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-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE
Ozark, MO
See all hospitals reporting CPT 90677 →Price type
Mercy Hospital Springfield’s median price of $816 is 88% above the median hospital's median price ($435), higher than 85% 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: 12 payers, 25 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 hb sprg ok medicaid facility · fee schedule · outpatient | $279 | $279 | — | — | — | $279 – $279 |
| 2 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $279 | $279 | — | — | — | $279 – $279 |
| 3 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $279 | $279 | — | — | — | $279 – $279 |
| 4 | Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges | $286 | $286 | — | — | — | $286 – $286 |
| 5 | Medicaid hb sprg mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $286 | $286 | — | — | — | $286 – $286 |
| 6 | UnitedHealthcare hb sprg uhc mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $286 | $286 | — | — | — | $286 – $286 |
| 7 | Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient | $313 | $313 | — | — | — | $313 – $313 |
| 8 | Optum hb sprg uhc all payer facility · fee schedule · outpatient | $455 | $455 | — | — | — | $455 – $455 |
| 9 | UnitedHealthcare hb sprg uhc all payer facility · fee schedule · outpatient | $455 | $455 | — | — | — | $455 – $455 |
| 10 | UnitedHealthcare hb sprg uhc individual exchange facility · fee schedule · outpatient | $455 | $455 | — | — | — | $455 – $455 |
| 11 | UnitedHealthcare hb sprg uhc options ppo facility · fee schedule · outpatient | $455 | $455 | — | — | — | $455 – $455 |
| 12 | Anthem hb sprg anthem blue access facility · fee schedule · outpatient | $457 | $457 | — | — | — | $457 – $457 |
| 13 | Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient | $457 | $457 | — | — | — | $457 – $457 |
| 14 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient | $457 | $457 | — | — | — | $457 – $457 |
| 15 | Anthem hb sprg anthem alliance facility · fee schedule · outpatient | $554 | $554 | — | — | — | $554 – $554 |
| 16 | Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient | $554 | $554 | — | — | — | $554 – $554 |
| 17 | Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $566 | $566 | — | — | — | $566 – $566 |
| 18 | Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges | $583 | $583 | — | — | — | $583 – $583 |
| 19 | First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges | $802 | $802 | — | — | — | $802 – $802 |
| 20 | Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges | $974 | $974 | — | — | — | $974 – $974 |
| 21 | Cigna hb sprg cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $988 | $988 | — | — | — | $988 – $988 |
| 22 | Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 23 | Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 24 | Cigna hb sprg cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 25 | MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
Last updated: Jun 4, 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.