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
00006-4347-02 - pneumococcal 21-valent conjugate v
Wayne, IN
See all hospitals reporting CPT 90684 →Price type
St. Joseph Health System, LLC’s median price of $1.5k is 232% above the median hospital's median price ($440), higher than 96% of the 1,301 hospitals reporting CPT 90684. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 33 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 | Tricare node tricare facility · fee schedule · outpatient | $304 | $304 | — | — | — | $304 – $304 |
| 2 | Anthem anthem in marketplace stld facility · fee schedule · outpatient | $344 | $344 | — | — | — | $344 – $344 |
| 3 | Anthem anthem in healthsync facility · fee schedule · outpatient | $353 | $353 | — | — | — | $353 – $353 |
| 4 | Anthem anthem in hmo ppo trad facility · fee schedule · outpatient | $430 | $430 | — | — | — | $430 – $430 |
| 5 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $573 | $573 | — | — | — | $573 – $573 |
| 6 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $636 | $636 | — | — | — | $636 – $636 |
| 7 | Anthem node anthem in mcr adv facility · fee schedule · outpatient | $636 | $636 | — | — | — | $636 – $636 |
| 8 | Humana node humana mcr adv facility · fee schedule · outpatient | $636 | $636 | — | — | — | $636 – $636 |
| 9 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $649 | $649 | — | — | — | $649 – $649 |
| 10 | Anthem anthem in hip facility · fee schedule · outpatient | $649 | $649 | — | — | — | $649 – $649 |
| 11 | Optum node united optum va ccn facility · per diem · outpatient | $649 | $649 | — | — | — | $649 – $649 |
| 12 | Anthem node anthem essentials marketplace facility · fee schedule · outpatient | $974 | $974 | — | — | — | $974 – $974 |
| 13 | Anthem anthem in work comp facility · other · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 14 | Cigna cigna hmo facility · percent of total billed charges · inpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 15 | Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 16 | Anthem anthem in ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 17 | Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 18 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 19 | Aetna aetna all facility · percent of total billed charges · inpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 20 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 21 | Aetna aetna itec facility · percent of total billed charges · inpatientfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 22 | Aetna aetna itec facility · percent of total billed charges · outpatientfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 23 | MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 24 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 25 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
Last updated: Apr 1, 2026
See Pneumococcal conjugate vaccine injection (PCV21) pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.