Vaccines CPT 90677 Inpatient — admitted to hospital

Pneumonia vaccine (Prevnar 20) cost in Johnson City, TN — inpatient

In Johnson City, TN, 2 hospitals list a cash price for pneumonia vaccine, 20-valent conjugate (Prevnar 20) as an inpatient: from $359.12 to $359.12, with a median of $359.12. The lowest listed price is at Franklin Woods Community Hospital and 1 other hospital. Across Tennessee, the median is $308.69 at 31 hospitals.

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

Lowest$359.12Franklin Woods Community Hospital + 1 more
Median$359.12half pay less
Highest$359.12in this market
Difference1.0×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 Johnson City, TN.

median
Lowest $359.12Highest $359.12

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Franklin Woods Community Hospital lowest Johnson City, TN · (423) 302-1120 PNEUMOCOCCAL 20-VALENT CONJUGATE VACCINE SUS PREF SYR 0.5 ML $359.12 $2,394.13 $169.24–$2,394.13 85% Mar 23, 2026
source file
Sycamore Shoals Hospital lowest Elizabethton, TN · (423) 542-1300 PNEUMOCOCCAL 20-VALENT CONJUGATE VACCINE SUS PREF SYR 0.5 ML $359.12 $2,394.13 $169.24–$2,394.13 85% Mar 23, 2026
source file

Inpatient: lowest $359.12, median $359.12, highest $359.12.

As an outpatient, the same code is billed by 2 facilities here, median $359.12 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 2 of 2 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 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.

1 row held back from this comparison

It is priced below $1 or below a tenth of the national median for code 90677 ($501.93). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

Johnson City Medical Center Johnson City, TNPNEUMOCOCCAL 20-VALENT CONJUGATE VACCINE SUS PREF SYR 0.5 ML $0.15 file