SelfPayRates
Vaccines CPT 90677 Outpatient

Pneumonia vaccine (Prevnar 20) cost in Seattle, WA

In Seattle-Tacoma-Bellevue, WA, 16 hospitals list a cash price for pneumonia vaccine, 20-valent conjugate (Prevnar 20): from $136.70 to $650.79, with a median of $505.06. The lowest listed price is at Virginia Mason Medical Center — $368.36 less than the median here. Across Washington, the median is $472.27 at 45 hospitals.

  • The median here, $505.06, is 3% above the US median of $488.01.
  • 1 of 16 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 16 facilities across 13 cities for code 90677, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 12, 2026; the hospital files themselves were last updated between Jan 1, 2026 and Sep 30, 2026.

Lowest$136.70Virginia Mason Medical Center
Median$505.06half of hospitals charge less
Highest$650.79in this market
Difference4.8×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 Seattle-Tacoma-Bellevue, WA.

median
Lowest $136.70Highest $650.79

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Virginia Mason Medical Center lowest Seattle, WA · (206) 223-6600 INJ, PCV20 VACCINE FOR INTRAMUSCULAR USE (STATE SUPPLIED) File of Jan 1, 2026 · source file $136.70 $268.04 $160.82–$214.43 49%
Providence Regional Medical Center Everett Everett, WA · (425) 261-2000 HC PR RX PNEUMOCOCCAL CONJ 20 VALENT VACCINE (PCV20) IM 1 EA File of Apr 1, 2026 · source file $182.00 $350.00 — 48%
Virginia Mason Medical Center Seattle, WA · (206) 223-6600 INJ, PCV20 VACCINE FOR INTRAMUSCULAR USE (NON-STATE) File of Jan 1, 2026 · source file $346.85 $680.09 $408.05–$544.07 49%
Virginia Mason Medical Center Seattle, WA · (206) 223-6600 IMMUN, PNEUMOCOCCAL 20 VALENT CONJUGATE 0.5ML File of Jan 1, 2026 · source file $375.04 $735.37 $441.22–$588.30 49%
Overlake Medical Center & Clinics Bellevue, WA · (425) 688-5000 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE File of Apr 1, 2026 · source file $414.82 $829.65 — 50%
Saint Clare Hospital Lakewood, WA · (253) 588-1711 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE 0.500 ML SYRINGE File of Sep 30, 2026 · source file $447.89 $1,553.00 $760.97–$1,164.75 71%
St Anthony Hospital Gig Harbor, WA · (253) 530-2050 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE 0.500 ML SYRINGE File of Sep 30, 2026 · source file $472.27 $1,553.00 $760.97–$1,164.75 70%
Highline Medical Center Burien, WA · (206) 431-5237 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE 0.500 ML SYRINGE File of Sep 30, 2026 · source file $472.74 $1,553.00 $652.26–$1,397.70 70%
St Francis Community Hospital Federal Way, WA · (253) 944-8100 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE 0.500 ML SYRINGE File of Sep 30, 2026 · source file $477.55 $1,553.00 $760.97–$1,164.75 69%
Valley Medical Center Renton, WA · (425) 228-3450 Pcv20 Vaccine for Intramuscular Use File of Mar 12, 2026 · source file $501.20 $716.00 — 30%
St Joseph Medical Center Tacoma, WA · (253) 627-4101 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE 0.500 ML SYRINGE File of Sep 30, 2026 · source file $508.92 $1,553.00 $760.97–$1,164.75 67%
Valley Medical Center Renton, WA · (425) 228-3450 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE File of Mar 12, 2026 · source file $537.84 $768.35 — 30%
St Elizabeth Hospital Enumclaw, WA · (360) 825-2505 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE 0.500 ML SYRINGE File of Sep 30, 2026 · source file $570.27 $1,553.00 $248.48–$1,397.70 63%
Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 PNEUMOCOCCAL 20-VALENT CONJUGATE VACCINE SUS PREF SYR 0.5 ML File of Apr 1, 2026 · source file $591.75 $1,232.81 — 52%
Swedish Medical Center Seattle, WA · (206) 386-6000 PNEUMOCOCCAL 20-VALENT CONJUGATE VACCINE SUS PREF SYR 0.5 ML File of Apr 1, 2026 · source file $591.75 $1,232.81 — 52%
Swedish Edmonds Edmonds, WA · (425) 640-4000 PNEUMOCOCCAL 20-VALENT CONJUGATE VACCINE SUS PREF SYR 0.5 ML File of Apr 1, 2026 · source file $591.75 $1,232.81 — 52%
Swedish Issaquah Issaquah, WA · (425) 313-4000 PNEUMOCOCCAL 20-VALENT CONJUGATE VACCINE SUS PREF SYR 0.5 ML File of Apr 1, 2026 · source file $591.75 $1,232.81 — 52%
Seattle Children's Hospital Seattle, WA · (206) 987-2000 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE File of Mar 31, 2026 · source file $625.80 $625.80 $157.70–$600.77 —
Cascade Valley Hospital Arlington, WA · (360) 435-2133 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG [182267] File of Mar 26, 2026 · source file $650.79 $813.49 $69.15–$732.14 20%
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 $136.70, median $505.06, highest $650.79 — a 4.8× difference within the same market.

As an inpatient, the same code is billed by 17 facilities here, median $508.92. 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 pneumonia vaccine (Prevnar 20) is, what the price covers and why prices differ: Pneumonia vaccine (Prevnar 20) explained.

7 rows held back from this comparison

They are 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
St Joseph Medical Center Tacoma, WAPNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE (STATE-FREE) 0.500 ML SYRINGE $0.01 file
Saint Clare Hospital Lakewood, WAPNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE (STATE-FREE) 0.500 ML SYRINGE $0.01 file
St Francis Community Hospital Federal Way, WAPNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE (STATE-FREE) 0.500 ML SYRINGE $0.01 file
Highline Medical Center Burien, WAPNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE (STATE-FREE) 0.500 ML SYRINGE $0.01 file
St Anthony Hospital Gig Harbor, WAPNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE (STATE-FREE) 0.500 ML SYRINGE $0.01 file
St Elizabeth Hospital Enumclaw, WAPNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE (STATE-FREE) 0.500 ML SYRINGE $0.01 file
Virginia Mason Medical Center Seattle, WAINJ, PCV20 VACCINE FOR INTRAMUSCULAR USE (DSHS) $11.95 file
File Link to the hospital's own price file.