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 vac 20-val per 0.5 mL
San Angelo, TX
See all hospitals reporting CPT 90677 →Price type
Shannon River Crest Hospital’s median price of $782 is 80% above the median hospital's median price ($435), higher than 83% 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: 7 payers, 17 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 | Humana medicare advantage facility · case rate · outpatient | $313 | $313 | — | — | — | $313 – $313 |
| 2 | Bcbs Tx hmo facility · fee schedule · outpatient | $379 | $379 | — | — | — | $379 – $379 |
| 3 | Bcbs Tx bav facility · fee schedule · outpatient | $399 | $399 | — | — | — | $399 – $399 |
| 4 | Bcbs Tx ppo facility · fee schedule · outpatient | $399 | $399 | — | — | — | $399 – $399 |
| 5 | Ambetter ppo facility · case rate · outpatient | $673 | $673 | — | — | — | $673 – $673 |
| 6 | Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $942 | $942 | — | — | — | $942 – $942 |
| 7 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $942 | $942 | — | — | — | $942 – $942 |
| 8 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 9 | Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 10 | Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 11 | Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 12 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 13 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 14 | UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 15 | UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 16 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 17 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
Last updated: Dec 8, 2025
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.