Vaccines CPT 90677 Inpatient — admitted to hospital

Pneumonia vaccine (Prevnar 20) cost in Omaha, NE — inpatient

In Omaha, NE-IA, 6 hospitals list a cash price for pneumonia vaccine, 20-valent conjugate (Prevnar 20) as an inpatient: from $490.98 to $572.81, with a median of $490.98. The lowest listed price is at Alegent Health Immanuel Medical Center and 4 other hospitals. Across Nebraska, the median is $490.98 at 14 hospitals.

Cash prices at 6 facilities across 4 cities for code 90677, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Feb 28, 2026 and Feb 28, 2026.

Lowest$490.98Alegent Health Immanuel Medical Center + 4 more
Median$490.98half pay less
Highest$572.81in this market
Difference1.2×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 Omaha, NE-IA.

median
Lowest $490.98Highest $572.81

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Alegent Health Immanuel Medical Center lowest Omaha, NE · (402) 572-2121 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $490.98 $1,169.00 $701.40–$993.65 58% Feb 28, 2026
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CHI Health Mercy Council Bluffs lowest Council Bluffs, IA · (712) 328-5000 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $490.98 $1,169.00 $701.40–$993.65 58% Feb 28, 2026
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CHI Health Bergan Mercy lowest Omaha, NE · (402) 398-6020 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $490.98 $1,169.00 $701.40–$993.65 58% Feb 28, 2026
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CHI Health Bergan Mercy lowest Omaha, NE · (402) 398-6020 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $490.98 $1,169.00 $701.40–$993.65 58% Feb 28, 2026
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Alegent Creighton Health lowest Papillion, NE · (402) 593-3000 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $490.98 $1,169.00 $701.40–$993.65 58% Feb 28, 2026
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Alegent Creighton Health lowest Omaha, NE · (402) 717-8000 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $490.98 $1,169.00 $701.40–$993.65 58% Feb 28, 2026
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Alegent Health Community Memorial Hospital of Missouri Valley, Iowa Missouri Valley, IA · (712) 642-2784 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $572.81 $1,169.00 $666.33–$1,145.62 51% Feb 28, 2026
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Inpatient: lowest $490.98, median $490.98, highest $572.81 — a 1.2× difference within the same market.

As an outpatient, the same code is billed by 8 facilities here, median $490.98 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 6 of 6 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 6 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.