Vaccines CPT 90684 Inpatient — admitted to hospital

Pneumonia vaccine (Capvaxive) cost in Lewiston, ME — inpatient

In Lewiston-Auburn, ME, 1 hospital lists a cash price for pneumonia vaccine, 21-valent conjugate (Capvaxive) as an inpatient: from $308.94 to $308.94, with a median of $308.94. Across Maine, the median is $200.70 at 9 hospitals.

Cash prices at 1 facility for code 90684, as an inpatient (admitted to hospital) . Collected Sep 22, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$308.94St Mary's Regional Medical Center

Median$308.94half of hospitals charge less

Highest$308.94in this market

Difference1.0×highest vs lowest

Hospitals, cheapest first

Hospital	Cash price	List price	Insurers pay	Off list
St Mary's Regional Medical Center Lewiston, ME · (207) 777-8100 HC PNEUMOCOCCAL CONJUGATE VACCINE 21 VALENT (PCV21) FOR IM File of Apr 1, 2026 · source file	$308.94	$813.00	—	62%

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 $308.94, median $308.94, highest $308.94.

As an outpatient, the same code is billed by 1 facility here, median $308.94 — that is the price to compare if you are not being admitted.

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).