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
$107
Average
$313
Median
$307
High
$1.8k
Each hospital's average Ucare rate, under the methodology and billing class chosen below.
99 hospitals; the 90th percentile is 2.8× 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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178 hospital rates
iThe hospitals that file a Ucare 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 | Mayo Clinic Rochester, MN professional · fee schedule · outpatient | 4 | $319 | $319 | $4 | 1% | 176 | $313 – $323 |
| 2 | Essentia Health Virginia 901 9th St N Virginia, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $401 | $359 | $59 | 16% | 52 | $276 – $401 |
| 3 | Mayo Clinic Health System Lake City 55041-1143 facility · percent of total billed charges · bothfrom % of charges | 4 | $194 | $163 | $84 | 52% | 27–45 | $67 – $284 |
| 4 | Essentia Health St. Joseph's Medical Center Brainerd, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $401 | $360 | $58 | 16% | 21 | $277 – $401 |
| 5 | Mayo Clinic Health System Saint James 56081-5550 facility · percent of total billed charges · bothfrom % of charges | 4 | $180 | $157 | $82 | 52% | 19–37 | $67 – $284 |
| 6 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · percent of total billed charges · outpatientfrom % of charges | 2 | $401 | $350 | $73 | 21% | 17 | $247 – $401 |
| 7 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $291 | $291 | — | — | 17 | $291 – $291 |
| 8 | Essentia Health St. Mary's - Detroit Lakes 1027 Washington Ave. Detroit Lakes, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $401 | $353 | $68 | 19% | 15 | $257 – $401 |
| 9 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $401 | $353 | $68 | 19% | 15 | $257 – $401 |
| 10 | Essentia Health St. Mary's Medical Center Duluth, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $401 | $353 | $68 | 19% | 15 | $257 – $401 |
| 11 | Mayo Clinic Health System Waseca 56093-2811 facility · percent of total billed charges · bothfrom % of charges | 4 | $139 | $141 | $79 | 56% | 14–23 | $67 – $284 |
| 12 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $307 | $299 | $11 | 4% | 11 | $284 – $307 |
| 13 | Mayo Clinic Health System Fairmont 56031-4575 facility · percent of total billed charges · bothfrom % of charges | 2 | $176 | $176 | $109 | 62% | 11 | $67 – $284 |
| 14 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $291 | $291 | — | — | 11 | $291 – $291 |
| 15 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · other · inpatient | 1 | $270 | $270 | — | — | 4–40 | $270 – $270 |
| 16 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · other · outpatient | 1 | $270 | $270 | — | — | 4–40 | $270 – $270 |
| 17 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 4 | $149 | $145 | $80 | 55% | 4–40 | $67 – $284 |
| 18 | Range Regional Health Services Hibbing, MN facility · other · inpatient | 1 | $270 | $270 | — | — | 4–40 | $270 – $270 |
| 19 | Range Regional Health Services Hibbing, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $150 | $150 | $17 | 12% | 4–40 | $129 – $173 |
| 20 | Essentia Health Duluth Duluth, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $401 | $350 | $73 | 21% | 1–10 | $247 – $401 |
| 21 | Maple Grove Hospital Corporation Grove, MN facility · percent of total billed charges · bothfrom % of charges | 3 | $248 | $260 | $30 | 11% | 1–10 | $232 – $310 |
| 22 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 2 | $176 | $176 | $109 | 62% | 1–10 | $67 – $284 |
| 23 | Mayo Clinic Health System Mankato 56001-4752 professional · fee schedule · outpatient | 2 | $316 | $316 | $3 | 1% | 1–10 | $313 – $319 |
| 24 | Mayo Clinic Health System St, NE professional · percent of total billed charges · outpatientfrom % of charges | 2 | $266 | $266 | $24 | 9% | 1–10 | $242 – $291 |
| 25 | Mayo Clinic Health System Owatonna 55060-5503 professional · fee schedule · outpatient | 2 | $316 | $316 | $3 | 1% | 1–10 | $313 – $319 |
← Payers reporting CPT 90677 · Snapshot 20261111T120946Z-9134e7f7