Pneumonia vaccine (Prevnar 20) cost in Little Rock, AR
In Little Rock-North Little Rock-Conway, AR, 3 hospitals list a cash price for pneumonia vaccine, 20-valent conjugate (Prevnar 20): from $373.18 to $1,654.78, with a median of $572.40. The lowest listed price is at Arkansas Childrens Hospital — $199.22 less than the median here. Across Arkansas, the median is $926.10 at 16 hospitals.
Cash prices at 3 facilities for code 90677, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 22, 2026; the hospital files themselves were last updated between Nov 21, 2025 and Nov 21, 2025.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Little Rock-North Little Rock-Conway, AR.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Arkansas Childrens Hospital lowest Little Rock, AR · (501) 364-1100 PCV20 VACCINE IM | $373.18 | $414.64 | $414.64 | 10% | — source file |
| University of Arkansas for Medical Sciences Little Rock, AR · (501) 686-5000 PCV20 VACCINE IM | $572.40 | $954.00 | $283.71–$887.00 | 40% | — source file |
| University of Arkansas for Medical Sciences Little Rock, AR · (501) 686-5000 Prevnar 20 PFS | $572.40 | $954.00 | $283.71–$887.00 | 40% | — source file |
| Arkansas Childrens Hospital Little Rock, AR · (501) 364-1100 PNEUMOCOCCAL CONJUGATE VACCINE; 20 VALENT (PCV20); FOR INTRAMUSCULAR USE | $958.86 | $1,065.40 | $1,065.40 | 10% | — source file |
| Arkansas Childrens Hospital Little Rock, AR · (501) 364-1100 Prevnar 20 Prefilled Syringe | $1,105.95 | $1,228.83 | $1,228.83 | 10% | — source file |
| Arkansas Heart Hospital Little Rock, AR · (501) 219-7000 pneumococcal 20-valent conjugate vaccine - Sus | $1,654.78 | $2,068.47 | $413.69–$1,551.35 | 20% | Nov 21, 2025 source file |
Outpatient: lowest $373.18, median $572.40, highest $1,654.78 — a 4.4× difference within the same market.
Cash or insurance?
At 2 of 3 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.