Vaccines CPT 90677 Inpatient — admitted to hospital

Pneumonia vaccine (Prevnar 20) cost in Detroit, MI — inpatient

In Detroit-Warren-Dearborn, MI, 4 hospitals list a cash price for pneumonia vaccine, 20-valent conjugate (Prevnar 20) as an inpatient: from $642.75 to $2,316.75, with a median of $1,920.38. The lowest listed price is at VHS Rehabilitation Institute of Michigan — $1,277.63 less than the median here. Across Michigan, the median is $381.40 at 33 hospitals.

Cash prices at 4 facilities for code 90677, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 6, 2026 and Sep 2, 2026.

Lowest$642.75VHS Rehabilitation Institute of Michigan
Median$1,920.38half pay less
Highest$2,316.75in this market
Difference3.6×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 $642.75Highest $2,316.75

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
VHS Rehabilitation Institute of Michigan lowest 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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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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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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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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Inpatient: lowest $642.75, median $1,920.38, highest $2,316.75 — a 3.6× difference within the same market.

As an outpatient, the same code is billed by 11 facilities here, median $557.25 — that is the price to compare if you are not being admitted.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is not below the highest rate a health plan has negotiated. 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.