Pneumonia vaccine (Prevnar 20) cost in Seattle, WA
In Seattle-Tacoma-Bellevue, WA, 14 hospitals list a cash price for pneumonia vaccine, 20-valent conjugate (Prevnar 20): from $136.70 to $650.79, with a median of $500.86. The lowest listed price is at Virginia Mason Medical Center — $364.16 less than the median here. Across Washington, the median is $480.80 at 28 hospitals.
Cash prices at 14 facilities across 12 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 Feb 28, 2026 and Apr 1, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Seattle-Tacoma-Bellevue, WA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Virginia Mason Medical Center lowest Seattle, WA · (206) 223-6600 INJ, PCV20 VACCINE FOR INTRAMUSCULAR USE (STATE SUPPLIED) | $136.70 | $268.04 | $160.82–$214.43 | 49% | — source file |
| Providence Regional Medical Center Everett Everett, WA · (425) 261-2000 HC PR RX PNEUMOCOCCAL CONJ 20 VALENT VACCINE (PCV20) IM 1 EA | $182.00 | $350.00 | — | 48% | Apr 1, 2026 source file |
| Virginia Mason Medical Center Seattle, WA · (206) 223-6600 INJ, PCV20 VACCINE FOR INTRAMUSCULAR USE (NON-STATE) | $346.85 | $680.09 | $408.05–$544.07 | 49% | — source file |
| Virginia Mason Medical Center Seattle, WA · (206) 223-6600 IMMUN, PNEUMOCOCCAL 20 VALENT CONJUGATE 0.5ML | $375.04 | $735.37 | $441.22–$588.30 | 49% | — source file |
| Overlake Medical Center & Clinics Bellevue, WA · (425) 688-5000 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $414.82 | $829.65 | — | 50% | Apr 1, 2026 source file |
| Saint Clare Hospital Lakewood, WA · (253) 588-1711 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $447.64 | $1,553.00 | $776.50–$1,164.75 | 71% | Feb 28, 2026 source file |
| St Anthony Hospital Gig Harbor, WA · (253) 530-2050 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $472.35 | $1,553.00 | $776.50–$1,164.75 | 70% | Feb 28, 2026 source file |
| Highline Medical Center Burien, WA · (206) 431-5237 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $474.22 | $1,553.00 | $667.79–$1,397.70 | 69% | Feb 28, 2026 source file |
| St Francis Community Hospital Federal Way, WA · (253) 944-8100 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $487.37 | $1,553.00 | $776.50–$1,164.75 | 69% | Feb 28, 2026 source file |
| St Joseph Medical Center Tacoma, WA · (253) 627-4101 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $514.35 | $1,553.00 | $776.50–$1,164.75 | 67% | Feb 28, 2026 source file |
| Enumclaw Regional Hospital Association Enumclaw, WA PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $548.78 | $1,553.00 | $264.01–$1,397.70 | 65% | Feb 28, 2026 source file |
| Swedish Edmonds Edmonds, WA · (425) 640-4000 PNEUMOCOCCAL 20-VALENT CONJUGATE VACCINE SUS PREF SYR 0.5 ML | $591.75 | $1,232.81 | — | 52% | Apr 1, 2026 source file |
| Swedish Issaquah Issaquah, WA · (425) 313-4000 PNEUMOCOCCAL 20-VALENT CONJUGATE VACCINE SUS PREF SYR 0.5 ML | $591.75 | $1,232.81 | — | 52% | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 PNEUMOCOCCAL 20-VALENT CONJUGATE VACCINE SUS PREF SYR 0.5 ML | $591.75 | $1,232.81 | — | 52% | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 PNEUMOCOCCAL 20-VALENT CONJUGATE VACCINE SUS PREF SYR 0.5 ML | $591.75 | $1,232.81 | — | 52% | Apr 1, 2026 source file |
| Seattle Children's Hospital Seattle, WA · (206) 987-2000 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $625.80 | $625.80 | $157.70–$600.77 | — | — source file |
| Cascade Valley Hospital Arlington, WA · (360) 435-2133 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG [182267] | $650.79 | $813.49 | $69.15–$732.14 | 20% | — source file |
Outpatient: lowest $136.70, median $500.86, highest $650.79 — a 4.8× difference within the same market.
As an inpatient, the same code is billed by 14 facilities here, median $500.86. 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 8 of 9 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.
7 rows held back from this comparison
They are priced below $1 or below a tenth of the national median for code 90677 ($501.93). 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.
| Highline Medical Center Burien, WAPNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE (STATE-FREE) | $0.02 | file |
| St Joseph Medical Center Tacoma, WAPNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE (STATE-FREE) | $0.02 | file |
| Saint Clare Hospital Lakewood, WAPNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE (STATE-FREE) | $0.02 | file |
| St Anthony Hospital Gig Harbor, WAPNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE (STATE-FREE) | $0.02 | file |
| Enumclaw Regional Hospital Association Enumclaw, WAPNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE (STATE-FREE) | $0.02 | file |
| St Francis Community Hospital Federal Way, WAPNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE (STATE-FREE) | $0.02 | file |
| Virginia Mason Medical Center Seattle, WAINJ, PCV20 VACCINE FOR INTRAMUSCULAR USE (DSHS) | $11.95 | file |