Vaccine pneumonococcal conjugate 20 valent (pcv20) im cost at US hospitals
HC Vaccine Pneumonococcal Conjugate 20 Valent (Pcv20) Im · CPT 90677
$56.62
lowest cash price
$563.36
national median
$5,427.57
highest cash price
636
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $56.62–$5,427.57 — the variation is the story.
Median cash price over time
Aug 1, 2025 ($1,805.61) → Sep 1, 2026 ($672.66)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 5 | $1,204.06 | $1,204.06 | $1,204.06 |
| Arizona | 4 | $456.49 | $460.04 | $680.46 |
| Arkansas | 8 | $480.41 | $950.58 | $1,864.25 |
| California | 81 | $56.62 | $540.73 | $1,266.35 |
| Colorado | 13 | $971.18 | $971.18 | $1,014.25 |
| Florida | 82 | $112.80 | $1,354.06 | $5,427.57 |
| Georgia | 24 | $296.23 | $1,172.79 | $3,761.45 |
| Hawaii | 1 | $724.20 | $724.20 | $724.20 |
| Illinois | 37 | $255.00 | $581.91 | $1,842.40 |
| Indiana | 26 | $532.20 | $532.20 | $2,631.03 |
| Iowa | 30 | $316.00 | $512.71 | $1,649.00 |
| Kansas | 9 | $254.98 | $1,592.33 | $3,178.16 |
| Kentucky | 22 | $319.99 | $991.20 | $2,631.03 |
| Louisiana | 3 | $85.28 | $85.28 | $85.28 |
| Maine | 7 | $969.00 | $1,292.04 | $2,068.14 |
| Maryland | 1 | $270.60 | $270.60 | $270.60 |
| Michigan | 16 | not published by hospital | not published by hospital | not published by hospital |
| Minnesota | 11 | $434.66 | $507.11 | $507.11 |
| Mississippi | 1 | $939.84 | $939.84 | $939.84 |
| Missouri | 20 | $314.33 | $423.72 | $1,261.16 |
| Montana | 2 | $634.68 | $634.68 | $634.68 |
| Nebraska | 12 | $215.10 | $490.98 | $993.65 |
| Nevada | 2 | $274.91 | $274.91 | $304.41 |
| New Hampshire | 1 | $2,882.91 | $2,882.91 | $2,882.91 |
| New Jersey | 21 | $97.67 | $114.60 | $263.93 |
| New York | 22 | $192.00 | $462.57 | $1,554.63 |
| North Carolina | 14 | $547.00 | $547.00 | $1,113.09 |
| North Dakota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Ohio | 60 | $164.82 | $816.15 | $1,440.87 |
| Oklahoma | 11 | $1,346.83 | $1,346.83 | $2,309.10 |
| Oregon | 12 | $253.26 | $1,010.84 | $1,010.84 |
| Pennsylvania | 31 | $144.00 | $192.00 | $1,898.00 |
| South Carolina | 8 | not published by hospital | not published by hospital | not published by hospital |
| South Dakota | 3 | $411.68 | $411.68 | $527.52 |
| Tennessee | 34 | $271.27 | $359.12 | $2,520.69 |
| Texas | 115 | $110.97 | $572.75 | $1,761.83 |
| Virginia | 37 | $159.00 | $359.12 | $1,104.52 |
| Washington | 30 | $107.22 | $548.78 | $1,301.16 |
| West Virginia | 17 | $242.50 | $242.50 | $991.20 |
| Wisconsin | 33 | $255.00 | $470.44 | $706.27 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| St. Elizabeth Hospital | Enumclaw, WA | $548.78 | $0.01 – $0.05 |
| Lee County Community Hospital | PENNINGTON GAP, VA | $550.65 | $223.47 – $541.29 |
| Adventhealth Fish Memorial | Orange City, FL | $553.36 | not published |
| Methodist Dallas Medical Center | Dallas, TX | $555.25 | $592.43 – $592.43 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh, WI | $557.07 | $404.12 – $1,400.00 |
| MercyOne Oelwein Medical Center | Oelwein, IA | $559.00 | $312.90 – $860.00 |
| MercyOne Newton Medical Center | Newton, IA | $559.00 | $227.56 – $860.00 |
| CHI Health Mercy Corning | Corning, IA | $561.12 | $487.41 – $1,110.83 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth, TX | $563.36 | $323.48 – $1,115.72 |
| Texas Health Arlington Memorial Hospital | Arlington, TX | $563.36 | $323.48 – $1,115.72 |
| Texas Health Presbyterian Hospital Allen | Allen, TX | $563.36 | $323.48 – $1,115.72 |
| Texas Health Center for Diagnostics and Surgery Plano | Plano, TX | $563.36 | $507.66 – $1,115.72 |
| Texas Health Harris Methodist Hospital Azle | Azle, TX | $563.36 | $507.66 – $1,115.72 |
| Texas Health Presbyterian Hospital Denton | Denton, TX | $563.36 | $323.48 – $1,115.72 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound, TX | $563.36 | $507.66 – $1,115.72 |
| Texas Health Presbyterian Hospital Dallas | Dallas, TX | $563.36 | $323.48 – $1,115.72 |
| Texas Health Hospital Frisco | Frisco, TX | $563.36 | $323.48 – $1,115.72 |
| Texas Health Heart & Vascular Hospital Arlington | Arlington, TX | $563.36 | $507.66 – $1,115.72 |
| Texas Health Presbyterian Hospital Kaufman | Kaufman, TX | $563.36 | $507.66 – $1,115.72 |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | Bedford, TX | $563.36 | $323.48 – $1,115.72 |
| Texas Health Presbyterian Hospital Plano | Plano, TX | $563.36 | $323.48 – $1,115.72 |
| Texas Health Hospital Rockwall | Rockwall, TX | $563.36 | $507.66 – $1,115.72 |
| Texas Health Harris Methodist Hospital Southlake | Southlake, TX | $563.36 | $507.66 – $1,115.72 |
| Texas Health Springwood Hospital Hurst-Euless-Bedford | Bedford, TX | $563.36 | $323.48 – $323.48 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth, TX | $563.36 | $323.48 – $1,115.72 |
| Texas Health Harris Methodist Hospital Fort Worth | Fort Worth, TX | $563.36 | $323.48 – $1,115.72 |
| Texas Health Harris Methodist Hospital Stephenville | Stephenville, TX | $563.36 | $507.66 – $1,115.72 |
| Texas Health Harris Methodist Hospital Cleburne | Cleburne, TX | $563.36 | $507.66 – $1,115.72 |
| WellSpan Chambersburg Hospital | Chambersburg, PA | $567.60 | $12.50 – $1,809.24 |
| Dickenson Community Hospital | CLINTWOOD, VA | $567.90 | $223.47 – $541.29 |
| The Unity Hospital of Rochester | Rochester, NY | $569.32 | $268.79 – $305.11 |
| Methodist Charlton Medical Center | Dallas, TX | $572.75 | $592.43 – $592.43 |
| Methodist Mansfield Medical Center | Mansfield, TX | $572.75 | $592.43 – $592.43 |
| Methodist Richardson Medical Center | Richardson, TX | $572.75 | $592.43 – $592.43 |
| Methodist Celina Medical Center | Celina, TX | $572.75 | $567.65 – $567.65 |
| Methodist Southlake Medical Center | Souhtlake, TX | $572.75 | $592.43 – $592.43 |
| CHI Health Missouri Valley | Missouri Valley, IA | $572.81 | $396.73 – $1,110.83 |
| Willard Hospital | Willard, OH | $576.72 | not published |
| Ascension Saint Thomas Highlands | Sparta, TN | $579.50 | $363.61 – $451.14 |
| Ascension Saint Thomas DeKalb | Smithville, TN | $579.50 | $363.61 – $451.14 |
| Ascension Saint Thomas Rutherford | Murfreesboro, TN | $579.50 | $363.61 – $451.14 |
| Ascension Saint Thomas Midtown | Nashville, TN | $579.50 | $363.61 – $451.14 |
| Grant Memorial Hospital | Petersburg, WV | $581.60 | $476.29 – $476.29 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago, IL | $581.91 | $363.61 – $881.68 |
| Adventhealth Daytona Beach | Daytona Beach, FL | $582.49 | not published |
| Marcum Wallace Hospital | Irvine, KY | $583.26 | not published |
| Swedish Medical Center Cherry Hill | Seattle, WA | $591.75 | $317.53 – $317.53 |
| Swedish Medical Center - First Hill Campus | Seattle, WA | $591.75 | $317.53 – $317.53 |
| Swedish Issaquah | Issaquah, WA | $591.75 | $317.53 – $317.53 |
| Swedish Edmonds Hospital | Edmonds, WA | $591.75 | $317.53 – $317.53 |