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
PNEUMOCOCCAL 21-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE [268668]
Oakland, MD
See all hospitals reporting CPT 90684 →Price type
GRMC, Inc.’s median price of $425 is 4% below the median hospital's median price ($443), higher than 49% of the 1,297 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, 18 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 | Caresource all plans percent of total billed charges · bothfrom % of charges | $406 | $406 | — | — | — | $406 – $406 |
| 2 | Highmark all plans percent of total billed charges · bothfrom % of charges | $416 | $416 | — | — | — | $416 – $416 |
| 3 | Humana all plans percent of total billed charges · bothfrom % of charges | $416 | $416 | — | — | — | $416 – $416 |
| 4 | Humana tricare percent of total billed charges · bothfrom % of charges | $416 | $416 | — | — | — | $416 – $416 |
| 5 | Aetna Better Health chip percent of total billed charges · bothfrom % of charges | $425 | $425 | — | — | — | $425 – $425 |
| 6 | Aetna Better Health managed medicaid percent of total billed charges · bothfrom % of charges | $425 | $425 | — | — | — | $425 – $425 |
| 7 | Aetna Better Health medicaid percent of total billed charges · bothfrom % of charges | $425 | $425 | — | — | — | $425 – $425 |
| 8 | Carefirst medicaid percent of total billed charges · bothfrom % of charges | $425 | $425 | — | — | — | $425 – $425 |
| 9 | Highmark chip percent of total billed charges · bothfrom % of charges | $425 | $425 | — | — | — | $425 – $425 |
| 10 | Highmark managed medicaid percent of total billed charges · bothfrom % of charges | $425 | $425 | — | — | — | $425 – $425 |
| 11 | UnitedHealthcare managed medicaid percent of total billed charges · bothfrom % of charges | $425 | $425 | — | — | — | $425 – $425 |
| 12 | Carefirst all plans percent of total billed charges · bothfrom % of charges | $416 | $428 | $16 | 4% | — | $416 – $451 |
| 13 | MultiPlan all plans percent of total billed charges · bothfrom % of charges | $428 | $428 | — | — | — | $428 – $428 |
| 14 | Aetna all plans percent of total billed charges · bothfrom % of charges | $433 | $433 | $17 | 4% | — | $416 – $451 |
| 15 | UnitedHealthcare all plans percent of total billed charges · bothfrom % of charges | $433 | $433 | $17 | 4% | — | $416 – $451 |
| 16 | Cigna all plans percent of total billed charges · bothfrom % of charges | $451 | $451 | — | — | — | $451 – $451 |
| 17 | Cigna rental percent of total billed charges · bothfrom % of charges | $451 | $451 | — | — | — | $451 – $451 |
| 18 | First Health all plans percent of total billed charges · bothfrom % of charges | $451 | $451 | — | — | — | $451 – $451 |
Last updated: Mar 31, 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.