Vaccines CPT 90677 Inpatient — admitted to hospital

Pneumonia vaccine (Prevnar 20) cost in Birmingham, AL — inpatient

In Birmingham, AL, 5 hospitals list a cash price for pneumonia vaccine, 20-valent conjugate (Prevnar 20) as an inpatient: from $235.65 to $2,634.98, with a median of $674.00. The lowest listed price is at The Children's Hospital of Alabama — $438.35 less than the median here. Across Alabama, the median is $674.00 at 10 hospitals.

Cash prices at 5 facilities across 3 cities for code 90677, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$235.65The Children's Hospital of Alabama
Median$674.00half pay less
Highest$2,634.98in this market
Difference11.2×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 Birmingham, AL.

median
Lowest $235.65Highest $2,635.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
The Children's Hospital of Alabama lowest Birmingham, AL · (205) 939-9100 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $235.65 $548.02 $372.65–$548.02 57% —
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The Children's Hospital of Alabama Birmingham, AL · (205) 939-9100 HC Pneumococcal 20-Valent Conj Vaccine-Dip CRM (Pf) 0.5 Ml Im Syringe $235.73 $548.20 $372.78–$548.20 57% —
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Baptist Health Shelby Hospital Alabaster, AL · (205) 620-8100 NDC Description Not Available $674.00 $674.00 — — Apr 1, 2026
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Baptist Health Walker Hospital Jasper, AL · (205) 387-4000 NDC Description Not Available $674.00 $674.00 — — Apr 1, 2026
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Baptist Health Princeton Hospital Birmingham, AL · (205) 783-3800 NDC Description Not Available $674.00 $674.00 — — Apr 1, 2026
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Baptist Health Brookwood Hospital Birmingham, AL · (205) 877-1000 Prevnar 20: 10 Syringe In 1 Carton (0005-2000-10) / .5 Ml In 1 Syringe (0005-2000-01) $2,634.98 $2,634.98 — — Apr 1, 2026
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Baptist Health Brookwood Hospital Birmingham, AL · (205) 877-1000 Pneumococ20 Val Vacc Ij! $2,635.00 $2,635.00 — — Apr 1, 2026
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Inpatient: lowest $235.65, median $674.00, highest $2,634.98 — a 11.2× difference within the same market.

As an outpatient, the same code is billed by 5 facilities here, median $674.00 — that is the price to compare if you are not being admitted.

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 and 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 20 is a conjugate vaccine against 20 types of pneumococcus, the bacteria behind many cases of pneumonia, meningitis and blood infections. The CDC recommends a pneumococcal conjugate vaccine for all adults 50 and older and for younger adults with certain conditions, usually as a single dose.

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); Medicare bills use G0009 instead.