Pneumonia vaccine (Prevnar 20) cost in Bismarck, ND
In Bismarck, ND, 1 hospital lists a cash price for pneumonia vaccine, 20-valent conjugate (Prevnar 20): from $134.64 to $134.64, with a median of $134.64. Across North Dakota, the median is $341.92 at 8 hospitals.
Cash prices at 1 facility for code 90677, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Feb 28, 2026 and Feb 28, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Bismarck, ND.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| St. Alexius Medical Center lowest Bismarck, ND · (701) 530-7000 HC PCV20 VACCINE IM | $134.64 | $264.00 | $195.36–$237.60 | 49% | Feb 28, 2026 source file |
| St. Alexius Medical Center Bismarck, ND · (701) 530-7000 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGME | $231.24 | $453.40 | $335.52–$408.06 | 49% | Feb 28, 2026 source file |
Outpatient: lowest $134.64, median $134.64, highest $134.64.
As an inpatient, the same code is billed by 1 facility here, median $134.64. 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 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.