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Procedure price report · Prophylactic vaccinations and inoculations

Pneumonia vaccine, 20-strain conjugate

CPT 90677the billing code this page is about

Covers a pneumococcal conjugate vaccine protecting against 20 strains of pneumococcal bacteria, given as a single injection into the muscle; the vaccine product only.

Hospitals typically charge $463 cash for this outpatient procedure — the median across 2,269 hospitals that filed a usable cash price; the average of the middle 60% is $477. Most fall between $258 and $829 (20th–80th percentile).

Hospitals
2,269
States
50
Filings dated
Dec 2022 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 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 2,269 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
$166$288$463$730$1,132

The most expensive tenth of hospitals charges at least 6.8× what the cheapest tenth charges ($166 vs $1,132).

How the prices are spread

$126 – $162: 105 hospitals$126$162 – $210: 84 hospitals$210 – $270: 191 hospitals$210$270 – $349: 324 hospitals$349 – $450: 268 hospitals$349$450 – $580: 393 hospitals$580 – $748: 272 hospitals$580$748 – $964: 213 hospitals$964 – $1,244: 116 hospitals$964$1,244 – $1,604: 77 hospitals$1,244median $463price bands are equal on a log scale
Hospitals per price band (2,043 of 2,269 — the bands cover the 5th to 95th percentile)
FromToHospitals
$126$162105
$162$21084
$210$270191
$270$349324
$349$450268
$450$580393
$580$748272
$748$964213
$964$1,244116
$1,244$1,60477

By state

The median cash price in each state, against the national median of $463.

Alaska: median $499 across 17 hospitalsAK$499Maine: median $348 across 19 hospitalsME$348Vermont: median $461 across 11 hospitalsVT$461New Hampshire: median $258 across 17 hospitalsNH$258Washington: median $382 across 59 hospitalsWA$382Idaho: median $411 across 19 hospitalsID$411Montana: median $345 across 28 hospitalsMT$345North Dakota: median $352 across 24 hospitalsND$352Minnesota: median $391 across 73 hospitalsMN$391Illinois: median $431 across 89 hospitalsIL$431Wisconsin: median $293 across 71 hospitalsWI$293Michigan: median $380 across 55 hospitalsMI$380New York: median $424 across 72 hospitalsNY$424Massachusetts: median $495 across 30 hospitalsMA$495Oregon: median $306 across 38 hospitalsOR$306Nevada: median $610 across 10 hospitalsNV$610Wyoming: median $351 across 11 hospitalsWY$351South Dakota: median $365 across 27 hospitalsSD$365Iowa: median $489 across 80 hospitalsIA$489Indiana: median $491 across 71 hospitalsIN$491Ohio: median $662 across 89 hospitalsOH$662Pennsylvania: median $313 across 113 hospitalsPA$313New Jersey: median $162 across 34 hospitalsNJ$162Connecticut: median $568 across 17 hospitalsCT$568Rhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $502 across 149 hospitalsCA$502Utah: median $424 across 29 hospitalsUT$424Colorado: median $578 across 52 hospitalsCO$578Nebraska: median $429 across 53 hospitalsNE$429Missouri: median $455 across 63 hospitalsMO$455Kentucky: median $872 across 50 hospitalsKY$872West Virginia: median $364 across 33 hospitalsWV$364Virginia: median $317 across 31 hospitalsVA$317Maryland: median $668 across 27 hospitalsMD$668Delaware: 5 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $460 across 16 hospitalsAZ$460New Mexico: median $648 across 19 hospitalsNM$648Kansas: median $386 across 60 hospitalsKS$386Arkansas: median $572 across 25 hospitalsAR$572Tennessee: median $309 across 49 hospitalsTN$309North Carolina: median $516 across 59 hospitalsNC$516South Carolina: median $342 across 36 hospitalsSC$342Oklahoma: median $522 across 36 hospitalsOK$522Louisiana: median $344 across 37 hospitalsLA$344Mississippi: median $268 across 19 hospitalsMS$268Alabama: median $777 across 24 hospitalsAL$777Georgia: median $807 across 57 hospitalsGA$807Hawaii: median $570 across 16 hospitalsHI$570Texas: median $563 across 139 hospitalsTX$563Florida: median $944 across 108 hospitalsFL$944
Cash price by state, most expensive first. National median $463. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL108$944+104%$454 – $1,806
Kentucky KY50$872+89%$329 – $1,385
Georgia GA57$807+74%$508 – $1,166
Alabama AL24$777+68%$236 – $1,306
Maryland MD27$668+44%$415 – $975
Ohio OH89$662+43%$327 – $761
New Mexico NM19$648+40%$351 – $677
Nevada NV10$610+32%$275 – $820
Colorado CO52$578+25%$252 – $866
Arkansas AR25$572+24%$248 – $951
Hawaii HI16$570+23%$359 – $702
Connecticut CT17$568+23%$455 – $672
Texas TX139$563+22%$245 – $763
Oklahoma OK36$522+13%$312 – $1,347
North Carolina NC59$516+12%$381 – $2,110
California CA149$502+9%$327 – $1,100
Alaska AK17$499+8%$293 – $1,204
Massachusetts MA30$495+7%$280 – $986
Indiana IN71$491+6%$278 – $726
Iowa IA80$489+6%$280 – $587
Vermont VT11$4610%$264 – $495
Arizona AZ16$460−1%$242 – $875
Missouri MO63$455−2%$259 – $902
Illinois IL89$431−7%$284 – $790
Nebraska NE53$429−7%$276 – $588
New York NY72$424−8%$187 – $597
Utah UT29$424−8%$411 – $424
Idaho ID19$411−11%$272 – $495
Minnesota MN73$391−15%$265 – $491
Kansas KS60$386−17%$257 – $626
Washington WA59$382−17%$159 – $592
Michigan MI55$380−18%$262 – $533
South Dakota SD27$365−21%$317 – $869
West Virginia WV33$364−21%$218 – $764
North Dakota ND24$352−24%$275 – $514
Wyoming WY11$351−24%$278 – $456
Maine ME19$348−25%$177 – $1,292
Montana MT28$345−25%$302 – $619
Louisiana LA37$344−26%$216 – $574
South Carolina SC36$342−26%$298 – $728
Virginia VA31$317−32%$217 – $435
Pennsylvania PA113$313−32%$144 – $812
Tennessee TN49$309−33%$190 – $359
Oregon OR38$306−34%$166 – $878
Wisconsin WI71$293−37%$280 – $543
Mississippi MS19$268−42%$143 – $545
New Hampshire NH17$258−44%$181 – $530
New Jersey NJ34$162−65%$112 – $1,000
Delaware DE5not 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 $463.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,574$483$254 – $872
Children’s44$554$216 – $1,100
Critical access643$419$266 – $692
Ownership
For-profit196$707$322 – $1,479
Government404$431$249 – $738
Non-profit1,661$455$254 – $778
System affiliation
Part of a system1,866$476$267 – $852
Independent403$397$238 – $725

Cash price vs list price

Median list price (chargemaster)$763
Median cash price$463
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

1,707 hospitals filed a usable inpatient cash price for this code. The median is $488 and the average of the middle 60% is $502; most fall between $280 and $852.

Cash price percentiles, inpatient, across 1,707 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
$199$304$488$731$1,154

The most expensive tenth of hospitals charges at least 5.8× what the cheapest tenth charges ($199 vs $1,154).

Of the 1,871 hospitals that filed this code inpatient, 1,707 gave a usable cash price; 64 carried a plausibility flag, 6 filed a number their own filing marks as not a price, 0 gave an estimate, and 94 a list price only.

How complete is this

2,269 of the 3,956 hospitals with a price file in our corpus (57%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,502 hospitals that filed this code at all gave us
Usable cash price — counted2,269
Cash price carrying a plausibility flag — shown on the compare tool, excluded here97
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded12
An estimate rather than a filed cash price — excluded7
A list price only, no cash figure — excluded117
Hospitals that filed this code2,502

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 July 20, 2026 and September 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Prophylactic vaccinations and inoculations family.

Hospitals file this code under descriptions such as Pcv20 Vaccine for Intramuscular Use.

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, 20-strain conjugate (CPT 90677) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90677-pneumonia-vaccine-20-strain-conjugate