Vaccines CPT 90677 Outpatient

Pneumonia vaccine (Prevnar 20) cost in Carroll, IA

In Carroll, IA, 2 hospitals list a cash price for pneumonia vaccine, 20-valent conjugate (Prevnar 20): from $465.41 to $1,395.32, with a median of $930.37. The lowest listed price is at Manning Regional Healthcare Center — $464.96 less than the median here. Across Iowa, the median is $501.64 at 59 hospitals.

Cash prices at 2 facilities across 2 cities for code 90677, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Jul 1, 2026 and Jul 14, 2026.

Lowest$465.41Manning Regional Healthcare Center
Median$930.37half pay less
Highest$1,395.32in this market
Difference3.0×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 Carroll, IA.

median
Lowest $465.41Highest $1,395.32

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Manning Regional Healthcare Center lowest Manning, IA · (712) 655-2072 Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use $465.41 $655.50 $458.85–$698.78 29% Jul 1, 2026
source file
St Anthony Regional Hospital and Nursing Home Carroll, IA · (712) 792-3581 Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use $1,395.32 $1,395.32 $516.27–$1,395.32 — Jul 14, 2026
source file

Outpatient: lowest $465.41, median $930.37, highest $1,395.32 — a 3.0× difference within the same market.

Cash or insurance?

At 1 of 2 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 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.