Vaccines CPT 90684 Inpatient — admitted to hospital

Pneumonia vaccine (Capvaxive) cost in Grand Forks, ND — inpatient

In Grand Forks, ND-MN, 2 hospitals list a cash price for pneumonia vaccine, 21-valent conjugate (Capvaxive) as an inpatient: from $268.25 to $448.00, with a median of $358.13. The lowest listed price is at Altru Hospital — $89.88 less than the median here. Across North Dakota, the median is $416.12 at 6 hospitals.

Cash prices at 2 facilities across 2 cities for code 90684, as an inpatient (admitted to hospital) . Collected Sep 29, 2026; the hospital files themselves were last updated between Mar 1, 2026 and Mar 1, 2026.

Lowest$268.25Altru Hospital

Median$358.13half of hospitals charge less

Highest$448.00in this market

Difference1.7×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 Grand Forks, ND-MN.

median

Lowest $268.25Highest $448.00

Hospitals, cheapest first

Hospital	Cash price	List price	Insurers pay	Off list
Altru Hospital lowest Grand Forks, ND · (701) 780-5000 Pneumococcal 21-Valent Conjugate Vaccine Soln Pref Syr 0.5ML File of Mar 1, 2026 · source file	$268.25	$439.75	—	39%
Northwood Deaconess Health Center Northwood, ND · (701) 587-6060 PR PCV21 VACCINE FOR INTRAMUSCULAR USE source file	$448.00	$559.00	$559.00–$448.00	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.

Inpatient: lowest $268.25, median $358.13, highest $448.00 — a 1.7× difference within the same market.

As an outpatient, the same code is billed by 2 facilities here, median $358.13 — that is the price to compare if you are not being admitted.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is not below the highest rate a health plan has negotiated and 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

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).