Pneumococcal conjugate vaccine injection (PCV21) at UPMC Hanover

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

Hanover, PA

See all hospitals reporting CPT 90684 →

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Pricing by billing methodology

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How this price compares nationally

UPMC Hanover’s median price of $183 is 59% below the median hospital's median price ($443), higher than 5% of the 1,297 hospitals reporting CPT 90684. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 90684 at UPMC Hanover

Negotiated rates from the hospital’s own file: 8 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	Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient	$13	$13	—	—	—	$13 – $13
2	Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$51	$51	—	—	—	$51 – $51
3	Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges	$96	$96	—	—	—	$96 – $96
4	Aetna aco facility · percent of total billed charges · outpatientfrom % of charges	$153	$153	—	—	—	$153 – $153
5	Aetna aco facility · percent of total billed charges · inpatientfrom % of charges	$162	$162	—	—	—	$162 – $162
6	UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$166	$166	—	—	—	$166 – $166
7	Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges	$183	$183	—	—	—	$183 – $183
8	Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges	$183	$183	—	—	—	$183 – $183
9	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$197	$197	—	—	—	$197 – $197
10	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$199	$199	—	—	—	$199 – $199
11	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$208	$208	—	—	—	$208 – $208
12	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$211	$211	—	—	—	$211 – $211
13	Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges	$230	$230	—	—	—	$230 – $230
14	Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges	$230	$230	—	—	—	$230 – $230
15	MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges	$230	$230	—	—	—	$230 – $230
16	MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges	$230	$230	—	—	—	$230 – $230
17	Highmark medicaid facility · fee schedule · outpatient	$334	$334	—	—	—	$334 – $334

Last updated: Mar 6, 2026

Compare to other hospitals

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.