $495 | $495 | $330 | 67% | 23 | $165 – $825 |
| 22 | UNIVERSITY OF TEXAS HEALTH CENTER AT TYLER Tyler, TX facility · percent of total billed charges · bothfrom % of charges | 3 | $449 | $449 | — | — | 20–29 | $449 – $449 |
| 23 | PRISMA HEALTH HILLCREST HOSPITAL SIMPSONVILLE, SC percent of total billed charges · bothfrom % of charges | 1 | $734 | $546 | $282 | 52% | 2–20 | $147 – $757 |
| 24 | Benefis Community Hospitals, Inc Choteau, MT percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 25 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 1 | $307 | $307 | — | — | 1–10 | $307 – $307 |
← Payers reporting CPT 90677 · Snapshot 20261111T120946Z-9134e7f7