Pneumococcal 20-valent conjugate vaccine, prefilled syringe at Brfhh Monroe, Llc

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 IM SYRG

Monroe, LA

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How this price compares nationally

Brfhh Monroe, Llc’s median price of $310 is 29% below the median hospital's median price ($438), higher than 24% of the 2,125 hospitals reporting CPT 90677. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 90677 at Brfhh Monroe, Llc

Negotiated rates from the hospital’s own file: 10 payers, 16 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	Aetna Better Health all payor other · outpatient	$152	$152	$2	2%	—	$150 – $155
2	Amerihealth Caritas all payor other · outpatient	$152	$152	$2	2%	—	$150 – $155
3	Humana all payor other · outpatient	$223	$224	$72	32%	—	$150 – $300
4	UnitedHealthcare all payor other · outpatient	$291	$248	$68	27%	—	$150 – $300
5	Humana all payor fee schedule · outpatient	$283	$283	—	—	—	$283 – $283
6	Bcbs La all payor other · outpatient	$296	$296	$5	2%	—	$291 – $300
7	Optum all payor other · outpatient	$296	$296	$5	2%	—	$291 – $300
8	UnitedHealthcare all payor percent of total billed charges · outpatientfrom % of charges	$305	$305	$29	10%	—	$272 – $339
9	Bcbs La all payor fee schedule · outpatient	$328	$328	—	—	—	$328 – $328
10	Cigna all payor other · outpatient	$408	$408	$6	2%	—	$402 – $414
11	Aetna all payor other · outpatient	$455	$458	$162	35%	—	$291 – $629
12	Cigna all payor other · inpatient	$477	$477	$7	2%	—	$469 – $484
13	Aetna all payor other · inpatient	$620	$620	$10	2%	—	$610 – $629
14	First Health all payor other · inpatient	$620	$620	$10	2%	—	$610 – $629
15	First Health all payor other · outpatient	$620	$620	$10	2%	—	$610 – $629
16	MultiPlan all payor other · outpatient	$668	$668	$10	2%	—	$657 – $678

Last updated: Apr 1, 2026

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