Vaccines CPT 90670 Outpatient

Pneumonia vaccine (Prevnar 13) cost in Appleton, WI

In Appleton, WI, 4 hospitals list a cash price for pneumonia vaccine, 13-valent conjugate (Prevnar 13): from $258.21 to $445.09, with a median of $322.84. The lowest listed price is at Ascension Calumet Hospital — $64.63 less than the median here. Across Wisconsin, the median is $292.50 at 64 hospitals.

Cash prices at 4 facilities across 2 cities for code 90670, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.

Lowest$258.21Ascension Calumet Hospital

Median$322.84half of hospitals charge less

Highest$445.09in this market

Difference1.7×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Appleton, WI.

median

Lowest $258.21Highest $445.09

Hospitals, cheapest first

Hospital	Cash price	List price	Insurers pay	Off list
Ascension Calumet Hospital lowest Chilton, WI · (920) 849-2386 HC FAC PNEUMOCOCCAL 13 VALENT source file	$258.21	$453.00	$361.19–$453.00	43%
ThedaCare Regional Medical Center-Appleton Appleton, WI · (920) 731-4101 PNEUMOCOCCAL 13 source file	$322.84	$576.50	—	44%
ThedaCare Regional Medical Center-OSP Appleton, WI PNEUMOCOCCAL 13 source file	$322.84	$576.50	—	44%
Ascension NE Wisconsin - St Elizabeth Campus Appleton, WI · (920) 738-2000 PNEUMOC 13-VAL CONJ-DIP CRM/PF 0.5ML SYRINGE 1 source file	$445.09	$780.86	$361.19–$780.86	43%

Hospital The hospital that published the price, its city and the line exactly as written in its price file.

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Off list How much lower the cash price is than the list price.

Outpatient: lowest $258.21, median $322.84, highest $445.09 — a 1.7× difference within the same market.

Cash or insurance?

At 2 of 2 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 it is below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

Prevnar 13 is an older pneumococcal conjugate vaccine against 13 types of the bacteria behind pneumonia, meningitis and ear infections. Newer vaccines with more types (Vaxneuvance, Prevnar 20 and Capvaxive) have largely replaced it, but some hospitals still list it.

What the price covers

The price is for the vaccine dose. Giving the shot is usually a separate line (code 90471 for the first vaccine of the visit, 90472 for each additional one).