Vaccines CPT 90677 Inpatient — admitted to hospital

Pneumonia vaccine (Prevnar 20) cost in Duluth, MN — inpatient

In Duluth, MN-WI, 9 hospitals list a cash price for pneumonia vaccine, 20-valent conjugate (Prevnar 20) as an inpatient: from $137.70 to $450.42, with a median of $402.27. The lowest listed price is at Range Regional Health Services — $264.57 less than the median here. Across Minnesota, the median is $396.79 at 40 hospitals.

Cash prices at 9 facilities across 6 cities for code 90677, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Jan 1, 2026 and Apr 1, 2026.

Lowest$137.70Range Regional Health Services
Median$402.27half pay less
Highest$450.42in this market
Difference3.3×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 Duluth, MN-WI.

median
Lowest $137.70Highest $493.47

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Range Regional Health Services lowest Hibbing, MN · (218) 362-6730 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY $137.70 $324.00 $147.42–$322.41 58% Jan 29, 2026
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Range Regional Health Services Hibbing, MN · (218) 362-6730 HC PNEUMOCOCCAL CONJ VACCINE 20 VALENT $146.66 $345.06 $157.00–$343.37 57% Jan 29, 2026
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Aspirus St. Luke’s Hospital Duluth, MN · (218) 249-2449 Fac Pcv20 Vaccine for Intramuscular Use $244.80 $450.00 — 46% Apr 1, 2026
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Aspirus St. Luke’s Hospital Duluth, MN · (218) 249-2449 PCV20 VACCINE FOR INTRAMUSCULAR USE $244.80 $450.00 — 46% Apr 1, 2026
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Essentia Health Virginia Virginia, MN · (218) 741-3340 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML SUSPENSION PREFILLED SYRINGE $382.77 $609.50 $261.41–$549.16 37% Jan 1, 2026
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Essentia Health Virginia Virginia, MN · (218) 741-3340 PNEUMOCOCCAL CONJUGATE VACCINE, 20 VALENT (PCV20), FOR INTRAMUSCULAR USE $382.77 $609.50 $261.41–$549.16 37% Jan 1, 2026
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Essentia Health St. Mary's Children's Hospital Duluth, MN PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML SUSPENSION PREFILLED SYRINGE $402.27 $609.50 $261.41–$524.17 34% Jan 1, 2026
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Essentia Health St. Mary's Children's Hospital Duluth, MN PNEUMOCOCCAL CONJUGATE VACCINE, 20 VALENT (PCV20), FOR INTRAMUSCULAR USE $402.27 $609.50 $261.41–$524.17 34% Jan 1, 2026
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Essentia Health St. Mary's Medical Center Duluth, MN · (218) 786-3574 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML SUSPENSION PREFILLED SYRINGE $402.27 $609.50 $261.41–$524.17 34% Jan 1, 2026
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Essentia Health St. Mary's Medical Center Duluth, MN · (218) 786-3574 PNEUMOCOCCAL CONJUGATE VACCINE, 20 VALENT (PCV20), FOR INTRAMUSCULAR USE $402.27 $609.50 $261.41–$524.17 34% Jan 1, 2026
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Essentia Health Duluth Duluth, MN · (218) 786-2652 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML SUSPENSION PREFILLED SYRINGE $402.27 $609.50 $252.09–$524.17 34% Jan 1, 2026
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Essentia Health Duluth Duluth, MN · (218) 786-2652 PNEUMOCOCCAL CONJUGATE VACCINE, 20 VALENT (PCV20), FOR INTRAMUSCULAR USE $402.27 $609.50 $252.09–$524.17 34% Jan 1, 2026
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Essentia Health St Marys Hospital-Superior Superior, WI · (715) 817-7000 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML SUSPENSION PREFILLED SYRINGE $450.42 $609.50 $245.02–$551.60 26% Jan 1, 2026
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Essentia Health Moose Lake Moose Lake, MN · (218) 786-1367 PNEUMOCOCCAL CONJUGATE VACCINE, 20 VALENT (PCV20), FOR INTRAMUSCULAR USE $450.42 $609.50 $245.02–$551.60 26% Jan 1, 2026
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Essentia Health St Marys Hospital-Superior Superior, WI · (715) 817-7000 PNEUMOCOCCAL CONJUGATE VACCINE, 20 VALENT (PCV20), FOR INTRAMUSCULAR USE $450.42 $609.50 $245.02–$551.60 26% Jan 1, 2026
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Essentia Health Moose Lake Moose Lake, MN · (218) 786-1367 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML SUSPENSION PREFILLED SYRINGE $450.42 $609.50 $245.02–$551.60 26% Jan 1, 2026
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Essentia Health Northern Pines Aurora, MN · (218) 229-4222 PNEUMOCOCCAL CONJUGATE VACCINE, 20 VALENT (PCV20), FOR INTRAMUSCULAR USE $450.42 $609.50 $245.02–$609.50 26% Jan 1, 2026
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Essentia Health Northern Pines Aurora, MN · (218) 229-4222 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML SUSPENSION PREFILLED SYRINGE $450.42 $609.50 $245.02–$609.50 26% Jan 1, 2026
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Aspirus St. Luke’s Hospital Duluth, MN · (218) 249-2449 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY $493.47 $907.12 — 46% Apr 1, 2026
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Inpatient: lowest $137.70, median $402.27, highest $450.42 — a 3.3× difference within the same market.

As an outpatient, the same code is billed by 9 facilities here, median $402.27 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 8 of 8 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 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.