Vaccines CPT 90677 Outpatient

Pneumonia vaccine (Prevnar 20) cost in Charlotte, NC

In Charlotte-Concord-Gastonia, NC-SC, 13 hospitals list a cash price for pneumonia vaccine, 20-valent conjugate (Prevnar 20): from $501.93 to $2,241.10, with a median of $501.93. The lowest listed price is at Atrium Health Lincoln and 7 other hospitals. Across North Carolina, the median is $653.00 at 31 hospitals.

Cash prices at 13 facilities across 10 cities 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 Dec 1, 2025 and Sep 1, 2026.

Lowest$501.93Atrium Health Lincoln + 7 more
Median$501.93half pay less
Highest$2,241.10in this market
Difference4.5×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 Charlotte-Concord-Gastonia, NC-SC.

median
Lowest $501.93Highest $2,241.10

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Atrium Health Lincoln lowest Lincolnton, NC · (980) 212-2000 HC PCV20 VACCINE FOR INTRAMUSCULAR USE $501.93 $1,003.85 $113.23–$953.66 50% Dec 1, 2025
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Carolinas Rehabilitation lowest Charlotte, NC HC PCV20 VACCINE FOR INTRAMUSCULAR USE $501.93 $1,003.85 $283.19–$923.54 50% Dec 5, 2025
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Atrium Health Pineville lowest Charlotte, NC · (704) 379-5000 HC PCV20 VACCINE FOR INTRAMUSCULAR USE $501.93 $1,003.85 $100.39–$923.54 50% Dec 5, 2025
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Carolinas Medical Center lowest Charlotte, NC · (704) 355-2000 HC PCV20 VACCINE FOR INTRAMUSCULAR USE $501.93 $1,003.85 $218.94–$923.54 50% Dec 4, 2025
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Atrium Health Pineville lowest Charlotte, NC · (704) 379-5000 HC PCV20 VACCINE FOR INTRAMUSCULAR USE $501.93 $1,003.85 $100.39–$973.73 50% Dec 5, 2025
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Carolinas Medical Center-Northeast lowest Concord, NC · (704) 783-3000 HC PCV20 VACCINE FOR INTRAMUSCULAR USE $501.93 $1,003.85 $123.17–$953.66 50% Dec 1, 2025
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Carolinas Medical Center lowest Charlotte, NC · (704) 355-2000 HC PCV20 VACCINE FOR INTRAMUSCULAR USE $501.93 $1,003.85 $190.73–$1,003.85 50% Dec 4, 2025
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Atrium Health Union lowest Monroe, NC · (704) 283-3100 HC PCV20 VACCINE FOR INTRAMUSCULAR USE $501.93 $1,003.85 $130.50–$953.66 50% Dec 4, 2025
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Carolinas Rehabilitation lowest Belmont, NC HC PCV20 VACCINE FOR INTRAMUSCULAR USE $501.93 $1,003.85 $283.19–$923.54 50% Dec 5, 2025
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Carolinas Medical Center lowest Charlotte, NC · (704) 355-2000 HC PCV20 VACCINE FOR INTRAMUSCULAR USE $501.93 $1,003.85 $218.94–$903.47 50% Dec 4, 2025
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Carolinas Medical Center lowest Charlotte, NC · (704) 355-2000 HC PCV20 VACCINE FOR INTRAMUSCULAR USE $501.93 $1,003.85 $218.94–$903.47 50% Dec 5, 2025
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Atrium Health Anson lowest Wadesboro, NC · (704) 694-5131 HC PCV20 VACCINE FOR INTRAMUSCULAR USE $501.93 $1,003.85 $150.18–$953.66 50% Dec 1, 2025
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Atrium Health Pineville Charlotte, NC · (704) 379-5000 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $530.40 $1,060.80 $106.08–$1,028.98 50% Dec 5, 2025
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Carolinas Rehabilitation Charlotte, NC PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $530.40 $1,060.80 $299.25–$975.94 50% Dec 5, 2025
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Carolinas Medical Center Charlotte, NC · (704) 355-2000 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $530.40 $1,060.80 $201.55–$1,060.80 50% Dec 4, 2025
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Carolinas Medical Center Charlotte, NC · (704) 355-2000 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $547.00 $1,094.00 $238.60–$984.60 50% Dec 5, 2025
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Carolinas Rehabilitation Belmont, NC PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $547.00 $1,094.00 $308.62–$1,006.48 50% Dec 5, 2025
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Atrium Health Anson Wadesboro, NC · (704) 694-5131 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $547.00 $1,094.00 $163.66–$1,039.30 50% Dec 1, 2025
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Carolinas Medical Center-Northeast Concord, NC · (704) 783-3000 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $547.00 $1,094.00 $134.23–$1,039.30 50% Dec 1, 2025
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Atrium Health Lincoln Lincolnton, NC · (980) 212-2000 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $547.00 $1,094.00 $123.40–$1,039.30 50% Dec 1, 2025
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Atrium Health Union Monroe, NC · (704) 283-3100 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $547.00 $1,094.00 $142.22–$1,039.30 50% Dec 4, 2025
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Atrium Health Pineville Charlotte, NC · (704) 379-5000 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $547.00 $1,094.00 $109.40–$1,006.48 50% Dec 5, 2025
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Carolinas Medical Center Charlotte, NC · (704) 355-2000 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $547.00 $1,094.00 $238.60–$984.60 50% Dec 4, 2025
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Carolinas Medical Center Charlotte, NC · (704) 355-2000 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $547.00 $1,094.00 $238.60–$1,006.48 50% Dec 4, 2025
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Amisub of South Carolina Fort Mill, SC PNEUMOCOCCAL 20-VALENT VACCINE $843.75 $1,125.00 $270.08 25% Apr 15, 2026
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Amisub of South Carolina Rock Hill, SC PNEUMOCOCCAL 20-VALENT VACCINE $843.75 $1,125.00 $270.08 25% Sep 1, 2026
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Gaston Memorial Hospital Gastonia, NC PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $2,241.10 $2,241.10 $312.90–$2,129.05 — May 11, 2026
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Gaston Memorial Hospital Belmont, NC PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $2,241.10 $2,241.10 $312.90–$2,129.05 — May 11, 2026
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Gaston Memorial Hospital Mount Holly, NC PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $2,241.10 $2,241.10 $312.90–$2,129.05 — May 11, 2026
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Outpatient: lowest $501.93, median $501.93, highest $2,241.10 — a 4.5× difference within the same market.

As an inpatient, the same code is billed by 13 facilities here, median $501.93. 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 8 of 13 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.