Vaccines CPT 90677 Outpatient

Pneumonia vaccine (Prevnar 20) cost in San Francisco, CA

In San Francisco-Oakland-Fremont, CA, 11 hospitals list a cash price for pneumonia vaccine, 20-valent conjugate (Prevnar 20): from $468.16 to $1,768.46, with a median of $468.16. The lowest listed price is at Kaiser Foundation Hospital - Oakland/Richmond and 8 other hospitals. Across California, the median is $502.11 at 82 hospitals.

Cash prices at 11 facilities across 10 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 Apr 1, 2026 and Jul 22, 2026.

Lowest$468.16Kaiser Foundation Hospital - Oakland/Richmond + 8 more
Median$468.16half pay less
Highest$1,768.46in this market
Difference3.8×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 San Francisco-Oakland-Fremont, CA.

median
Lowest $468.16Highest $1,768.46

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Kaiser Foundation Hospital - Oakland/Richmond lowest Oakland, CA · (510) 752-1000 PCV20 VACCINE FOR INTRAMUSCULAR USE $468.16 $836.00 — 44% —
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Kaiser Foundation Hospital - Fremont lowest Fremont, CA · (510) 784-4000 PCV20 VACCINE FOR INTRAMUSCULAR USE $468.16 $836.00 — 44% —
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Kaiser Foundation Hospital - San Francisco lowest San Francisco, CA · (415) 833-2646 PCV20 VACCINE FOR INTRAMUSCULAR USE $468.16 $836.00 — 44% —
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Kaiser Foundation Hospital - Redwood City lowest Redwood City, CA · (650) 299-2000 PCV20 VACCINE FOR INTRAMUSCULAR USE $468.16 $836.00 — 44% —
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Kaiser Foundation Hospital - South San Francisco lowest South San Francisco, CA · (650) 742-3200 PCV20 VACCINE FOR INTRAMUSCULAR USE $468.16 $836.00 — 44% —
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Kaiser Foundation Hospital - San Rafael lowest San Rafael, CA · (415) 444-2000 PCV20 VACCINE FOR INTRAMUSCULAR USE $468.16 $836.00 — 44% —
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Kaiser Foundation Hospital - San Leandro lowest San Leandro, CA · (510) 454-1000 PCV20 VACCINE FOR INTRAMUSCULAR USE $468.16 $836.00 — 44% —
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Kaiser Foundation Hospital - Antioch lowest Antioch, CA · (925) 813-6500 PCV20 VACCINE FOR INTRAMUSCULAR USE $468.16 $836.00 — 44% —
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Kaiser Foundation Hospital - Walnut Creek lowest Walnut Creek, CA · (925) 295-4000 PCV20 VACCINE FOR INTRAMUSCULAR USE $468.16 $836.00 — 44% —
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Kaiser Foundation Hospital - San Leandro San Leandro, CA · (510) 454-1000 pneumococcaL 20-valent conj-dip cr (PF) vaccine 0.5 mL Syringe 0.5 mL SYRINGE $540.73 $965.59 — 44% —
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Kaiser Foundation Hospital - San Francisco San Francisco, CA · (415) 833-2646 pneumococcaL 20-valent conj-dip cr (PF) vaccine 0.5 mL Syringe 0.5 mL SYRINGE $540.73 $965.59 — 44% —
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Kaiser Foundation Hospital - Oakland/Richmond Oakland, CA · (510) 752-1000 pneumococcaL 20-valent conj-dip cr (PF) vaccine 0.5 mL Syringe 0.5 mL SYRINGE $540.73 $965.59 — 44% —
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Kaiser Foundation Hospital - South San Francisco South San Francisco, CA · (650) 742-3200 pneumococcaL 20-valent conj-dip cr (PF) vaccine 0.5 mL Syringe 0.5 mL SYRINGE $540.73 $965.59 — 44% —
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Kaiser Foundation Hospital - Walnut Creek Walnut Creek, CA · (925) 295-4000 pneumococcaL 20-valent conj-dip cr (PF) vaccine 0.5 mL Syringe 0.5 mL SYRINGE $540.73 $965.59 — 44% —
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Kaiser Foundation Hospital - Fremont Fremont, CA · (510) 784-4000 pneumococcaL 20-valent conj-dip cr (PF) vaccine 0.5 mL Syringe 0.5 mL SYRINGE $540.73 $965.59 — 44% —
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Kaiser Foundation Hospital - Redwood City Redwood City, CA · (650) 299-2000 pneumococcaL 20-valent conj-dip cr (PF) vaccine 0.5 mL Syringe 0.5 mL SYRINGE $540.73 $965.59 — 44% —
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Kaiser Foundation Hospital - San Rafael San Rafael, CA · (415) 444-2000 pneumococcaL 20-valent conj-dip cr (PF) vaccine 0.5 mL Syringe 0.5 mL SYRINGE $540.73 $965.59 — 44% —
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Kaiser Foundation Hospital - Antioch Antioch, CA · (925) 813-6500 pneumococcaL 20-valent conj-dip cr (PF) vaccine 0.5 mL Syringe 0.5 mL SYRINGE $540.73 $965.59 — 44% —
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Chinese Hospital Association San Francisco, CA · (415) 677-2480 Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use $922.09 $922.09 $376.40–$1,659.75 — Jul 22, 2026
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Stanford Health Care Tri-Valley Pleasanton, CA · (925) 847-3000 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG $1,768.46 $4,421.16 — 60% Apr 1, 2026
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Outpatient: lowest $468.16, median $468.16, highest $1,768.46 — a 3.8× difference within the same market.

As an inpatient, the same code is billed by 10 facilities here, median $468.16. 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.