Vaccines CPT 90677 Outpatient

Pneumonia vaccine (Prevnar 20) cost in Kansas City, MO

In Kansas City, MO-KS, 2 hospitals list a cash price for pneumonia vaccine, 20-valent conjugate (Prevnar 20): from $366.74 to $910.98, with a median of $638.86. The lowest listed price is at NKC Health — $272.12 less than the median here. Across Missouri, the median is $916.39 at 24 hospitals.

Cash prices at 2 facilities across 2 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 Mar 6, 2026 and Apr 1, 2026.

Lowest$366.74NKC Health
Median$638.86half pay less
Highest$910.98in this market
Difference2.5×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 Kansas City, MO-KS.

median
Lowest $366.74Highest $3,076.02

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
NKC Health lowest North Kansas City, MO · (816) 691-2000 Pneumococcal 20-Valent Conjugate Vaccine $366.74 $1,264.62 $301.32–$1,034.46 71% Mar 6, 2026
source file
AdventHealth South Overland Park Overland Park, KS · (913) 373-2000 HC INJ PNEUMO PCV20 VACCINE IM $910.98 $910.98 — — Apr 1, 2026
source file
AdventHealth South Overland Park Overland Park, KS · (913) 373-2000 PREVNAR 20 0.5 ML IM SUSY $3,076.02 $3,076.02 — — Apr 1, 2026
source file

Outpatient: lowest $366.74, median $638.86, highest $910.98 — a 2.5× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $638.86. 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 the one hospital here that publishes insurer rates for this code, the cash price is 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.