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
PNEUMOC 20-VAL CONJ-DIP CRM/PF
Hialeah, FL
See all hospitals reporting CPT 90677 →Price type
Hsa Pgh Llc’s median price of $265 is 39% below the median hospital's median price ($438), higher than 13% of the 2,125 hospitals reporting CPT 90677. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 14 payers, 34 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 aetna better health medicaid hmo facility · fee schedule · outpatient | $92 | $92 | — | — | — | $92 – $92 |
| 2 | Amerihealth Caritas amerihealth caritas medicaid facility · fee schedule · outpatient | $92 | $92 | — | — | — | $92 – $92 |
| 3 | Humana humana medical plan / fl medicaid facility · fee schedule · outpatient | $92 | $92 | — | — | — | $92 – $92 |
| 4 | UnitedHealthcare united healthcare medicaid hmo facility · fee schedule · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 5 | Molina molina managed medicaid facility · other · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 6 | Humana humana medicare hmo facility · fee schedule · outpatient | $147 | $147 | — | — | — | $147 – $147 |
| 7 | Humana humana medicare ppo facility · fee schedule · outpatient | $147 | $147 | — | — | — | $147 – $147 |
| 8 | Medicare medicare facility · fee schedule · outpatient | $149 | $149 | — | — | — | $149 – $149 |
| 9 | WellCare wellcare/staywell medicare hmo facility · fee schedule · outpatient | $149 | $149 | — | — | — | $149 – $149 |
| 10 | Amerihealth Caritas amerihealth caritas medicare facility · fee schedule · outpatient | $152 | $152 | — | — | — | $152 – $152 |
| 11 | Devoted devoted health facility · fee schedule · outpatient | $152 | $152 | — | — | — | $152 – $152 |
| 12 | UnitedHealthcare united healthcare of florida medicare advantage facility · fee schedule · outpatient | $152 | $152 | — | — | — | $152 – $152 |
| 13 | Molina molina medicare advantage program facility · fee schedule · outpatient | $155 | $155 | — | — | — | $155 – $155 |
| 14 | Cigna cigna healthsprings facility · fee schedule · outpatient | $156 | $156 | — | — | — | $156 – $156 |
| 15 | Molina molina marketplace program exchange facility · fee schedule · outpatient | $264 | $264 | — | — | — | $264 – $264 |
| 16 | Ambetter ambetter by sunshine hix facility · fee schedule · outpatient | $281 | $281 | — | — | — | $281 – $281 |
| 17 | Tricare tricare traditional facility · percent of total billed charges · outpatientfrom % of charges | $304 | $304 | — | — | — | $304 – $304 |
| 18 | Cigna cigna individual family facility · fee schedule · outpatient | $308 | $308 | — | — | — | $308 – $308 |
| 19 | UnitedHealthcare united healthcare of florida all payer facility · fee schedule · outpatient | $313 | $313 | — | — | — | $313 – $313 |
| 20 | UnitedHealthcare united healthcare of florida exchange facility · fee schedule · outpatient | $313 | $313 | — | — | — | $313 – $313 |
| 21 | UnitedHealthcare united healthcare of florida hmo facility · fee schedule · outpatient | $313 | $313 | — | — | — | $313 – $313 |
| 22 | UnitedHealthcare united healthcare of florida ppo facility · fee schedule · outpatient | $313 | $313 | — | — | — | $313 – $313 |
| 23 | Amerihealth Caritas amerihealth caritas next exchange facility · fee schedule · outpatient | $327 | $327 | — | — | — | $327 – $327 |
| 24 | Cigna cigna surefit facility · fee schedule · outpatient | $378 | $378 | — | — | — | $378 – $378 |
| 25 | Cigna cigna commercial facility · fee schedule · outpatient | $439 | $439 | — | — | — | $439 – $439 |
Last updated: Sep 1, 2026
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.