Vaccines CPT 90677 Outpatient

Pneumonia vaccine (Prevnar 20) cost in Detroit, MI

In Detroit-Warren-Dearborn, MI, 20 hospitals list a cash price for pneumonia vaccine, 20-valent conjugate (Prevnar 20): from $188.63 to $2,316.75, with a median of $385.00. The lowest listed price is at Karmanos Cancer Center — $196.37 less than the median here. Across Michigan, the median is $381.40 at 57 hospitals.

  • The median here, $385.00, is 21% below the US median of $488.01.
  • 8 of 20 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 20 facilities across 15 cities for code 90677, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 26, 2026; the hospital files themselves were last updated between Dec 31, 2025 and Sep 2, 2026.

Lowest$188.63Karmanos Cancer Center
Median$385.00half of hospitals charge less
Highest$2,316.75in this market
Difference12.3×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 Detroit-Warren-Dearborn, MI.

median
Lowest $188.63Highest $2,316.75

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Karmanos Cancer Center lowest Detroit, MI · (800) 576-6266 PNEUMOCOCCAL-20CONJ .5ML File of Dec 31, 2025 · source file $188.63 $377.25 $139.21–$846.59 50%
McLaren Oakland Pontiac, MI · (248) 338-5000 pneumococcal 20-valent conjugate vaccine IM Susp 0.5 mL File of Dec 31, 2025 · source file $296.35 $592.70 $479.07 50%
McLaren Macomb Mount Clemens, MI · (586) 493-8000 pneumococcal 20-valent conjugate vaccine IM Susp 0.5 mL File of Dec 31, 2025 · source file $335.54 $671.07 $531.46 50%
McLaren Oakland Pontiac, MI · (248) 338-5000 Pneumococcal Conjugate (PCV20) Vial -> PCV20 90677 File of Dec 31, 2025 · source file $381.40 $762.80 $466.15–$550.13 50%
McLaren Lapeer Region Lapeer, MI · (810) 667-5500 Pneumococcal Conjugate (PCV20) Vial -> PCV20 90677 File of Dec 31, 2025 · source file $381.40 $762.80 $266.14–$863.12 50%
McLaren Macomb Mount Clemens, MI · (586) 493-8000 Pneumococcal Conjugate (PCV20) Vial -> PCV20 90677 File of Dec 31, 2025 · source file $381.40 $762.80 $218.92–$531.46 50%
McLaren Port Huron Port Huron, MI · (810) 987-5000 Pneumococcal Conjugate (PCV20) Vial -> PCV20 90677 File of Dec 31, 2025 · source file $381.40 $762.80 $387.50–$531.54 50%
Beaumont Hospital - Taylor Taylor, MI · (313) 295-5000 HC PCV20 VACCINE FOR INTRAMUSCULAR USE File of May 1, 2026 · source file $385.00 $385.00 — —
Beaumont Hospital Royal Oak Royal Oak, MI · (248) 898-5400 HC PCV20 VACCINE FOR INTRAMUSCULAR USE File of May 1, 2026 · source file $385.00 $385.00 — —
Corewell Health Trenton Hospital Trenton, MI · (734) 671-3800 HC PCV20 VACCINE FOR INTRAMUSCULAR USE File of May 1, 2026 · source file $385.00 $385.00 — —
Beaumont Hospital - Grosse Pointe Grosse Pointe, MI · (313) 473-1000 HC PCV20 VACCINE FOR INTRAMUSCULAR USE File of May 1, 2026 · source file $385.00 $385.00 — —
Corewell Health Farmington Hills Hospital Farmington Hills, MI · (248) 471-8000 HC PCV20 VACCINE FOR INTRAMUSCULAR USE File of May 1, 2026 · source file $385.00 $385.00 — —
Corewell Health Wayne Hospital Wayne, MI · (734) 467-4175 HC PCV20 VACCINE FOR INTRAMUSCULAR USE File of May 1, 2026 · source file $385.00 $385.00 — —
Beaumont Hospital - Dearborn Dearborn, MI · (313) 593-7125 HC PCV20 VACCINE FOR INTRAMUSCULAR USE File of May 1, 2026 · source file $385.00 $385.00 — —
Beaumont Hospital, Troy Troy, MI · (248) 964-8800 HC PCV20 VACCINE FOR INTRAMUSCULAR USE File of May 1, 2026 · source file $385.00 $385.00 — —
VHS Huron Valley-Sinai Hospital Commerce Charter Twp, MI · (248) 937-3370 PNEUMOCO20VACIJ! File of May 20, 2026 · source file $557.25 $743.00 $1.00–$539.97 25%
McLaren Lapeer Region Lapeer, MI · (810) 667-5500 pneumococcal 20-valent conjugate vaccine IM Susp 0.5 mL File of Dec 31, 2025 · source file $593.92 $1,187.84 $863.12 50%
St Joseph Mercy Oakland Pontiac, MI · (248) 858-3000 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE File of Mar 31, 2026 · source file $894.76 $1,376.55 $269.80–$1,376.55 35%
St Mary Mercy Livonia Livonia, MI · (734) 655-4800 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE File of Mar 31, 2026 · source file $922.80 $1,419.70 $208.94–$1,419.70 35%
VHS Detroit Receiving Hospital Detroit, MI · (313) 745-2941 PNEUMOCO20VACIJ! File of Apr 7, 2026 · source file $1,524.00 $2,032.00 — 25%
VHS Sinai Grace Hospital Detroit, MI · (313) 966-3300 PNEUMOCO20VACIJ! File of Apr 8, 2026 · source file $1,872.75 $2,497.00 — 25%
VHS Childrens Hospital of Michigan Detroit, MI · (313) 745-5437 PNEUMOCO20VACIJ! File of Apr 6, 2026 · source file $2,316.75 $3,089.00 — 25%
Harper University Hospital Detroit, MI · (313) 745-6211 PNEUMOCO20VACIJ!+1 more line at this price File of Aug 20, 2026 · source file $2,316.75 $3,089.00 $1.00–$871.00 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 $188.63, median $385.00, highest $2,316.75 — a 12.3× difference within the same market.

As an inpatient, the same code is billed by 18 facilities here, median $385.00. 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 7 of 9 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 3 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.