Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im cost at US hospitals
HC Vaccine Pneumococcal 23 Valent (Ppsv23) Subcutaneous/Im · CPT 90732
$23.38
lowest cash price
$252.87
national median
$2,515.85
highest cash price
606
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $23.38–$2,515.85 — the variation is the story.
Median cash price over time
Sep 1, 2025 ($815.81) → Sep 1, 2026 ($581.58)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 5 | $565.20 | $627.78 | $627.78 |
| Arizona | 4 | $179.57 | $214.69 | $295.17 |
| Arkansas | 1 | $135.48 | $135.48 | $135.48 |
| California | 79 | $23.38 | $207.36 | $550.76 |
| Colorado | 13 | $474.76 | $474.76 | $910.75 |
| Florida | 80 | $62.90 | $547.93 | $2,515.85 |
| Georgia | 24 | $126.36 | $902.28 | $1,805.04 |
| Hawaii | 2 | $95.36 | $95.36 | $277.72 |
| Illinois | 38 | $128.80 | $219.79 | $1,237.60 |
| Indiana | 26 | $166.40 | $166.40 | $1,109.05 |
| Iowa | 31 | $108.56 | $237.26 | $556.15 |
| Kansas | 11 | $99.77 | $1,526.16 | $1,526.16 |
| Kentucky | 19 | $152.33 | $451.80 | $1,109.05 |
| Louisiana | 5 | not published by hospital | not published by hospital | not published by hospital |
| Maine | 7 | $815.81 | $815.81 | $1,142.68 |
| Michigan | 25 | $154.00 | $154.00 | $154.00 |
| Minnesota | 16 | $132.04 | $216.74 | $271.97 |
| Mississippi | 1 | $427.14 | $427.14 | $427.14 |
| Missouri | 17 | $29.25 | $225.58 | $494.67 |
| Montana | 2 | $100.80 | $100.80 | $100.80 |
| Nebraska | 12 | $103.94 | $237.26 | $480.16 |
| Nevada | 3 | $129.36 | $143.24 | $180.47 |
| New Hampshire | 1 | $46.75 | $46.75 | $46.75 |
| New Jersey | 21 | $45.21 | $53.04 | $122.16 |
| New Mexico | 2 | $826.61 | $826.61 | $858.60 |
| New York | 23 | $38.94 | $208.94 | $740.85 |
| North Carolina | 14 | $270.60 | $270.60 | $539.40 |
| North Dakota | 3 | $174.22 | $181.98 | $292.43 |
| Ohio | 52 | $142.83 | $401.34 | $547.93 |
| Oklahoma | 13 | $150.79 | $150.79 | $878.11 |
| Oregon | 12 | $108.00 | $314.75 | $648.27 |
| Pennsylvania | 19 | $75.00 | $75.00 | $183.00 |
| South Carolina | 8 | $378.00 | $378.00 | $378.00 |
| South Dakota | 5 | $84.20 | $111.49 | $234.59 |
| Tennessee | 26 | $43.96 | $180.58 | $1,965.39 |
| Texas | 96 | $33.21 | $252.90 | $1,806.96 |
| Virginia | 27 | $130.80 | $579.00 | $1,203.12 |
| Washington | 26 | $45.50 | $137.20 | $289.66 |
| West Virginia | 17 | $105.50 | $105.50 | $451.80 |
| Wisconsin | 32 | $59.40 | $132.74 | $232.77 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Marshalltown | Marshalltown, IA | $128.80 | $114.77 – $191.63 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | $128.80 | $41.86 – $191.63 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | $128.80 | $114.77 – $213.55 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | $128.80 | $114.77 – $213.55 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | $128.80 | $114.77 – $213.55 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | $128.80 | $114.77 – $191.63 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | $128.80 | $114.77 – $191.63 |
| San Martin Hospital | Las Vegas, NV | $129.36 | $100.96 – $435.39 |
| Maryview Hospital | Portsmouth, VA | $130.80 | not published |
| St Mary's Hospital | Richmond, VA | $130.80 | not published |
| Roane County Medical Center | Harriman, TN | $131.67 | $44.98 – $359.10 |
| Fort Loudoun Medical Center | Lenoir City, TN | $131.67 | $44.98 – $359.10 |
| Fort Sanders Regional Medical Center | Knoxville, TN | $131.67 | $44.98 – $359.10 |
| Methodist Medical Center of Oak Ridge | Oak Ridge, TN | $131.67 | $44.98 – $359.10 |
| Sanford Bagley Medical Center | Bagley, MN | $132.04 | $37.85 – $140.71 |
| Midwest Orthopedic Specialty Hospital | Franklin, WI | $132.74 | $105.19 – $399.95 |
| Ascension Seton Cedar Park Hospital | Cedar Park, TX | $133.14 | $82.51 – $491.15 |
| CHI Health St. Francis | Grand Island, NE | $133.32 | $51.98 – $212.41 |
| CHI St. Vincent Morrilton | Morrilton, AR | $135.48 | $6.93 – $70.47 |
| MultiCare Auburn Medical Center | Auburn, WA | $137.20 | $18.78 – $224.80 |
| MultiCare Capital Medical Center | Olympia, WA | $137.20 | $20.21 – $224.80 |
| MultiCare Covington Medical Center | Covington, WA | $137.20 | $18.78 – $224.80 |
| MultiCare Good Samaritan Hospital | Puyallup, WA | $137.20 | $19.21 – $224.80 |
| MultiCare Mary Bridge Children's Hospital | Tacoma, WA | $137.20 | $19.12 – $433.81 |
| MultiCare Allenmore Hospital | Tacoma, WA | $137.20 | $19.22 – $224.80 |
| CHI Health Good Samaritan | Kearney, NE | $137.84 | $45.20 – $210.15 |
| Ascension Calumet Hospital, Inc. | Chilton, WI | $137.94 | $101.64 – $1,400.00 |
| Trinity Medical Center East | Steubenville, OH | $142.83 | $53.48 – $140.14 |
| Siena Hospital | Henderson, NV | $143.24 | $100.96 – $435.39 |
| St Francis Medical Center | Midlothian, VA | $147.00 | not published |
| Memorial Regional Hospital | Mechanicsville, VA | $147.00 | not published |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville, FL | $150.13 | $162.83 – $333.68 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville, FL | $150.13 | $162.83 – $333.68 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa, OK | $150.79 | $41.37 – $94.96 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso, OK | $150.79 | $41.37 – $116.76 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville, OK | $150.79 | $41.37 – $116.76 |
| Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) | Nowata, OK | $150.79 | $41.37 – $116.76 |
| Ascension St. John Sapulpa (St. John Sapulpa, Inc.) | Sapulpa, OK | $150.79 | $41.37 – $116.76 |
| Northridge Hospital Medical Center | Northridge, CA | $151.50 | $48.15 – $543.00 |
| CHI Saint Joseph Health - Saint Joseph London | London, KY | $152.33 | $13.80 – $87.89 |
| Woodland Memorial Hospital | Woodland, CA | $153.99 | $26.19 – $258.00 |
| Mercy San Juan Medical Center | Carmichael, CA | $153.99 | $28.38 – $305.01 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr., MI | $154.00 | $68.22 – $371.38 |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $154.00 | $68.22 – $371.38 |
| Henry Ford Wyandotte Hospital: | Wyandotte, MI | $154.00 | $68.22 – $371.38 |
| Henry Ford Macomb Hospital | Clinton Twp, MI | $154.00 | $75.38 – $371.38 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling, KY | $156.45 | $19.00 – $87.89 |
| PORTLAND ADVENTIST MEDICAL CENTER | Portland, OR | $157.36 | $359.46 – $983.50 |
| Braxton County Memorial Hospital | Gassaway, WV | $158.00 | $220.23 – $220.23 |
| Barnesville Hospital | Barnesville, OH | $158.00 | $220.23 – $220.23 |