Pneumonia vaccine (Pneumovax 23) cost in Austin, TX
In Austin-Round Rock-San Marcos, TX, 20 hospitals list a cash price for pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23): from $33.21 to $865.00, with a median of $240.92. The lowest listed price is at Ascension Seton Smithville and 2 other hospitals — $207.71 less than the median here. Across Texas, the median is $252.90 at 204 hospitals.
- The median here, $240.92, is 27% above the US median of $189.61.
- Austin, TX has the lowest median of 4 metro areas in Texas with at least 10 hospitals pricing this code.
- 9 of 20 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 20 facilities across 10 cities for code 90732, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 27, 2026; the hospital files themselves were last updated between Sep 2, 2024 and Sep 1, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Austin-Round Rock-San Marcos, TX.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Ascension Seton Smithville lowest Smithville, TX · (512) 237-3214 PNEMOVAX INJ EACH File of Jan 1, 2026 · source file | $33.21 | $92.25 | $82.51 | 64% |
| Dell Seton Medical Center at the University of Tx lowest Austin, TX · (512) 324-7000 PNEMOVAX INJ EACH File of Jan 1, 2026 · source file | $33.21 | $92.25 | $82.51 | 64% |
| Ascension Seton Hays lowest Kyle, TX · (512) 324-5000 PNEMOVAX INJ EACH File of Jan 1, 2026 · source file | $33.21 | $92.25 | $82.51 | 64% |
| Ascension Seton Austin, TX PNEMOVAX INJ EACH File of Jan 1, 2026 · source file | $64.58 | $92.25 | $82.51 | 30% |
| Ascension Seton Medical Center Austin Austin, TX · (512) 324-1000 PNEMOVAX INJ EACH File of Jan 1, 2026 · source file | $107.10 | $297.50 | $82.51–$133.47 | 64% |
| Ascension Seton Southwest Austin, TX · (512) 324-9000 PNEMOVAX INJ EACH File of Jan 1, 2026 · source file | $107.10 | $297.50 | $82.51–$133.47 | 64% |
| Ascension Seton Northwest Austin, TX · (512) 324-6000 PNEMOVAX INJ EACH File of Jan 1, 2026 · source file | $107.10 | $297.50 | $82.51–$133.47 | 64% |
| Ascension Cedar Park Cedar Park, TX · (512) 528-7000 PNEUMO-VAC 2YR-ADULT File of Jan 1, 2026 · source file | $133.14 | $369.83 | $82.51–$133.47 | 64% |
| Ascension Seton Edgar B Davis Luling, TX · (830) 875-7000 PNEMOVAX INJ EACH File of Jan 1, 2026 · source file | $183.33 | $509.25 | $82.51–$133.47 | 64% |
| Pam Specialty Hospital of Luling Luling, TX Pneumovax 23 25 mcg File of Aug 6, 2026 · source file | $236.05 | $236.05 | $94.42–$264.27 | — |
| Texas Children's Hospital - Austin Austin, TX · (832) 824-1100 pneumococcal polyvalent 25 MCG/0.5ML Inj 0.5 mL Syringe File of Mar 5, 2026 · source file | $245.78 | $366.83 | $99.04–$348.49 | 33% |
| The Hospital at Westlake Medical Center Austin, TX · (512) 327-0000 PNEUMOVAX 23 SDV File of Sep 2, 2024 · source file | $309.10 | $702.50 | $111.28–$491.75 | 56% |
| St. David's North Austin Medical Center Austin, TX · (512) 901-1000 PPSV23 VAC IMSQ+1 more line at this price File of Sep 1, 2026 · source file | $470.00 | $470.00 | $23.50–$423.00 | — |
| St.davids Surgical Hospital Austin, TX PPSV23 VAC IMSQ File of Sep 1, 2026 · source file | $470.00 | $470.00 | $324.30 | — |
| St. David's Round Rock Medical Center Leander, TX · (512) 341-1000 Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use +1 more line at this price File of Sep 1, 2026 · source file | $812.00 | $812.00 | $40.60–$730.80 | — |
| St. David's Medical Center Manor, TX · (512) 476-7111 PPSV23 VAC IMSQ+1 more line at this price File of Sep 1, 2026 · source file | $853.00 | $853.00 | $42.65–$767.70 | — |
| Heart Hosp of Austin at St. David's Round Rock Round Rock, TX Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use +1 more line at this price File of Sep 1, 2026 · source file | $853.00 | $853.00 | $162.83–$596.25 | — |
| Heart Hosp of Austin Austin, TX Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use +1 more line at this price File of Sep 1, 2026 · source file | $853.00 | $853.00 | $162.83–$596.25 | — |
| St. David's Georgetown Hospital Georgetown, TX · (512) 476-7111 Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use +1 more line at this price File of Sep 1, 2026 · source file | $853.00 | $853.00 | $42.65–$725.05 | — |
| St. David's South Austin Medical Center Bastrop, TX · (512) 448-7107 PPSV23 VAC IMSQ+1 more line at this price File of Sep 1, 2026 · source file | $865.00 | $865.00 | $162.83–$544.95 | — |
Outpatient: lowest $33.21, median $240.92, highest $865.00 — a 26.0× difference within the same market.
As an inpatient, the same code is billed by 2 facilities here, median $240.92. 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 11 of 20 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 4 it is 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 pneumonia vaccine (Pneumovax 23) is, what the price covers and why prices differ: Pneumonia vaccine (Pneumovax 23) explained.