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
$1.9k
Median
$450
High
$2451.0k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1740 hospitals; the 90th percentile is 3.5× 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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2,836 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 3 | $324 | $309 | $38 | 12% | 959 | $257 – $347 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · percent of total billed charges · outpatientfrom % of charges | 2 | $652 | $652 | — | — | 959 | $652 – $652 |
| 3 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $331 | $331 | — | — | 730 | $331 – $331 |
| 4 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $400 | $400 | — | — | 726 | $400 – $400 |
| 5 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 2 | $446 | $684 | $483 | 71% | 697–715 | $139 – $1.4k |
| 6 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 2 | $304 | $304 | — | — | 672 | $304 – $304 |
| 7 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 3 | $307 | $301 | $10 | 3% | 608–617 | $288 – $310 |
| 8 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 2 | $219 | $219 | — | — | 560–569 | $219 – $219 |
| 9 | Grady Memorial Hospital Atlanta, GA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $628 | $626 | $97 | 15% | 537 | $506 – $743 |
| 10 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $400 | $400 | — | — | 504 | $400 – $400 |
| 11 | Mount Carmel East Reynoldsburg, OH professional · fee schedule · both | 1 | $297 | $297 | — | — | 458 | $297 – $297 |
| 12 | Mercy Hospitals East Communities Washington, MO professional · fee schedule · outpatient | 2 | $160 | $163 | $141 | 87% | 454 | $22 – $307 |
| 13 | Cheshire Medical Center Keene, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $328 | $328 | — | — | 426 | $328 – $328 |
| 14 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $294 | $294 | — | — | 358–376 | $294 – $294 |
| 15 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 2 | $408 | $408 | $151 | 37% | 345 | $257 – $559 |
| 16 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · outpatient | 2 | $408 | $408 | $151 | 37% | 345 | $257 – $559 |
| 17 | St Luke's Regional Medical Center, LTD Mountain Home, ID percent of total billed charges · outpatientfrom % of charges | 1 | $275 | $244 | $50 | 21% | 335 | $173 – $283 |
| 18 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 5 | $148 | $163 | $141 | 87% | 264–282 | $22 – $312 |
| 19 | Eastern Maine Medical Center Bangor, ME facility · percent of total billed charges · outpatientfrom % of charges | 2 | $368 | $353 | $27 | 8% | 240 | $307 – $368 |
| 20 | Virginia Mason Medical Center Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $432 | $432 | $39 | 9% | 171 | $393 – $471 |
| 21 | Tufts Medical Center BOSTON, MA other · both | 2 | $806 | $656 | $621 | 95% | 162–198 | $0 – $1.7k |
| 22 | Mercy Health Services-Iowa Corp. Mason City, IA facility · percent of total billed charges · bothfrom % of charges | 2 | $672 | $761 | $444 | 58% | 152 | $280 – $1.4k |
| 23 | Mercy Hospital Portland, ME facility · percent of total billed charges · outpatientfrom % of charges | 2 | $327 | $318 | $12 | 4% | 151 | $302 – $327 |
| 24 | Samaritan Hospital Troy, NY facility · percent of total billed charges · bothfrom % of charges | 4 | $298 | $305 | $217 | 71% | 150 | $107 – $826 |
| 25 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · both | 1 | $332 | $332 | — | — | 139 | $332 – $332 |
← Payers reporting CPT 90677 · Snapshot 20261112T124536Z-e251e855