Pneumococcal 20-valent conjugate vaccine, prefilled syringe at Piedmont Walton

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

Monroe, GA

See all hospitals reporting CPT 90677 →

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How this price compares nationally

Piedmont Walton’s median price of $489 is 12% above the median hospital's median price ($438), higher than 58% of the 2,125 hospitals reporting CPT 90677. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 90677 at Piedmont Walton

Negotiated rates from the hospital’s own file: 13 payers, 21 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 aetna medicare advantage percent of total billed charges · bothfrom % of charges	$175	$175	—	—	—	$175 – $175
2	Blue Cross Blue Shield bcbs medicare advantage georgia percent of total billed charges · bothfrom % of charges	$175	$175	—	—	—	$175 – $175
3	Humana humana medicare advantage percent of total billed charges · bothfrom % of charges	$175	$175	—	—	—	$175 – $175
4	Kaiser kaiser medicare advantage percent of total billed charges · bothfrom % of charges	$180	$180	—	—	—	$180 – $180
5	UnitedHealthcare united healthcare medicare advantage percent of total billed charges · bothfrom % of charges	$183	$183	—	—	—	$183 – $183
6	WellCare wellcare medicare advantage percent of total billed charges · bothfrom % of charges	$184	$184	—	—	—	$184 – $184
7	WellCare wellcare medicare therapy percent of total billed charges · bothfrom % of charges	$184	$184	—	—	—	$184 – $184
8	Clover clover health medicare advantage percent of total billed charges · bothfrom % of charges	$186	$186	—	—	—	$186 – $186
9	Caresource caresource medicare advantage percent of total billed charges · bothfrom % of charges	$187	$187	—	—	—	$187 – $187
10	Caresource caresource medicaid fee schedule · both	$368	$368	—	—	—	$368 – $368
11	UnitedHealthcare united healthcare fee schedule · both	$610	$610	—	—	—	$610 – $610
12	UnitedHealthcare united healthcare exchange fee schedule · both	$610	$610	—	—	—	$610 – $610
13	Cigna cigna connect percent of total billed charges · bothfrom % of charges	$799	$799	—	—	—	$799 – $799
14	Blue Cross Blue Shield blue cross hmo percent of total billed charges · bothfrom % of charges	$825	$825	—	—	—	$825 – $825
15	Blue Cross Blue Shield blue cross ppo percent of total billed charges · bothfrom % of charges	$867	$867	—	—	—	$867 – $867
16	Cigna cigna percent of total billed charges · bothfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
17	First Health first health percent of total billed charges · bothfrom % of charges	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
18	MultiPlan multiplan percent of total billed charges · bothfrom % of charges	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
19	Phcs phcs percent of total billed charges · bothfrom % of charges	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
20	Kaiser kaiser percent of total billed charges · bothfrom % of charges	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k
21	Beechstreet beechstreet percent of total billed charges · bothfrom % of charges	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k

Last updated: Jul 1, 2026

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