Vaccines CPT 90670 Outpatient

Pneumonia vaccine (Prevnar 13) cost in Traverse City, MI

In Traverse City, MI, 3 hospitals list a cash price for pneumonia vaccine, 13-valent conjugate (Prevnar 13): from $225.25 to $550.51, with a median of $544.85. The lowest listed price is at Kalkaska Memorial Health Center — $319.60 less than the median here. Across Michigan, the median is $249.52 at 47 hospitals.

Cash prices at 3 facilities across 3 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 Apr 17, 2026 and Apr 17, 2026.

Lowest$225.25Kalkaska Memorial Health Center
Median$544.85half of hospitals charge less
Highest$550.51in this market
Difference2.4×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 Traverse City, MI.

median
Lowest $225.25Highest $578.85

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Kalkaska Memorial Health Center lowest Kalkaska, MI · (231) 258-7500 Pneumococcal 13-valent conjugate vaccine Charge File of Apr 17, 2026 · source file $225.25 $265.00 $95.40–$257.99 15%
Kalkaska Memorial Health Center Kalkaska, MI · (231) 258-7500 Prevnar (Pneumococcal 13-Valent) Vaccine 0.5 mL Syringe File of Apr 17, 2026 · source file $399.82 $470.37 $169.33–$446.86 15%
Munson Medical Center Traverse City, MI · (231) 935-5000 PCV13 Vaccine IM - OCC (chg) File of Apr 17, 2026 · source file $544.85 $641.00 $134.93–$644.98 15%
Paul Oliver Memorial Hospital Frankfort, MI · (231) 352-2200 Pneumococcal (Prevnar 13) 13-Valent Vaccine 0.5 mL Inject File of Apr 17, 2026 · source file $550.51 $647.65 $181.88–$615.27 15%
Kalkaska Memorial Health Center Kalkaska, MI · (231) 258-7500 Pneumococcal (Prevnar 13) 13-Valent Vaccine 0.5 mL Inject File of Apr 17, 2026 · source file $550.51 $647.65 $181.88–$615.27 15%
Munson Medical Center Traverse City, MI · (231) 935-5000 Pneumococcal 13-valent conjugate vaccine Charge File of Apr 17, 2026 · source file $578.85 $681.00 $134.93–$667.38 15%
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 $225.25, median $544.85, highest $550.51 — a 2.4× difference within the same market.

As an inpatient, the same code is billed by 3 facilities here, median $544.85. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 3 of 3 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it 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).