Vaccines CPT 90684 Outpatient

Pneumonia vaccine (Capvaxive) cost in Gassaway, WV

In Gassaway, WV, 1 hospital lists a cash price for pneumonia vaccine, 21-valent conjugate (Capvaxive): from $333.50 to $333.50, with a median of $333.50. 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 23, 2026; the hospital files themselves were last updated between Jul 11, 2026 and Jul 11, 2026.

Lowest$333.50Braxton County Memorial Hospital

Median$333.50half of hospitals charge less

Highest$333.50in this market

Difference1.0×highest vs lowest

Hospitals, cheapest first

Hospital	Cash price	List price	Insurers pay	Off list
Braxton County Memorial Hospital Gassaway, WV · (304) 364-5156 PCV21 VACCINE IM File of Jul 11, 2026 · source file	$333.50	$667.00	—	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 $333.50, median $333.50, highest $333.50.

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).