Pneumococcal 20-valent conjugate vaccine, prefilled syringe at Mercy Perry

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE

Perryville, MO

See all hospitals reporting CPT 90677 →

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How this price compares nationally

Mercy Perry’s median price of $861 is 98% above the median hospital's median price ($435), higher than 87% of the 2,154 hospitals reporting CPT 90677. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 90677 at Mercy Perry

Negotiated rates from the hospital’s own file: 16 payers, 29 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 hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges	$208	$208	—	—	—	$208 – $208
2	Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges	$278	$278	—	—	—	$278 – $278
3	Medicaid hb pcmh mo medicaid facility · percent of total billed charges · outpatientfrom % of charges	$278	$278	—	—	—	$278 – $278
4	UnitedHealthcare hb pcmh uhc managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$278	$278	—	—	—	$278 – $278
5	Optum hb pcmh uhc all payer exchange facility · fee schedule · outpatient	$419	$419	—	—	—	$419 – $419
6	UnitedHealthcare hb pcmh uhc all payer exchange facility · fee schedule · outpatient	$419	$419	—	—	—	$419 – $419
7	UnitedHealthcare hb pcmh uhc core facility · fee schedule · outpatient	$419	$419	—	—	—	$419 – $419
8	Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$422	$422	—	—	—	$422 – $422
9	Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$422	$422	—	—	—	$422 – $422
10	Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$422	$422	—	—	—	$422 – $422
11	Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$422	$422	—	—	—	$422 – $422
12	UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$422	$422	—	—	—	$422 – $422
13	WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$422	$422	—	—	—	$422 – $422
14	UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$430	$430	—	—	—	$430 – $430
15	Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$439	$439	—	—	—	$439 – $439
16	Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges	$439	$439	—	—	—	$439 – $439
17	Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges	$503	$503	—	—	—	$503 – $503
18	Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges	$583	$583	—	—	—	$583 – $583
19	Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges	$658	$658	—	—	—	$658 – $658
20	Blue Cross Blue Shield hb stlo wash jefn linc samc cape stod pcmh bcbs ascension facility · percent of total billed charges · outpatientfrom % of charges	$659	$659	—	—	—	$659 – $659
21	Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$861	$861	—	—	—	$861 – $861
22	Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges	$861	$861	—	—	—	$861 – $861
23	Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$909	$909	—	—	—	$909 – $909
24	First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$909	$909	—	—	—	$909 – $909
25	Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$972	$972	—	—	—	$972 – $972

Page 1 of 2 · 29 rates

Last updated: Mar 12, 2026

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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.