Pneumonia vaccine (Prevnar 20) cost in San Francisco, CA
In San Francisco-Oakland-Fremont, CA, 20 hospitals list a cash price for pneumonia vaccine, 20-valent conjugate (Prevnar 20): from $409.45 to $1,768.46, with a median of $468.16. The lowest listed price is at San Mateo Medical Center — $58.71 less than the median here. Across California, the median is $519.56 at 145 hospitals.
- The median here, $468.16, is 4% below the US median of $488.01.
- San Francisco, CA has the lowest median of 4 metro areas in California with at least 10 hospitals pricing this code.
- 6 of 20 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 20 facilities across 15 cities for code 90677, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 31, 2026; the hospital files themselves were last updated between Mar 26, 2026 and Sep 30, 2026.
Lowest$409.45San Mateo Medical Center
Median$468.16half of hospitals charge less
Highest$1,768.46in this market
Difference4.3×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 $409.45Highest $1,768.46
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| San Mateo Medical Center lowest San Mateo, CA · (650) 573-2222 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY File of Apr 1, 2026 · source file | $409.45 | $818.90 | — | 50% |
| Kaiser Foundation Hospital - South San Francisco South San Francisco, CA · (650) 742-3200 PCV20 VACCINE FOR INTRAMUSCULAR USE File of Apr 1, 2026 · source file | $468.16 | $836.00 | — | 44% |
| Kaiser Foundation Hospital - Redwood City Redwood City, CA · (650) 299-2000 PCV20 VACCINE FOR INTRAMUSCULAR USE File of Apr 1, 2026 · source file | $468.16 | $836.00 | — | 44% |
| Kaiser Foundation Hospital - Oakland/Richmond Oakland, CA · (510) 752-1000 PCV20 VACCINE FOR INTRAMUSCULAR USE File of Apr 1, 2026 · source file | $468.16 | $836.00 | — | 44% |
| Kaiser Foundation Hospital - San Leandro San Leandro, CA · (510) 454-1000 PCV20 VACCINE FOR INTRAMUSCULAR USE File of Apr 1, 2026 · source file | $468.16 | $836.00 | — | 44% |
| Kaiser Foundation Hospital - Walnut Creek Walnut Creek, CA · (925) 295-4000 PCV20 VACCINE FOR INTRAMUSCULAR USE File of Apr 1, 2026 · source file | $468.16 | $836.00 | — | 44% |
| Kaiser Foundation Hospital - Fremont Fremont, CA · (510) 784-4000 PCV20 VACCINE FOR INTRAMUSCULAR USE File of Apr 1, 2026 · source file | $468.16 | $836.00 | — | 44% |
| Kaiser Foundation Hospital - San Rafael San Rafael, CA · (415) 444-2000 PCV20 VACCINE FOR INTRAMUSCULAR USE File of Apr 1, 2026 · source file | $468.16 | $836.00 | — | 44% |
| Kaiser Foundation Hospital - Antioch Antioch, CA · (925) 813-6500 PCV20 VACCINE FOR INTRAMUSCULAR USE File of Apr 1, 2026 · source file | $468.16 | $836.00 | — | 44% |
| Kaiser Fnd Hospital - Richmond Campus Richmond, CA · (510) 752-1000 PCV20 VACCINE FOR INTRAMUSCULAR USE File of Apr 1, 2026 · source file | $468.16 | $836.00 | — | 44% |
| Kaiser Foundation Hospital - San Francisco San Francisco, CA · (415) 833-2646 PCV20 VACCINE FOR INTRAMUSCULAR USE File of Apr 1, 2026 · source file | $468.16 | $836.00 | — | 44% |
| 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 File of Apr 1, 2026 · source file | $540.73 | $965.59 | — | 44% |
| 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 File of Apr 1, 2026 · source file | $540.73 | $965.59 | — | 44% |
| 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 File of Apr 1, 2026 · source file | $540.73 | $965.59 | — | 44% |
| 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 File of Apr 1, 2026 · source file | $540.73 | $965.59 | — | 44% |
| 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 File of Apr 1, 2026 · source file | $540.73 | $965.59 | — | 44% |
| 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 File of Apr 1, 2026 · source file | $540.73 | $965.59 | — | 44% |
| 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 File of Apr 1, 2026 · source file | $540.73 | $965.59 | — | 44% |
| 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 File of Apr 1, 2026 · source file | $540.73 | $965.59 | — | 44% |
| Kaiser Fnd Hospital - Richmond Campus Richmond, CA · (510) 752-1000 pneumococcaL 20-valent conj-dip cr (PF) vaccine 0.5 mL Syringe 0.5 mL SYRINGE File of Apr 1, 2026 · source file | $540.73 | $965.59 | — | 44% |
| 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 File of Apr 1, 2026 · source file | $540.73 | $965.59 | — | 44% |
| MarinHealth Medical Center Greenbrae, CA · (415) 925-7900 Prevnar 20 File of Mar 26, 2026 · source file | $578.18 | $963.64 | $963.64–$2,330.00 | 40% |
| Chinese Hospital San Francisco, CA · (415) 677-2480 Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use File of Jul 22, 2026 · source file | $922.09 | $922.09 | $376.40–$1,659.75 | — |
| Sequoia Hospital Redwood City, CA · (650) 369-5811 PNEUMOCOC VACC 20 VALENT File of Sep 30, 2026 · source file | $980.09 | $2,873.00 | $718.25–$2,873.00 | 66% |
| Alta Bates Summit Medical Center Oakland, CA · (510) 655-4000 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY File of Apr 1, 2026 · source file | $1,625.24 | $1,625.24 | — | — |
| Alta Bates Summit Medical Center-Summit Campus-Hawthorne Oakland, CA · (510) 655-4000 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY File of Apr 1, 2026 · source file | $1,625.24 | $1,625.24 | — | — |
| Eden Medical Center Castro Valley, CA · (510) 537-1234 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY File of Apr 1, 2026 · source file | $1,698.50 | $1,698.50 | — | — |
| Mills-Peninsula Medical Center Burlingame, CA · (650) 696-5400 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY File of Apr 1, 2026 · source file | $1,698.50 | $1,698.50 | — | — |
| Mills Health Center San Mateo, CA · (650) 696-5400 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY File of Apr 1, 2026 · source file | $1,698.50 | $1,698.50 | — | — |
| Stanford Health Care Tri-Valley Pleasanton, CA · (925) 847-3000 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG File of Apr 1, 2026 · source file | $1,768.46 | $4,421.16 | — | 60% |
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 $409.45, median $468.16, highest $1,768.46 — a 4.3× difference within the same market.
As an inpatient, the same code is billed by 21 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 3 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 pneumonia vaccine (Prevnar 20) is, what the price covers and why prices differ: Pneumonia vaccine (Prevnar 20) explained.