Procedure price report · Prophylactic vaccinations and inoculations

Pneumonia vaccine, 13-strain conjugate

CPT code CPT 90670the billing code this page is about

Covers a pneumococcal conjugate vaccine protecting against 13 strains of pneumococcal bacteria, given as a single injection; the vaccine product only, with administration billed separately.

Hospitals typically charge $299 cash for this outpatient procedure — the median across 1,651 hospitals that filed a usable cash price; the average of the middle 60% is $330. Most fall between $162 and $542 (20th–80th percentile).

Hospitals
1,651
States
50
Filings dated
Aug 2022 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 1,651 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$108$194$299$487$788

The most expensive tenth of hospitals charges at least 7.3× what the cheapest tenth charges ($108 vs $788).

How the prices are spread

$64 – $85: 26 hospitals$64$85 – $113: 77 hospitals$113 – $150: 111 hospitals$113$150 – $200: 137 hospitals$200 – $265: 237 hospitals$200$265 – $353: 283 hospitals$353 – $469: 232 hospitals$353$469 – $624: 223 hospitals$624 – $829: 95 hospitals$624$829 – $1,103: 66 hospitals$829median $299price bands are equal on a log scale
Hospitals per price band (1,487 of 1,651 — the bands cover the 5th to 95th percentile)
FromToHospitals
$64$8526
$85$11377
$113$150111
$150$200137
$200$265237
$265$353283
$353$469232
$469$624223
$624$82995
$829$1,10366

By state

The median cash price in each state, against the national median of $299.

Alaska: median $415 across 14 hospitalsAK$415Maine: 9 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 9 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $233 across 14 hospitalsNH$233Washington: median $214 across 28 hospitalsWA$214Idaho: median $288 across 11 hospitalsID$288Montana: median $317 across 20 hospitalsMT$317North Dakota: median $295 across 23 hospitalsND$295Minnesota: median $277 across 69 hospitalsMN$277Illinois: median $290 across 59 hospitalsIL$290Wisconsin: median $293 across 65 hospitalsWI$293Michigan: median $233 across 55 hospitalsMI$233New York: median $247 across 72 hospitalsNY$247Massachusetts: median $359 across 18 hospitalsMA$359Oregon: median $302 across 26 hospitalsOR$302Nevada: median $310 across 14 hospitalsNV$310Wyoming: 8 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $270 across 17 hospitalsSD$270Iowa: median $297 across 60 hospitalsIA$297Indiana: median $429 across 60 hospitalsIN$429Ohio: median $476 across 58 hospitalsOH$476Pennsylvania: median $207 across 68 hospitalsPA$207New Jersey: median $113 across 32 hospitalsNJ$113Connecticut: 7 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $313 across 118 hospitalsCA$313Utah: median $542 across 13 hospitalsUT$542Colorado: median $542 across 30 hospitalsCO$542Nebraska: median $260 across 44 hospitalsNE$260Missouri: median $235 across 31 hospitalsMO$235Kentucky: median $295 across 26 hospitalsKY$295West Virginia: median $207 across 20 hospitalsWV$207Virginia: median $339 across 19 hospitalsVA$339Maryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $323 across 16 hospitalsAZ$323New Mexico: median $561 across 15 hospitalsNM$561Kansas: median $238 across 46 hospitalsKS$238Arkansas: median $287 across 12 hospitalsAR$287Tennessee: median $251 across 44 hospitalsTN$251North Carolina: median $397 across 41 hospitalsNC$397South Carolina: median $298 across 30 hospitalsSC$298Oklahoma: median $452 across 26 hospitalsOK$452Louisiana: median $212 across 19 hospitalsLA$212Mississippi: median $227 across 26 hospitalsMS$227Alabama: median $309 across 16 hospitalsAL$309Georgia: median $354 across 34 hospitalsGA$354Hawaii: median $436 across 13 hospitalsHI$436Texas: median $487 across 110 hospitalsTX$487Florida: median $584 across 76 hospitalsFL$584
Cash price by state, most expensive first. National median $299. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL76$584+96%$315 – $1,058
New Mexico NM15$561+88%$303 – $561
Colorado CO30$542+81%$201 – $554
Utah UT13$542+81%$224 – $881
Texas TX110$487+63%$150 – $1,006
Ohio OH58$476+59%$233 – $666
Oklahoma OK26$452+51%$270 – $452
Hawaii HI13$436+46%$349 – $570
Indiana IN60$429+44%$231 – $466
Alaska AK14$415+39%$267 – $668
North Carolina NC41$397+33%$164 – $726
Massachusetts MA18$359+20%$285 – $565
Georgia GA34$354+18%$137 – $865
Virginia VA19$339+14%$246 – $501
Arizona AZ16$323+8%$137 – $617
Montana MT20$317+6%$240 – $418
California CA118$313+5%$125 – $736
Nevada NV14$310+4%$112 – $774
Alabama AL16$309+3%$139 – $563
Oregon OR26$302+1%$114 – $603
South Carolina SC30$2980%$226 – $467
Iowa IA60$297−1%$231 – $500
North Dakota ND23$295−1%$175 – $442
Kentucky KY26$295−1%$141 – $446
Wisconsin WI65$293−2%$221 – $462
Illinois IL59$290−3%$228 – $498
Idaho ID11$288−4%$172 – $288
Arkansas AR12$287−4%$34 – $589
Minnesota MN69$277−7%$177 – $389
South Dakota SD17$270−9%$153 – $373
Nebraska NE44$260−13%$23 – $416
Tennessee TN44$251−16%$142 – $327
New York NY72$247−17%$141 – $550
Kansas KS46$238−20%$195 – $458
Missouri MO31$235−21%$175 – $353
New Hampshire NH14$233−22%$209 – $693
Michigan MI55$233−22%$131 – $296
Mississippi MS26$227−24%$101 – $498
Washington WA28$214−28%$132 – $303
Louisiana LA19$212−29%$85 – $533
Pennsylvania PA68$207−31%$108 – $422
West Virginia WV20$207−31%$131 – $284
New Jersey NJ32$113−62%$95 – $293
Maine ME9not enough hospitals filed a usable price
Vermont VT9not enough hospitals filed a usable price
Wyoming WY8not enough hospitals filed a usable price
Connecticut CT7not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $299.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,106$303$160 – $561
Children’s25$211$28 – $476
Critical access517$299$174 – $482
Ownership
For-profit212$487$194 – $1,215
Government318$272$145 – $482
Non-profit1,118$293$164 – $506
System affiliation
Part of a system1,316$310$170 – $542
Independent335$268$139 – $489

Cash price vs list price

Median list price (chargemaster)$483
Median cash price$299
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

1,139 hospitals filed a usable inpatient cash price for this code. The median is $320 and the average of the middle 60% is $344; most fall between $174 and $542.

Cash price percentiles, inpatient, across 1,139 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$114$207$320$498$785

The most expensive tenth of hospitals charges at least 6.9× what the cheapest tenth charges ($114 vs $785).

Of the 1,287 hospitals that filed this code inpatient, 1,139 gave a usable cash price; 58 carried a plausibility flag, 5 filed a number their own filing marks as not a price, 0 gave an estimate, and 85 a list price only.

How complete is this

1,651 of the 3,956 hospitals with a price file in our corpus (42%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,840 hospitals that filed this code at all gave us
Usable cash price — counted1,651
Cash price carrying a plausibility flag — shown on the compare tool, excluded here83
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded9
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded97
Hospitals that filed this code1,840

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Hospitals file this code under descriptions such as PCV13 VACCINE IM.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Pneumonia vaccine, 13-strain conjugate (CPT 90670) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90670-pneumonia-vaccine-13-strain-conjugate