Vaccines CPT 90677 Outpatient

Pneumonia vaccine (Prevnar 20) cost in Houston, TX

In Houston-Pasadena-The Woodlands, TX, 12 hospitals list a cash price for pneumonia vaccine, 20-valent conjugate (Prevnar 20): from $176.84 to $1,019.00, with a median of $340.22. The lowest listed price is at Harris Health and 1 other hospital — $163.38 less than the median here. Across Texas, the median is $563.36 at 158 hospitals.

  • The median here, $340.22, is 30% below the US median of $488.01.
  • Houston, TX has the lowest median of 3 metro areas in Texas with at least 10 hospitals pricing this code.
  • 1 of 12 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 12 facilities across 7 cities for code 90677, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 4, 2026; the hospital files themselves were last updated between Feb 28, 2026 and Sep 1, 2026.

Lowest$176.84Harris Health + 1 more
Median$340.22half of hospitals charge less
Highest$1,019.00in this market
Difference5.8×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 Houston-Pasadena-The Woodlands, TX.

median
Lowest $176.84Highest $1,019.00

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Harris Health lowest Taub Loop Houston, TX · (713) 873-2000 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE File of Mar 24, 2026 · source file $176.84 $373.86 $94.21–$1,003.46 53%
Harris Health lowest Houston, TX · (713) 873-2000 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE File of Mar 24, 2026 · source file $176.84 $373.86 $94.21–$1,003.46 53%
Harris Health Taub Loop Houston, TX · (713) 873-2000 CHG PCV-20 PNEUMOCOCCAL VACCINE 18+(PEDI) File of Mar 24, 2026 · source file $218.53 $462.00 $116.42–$1,003.46 53%
Harris Health Houston, TX · (713) 873-2000 CHG PCV-20 PNEUMOCOCCAL VACCINE 18+(PEDI) File of Mar 24, 2026 · source file $218.53 $462.00 $116.42–$1,003.46 53%
Hsa St. Joseph Houston, TX · (713) 757-1000 PNEUMOC 20-VAL CONJ-DIP CRM/PF File of Sep 1, 2026 · source file $241.87 $1,645.40 $149.27–$1,645.40 85%
Liberty Dayton Regional Medical Center Liberty, TX · (936) 336-7316 Prevnar 20 Ldh source file $328.00 $469.00 $281.00–$446.00 30%
St Luke's Lakeside Hospital The Woodlands, TX · (936) 266-4055 PNEUMOCOCCAL CONJUGATE 0.5 ML SYRG 0.5 ML SYRINGE File of Feb 28, 2026 · source file $340.22 $972.03 $213.85–$972.03 65%
CHI St. Luke's Health Baylor College of Medicine Medical Center Houston, TX · (832) 355-1000 PNEUMOCOCCAL CONJUGATE 0.5 ML SYRG 0.5 ML SYRINGE File of Feb 28, 2026 · source file $340.22 $972.03 $213.85–$972.03 65%
St Luke's Sugar Land Hospital Sugar Land, TX · (281) 637-7000 PNEUMOCOCCAL CONJUGATE 0.5 ML SYRG 0.5 ML SYRINGE File of Feb 28, 2026 · source file $340.22 $972.03 $213.85–$972.03 65%
St. Lukes Hospital at the Vintage Houston, TX · (832) 534-5000 PNEUMOCOCCAL CONJUGATE 0.5 ML SYRG 0.5 ML SYRINGE File of Feb 28, 2026 · source file $340.22 $972.03 $213.85–$972.03 65%
St Luke's the Woodlands Hospital The Woodlands, TX · (936) 266-4050 PNEUMOCOCCAL CONJUGATE 0.5 ML SYRG 0.5 ML SYRINGE File of Feb 28, 2026 · source file $340.22 $972.03 $213.85–$972.03 65%
CHI St. Luke's Health Springwood Village Spring, TX · (936) 266-4050 PNEUMOCOCCAL CONJUGATE 0.5 ML SYRG 0.5 ML SYRINGE File of Feb 28, 2026 · source file $340.22 $972.03 $213.85–$972.03 65%
Texas Children's Hospital Houston, TX · (832) 824-1000 pneumococcal 20-valent conjugate (Prevnar 20) 0.5 ML Susy 0.5 mL Syringe+2 more lines at this price File of Mar 5, 2026 · source file $553.71 $826.44 $223.14–$785.12 33%
Cornerstone Hospital Conroe Conroe, TX PNEUMOCOCCAL 20 CONJ VACC SOL File of Apr 1, 2026 · source file $1,019.00 $1,019.00 — —
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 $176.84, median $340.22, highest $1,019.00 — a 5.8× difference within the same market.

As an inpatient, the same code is billed by 10 facilities here, median $340.22. 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 11 of 11 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 pneumonia vaccine (Prevnar 20) is, what the price covers and why prices differ: Pneumonia vaccine (Prevnar 20) explained.