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
$144
Average
$483
Median
$401
High
$1.5k
Each hospital's average Regence rate, under the methodology and billing class chosen below.
113 hospitals; the 90th percentile is 2.4× 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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225 hospital rates
iThe hospitals that file a Regence 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 | Virginia Mason Medical Center Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $476 | $359 | $208 | 58% | 651 | $16 – $649 |
| 2 | NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK Tillamook, OR percent of total billed charges · outpatientfrom % of charges | 3 | $320 | $306 | $104 | 34% | 122–176 | $130 – $411 |
| 3 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · outpatient | 2 | $307 | $307 | $127 | 41% | 66–84 | $180 – $433 |
| 4 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 2 | $307 | $307 | $127 | 41% | 65–74 | $180 – $433 |
| 5 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 2 | $390 | $567 | $352 | 62% | 18–27 | $142 – $1.0k |
| 6 | St Luke's Regional Medical Center, LTD Mountain Home, ID percent of total billed charges · outpatientfrom % of charges | 1 | $262 | $232 | $48 | 21% | 14–32 | $164 – $270 |
| 7 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 3 | $372 | $401 | $74 | 19% | 4–40 | $338 – $519 |
| 8 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 2 | $299 | $302 | $3 | 1% | 3–30 | $299 – $307 |
| 9 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $400 | $400 | — | — | 3–30 | $400 – $400 |
| 10 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 2 | $313 | $311 | $3 | 1% | 2–20 | $307 – $313 |
| 11 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $409 | $427 | $316 | 74% | 2–20 | $89 – $1.0k |
| 12 | St Luke's McCall, LTD McCall, ID percent of total billed charges · bothfrom % of charges | 1 | $380 | $337 | $70 | 21% | 2–20 | $238 – $391 |
| 13 | St Luke's Wood River Medical Center, LTD Ketchum, ID percent of total billed charges · bothfrom % of charges | 1 | $373 | $331 | $68 | 21% | 2–20 | $234 – $385 |
| 14 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 2 | $299 | $302 | $3 | 1% | 1–10 | $299 – $307 |
| 15 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 2 | $310 | $309 | $1 | 0% | 1–10 | $307 – $310 |
| 16 | Mount Carmel East Reynoldsburg, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $596 | $596 | — | — | 1–10 | $596 – $596 |
| 17 | Peace Harbor Medical Center Florence, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $328 | $328 | — | — | 1–10 | $328 – $328 |
| 18 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $400 | $400 | — | — | 1–10 | $400 – $400 |
| 19 | St Luke's Regional Medical Center, LTD Mountain Home, ID other · both | 1 | $154 | $154 | — | — | 1–10 | $154 – $154 |
| 20 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 2 | $299 | $302 | $3 | 1% | 1–10 | $299 – $307 |
| 21 | ALBANY GENERAL HOSPITAL Albany, OR facility · fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 22 | ALBANY GENERAL HOSPITAL Albany, OR professional · fee schedule · outpatient | 6 | $391 | $391 | — | — | — | $391 – $391 |
| 23 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT fee schedule · outpatient | 4 | $328 | $314 | $45 | 14% | — | $245 – $355 |
| 24 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT percent of total billed charges · inpatientfrom % of charges | 4 | $792 | $782 | $137 | 17% | — | $582 – $968 |
| 25 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT fee schedule · outpatient | 4 | $328 | $314 | $45 | 14% | — | $245 – $355 |
← Payers reporting CPT 90677 · Snapshot 20261111T120946Z-9134e7f7