Pneumococcal 20-valent conjugate vaccine, prefilled syringe at Mount Carmel Dublin

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

HC Vaccine Pneumonococcal Conjugate 20 Valent (Pcv20) Im

Dublin, OH

See all hospitals reporting CPT 90677 →

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Pricing by billing methodology

Price type

How this price compares nationally

Mount Carmel Dublin’s median price of $101 is 77% below the median hospital's median price ($435), higher than 3% 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 Mount Carmel Dublin

Negotiated rates from the hospital’s own file: 14 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	UnitedHealthcare united healthcare medicare advantage facility · percent of total billed charges · bothfrom % of charges	$29	$29	—	—	—	$29 – $29
2	Aetna aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges	$41	$41	—	—	—	$41 – $41
3	Anthem anthem bcbs medicare advantage facility · percent of total billed charges · bothfrom % of charges	$41	$41	—	—	—	$41 – $41
4	Medical Mutual medical mutual medicare advantage facility · percent of total billed charges · bothfrom % of charges	$42	$42	—	—	—	$42 – $42
5	Aetna aetna better health medicare advantage facility · percent of total billed charges · bothfrom % of charges	$43	$43	—	—	—	$43 – $43
6	Molina molina medicare advantage facility · percent of total billed charges · bothfrom % of charges	$43	$43	—	—	—	$43 – $43
7	Caresource caresource medicare advantage facility · percent of total billed charges · bothfrom % of charges	$43	$43	—	—	—	$43 – $43
8	Aetna aetna asa meritain facility · percent of total billed charges · bothfrom % of charges	$97	$97	—	—	—	$97 – $97
9	Medcost cofinity facility · percent of total billed charges · bothfrom % of charges	$101	$101	—	—	—	$101 – $101
10	Aetna aetna neighborhood narrow network facility · percent of total billed charges · bothfrom % of charges	$106	$106	—	—	—	$106 – $106
11	UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges	$109	$109	—	—	—	$109 – $109
12	Humana choice care humana facility · percent of total billed charges · bothfrom % of charges	$110	$110	—	—	—	$110 – $110
13	Humana humana one facility · percent of total billed charges · bothfrom % of charges	$110	$110	—	—	—	$110 – $110
14	First Health aetna first health facility · percent of total billed charges · bothfrom % of charges	$114	$114	—	—	—	$114 – $114
15	Oscar oscar facility · percent of total billed charges · bothfrom % of charges	$116	$116	—	—	—	$116 – $116
16	UnitedHealthcare united healthcare exchange facility · percent of total billed charges · bothfrom % of charges	$119	$119	—	—	—	$119 – $119
17	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$121	$121	—	—	—	$121 – $121
18	MultiPlan multiplan phcs facility · percent of total billed charges · bothfrom % of charges	$173	$173	—	—	—	$173 – $173
19	Phcs multiplan phcs facility · percent of total billed charges · bothfrom % of charges	$173	$173	—	—	—	$173 – $173
20	Amerihealth Caritas amerihealth caritas medicaid facility · percent of total billed charges · bothfrom % of charges	$216	$216	—	—	—	$216 – $216
21	Anthem anthem bcbs blue trad facility · percent of total billed charges · bothfrom % of charges	$216	$216	—	—	—	$216 – $216
22	Humana humana medicaid facility · percent of total billed charges · bothfrom % of charges	$216	$216	—	—	—	$216 – $216
23	Medical Mutual medical mutual medflex facility · fee schedule · both	$354	$354	—	—	—	$354 – $354
24	Anthem anthem bcbs pathway grp hmo facility · fee schedule · both	$407	$407	—	—	—	$407 – $407
25	Medical Mutual medical mutual supermed ppo pos hmo facility · fee schedule · both	$512	$512	—	—	—	$512 – $512

Last updated: Mar 31, 2026

Compare to other hospitals

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.