Vaccines CPT 90677 Outpatient

Pneumonia vaccine (Prevnar 20) cost in Virginia Beach, VA

In Virginia Beach-Chesapeake-Norfolk, VA-NC, 3 hospitals list a cash price for pneumonia vaccine, 20-valent conjugate (Prevnar 20): from $166.80 to $869.31, with a median of $335.41. The lowest listed price is at Bon Secours Maryview Medical Center — $168.61 less than the median here. Across Virginia, the median is $328.70 at 20 hospitals.

Cash prices at 3 facilities across 3 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 17, 2026 and Mar 17, 2026.

Lowest$166.80Bon Secours Maryview Medical Center
Median$335.41half pay less
Highest$869.31in this market
Difference5.2×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 Virginia Beach-Chesapeake-Norfolk, VA-NC.

median
Lowest $166.80Highest $869.31

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Bon Secours Maryview Medical Center lowest Portsmouth, VA · (757) 398-2200 HC Pcv20 Vaccine Im $166.80 $278.00 — 40% —
source file
Chesapeake General Hospital Chesapeake, VA · (757) 312-8121 Pneumococcal 20-Valent Conjugat 0.5 Ml Susy 0.5 Ml $335.41 $559.02 — 40% —
source file
Children's Hospital of the King's Daughters Norfolk, VA · (757) 668-9647 PRVNR20 VACC PFS0.5ML $869.31 $965.90 $11.00–$917.60 10% Mar 17, 2026
source file

Outpatient: lowest $166.80, median $335.41, highest $869.31 — a 5.2× difference within the same market.

As an inpatient, the same code is billed by 3 facilities here, median $335.41. 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 the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. 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.

4 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.

Children's Hospital of the King's Daughters Norfolk, VAPRVNR20 VACC PFS0.5ML-SPM $0.01 file
Children's Hospital of the King's Daughters Norfolk, VAPRVNR20 VACC PFS0.5ML-ZDC $0.01 file
Children's Hospital of the King's Daughters Norfolk, VAPCV20 IM ZDC,VBP $0.01 file
Children's Hospital of the King's Daughters Norfolk, VAPRVNR20 VACC PFS0.5ML-VSP $19.12 file