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 20-VAL CONJ VACC 0.5 ML IM SUSY
Lancaster, PA
See all hospitals reporting CPT 90677 →Price type
Lancaster General Health’s median price of $427 is 2% below the median hospital's median price ($435), higher than 50% of the 2,154 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: 13 payers, 35 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 | Medicaid medicaid facility · fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 2 | UnitedHealthcare united healthcare medicaid mco facility · case rate · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 3 | UnitedHealthcare united healthcare med adv facility · fee schedule · outpatient | $154 | $154 | — | — | — | $154 – $154 |
| 4 | Blue Cross Blue Shield cbc medicare advantage facility · fee schedule · outpatient | $156 | $156 | — | — | — | $156 – $156 |
| 5 | Cigna Healthspring cigna healthspring facility · fee schedule · outpatient | $159 | $159 | — | — | — | $159 – $159 |
| 6 | Blue Cross Blue Shield independence blue cross commercial facility · fee schedule · outpatient | $282 | $282 | — | — | — | $282 – $282 |
| 7 | Tricare tricare facility · fee schedule · outpatient | $282 | $282 | — | — | — | $282 – $282 |
| 8 | Amerihealth Caritas amerihealth caritas medicaid hmo facility · fee schedule · outpatient | $284 | $284 | — | — | — | $284 – $284 |
| 9 | Highmark highmark medicare advantage facility · fee schedule · outpatient | $291 | $291 | — | — | — | $291 – $291 |
| 10 | Medicare medicare facility · fee schedule · outpatient | $294 | $294 | — | — | — | $294 – $294 |
| 11 | Aetna aetna medicare advantage facility · other · outpatient | $297 | $297 | — | — | — | $297 – $297 |
| 12 | Amerihealth Caritas amerihealth caritas med adv facility · fee schedule · outpatient | $300 | $300 | — | — | — | $300 – $300 |
| 13 | Blue Cross Blue Shield independence blue cross medicare advantage facility · other · outpatient | $300 | $300 | — | — | — | $300 – $300 |
| 14 | Cigna cigna new business facility · fee schedule · outpatient | $308 | $308 | — | — | — | $308 – $308 |
| 15 | Devoted devoted health medicare advantage facility · other · outpatient | $308 | $308 | — | — | — | $308 – $308 |
| 16 | Highmark highmark chip facility · other · outpatient | $324 | $324 | — | — | — | $324 – $324 |
| 17 | Highmark highmark aca facility · other · outpatient | $389 | $389 | — | — | — | $389 – $389 |
| 18 | Highmark highmark commercial preferred facility · other · outpatient | $447 | $447 | — | — | — | $447 – $447 |
| 19 | Aetna aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $452 | $452 | — | — | — | $452 – $452 |
| 20 | Cigna cigna facility · percent of total billed charges · inpatientfrom % of charges | $504 | $504 | — | — | — | $504 – $504 |
| 21 | Highmark highmark commercial facility · other · outpatient | $556 | $556 | — | — | — | $556 – $556 |
| 22 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $558 | $558 | — | — | — | $558 – $558 |
| 23 | Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · inpatientfrom % of charges | $567 | $567 | — | — | — | $567 – $567 |
| 24 | UnitedHealthcare united healthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $567 | $567 | — | — | — | $567 – $567 |
| 25 | UnitedHealthcare united healthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $567 | $567 | — | — | — | $567 – $567 |
Last updated: Mar 31, 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.