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
00006-4347-02 - pneumococcal 21-valent conjugate v
Bluffton, IN
See all hospitals reporting CPT 90684 →Price type
Bluffton Health System LLC’s median price of $703 is 60% above the median hospital's median price ($440), higher than 80% of the 1,301 hospitals reporting CPT 90684. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 27 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Tricare node tricare facility · fee schedule · outpatient | $152 | $152 | $152 | 100% | — | $0 – $304 |
| 2 | Anthem anthem in marketplace stld facility · fee schedule · outpatient | $344 | $344 | — | — | — | $344 – $344 |
| 3 | Anthem anthem in healthsync facility · fee schedule · outpatient | $353 | $353 | — | — | — | $353 – $353 |
| 4 | Anthem anthem in hmo ppo trad facility · fee schedule · outpatient | $430 | $430 | — | — | — | $430 – $430 |
| 5 | Aetna node aetna mcr adv facility · other · outpatient | $568 | $568 | — | — | — | $568 – $568 |
| 6 | Anthem node anthem in mcr adv facility · fee schedule · outpatient | $568 | $568 | — | — | — | $568 – $568 |
| 7 | Caresource node caresource mcr adv facility · fee schedule · outpatient | $580 | $580 | — | — | — | $580 – $580 |
| 8 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $580 | $580 | — | — | — | $580 – $580 |
| 9 | Anthem anthem in hip facility · fee schedule · outpatient | $580 | $580 | — | — | — | $580 – $580 |
| 10 | Humana node humana choicecare mcr adv facility · fee schedule · outpatient | $580 | $580 | — | — | — | $580 – $580 |
| 11 | Optum node united optum va ccn facility · per diem · outpatient | $580 | $580 | — | — | — | $580 – $580 |
| 12 | Anthem node anthem essentials marketplace facility · fee schedule · outpatient | $870 | $870 | — | — | — | $870 – $870 |
| 13 | Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $919 | $919 | — | — | — | $919 – $919 |
| 14 | Anthem anthem in work comp facility · other · outpatient | $928 | $928 | — | — | — | $928 – $928 |
| 15 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 16 | Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 17 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 18 | Aetna aetna pssd jj facility · percent of total billed charges · inpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 19 | Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 20 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | $1.2k | 100% | — | $0 – $2.3k |
| 21 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | $1.2k | 100% | — | $0 – $2.3k |
| 22 | First Health first health non-exclusive facility · percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | $1.2k | 100% | — | $0 – $2.5k |
| 23 | First Health first health non-exclusive facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | $1.2k | 100% | — | $0 – $2.5k |
| 24 | Aetna aetna facility · percent of total billed charges · inpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 25 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
Last updated: Apr 1, 2026
See Pneumococcal conjugate vaccine injection (PCV21) pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.