Vaccines CPT 90670 Outpatient

Pneumonia vaccine (Prevnar 13) cost in Virginia Beach, VA

In Virginia Beach-Chesapeake-Norfolk, VA-NC, 3 hospitals list a cash price for pneumonia vaccine, 13-valent conjugate (Prevnar 13): from $127.37 to $793.71, with a median of $222.60. The lowest listed price is at Riverside Smithfield Hospital — $95.23 less than the median here. Across Virginia, the median is $326.57 at 13 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 27, 2026; the hospital files themselves were last updated between Mar 17, 2026 and Mar 17, 2026.

Lowest$127.37Riverside Smithfield Hospital

Median$222.60half of hospitals charge less

Highest$793.71in this market

Difference6.2×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 Virginia Beach-Chesapeake-Norfolk, VA-NC.

median

Lowest $127.37Highest $793.71

Hospitals, cheapest first

Hospital	Cash price	List price	Insurers pay	Off list
Riverside Smithfield Hospital lowest Smithfield, VA Pneumococcal Vaccine source file	$127.37	$254.74	—	50%
Bon Secours Maryview Medical Center Portsmouth, VA · (757) 398-2200 HC Pneumococcal Vacc 13 Val Im source file	$222.60	$371.00	—	40%
Children's Hospital of the King's Daughters Norfolk, VA · (757) 668-9647 PREVNAR-13 VACC 0.5ML SRG+1 more line at this price File of Mar 17, 2026 · source file	$793.71	$881.90	$202.84–$837.80	10%

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 $127.37, median $222.60, highest $793.71 — a 6.2× difference within the same market.

As an inpatient, the same code is billed by 3 facilities here, median $222.60. 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 the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. 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).

5 rows held back from this comparison

They are priced below $1 or below a tenth of the national median for code 90670 ($368.74). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

Hospital	Cash price	File
Children's Hospital of the King's Daughters Norfolk, VAVVFC PREVNAR-13 0.5ML SRG	$0.01	file
Children's Hospital of the King's Daughters Norfolk, VAPNEUMOCCCL CONJ VAC-SPM	$0.01	file
Children's Hospital of the King's Daughters Norfolk, VAPNEUMOCCCL CONJ VAC-ZDC	$0.01	file
Children's Hospital of the King's Daughters Norfolk, VAPCV13 IM ZDC,VBP	$0.01	file
Children's Hospital of the King's Daughters Norfolk, VAPNEUMOCCCL CONJ VAC-VSP	$19.12	file

File Link to the hospital's own price file.