Pneumococcal conjugate vaccine injection (PCV21)

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Pcv21 Vaccine for Intramuscular Use

Medicaid pricing summary

Low

$48

Average

$361

Median

$262

High

$1.2k

Medicaid rate distribution

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29 hospital rates

#		Plans
1	Berkshire Medical Center Great Barrington, MA facility · fee schedule · outpatient	2	$86	$86	—	—	—	$86 – $86
2	CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient	1	$344	$344	—	—	—	$344 – $344
3	CentraState Medical Center Freehold Township, NJ percent of total billed charges · bothfrom % of charges	1	$94	$94	—	—	—	$94 – $94
4	Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges	1	$195	$195	—	—	—	$195 – $195
5	Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient	1	$83	$83	—	—	—	$83 – $83
6	Fairview Hospital Great Barrington, MA facility · fee schedule · outpatient	2	$173	$173	—	—	—	$173 – $173
7	HMA Santa Rosa Medical Center LLC Milton, FL facility · fee schedule · outpatient	1	$83	$83	—	—	—	$83 – $83
8	Hackettstown Medical Center Hackettstown, NJ percent of total billed charges · bothfrom % of charges	1	$125	$125	—	—	—	$125 – $125
9	Holyoke Medical Center Holyoke, MA facility · fee schedule · outpatient	1	$95	$95	—	—	—	$95 – $95
10	INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient	1	$83	$83	—	—	—	$83 – $83
11	Laredo Texas Hospital Company LP Laredo, TX facility · fee schedule · outpatient	1	$48	$48	—	—	—	$48 – $48
12	Longview Medical Center LP Longview, TX facility · fee schedule · outpatient	1	$82	$82	—	—	—	$82 – $82
13	Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges	1	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
14	MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges	1	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
15	McLeod Health Dillon, SC fee schedule · both	1	$524	$524	—	—	—	$524 – $524
16	McLeod Health Cheraw, SC fee schedule · both	1	$524	$524	—	—	—	$524 – $524
17	McLeod Health Manning, SC fee schedule · both	1	$524	$524	—	—	—	$524 – $524
18	McLeod Health Florence, SC fee schedule · both	1	$524	$524	—	—	—	$524 – $524
19	McLeod Health Beach, SC fee schedule · both	1	$524	$524	—	—	—	$524 – $524
20	McLeod Health Loris, SC fee schedule · both	1	$524	$524	—	—	—	$524 – $524
21	McLeod Health River, SC fee schedule · both	1	$524	$524	—	—	—	$524 – $524
22	Morristown Medical Center Morristown, NJ percent of total billed charges · bothfrom % of charges	1	$214	$214	—	—	—	$214 – $214
23	Navarro Hospital LP Corsicana, TX facility · fee schedule · outpatient	1	$226	$226	—	—	—	$226 – $226
24	Newton Medical Center Newton, NJ percent of total billed charges · bothfrom % of charges	1	$262	$262	—	—	—	$262 – $262
25	North Adams Regional Hospital North Adams, MA facility · fee schedule · outpatient	1	$173	$173	—	—	—	$173 – $173