Pneumococcal 20-valent conjugate vaccine, prefilled syringe at Boulder Community Health

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

pneumoc 20-val conj-dip cr(PF) 0.5 mL syringe 0.5 mL Syringe

Boulder, CO

See all hospitals reporting CPT 90677 →

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Pricing by billing methodology

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How this price compares nationally

Boulder Community Health’s median price of $480 is 10% above the median hospital's median price ($435), higher than 57% of the 2,154 hospitals reporting CPT 90677. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 90677 at Boulder Community Health

Negotiated rates from the hospital’s own file: 9 payers, 30 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	UnitedHealthcare commercial professional · fee schedule · both	$275	$275	—	—	—	$275 – $275
2	Kaiser commercial facility · percent of total billed charges · outpatientfrom % of charges	$285	$285	$20	7%	—	$265 – $305
3	Kaiser managed care facility · percent of total billed charges · outpatientfrom % of charges	$302	$302	—	—	—	$302 – $302
4	Cigna commercial facility · fee schedule · outpatient	$308	$308	—	—	—	$308 – $308
5	Aetna medicare advantage professional · fee schedule · both	$313	$313	—	—	—	$313 – $313
6	Humana medicare advantage professional · fee schedule · both	$313	$313	—	—	—	$313 – $313
7	Cigna commercial professional · fee schedule · both	$335	$335	—	—	—	$335 – $335
8	UnitedHealthcare medicare advantage professional · fee schedule · both	$341	$341	$0	0%	—	$340 – $341
9	Aetna medicare advantage facility · case rate · outpatient	$341	$341	—	—	—	$341 – $341
10	Anthem medicare advantage facility · case rate · outpatient	$341	$341	—	—	—	$341 – $341
11	Humana medicare advantage facility · case rate · outpatient	$348	$348	—	—	—	$348 – $348
12	UnitedHealthcare medicare advantage facility · case rate · outpatient	$348	$348	—	—	—	$348 – $348
13	Kaiser medicare advantage facility · case rate · outpatient	$350	$350	$2	0%	—	$348 – $351
14	Devoted medicare advantage facility · case rate · outpatient	$351	$351	—	—	—	$351 – $351
15	Anthem commercial professional · fee schedule · both	$359	$359	—	—	—	$359 – $359
16	Anthem managed care professional · fee schedule · both	$359	$359	—	—	—	$359 – $359
17	Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges	$372	$431	$131	30%	—	$298 – $720
18	Aetna commercial professional · fee schedule · both	$451	$451	$138	31%	—	$313 – $588
19	Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges	$456	$456	$0	0%	—	$456 – $456
20	Anthem managed care facility · percent of total billed charges · outpatientfrom % of charges	$464	$464	—	—	—	$464 – $464
21	Devoted medicare advantage facility · percent of total billed charges · inpatientfrom % of charges	$484	$484	$0	0%	—	$484 – $484
22	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$345	$526	$314	60%	—	$267 – $967
23	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$629	$629	$153	24%	—	$477 – $782
24	Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges	$697	$697	$0	0%	—	$697 – $697
25	MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges	$836	$836	$0	0%	—	$835 – $836

Page 1 of 2 · 30 rates

Last updated: Sep 16, 2026

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See Pneumococcal 20-valent conjugate vaccine, prefilled syringe pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.