Vaccines CPT 90677 Inpatient — admitted to hospital

Pneumonia vaccine (Prevnar 20) cost in Des Moines, IA — inpatient

In Des Moines-West Des Moines, IA, 4 hospitals list a cash price for pneumonia vaccine, 20-valent conjugate (Prevnar 20) as an inpatient: from $316.00 to $903.00, with a median of $560.48. The lowest listed price is at UnityPoint Health - Des Moines Iowa Methodist Medical — $244.48 less than the median here. Across Iowa, the median is $535.86 at 34 hospitals.

Cash prices at 4 facilities across 3 cities for code 90677, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Jan 28, 2026 and Mar 31, 2026.

Lowest$316.00UnityPoint Health - Des Moines Iowa Methodist Medical
Median$560.48half pay less
Highest$903.00in this market
Difference2.9×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 Des Moines-West Des Moines, IA.

median
Lowest $316.00Highest $1,419.70

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
UnityPoint Health - Des Moines Iowa Methodist Medical lowest Des Moines, IA · (515) 343-1000 PR PCV20 VACCINE FOR INTRAMUSCULAR USE $316.00 $395.00 $295.07–$375.26 20% Jan 28, 2026
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UnityPoint Health - Des Moines Iowa Methodist Medical lowest Des Moines, IA · (515) 343-1000 PR PCV20 VACCINE FOR INTRAMUSCULAR USE $316.00 $395.00 $295.07–$375.26 20% Jan 28, 2026
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UnityPoint Health - Des Moines Iowa Methodist Medical Des Moines, IA · (515) 343-1000 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY $490.48 $613.10 $265.47 20% Jan 28, 2026
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UnityPoint Health - Des Moines Iowa Methodist Medical Des Moines, IA · (515) 343-1000 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY $501.64 $627.05 $271.51 20% Jan 28, 2026
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Mercy Medical Center - Newton Newton, IA · (641) 792-1273 HC Vaccine Pneumonococcal Conjugate 20 Valent (Pcv20) Im $559.00 $860.00 $227.56–$860.00 35% Mar 31, 2026
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MercyOne Des Moines Medical Center Des Moines, IA · (515) 247-4436 PR Vaccine Pneumococcal Conjugate 20 Valent (Pcv20) Im $561.96 — $257.09–$561.96 — Mar 31, 2026
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MercyOne Des Moines Medical Center Des Moines, IA · (515) 247-4436 HC Vaccine Pneumonococcal Conjugate 20 Valent (Pcv20) Im $586.95 $903.00 $181.50–$903.00 35% Mar 31, 2026
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Catholic Health Initiatives-Iowa West Des Moines, IA HC Vaccine Pneumonococcal Conjugate 20 Valent (Pcv20) Im $903.00 $903.00 $181.50–$903.00 — Mar 31, 2026
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MercyOne Des Moines Medical Center Des Moines, IA · (515) 247-4436 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $1,419.70 $1,419.70 $262.23–$1,419.70 — Mar 31, 2026
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Inpatient: lowest $316.00, median $560.48, highest $903.00 — a 2.9× difference within the same market.

As an outpatient, the same code is billed by 4 facilities here, median $572.98 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 2 of 4 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.