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
PNEUMOCOC 15-VAL IM
Longview, TX
See all hospitals reporting CPT 90671 →Price type
Longview Medical Center LP’s median price of $557 is 76% above the median hospital's median price ($317), higher than 81% of the 1,387 hospitals reporting CPT 90671. 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, 37 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 node tx medicaid facility · fee schedule · outpatient | $239 | $239 | — | — | — | $239 – $239 |
| 2 | UnitedHealthcare node uhc chip medicaid tx facility · fee schedule · outpatient | $239 | $239 | — | — | — | $239 – $239 |
| 3 | UnitedHealthcare node uhc star medicaid tx facility · fee schedule · outpatient | $239 | $239 | — | — | — | $239 – $239 |
| 4 | Molina node molina chip medicaid tx facility · per diem · outpatient | $251 | $251 | — | — | — | $251 – $251 |
| 5 | Superior Healthplan node superior star kids medicaid tx facility · fee schedule · outpatient | $251 | $251 | — | — | — | $251 – $251 |
| 6 | Tricare node tricare facility · fee schedule · outpatient | $261 | $261 | — | — | — | $261 – $261 |
| 7 | Humana node humana mcr adv facility · fee schedule · outpatient | $452 | $452 | — | — | — | $452 – $452 |
| 8 | Humana node wellmed humana mcr adv facility · fee schedule · outpatient | $452 | $452 | — | — | — | $452 – $452 |
| 9 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $452 | $452 | — | — | — | $452 – $452 |
| 10 | UnitedHealthcare node wellmed uhc mcr adv facility · fee schedule · outpatient | $452 | $452 | — | — | — | $452 – $452 |
| 11 | Aetna node aetna mcr adv facility · other · outpatient | $461 | $461 | — | — | — | $461 – $461 |
| 12 | Blue Cross Blue Shield node bcbs tx mcr hmo facility · fee schedule · outpatient | $461 | $461 | — | — | — | $461 – $461 |
| 13 | Blue Cross Blue Shield node bcbs tx mcr ppo facility · fee schedule · outpatient | $461 | $461 | — | — | — | $461 – $461 |
| 14 | UnitedHealthcare node uhc star plus medicaid tx facility · fee schedule · outpatient | $502 | $502 | — | — | — | $502 – $502 |
| 15 | Molina node molina star plus medicaid tx facility · per diem · outpatient | $527 | $527 | — | — | — | $527 – $527 |
| 16 | UnitedHealthcare node uhc star kids medicaid tx facility · other · outpatient | $557 | $557 | — | — | — | $557 – $557 |
| 17 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $561 | $561 | — | — | — | $561 – $561 |
| 18 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $561 | $561 | — | — | — | $561 – $561 |
| 19 | UnitedHealthcare uhc health select facility · percent of total billed charges · outpatientfrom % of charges | $645 | $645 | — | — | — | $645 – $645 |
| 20 | Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges | $738 | $738 | — | — | — | $738 – $738 |
| 21 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $738 | $738 | — | — | — | $738 – $738 |
| 22 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $874 | $874 | — | — | — | $874 – $874 |
| 23 | UnitedHealthcare uhc exchange facility · per diem · outpatient | $876 | $876 | — | — | — | $876 – $876 |
| 24 | Superior Healthplan node superior star medicaid tx facility · fee schedule · outpatient | $883 | $883 | — | — | — | $883 – $883 |
| 25 | Cigna cigna all facility · other · outpatient | $893 | $893 | — | — | — | $893 – $893 |
Last updated: Apr 1, 2026
See Pneumococcal conjugate vaccine (15-valent) injection pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.