Vaccines CPT 90677 Outpatient

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

In San Jose-Sunnyvale-Santa Clara, CA, 5 hospitals list a cash price for pneumonia vaccine, 20-valent conjugate (Prevnar 20): from $468.16 to $774.00, with a median of $477.95. The lowest listed price is at Kaiser Foundation Hospital - Santa Clara and 1 other hospital — $9.79 less than the median here. Across California, the median is $502.11 at 82 hospitals.

Cash prices at 5 facilities across 5 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 Mar 31, 2026 and Apr 1, 2026.

Lowest$468.16Kaiser Foundation Hospital - Santa Clara + 1 more
Median$477.95half pay less
Highest$774.00in this market
Difference1.7×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 Jose-Sunnyvale-Santa Clara, CA.

median
Lowest $468.16Highest $1,977.89

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Kaiser Foundation Hospital - Santa Clara lowest Santa Clara, CA · (408) 236-6400 PCV20 VACCINE FOR INTRAMUSCULAR USE $468.16 $836.00 — 44% —
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Kaiser Foundation Hospital - San Jose lowest San Jose, CA · (408) 972-7000 PCV20 VACCINE FOR INTRAMUSCULAR USE $468.16 $836.00 — 44% —
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El Camino Hospital Mountain View, CA · (650) 940-7000 pneumococcal 20-valent conjugate 0.5 mL syringe 0.5 mL Syringe $477.95 $1,911.80 — 75% Apr 1, 2026
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Kaiser Foundation Hospital - San Jose San Jose, CA · (408) 972-7000 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 - Santa Clara Santa Clara, CA · (408) 236-6400 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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Stanford Health Care Stanford, CA · (650) 723-4000 Pneumococcal Vacc 20 Val Im $635.50 $1,271.00 $237.97–$1,192.15 50% Apr 1, 2026
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Lucile Salter Packard Children's Hospital at Stanford Palo Alto, CA · (650) 497-8000 HC Pneumococcal 20 Val Im $774.00 $1,548.00 $495.21 50% Mar 31, 2026
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Stanford Health Care Stanford, CA · (650) 723-4000 Prevnar 20 0.5ml Syringe $1,087.60 $2,719.00 — 60% Apr 1, 2026
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Stanford Health Care Stanford, CA · (650) 723-4000 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG $1,342.36 $3,355.89 — 60% Apr 1, 2026
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Lucile Salter Packard Children's Hospital at Stanford Palo Alto, CA · (650) 497-8000 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $1,977.89 $3,955.78 $1,265.45 50% Mar 31, 2026
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Outpatient: lowest $468.16, median $477.95, highest $774.00 — a 1.7× difference within the same market.

As an inpatient, the same code is billed by 4 facilities here, median $473.06. 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 1 of 2 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it 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.