Vaccines CPT 90677 Inpatient — admitted to hospital

Pneumonia vaccine (Prevnar 20) cost in Tyler, TX — inpatient

In Tyler, TX, 3 hospitals list a cash price for pneumonia vaccine, 20-valent conjugate (Prevnar 20) as an inpatient: from $95.44 to $397.60, with a median of $395.81. The lowest listed price is at University of Texas Health Center at Tyler — $300.37 less than the median here. Across Texas, the median is $563.36 at 145 hospitals.

Cash prices at 3 facilities for code 90677, as an inpatient (admitted to hospital) . Collected Sep 29, 2026; the hospital files themselves were last updated between — and —.

Lowest$95.44University of Texas Health Center at Tyler
Median$395.81half pay less
Highest$397.60in this market
Difference4.2×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 Tyler, TX.

median
Lowest $95.44Highest $397.60

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
University of Texas Health Center at Tyler lowest Tyler, TX · (903) 877-7777 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $95.44 $954.43 $217.70–$1,152.86 90% —
source file
UT Health East Texas Tyler Regional Hospital Tyler, TX · (903) 597-0351 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $395.81 $3,958.09 $316.65–$2,612.34 90% —
source file
UT Health Rehabilitation Hospital Tyler, TX PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $397.60 $3,976.00 $994.00–$2,758.95 90% —
source file

Inpatient: lowest $95.44, median $395.81, highest $397.60 — a 4.2× difference within the same market.

As an outpatient, the same code is billed by 3 facilities here, median $395.81 — that is the price to compare if you are not being admitted.

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 2 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.