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
Peru, IN
See all hospitals reporting CPT 90684 →Price type
Dukes Health System LLC’s median price of $745 is 69% above the median hospital's median price ($440), higher than 81% 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: 10 payers, 29 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 | Anthem anthem in marketplace stld facility · fee schedule · outpatient | $344 | $344 | — | — | — | $344 – $344 |
| 2 | Anthem anthem in healthsync facility · fee schedule · outpatient | $353 | $353 | — | — | — | $353 – $353 |
| 3 | Anthem anthem in hmo ppo trad facility · fee schedule · outpatient | $430 | $430 | — | — | — | $430 – $430 |
| 4 | Tricare node tricare facility · fee schedule · outpatient | $431 | $431 | — | — | — | $431 – $431 |
| 5 | Anthem node anthem in mcr select facility · fee schedule · outpatient | $458 | $458 | — | — | — | $458 – $458 |
| 6 | Humana node humana mcr adv facility · fee schedule · outpatient | $458 | $458 | — | — | — | $458 – $458 |
| 7 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $458 | $458 | — | — | — | $458 – $458 |
| 8 | Anthem anthem in hip facility · fee schedule · outpatient | $466 | $466 | — | — | — | $466 – $466 |
| 9 | Anthem node anthem in mcr adv facility · fee schedule · outpatient | $466 | $466 | — | — | — | $466 – $466 |
| 10 | Optum node united optum va ccn facility · per diem · outpatient | $466 | $466 | — | — | — | $466 – $466 |
| 11 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $467 | $467 | — | — | — | $467 – $467 |
| 12 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $467 | $467 | — | — | — | $467 – $467 |
| 13 | Anthem node anthem essentials marketplace facility · fee schedule · outpatient | $698 | $698 | — | — | — | $698 – $698 |
| 14 | Anthem anthem in work comp facility · other · outpatient | $745 | $745 | — | — | — | $745 – $745 |
| 15 | Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges | $838 | $838 | — | — | — | $838 – $838 |
| 16 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $838 | $838 | — | — | — | $838 – $838 |
| 17 | Aetna aetna pssd jj facility · percent of total billed charges · inpatientfrom % of charges | $838 | $838 | — | — | — | $838 – $838 |
| 18 | Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges | $838 | $838 | — | — | — | $838 – $838 |
| 19 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $931 | $931 | $931 | 100% | — | $0 – $1.9k |
| 20 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $931 | $931 | $931 | 100% | — | $0 – $1.9k |
| 21 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $943 | $943 | $943 | 100% | — | $0 – $1.9k |
| 22 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $943 | $943 | $943 | 100% | — | $0 – $1.9k |
| 23 | MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges | $943 | $943 | $943 | 100% | — | $0 – $1.9k |
| 24 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $943 | $943 | $943 | 100% | — | $0 – $1.9k |
| 25 | Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges | $987 | $987 | — | — | — | $987 – $987 |
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.