Vaccines CPT 90677 Outpatient

Pneumonia vaccine (Prevnar 20) cost in Detroit, MI

In Detroit-Warren-Dearborn, MI, 11 hospitals list a cash price for pneumonia vaccine, 20-valent conjugate (Prevnar 20): from $188.63 to $2,316.75, with a median of $557.25. The lowest listed price is at Karmanos Cancer Center — $368.62 less than the median here. Across Michigan, the median is $381.40 at 33 hospitals.

Cash prices at 11 facilities across 6 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 31, 2025 and Sep 2, 2026.

Lowest$188.63Karmanos Cancer Center
Median$557.25half pay 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 price List priceInsurers payOff listFile date
Karmanos Cancer Center lowest Detroit, MI · (800) 576-6266 PNEUMOCOCCAL-20CONJ .5ML $188.63 $377.25 $139.21–$846.59 50% Dec 31, 2025
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McLaren Oakland Pontiac, MI · (248) 338-5000 pneumococcal 20-valent conjugate vaccine IM Susp 0.5 mL $296.35 $592.70 $479.07 50% Dec 31, 2025
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McLaren Macomb Mount Clemens, MI · (586) 493-8000 pneumococcal 20-valent conjugate vaccine IM Susp 0.5 mL $335.54 $671.07 $531.46 50% Dec 31, 2025
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McLaren Port Huron Port Huron, MI · (810) 987-5000 Pneumococcal Conjugate (PCV20) Vial -> PCV20 90677 $381.40 $762.80 $387.50–$531.54 50% Dec 31, 2025
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McLaren Oakland Pontiac, MI · (248) 338-5000 Pneumococcal Conjugate (PCV20) Vial -> PCV20 90677 $381.40 $762.80 $466.15–$550.13 50% Dec 31, 2025
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McLaren Lapeer Region Lapeer, MI · (810) 667-5500 Pneumococcal Conjugate (PCV20) Vial -> PCV20 90677 $381.40 $762.80 $266.14–$863.12 50% Dec 31, 2025
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McLaren Macomb Mount Clemens, MI · (586) 493-8000 Pneumococcal Conjugate (PCV20) Vial -> PCV20 90677 $381.40 $762.80 $218.92–$531.46 50% Dec 31, 2025
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VHS Huron Valley-Sinai Hospital Commerce Charter Twp, MI · (248) 937-3370 PNEUMOCO20VACIJ! $557.25 $743.00 $1.00–$539.97 25% May 20, 2026
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McLaren Lapeer Region Lapeer, MI · (810) 667-5500 pneumococcal 20-valent conjugate vaccine IM Susp 0.5 mL $593.92 $1,187.84 $863.12 50% Dec 31, 2025
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VHS Rehabilitation Institute of Michigan Detroit, MI PNEUMOCO20VACIJ! $642.75 $857.00 — 25% Apr 8, 2026
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VHS Detroit Receiving Hospital Detroit, MI · (313) 745-2941 PNEUMOCO20VACIJ! $1,524.00 $2,032.00 — 25% Apr 7, 2026
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VHS Sinai Grace Hospital Detroit, MI · (313) 966-3300 PNEUMOCO20VACIJ! $1,872.75 $2,497.00 — 25% Apr 8, 2026
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VHS Childrens Hospital of Michigan Detroit, MI · (313) 745-5437 PNEUMOCO20VACIJ! $2,316.75 $3,089.00 — 25% Apr 6, 2026
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Harper University Hospital Detroit, MI · (313) 745-6211 PNEUMOCO20VACIJ! $2,316.75 $3,089.00 $1.00–$871.00 25% Aug 20, 2026
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Harper University Hospital Detroit, MI · (313) 745-6211 PNEUMOCO20VACIJ! $2,316.75 $3,089.00 $1.00–$871.00 25% Sep 2, 2026
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Outpatient: lowest $188.63, median $557.25, highest $2,316.75 — a 12.3× difference within the same market.

As an inpatient, the same code is billed by 4 facilities here, median $1,920.38. 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 5 of 7 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 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.