Vaccines CPT 90684 Outpatient

Pneumonia vaccine (Capvaxive) cost in Fairmont, WV

In Fairmont, WV, 1 hospital lists a cash price for pneumonia vaccine, 21-valent conjugate (Capvaxive): from $862.88 to $862.88, with a median of $862.88. Across West Virginia, the median is $235.50 at 20 hospitals.

Cash prices at 1 facility for code 90684, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 29, 2026; the hospital files themselves were last updated between Apr 21, 2026 and Apr 21, 2026.

Lowest$862.88Mon Health Marion Neighborhood Hospital
Median$862.88half of hospitals charge less
Highest$862.88in this market
Difference1.0×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 Fairmont, WV.

median
Lowest $862.88Highest $1,291.50

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Mon Health Marion Neighborhood Hospital lowest White Hall, WV · (304) 333-1150 AMB Capvaxine 21 Charge -> 0.5 mL Capvaxine Vaccine File of Apr 21, 2026 · source file $862.88 $1,725.75 $241.61–$1,294.31 50%
Mon Health Marion Neighborhood Hospital White Hall, WV · (304) 333-1150 CAPVAXINE PF 21 Vaccine File of Apr 21, 2026 · source file $1,291.50 $2,583.00 $361.62–$1,937.25 50%
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.

Outpatient: lowest $862.88, median $862.88, highest $862.88.

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

Capvaxive is a 21-valent pneumococcal conjugate vaccine designed for adults, covering the types that cause most pneumonia and blood infections in adults. It is usually 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, 90472 for each additional one).