Pneumonia vaccine (Prevnar 20) cost in Boston, MA
In Boston-Cambridge-Newton, MA-NH, 13 hospitals list a cash price for pneumonia vaccine, 20-valent conjugate (Prevnar 20): from $265.43 to $1,380.00, with a median of $564.35. The lowest listed price is at Cambridge Health Alliance — $298.92 less than the median here. Across Massachusetts, the median is $564.33 at 19 hospitals.
- The median here, $564.35, is 16% above the US median of $488.01.
- 5 of 13 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 13 facilities across 10 cities for code 90677, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 23, 2026; the hospital files themselves were last updated between Dec 15, 2025 and Sep 1, 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 Boston-Cambridge-Newton, MA-NH.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Cambridge Health Alliance lowest Cambridge, MA · (617) 665-1000 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY File of Mar 20, 2026 · source file | $265.43 | $265.43 | $168.81–$668.37 | — |
| Boston Medical Center Brighton Boston, MA · (617) 789-3000 HC Pcv20 Vaccine Im File of Mar 13, 2026 · source file | $279.90 | $622.00 | $297.91–$475.07 | 55% |
| Boston Medical Center Boston, MA · (617) 638-8000 HC Pcv20 Vaccine Im File of Mar 13, 2026 · source file | $279.90 | $622.00 | $223.92–$528.70 | 55% |
| Boston Medical Center South Brockton, MA · (508) 427-3000 HC Pcv20 Vaccine Im File of Mar 13, 2026 · source file | $279.90 | $622.00 | $297.91–$402.62 | 55% |
| Cambridge Health Alliance Cambridge, MA · (617) 665-1000 HC Pcv20 Vaccine (Pneumococcal/Prevnar 20) File of Mar 20, 2026 · source file | $283.00 | $283.00 | $179.99–$668.37 | — |
| Boston Medical Center Boston, MA · (617) 638-8000 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE File of Mar 13, 2026 · source file | $357.87 | $795.27 | $283.72–$675.98 | 55% |
| Boston Medical Center Brighton Boston, MA · (617) 789-3000 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE File of Mar 13, 2026 · source file | $357.87 | $795.27 | $297.91–$602.26 | 55% |
| Southcoast Hospitals Group - Tobey Hospital Campus Wareham, MA · (508) 679-3131 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY File of Dec 15, 2025 · source file | $495.09 | $990.17 | $0.50–$753.52 | 50% |
| Melrosewakefield Healthcare Melrose, MA · (781) 979-3000 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0 File of Apr 1, 2026 · source file | $564.33 | $806.18 | $274.22–$871.75 | 30% |
| Lowell General Hospital Lowell, MA · (978) 937-6000 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0 File of Apr 1, 2026 · source file | $564.35 | $806.21 | $260.31–$806.21 | 30% |
| Exeter Hospital Exeter, NH · (603) 778-7311 HC PCV20 VACCINE FOR INTRAMUSCULAR USE File of Apr 1, 2026 · source file | $865.88 | $865.88 | — | — |
| Signature Healthcare Brockton Hospital Brockton, MA · (508) 941-7000 VACC; PCV20 CONJUGATE (PRCHSD) File of Jan 28, 2026 · source file | $915.83 | $1,308.32 | $288.66–$484.08 | 30% |
| Melrosewakefield Healthcare Melrose, MA · (781) 979-3000 HC Pcv20 Vaccine for Intramuscular Use File of Apr 1, 2026 · source file | $1,166.48 | $1,666.40 | $274.22–$1,801.88 | 30% |
| Tufts Medical Center Boston, MA · (617) 636-5000 HC Pcv20 Vaccine for Intramuscular Use File of Apr 1, 2026 · source file | $1,166.48 | $1,666.40 | $0.01–$1,666.40 | 30% |
| Lowell General Hospital Lowell, MA · (978) 937-6000 HC Pcv20 Vaccine for Intramuscular Use File of Apr 1, 2026 · source file | $1,166.48 | $1,666.40 | $260.31–$1,666.40 | 30% |
| Dover Emergency Room Dover, NH · (603) 436-5110 Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use +1 more line at this price File of Sep 1, 2026 · source file | $1,380.00 | $1,380.00 | $56.86–$1,311.00 | — |
| Seabrook Emergency Seabrook, NH · (603) 436-5110 Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use +1 more line at this price File of Sep 1, 2026 · source file | $1,380.00 | $1,380.00 | $56.86–$1,311.00 | — |
| Portsmouth Regional Hospital Portsmouth, NH · (603) 436-5110 Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use +1 more line at this price File of Sep 1, 2026 · source file | $1,380.00 | $1,380.00 | $56.86–$1,471.42 | — |
Outpatient: lowest $265.43, median $564.35, highest $1,380.00 — a 5.2× difference within the same market.
As an inpatient, the same code is billed by 9 facilities here, median $564.33. 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 9 of 12 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 2 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 pneumonia vaccine (Prevnar 20) is, what the price covers and why prices differ: Pneumonia vaccine (Prevnar 20) explained.
1 row held back from this comparison
It is priced below $1 or below a tenth of the national median for code 90677 ($492.96). 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 |
|---|---|---|
| Tufts Medical Center Boston, MAPNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0 | $0.01 | file |