Vaccines CPT 90677 Outpatient

Pneumonia vaccine (Prevnar 20) cost in Riverside, CA

In Riverside-San Bernardino-Ontario, CA, 18 hospitals list a cash price for pneumonia vaccine, 20-valent conjugate (Prevnar 20): from $194.40 to $1,597.73, with a median of $502.11. The lowest listed price is at Mountains Community Hospital — $307.71 less than the median here. Across California, the median is $519.56 at 145 hospitals.

  • The median here, $502.11, is 3% above the US median of $488.01.
  • Riverside, CA ranks 2nd of 4 metro areas in California by median, cheapest first.
  • 2 of 18 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 18 facilities across 15 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 Jan 14, 2026 and Sep 30, 2026.

Lowest$194.40Mountains Community Hospital
Median$502.11half of hospitals charge less
Highest$1,597.73in this market
Difference8.2×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 Riverside-San Bernardino-Ontario, CA.

median
Lowest $194.40Highest $8,263.99

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Mountains Community Hospital lowest Lake Arrowhead, CA · (909) 336-3651 PNEUMOCOCCAL: PREVNAR+1 more line at this price File of Jan 14, 2026 · source file $194.40 $486.00 $218.70–$413.10 60%
Bear Valley Community Hospital Big Bear Lake, CA · (909) 866-6501 PNEUMOCOCCAL CONG(PREVNAR-20) VACC 0.5ML File of Jun 11, 2026 · source file $241.50 $345.00 $131.10–$317.36 30%
Loma Linda University Medical Center Loma Linda, CA · (909) 558-4000 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE [231988] File of Sep 2, 2026 · source file $341.72 $759.38 $151.88–$1,919.86 55%
Loma Linda University Medical Center - Murrieta Murrieta, CA · (951) 290-4000 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE [231988] File of Sep 2, 2026 · source file $341.72 $759.38 $137.45–$645.47 55%
Loma Linda University Childrens Hospital Loma Linda, CA · (909) 558-8000 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE [231988] File of Sep 2, 2026 · source file $341.72 $759.38 $151.88–$2,175.34 55%
Redlands Community Hospital Redlands, CA · (909) 335-5500 Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use File of Jun 19, 2026 · source file $370.48 $1,543.68 $209.79–$2,618.08 76%
San Gorgonio Memorial Hospital Banning, CA · (951) 769-2101 Prevnar 20 PFS File of May 20, 2026 · source file $488.76 $2,443.80 $128.27 80%
Kaiser Foundation Hospital - Fontana Fontana, CA · (909) 427-5000 pneumococcaL 20-valent conj-dip cr (PF) vaccine 0.5 mL Syringe 0.5 mL SYRINGE File of Apr 1, 2026 · source file $502.11 $965.59 — 48%
Kaiser Ontario Medical Center Campus Ontario, CA · (909) 427-5000 pneumococcaL 20-valent conj-dip cr (PF) vaccine 0.5 mL Syringe 0.5 mL SYRINGE File of Apr 1, 2026 · source file $502.11 $965.59 — 48%
Kaiser Foundation Hospital - Riverside Riverside, CA · (951) 353-2000 pneumococcaL 20-valent conj-dip cr (PF) vaccine 0.5 mL Syringe 0.5 mL SYRINGE File of Apr 1, 2026 · source file $502.11 $965.59 — 48%
Kaiser Foundation Hospital - Moreno Valley Moreno Valley, CA · (951) 251-6530 pneumococcaL 20-valent conj-dip cr (PF) vaccine 0.5 mL Syringe 0.5 mL SYRINGE File of Apr 1, 2026 · source file $502.11 $965.59 — 48%
San Antonio Regional Hospital Upland, CA · (909) 985-2811 Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use File of Apr 2, 2026 · source file $634.50 $1,269.00 $2.77–$2,331.79 50%
St Bernardine Medical Center San Bernardino, CA · (909) 883-8711 PNEUMOCOC VACC 20 VALENT File of Sep 30, 2026 · source file $647.79 $1,968.00 $393.60–$2,415.00 67%
St Mary Medical Center Apple Valley, CA · (760) 242-2311 PNEUMOCOCCAL 20-VALENT CONJUGATE VACCINE SUS PREF SYR 0.5 ML File of Apr 1, 2026 · source file $715.41 $1,490.44 — 52%
San Bernardino County Colton, CA · (909) 580-1000 HC PCV20 VACCINE FOR INTRAMUSCULAR USE File of Feb 25, 2026 · source file $991.00 $991.00 $302.50–$718.48 —
Eisenhower Medical Center Rancho Mirage, CA · (760) 340-3911 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE File of Apr 2, 2026 · source file $1,073.82 $3,254.00 $258.92–$2,440.50 67%
Community Hospital of San Bernardino San Bernardino, CA · (909) 887-6333 PNEUMOCOC VACC 20 VALENT File of Sep 30, 2026 · source file $1,232.99 $3,171.00 $634.20–$3,171.00 61%
Riverside University Medical Center Moreno Valley, CA · (951) 486-4000 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE+1 more line at this price File of Mar 30, 2026 · source file $1,597.73 $1,597.73 $288.66–$1,597.73 —
San Bernardino County Colton, CA · (909) 580-1000 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE File of Feb 25, 2026 · source file $8,263.99 $8,263.99 $302.50–$5,991.39 —
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 $194.40, median $502.11, highest $1,597.73 — a 8.2× difference within the same market.

As an inpatient, the same code is billed by 15 facilities here, median $502.11. 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 10 of 13 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 pneumonia vaccine (Prevnar 20) is, what the price covers and why prices differ: Pneumonia vaccine (Prevnar 20) explained.

1 row held back from this comparison

It is priced below $1 or below a tenth of the national median for code 90677 ($492.96). 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.

HospitalCash priceFile
Loma Linda University Childrens Hospital Loma Linda, CAHC ADMIN VACCINE PCV20 VACCINE FOR INTRAMUSCULAR USE $39.60 file
File Link to the hospital's own price file.