Vaccines CPT 90677 Outpatient

Pneumonia vaccine (Prevnar 20) cost in Dallas, TX

In Dallas-Fort Worth-Arlington, TX, 59 hospitals list a cash price for pneumonia vaccine, 20-valent conjugate (Prevnar 20): from $291.08 to $2,410.81, with a median of $563.36. The lowest listed price is at Methodist Celina Medical Center and 7 other hospitals — $272.28 less than the median here. Across Texas, the median is $563.36 at 158 hospitals.

  • The median here, $563.36, is 15% above the US median of $488.01.
  • Dallas, TX ranks 3rd of 3 metro areas in Texas by median, cheapest first.
  • 7 of 59 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 59 facilities across 28 cities for code 90677, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 11, 2026; the hospital files themselves were last updated between Mar 10, 2026 and Oct 30, 2026.

Lowest$291.08Methodist Celina Medical Center + 7 more
Median$563.36half of hospitals charge less
Highest$2,410.81in this market
Difference8.3×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 Dallas-Fort Worth-Arlington, TX.

median
Lowest $291.08Highest $2,410.81

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Methodist Celina Medical Center lowest Celina, TX · (214) 947-6452 HC Vaccine Pcv20 Im File of Mar 23, 2026 · source file $291.08 $970.25 $485.13–$970.25 70%
Methodist Southlake Medical Center lowest Souhtlake, TX · (878) 654-4400 HC Vaccine Pcv20 Im File of Mar 23, 2026 · source file $291.08 $970.25 $485.13–$970.25 70%
Methodist Hospitals of Dallas – Coppell lowest Coppell, TX · (878) 654-4400 HC Vaccine Pcv20 Im File of Mar 23, 2026 · source file $291.08 $970.25 $485.13–$970.25 70%
Methodist Richardson Medical Center lowest Richardson, TX · (469) 204-1000 HC Vaccine Pcv20 Im File of Mar 21, 2026 · source file $291.08 $970.25 $485.13–$970.25 70%
Methodist Mansfield Medical Center lowest Mansfield, TX · (682) 622-2059 HC Vaccine Pcv20 Im File of Mar 21, 2026 · source file $291.08 $970.25 $485.13–$970.25 70%
Methodist Midlothian Medical Center lowest Midlothian, TX · (469) 846-2000 HC Vaccine Pcv20 Im File of Mar 21, 2026 · source file $291.08 $970.25 $485.13–$970.25 70%
Methodist Richardson Campus for Continuing Care lowest Richardson, TX · (469) 204-1000 HC Vaccine Pcv20 Im File of Mar 21, 2026 · source file $291.08 $970.25 $485.13–$970.25 70%
Methodist Dallas Medical Center lowest Dallas, TX · (214) 947-8181 HC Vaccine Pcv20 Im File of Mar 20, 2026 · source file $291.08 $970.25 $485.13–$970.25 70%
Methodist Dallas Medical Center Dallas, TX · (214) 947-8181 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE File of Mar 20, 2026 · source file $333.15 $1,110.50 $555.25–$1,110.50 70%
Methodist Richardson Campus for Continuing Care Richardson, TX · (469) 204-1000 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE File of Mar 21, 2026 · source file $343.65 $1,145.50 $572.75–$1,145.50 70%
Methodist Midlothian Medical Center Midlothian, TX · (469) 846-2000 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE File of Mar 21, 2026 · source file $343.65 $1,145.50 $572.75–$1,145.50 70%
Methodist Mansfield Medical Center Mansfield, TX · (682) 622-2059 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE File of Mar 21, 2026 · source file $343.65 $1,145.50 $572.75–$1,145.50 70%
Methodist Hospitals of Dallas – Coppell Coppell, TX · (878) 654-4400 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE File of Mar 23, 2026 · source file $343.65 $1,145.50 $572.75–$1,145.50 70%
Methodist Southlake Medical Center Souhtlake, TX · (878) 654-4400 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE File of Mar 23, 2026 · source file $343.65 $1,145.50 $572.75–$1,145.50 70%
Methodist Celina Medical Center Celina, TX · (214) 947-6452 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE File of Mar 23, 2026 · source file $343.65 $1,145.50 $572.75–$1,145.50 70%
Methodist Richardson Medical Center Richardson, TX · (469) 204-1000 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE File of Mar 21, 2026 · source file $343.65 $1,145.50 $572.75–$1,145.50 70%
Methodist Charlton Medical Center Dallas, TX · (214) 947-7777 HC Vaccine Pcv20 Im File of Mar 21, 2026 · source file $485.12 $970.25 $485.13–$970.25 50%
The University of Texas Southwestern Medical Center at Dallas Dallas, TX · (214) 633-5555 pneumococcal vaccine 20-valent 0.5 mL Syrg 0.5 mL Syringe File of Mar 10, 2026 · source file $547.24 $1,094.47 $158.11–$1,067.12 50%
Texas Health Heart & Vascular Hospital Arlington Arlington, TX PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML INTRAMUSC SYRG [151102]+1 more line at this price File of Apr 14, 2026 · source file $563.36 $938.92 $83.56–$2,308.26 40%
Flower Mound Hospital Partners, LLC Flower Mound, TX PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML INTRAMUSC SYRG [151102] File of Apr 15, 2026 · source file $563.36 $938.92 $141.40–$2,308.26 40%
Physicians Medical Center, LLC Plano, TX PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML INTRAMUSC SYRG [151102] File of Apr 13, 2026 · source file $563.36 $938.92 $134.92–$2,308.26 40%
Rockwall Regional Hospital, LLC Rockwall, TX PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML INTRAMUSC SYRG [151102] File of Apr 15, 2026 · source file $563.36 $938.92 $89.95–$2,308.26 40%
Texas Health Presbyterian Hospital Denton Denton, TX · (940) 898-7000 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML INTRAMUSC SYRG [151102]+1 more line at this price File of Apr 21, 2026 · source file $563.36 $938.92 $87.88–$2,308.26 40%
Texas Health Harris Methodist Hospital Hurst-Euless-Bedford Bedford, TX · (817) 848-4000 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML INTRAMUSC SYRG [151102]+1 more line at this price File of Apr 21, 2026 · source file $563.36 $938.92 $101.40–$2,308.26 40%
Texas Health Hospital Frisco Frisco, TX · (469) 495-2000 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML INTRAMUSC SYRG [151102]+1 more line at this price File of Apr 21, 2026 · source file $563.36 $938.92 $167.03–$2,308.26 40%
Texas Health Presbyterian Hospital Rockwall Rockwall, TX · (469) 698-1000 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML INTRAMUSC SYRG [151102] File of Apr 21, 2026 · source file $563.36 $938.92 $89.95–$2,308.26 40%
Texas Health Harris Methodist Hospital Cleburne Cleburne, TX · (817) 641-2251 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML INTRAMUSC SYRG [151102]+1 more line at this price File of Apr 21, 2026 · source file $563.36 $938.92 $94.64–$2,308.26 40%
Texas Health Harris Methodist Hospital Fort Worth Fort Worth, TX · (817) 250-2100 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML INTRAMUSC SYRG [151102]+1 more line at this price File of Apr 21, 2026 · source file $563.36 $938.92 $121.68–$2,308.26 40%
Texas Health Presbyterian Hospital Plano Plano, TX · (972) 981-8000 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML INTRAMUSC SYRG [151102]+1 more line at this price File of Apr 21, 2026 · source file $563.36 $938.92 $114.92–$2,308.26 40%
Texas Health Presbyterian Hospital Dallas Dallas, TX · (214) 345-6789 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML INTRAMUSC SYRG [151102]+1 more line at this price File of Apr 21, 2026 · source file $563.36 $938.92 $87.88–$2,308.26 40%
Texas Health Arlington Memorial Hospital Arlington, TX · (817) 548-6200 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML INTRAMUSC SYRG [151102]+1 more line at this price File of Apr 21, 2026 · source file $563.36 $938.92 $94.64–$2,308.26 40%
Texas Health Presbyterian Hospital Flower Mound Flower Mound, TX · (972) 419-1530 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML INTRAMUSC SYRG [151102] File of Apr 21, 2026 · source file $563.36 $938.92 $141.40–$2,308.26 40%
Texas Health Harris Methodist Hospital Southlake Southlake, TX PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML INTRAMUSC SYRG [151102]+1 more line at this price File of Apr 21, 2026 · source file $563.36 $938.92 $102.81–$2,308.26 40%
Texas Health Harris Methodist Hospital Azle Azle, TX · (817) 444-8700 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML INTRAMUSC SYRG [151102]+1 more line at this price File of Apr 21, 2026 · source file $563.36 $938.92 $102.81–$2,308.26 40%
Texas Health Presbyterian Hospital Allen Allen, TX · (972) 747-1000 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML INTRAMUSC SYRG [151102]+1 more line at this price File of Apr 21, 2026 · source file $563.36 $938.92 $108.16–$2,308.26 40%
Texas Health Harris Methodist Hospital Alliance Fort Worth, TX · (682) 212-2004 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML INTRAMUSC SYRG [151102]+1 more line at this price File of Apr 21, 2026 · source file $563.36 $938.92 $96.43–$2,308.26 40%
Texas Health Center for Diagnostics & Surgery Plano Plano, TX PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML INTRAMUSC SYRG [151102] File of Apr 21, 2026 · source file $563.36 $938.92 $134.92–$2,308.26 40%
Texas Health Specialty Hospital Fort Worth Fort Worth, TX PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML INTRAMUSC SYRG [151102]+1 more line at this price File of Apr 21, 2026 · source file $563.36 $938.92 — 40%
Texas Health Harris Methodist Hospital Southwest Fort Worth Fort Worth, TX · (817) 433-5000 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML INTRAMUSC SYRG [151102] File of Apr 21, 2026 · source file $563.36 $938.92 $77.09–$2,308.26 40%
Texas Health Presbyterian Hospital Kaufman Kaufman, TX · (972) 932-7200 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML INTRAMUSC SYRG [151102]+1 more line at this price File of Apr 21, 2026 · source file $563.36 $938.92 $87.88–$2,308.26 40%
Texas Health Harris Methodist Hospital HurstEulessBedford Bedford, TX PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML INTRAMUSC SYRG [151102] File of Apr 21, 2026 · source file $563.36 $938.92 $94.64–$2,308.26 40%
Methodist Charlton Medical Center Dallas, TX · (214) 947-7777 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE File of Mar 21, 2026 · source file $572.75 $1,145.50 $572.75–$1,145.50 50%
Methodist McKinney Hospital McKinney, TX · (214) 491-5710 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE File of Mar 21, 2026 · source file $572.75 $1,145.50 $572.75–$1,145.50 50%
Parkland Health Dallas, TX · (214) 590-8000 Pneumococcal conjugate vaccine 20 valent (PCV20) for intramuscular use+1 more line at this price File of May 29, 2026 · source file $658.78 $1,646.96 $249.02–$1,432.82 60%
Parkland Health Dallas, TX · (214) 590-8000 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE+1 more line at this price File of Oct 16, 2026 · source file $678.04 $1,695.11 $256.30–$1,432.82 60%
Baylor Scott & White The Heart Hospital - McKinney McKinney, TX · (469) 814-3278 pneumococcal 20-valent conj vaccine-dip crm (PF) 0.5 mL IM syringe File of Jun 29, 2026 · source file $729.93 $1,216.55 $221.29–$1,034.07 40%
Baylor Scott & White Heart and Vascular Hospital - Waxahachie Waxahachie, TX · (214) 820-0600 pneumococcal 20-valent conj vaccine-dip crm (PF) 0.5 mL IM syringe File of Jun 29, 2026 · source file $729.93 $1,216.55 $425.79–$1,034.07 40%
Baylor Scott & White Medical Center - Centennial Frisco, TX · (972) 963-3333 pneumococcal 20-valent conj vaccine-dip crm (PF) 0.5 mL IM syringe File of Jun 29, 2026 · source file $729.93 $1,216.55 $194.65–$1,034.07 40%
Baylor Scott & White The Heart Hospital - Plano Plano, TX · (469) 814-3278 pneumococcal 20-valent conj vaccine-dip crm (PF) 0.5 mL IM syringe File of Jun 29, 2026 · source file $729.93 $1,216.55 $156.21–$1,034.07 40%
Baylor Scott & White Medical Center - Irving Irving, TX · (972) 579-8100 pneumococcal 20-valent conj vaccine-dip crm (PF) 0.5 mL IM syringe File of Jun 29, 2026 · source file $729.93 $1,216.55 $133.82–$1,034.07 40%
Baylor Scott & White The Heart Hospital - Denton Denton, TX · (940) 220-0600 pneumococcal 20-valent conj vaccine-dip crm (PF) 0.5 mL IM syringe File of Jun 29, 2026 · source file $729.93 $1,216.55 $133.82–$1,034.07 40%
Baylor Scott & White Medical Center - Lake Pointe Rowlett, TX · (972) 412-2273 pneumococcal 20-valent conj vaccine-dip crm (PF) 0.5 mL IM syringe File of Jun 29, 2026 · source file $729.93 $1,216.55 $133.82–$1,034.07 40%
Baylor Scott & White Heart and Vascular Hospital - Dallas Dallas, TX · (214) 820-0600 pneumococcal 20-valent conj vaccine-dip crm (PF) 0.5 mL IM syringe File of Jun 29, 2026 · source file $729.93 $1,216.55 $97.32–$1,034.07 40%
Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX · (817) 926-2544 pneumococcal 20-valent conj vaccine-dip crm (PF) 0.5 mL IM syringe File of Jun 29, 2026 · source file $729.93 $1,216.55 $194.65–$1,034.07 40%
Baylor Scott & White Medical Center - Plano Plano, TX · (469) 814-2000 pneumococcal 20-valent conj vaccine-dip crm (PF) 0.5 mL IM syringe File of Jun 29, 2026 · source file $729.93 $1,216.55 $145.99–$1,034.07 40%
Baylor Scott & White Medical Center - Grapevine Grapevine, TX · (817) 481-1588 pneumococcal 20-valent conj vaccine-dip crm (PF) 0.5 mL IM syringe File of Jun 29, 2026 · source file $729.93 $1,216.55 $182.48–$1,034.07 40%
Baylor Scott & White Medical Center - McKinney McKinney, TX · (469) 742-2200 pneumococcal 20-valent conj vaccine-dip crm (PF) 0.5 mL IM syringe File of Oct 28, 2026 · source file $766.24 $1,277.07 $217.10–$1,085.51 40%
Baylor Scott & White Medical Center at Waxahachie Waxahachie, TX · (972) 923-7000 pneumococcal 20-valent conj vaccine-dip crm (PF) 0.5 mL IM syringe File of Oct 29, 2026 · source file $766.24 $1,277.07 $191.56–$1,085.51 40%
Baylor University Medical Center Dallas, TX · (214) 820-8082 pneumococcal 20-valent conj vaccine-dip crm (PF) 0.5 mL IM syringe File of Oct 29, 2026 · source file $766.24 $1,277.07 $217.10–$1,085.51 40%
Baylor Scott & White Medical Center - Frisco at PGA Parkway Frisco, TX · (945) 339-0500 pneumococcal 20-valent conj vaccine-dip crm (PF) 0.5 mL IM syringe File of Oct 30, 2026 · source file $766.24 $1,277.07 $357.58–$1,085.51 40%
Texas Health Hospital Mansfield Mansfield, TX · (682) 341-5000 PREVNAR 20 0.5 ML IM SUSY File of Apr 1, 2026 · source file $792.00 $792.00 — —
Texas Health Huguley Hospital Fort Worth South Burleson, TX · (817) 293-9110 PREVNAR 20 0.5 ML IM SUSY File of Apr 1, 2026 · source file $792.00 $792.00 — —
Medical City Las Colinas Irving, TX · (972) 969-2000 Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use Other Outpatient+2 more lines at this price File of Sep 1, 2026 · source file $1,373.14 $1,373.14 $96.12–$1,373.14 —
Medical City North Hills North Richland Hills, TX · (817) 255-1000 PREVNAR-20 VAC IM+2 more lines at this price File of Sep 1, 2026 · source file $1,547.02 $1,547.02 $108.29–$1,547.02 —
Med City Spine Hospital Dallas, TX Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use +2 more lines at this price File of Sep 1, 2026 · source file $1,571.10 $1,571.10 $109.98–$1,571.10 —
Medical City Dallas Garland, TX · (972) 566-6222 Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use Other Outpatient+2 more lines at this price File of Sep 1, 2026 · source file $1,571.10 $1,571.10 $109.98–$2,630.17 —
Med City Heart Hospital Dallas, TX PREVNAR-20 VAC IM+2 more lines at this price File of Sep 1, 2026 · source file $1,571.10 $1,571.10 $109.98–$1,571.10 —
Childrens Medical Center of Dallas Dallas, TX · (214) 456-7000 PREVNAR 20 (pneumococcal) Syrg 0.5 mL Syringe File of Aug 17, 2026 · source file $2,410.81 $3,214.41 $675.03–$3,117.98 25%
Childrens Medical Center Plano Plano, TX · (214) 456-1792 PREVNAR 20 (pneumococcal) Syrg 0.5 mL Syringe File of Aug 17, 2026 · source file $2,410.81 $3,214.41 $641.27–$3,117.98 25%
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

Outpatient: lowest $291.08, median $563.36, highest $2,410.81 — a 8.3× difference within the same market.

As an inpatient, the same code is billed by 54 facilities here, median $563.36. 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 51 of 54 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 9 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.