Vaccines CPT 90677 Outpatient

Pneumonia vaccine (Prevnar 20) cost in St. Johnsbury, VT

In St. Johnsbury, VT, 1 hospital lists a cash price for pneumonia vaccine, 20-valent conjugate (Prevnar 20): from $217.50 to $217.50, with a median of $217.50. Across Vermont, the median is $461.11 at 7 hospitals.

Cash prices at 1 facility for code 90677, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 22, 2026; the hospital files themselves were last updated between — and —.

Lowest$217.50Northeastern Vermont Regional Hospital
Median$217.50half pay less
Highest$217.50in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Northeastern Vermont Regional Hospital St. Johnsbury, VT · (802) 748-7400 PNEUMOCOCCAL VACCINES PCV 20 $217.50 $290.00 $105.15–$290.00 25% —
source file

Outpatient: lowest $217.50, median $217.50, highest $217.50.

As an inpatient, the same code is billed by 1 facility here, median $217.50. 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.