Pneumonia vaccine (Prevnar 20) cost in North Carolina
In North Carolina, 31 hospitals publish a cash price for pneumonia vaccine, 20-valent conjugate (Prevnar 20): from $397.50 to $2,440.64, with a median of $653.00. The lowest price is at Duke University Hospital (Raleigh) and 2 other hospitals. The highest price is 6.1× the lowest.
Outpatient cash prices, one line per hospital — its lowest listed price for code 90677. Prices for both sides of the body and inpatient prices are not mixed in. Collected Sep 24, 2026.
Lowest$397.50Duke University Hospital + 2 more
Median$653.00half pay less
Highest$2,440.64in North Carolina
Lowest saves$255.50vs the median
Hospitals in North Carolina, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Duke University Hospital lowest Raleigh · Raleigh-Cary, NC Pcv20 Vaccine for Intramuscular Use | $397.50 | $795.00 | — source file |
| Duke University Hospital lowest Durham · Durham, NC Pcv20 Vaccine for Intramuscular Use | $397.50 | $795.00 | — source file |
| Duke Regional Hospital lowest Durham · Durham-Chapel Hill, NC Pcv20 Vaccine for Intramuscular Use | $397.50 | $795.00 | — source file |
| Atrium Health Anson Wadesboro · Charlotte-Concord-Gastonia, NC-SC HC PCV20 VACCINE FOR INTRAMUSCULAR USE | $501.93 | $1,003.85 | Dec 1, 2025 source file |
| Atrium Health Cleveland Shelby · Shelby-Kings Mountain, NC HC PCV20 VACCINE FOR INTRAMUSCULAR USE | $501.93 | $1,003.85 | Dec 1, 2025 source file |
| Atrium Health Lincoln Lincolnton · Charlotte-Concord-Gastonia, NC-SC HC PCV20 VACCINE FOR INTRAMUSCULAR USE | $501.93 | $1,003.85 | Dec 1, 2025 source file |
| Atrium Health Pineville Charlotte · Charlotte-Concord-Gastonia, NC-SC HC PCV20 VACCINE FOR INTRAMUSCULAR USE | $501.93 | $1,003.85 | Dec 5, 2025 source file |
| Atrium Health Union Monroe · Charlotte-Concord-Gastonia, NC-SC HC PCV20 VACCINE FOR INTRAMUSCULAR USE | $501.93 | $1,003.85 | Dec 4, 2025 source file |
| Carolinas Medical Center Charlotte · Charlotte-Concord-Gastonia, NC-SC HC PCV20 VACCINE FOR INTRAMUSCULAR USE | $501.93 | $1,003.85 | Dec 4, 2025 source file |
| Carolinas Medical Center-Northeast Concord · Charlotte-Concord-Gastonia, NC-SC HC PCV20 VACCINE FOR INTRAMUSCULAR USE | $501.93 | $1,003.85 | Dec 1, 2025 source file |
| Carolinas Rehabilitation Charlotte · Charlotte-Concord-Gastonia, NC-SC HC PCV20 VACCINE FOR INTRAMUSCULAR USE | $501.93 | $1,003.85 | Dec 5, 2025 source file |
| Carolinas Rehabilitation Belmont · Charlotte-Concord-Gastonia, NC-SC HC PCV20 VACCINE FOR INTRAMUSCULAR USE | $501.93 | $1,003.85 | Dec 5, 2025 source file |
| Carolinas Rehabilitation Concord · Concord, NC HC PCV20 VACCINE FOR INTRAMUSCULAR USE | $501.93 | $1,003.85 | Dec 5, 2025 source file |
| Stanly Regional Medical Center Albermarle · Albemarle, NC HC PCV20 VACCINE FOR INTRAMUSCULAR USE | $502.00 | $1,004.00 | Sep 15, 2026 source file |
| North Carolina Baptist Hospital Bermuda Run · Winston-Salem, NC HC PCV20 VACCINE FOR INTRAMUSCULAR USE | $621.27 | $1,242.54 | Oct 21, 2025 source file |
| Lexington Medical Center Lexington · Winston-Salem, NC HC PCV20 VACCINE FOR INTRAMUSCULAR USE | $653.00 | $1,306.00 | Oct 8, 2025 source file |
| North Carolina Baptist Hospital Winston Salem · Winston-Salem, NC HC PCV20 VACCINE FOR INTRAMUSCULAR USE | $655.50 | $1,311.00 | Oct 8, 2025 source file |
| AdventHealth Hendersonville Hendersonville · Asheville, NC PREVNAR 20 0.5 ML IM SUSY | $683.33 | $683.33 | Apr 1, 2026 source file |
| AdventHealth Polk Columbus · Columbus, NC PREVNAR 20 0.5 ML IM SUSY | $1,077.62 | $1,077.62 | Apr 1, 2026 source file |
| Gaston Memorial Hospital Gastonia · Charlotte-Concord-Gastonia, NC-SC PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $2,241.10 | $2,241.10 | May 11, 2026 source file |
| Gaston Memorial Hospital Mount Holly · Charlotte-Concord-Gastonia, NC-SC PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $2,241.10 | $2,241.10 | May 11, 2026 source file |
| Gaston Memorial Hospital Belmont · Charlotte-Concord-Gastonia, NC-SC PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $2,241.10 | $2,241.10 | May 11, 2026 source file |
| ECU Health Medical Center Greenville · Greenville, NC PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG | $2,440.64 | $2,440.64 | Apr 1, 2026 source file |
| ECU Health North Hospital Roanoke Rapids · Roanoke Rapids, NC PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG | $2,440.64 | $2,440.64 | Apr 1, 2026 source file |
| East Carolina Health Ahoskie · Ahoskie, NC PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG | $2,440.64 | $2,440.64 | Apr 1, 2026 source file |
| East Carolina Health-Bertie Windsor · Windsor, NC PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG | $2,440.64 | $2,440.64 | Apr 1, 2026 source file |
| Pitt County Memorial Hospital Washington · Washington, NC PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG | $2,440.64 | $2,440.64 | Apr 1, 2026 source file |
| The Outer Banks Hospital Nags Head · Kill Devil Hills, NC PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG | $2,440.64 | $2,440.64 | Apr 1, 2026 source file |
| Vidant Chowan Hospital Edenton · Edenton, NC PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG | $2,440.64 | $2,440.64 | Apr 1, 2026 source file |
| Vidant Duplin Hospital Kenansville · Kenansville, NC PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG | $2,440.64 | $2,440.64 | Apr 1, 2026 source file |
| Vidant Edgecombe Hospital Tarboro · Rocky Mount, NC PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG | $2,440.64 | $2,440.64 | Apr 1, 2026 source file |
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Charlotte-Concord-Gastonia, NC-SC | 11 | $501.93 | $501.93 |
| Winston-Salem, NC | 3 | $621.27 | $653.00 |
| Ahoskie, NC | 1 | $2,440.64 | $2,440.64 |
| Albemarle, NC | 1 | $502.00 | $502.00 |
| Asheville, NC | 1 | $683.33 | $683.33 |
| Columbus, NC | 1 | $1,077.62 | $1,077.62 |
| Concord, NC | 1 | $501.93 | $501.93 |
| Durham, NC | 1 | $397.50 | $397.50 |
| Durham-Chapel Hill, NC | 1 | $397.50 | $397.50 |
| Edenton, NC | 1 | $2,440.64 | $2,440.64 |
| Greenville, NC | 1 | $2,440.64 | $2,440.64 |
| Kenansville, NC | 1 | $2,440.64 | $2,440.64 |
| Kill Devil Hills, NC | 1 | $2,440.64 | $2,440.64 |
| Raleigh-Cary, NC | 1 | $397.50 | $397.50 |
| Roanoke Rapids, NC | 1 | $2,440.64 | $2,440.64 |
| Rocky Mount, NC | 1 | $2,440.64 | $2,440.64 |
| Shelby-Kings Mountain, NC | 1 | $501.93 | $501.93 |
| Windsor, NC | 1 | $2,440.64 | $2,440.64 |
| Washington, NC | 1 | $2,440.64 | $2,440.64 |
What it is
Prevnar 20 is a conjugate vaccine against 20 types of pneumococcus, the bacteria behind many cases of pneumonia, meningitis and blood infections. The CDC recommends a pneumococcal conjugate vaccine for all adults 50 and older and for younger adults with certain conditions, usually as 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); Medicare bills use G0009 instead.
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) in other states
- Alabama$674.00
- Alaska$1,204.06
- Arizona$890.17
- Arkansas$926.10
- California$502.11
- Colorado$900.06
- Connecticut$534.79
- Delaware$927.00
- Florida$944.18
- Georgia$1,061.93
- Hawaii$707.26
- Idaho$410.78
- Illinois$325.17
- Indiana$633.56
- Iowa$535.86
- Kansas$910.98
- Kentucky$1,476.65
- Louisiana$90.56
- Maine$969.00
- Maryland$371.00
- Massachusetts$564.35
- Michigan$381.40
- Minnesota$396.79
- Mississippi$322.13
- Missouri$916.39
- Montana$302.40
- Nebraska$490.98
- Nevada$511.84
- New Hampshire$185.20
- New Jersey$360.88
- New Mexico$364.24
- New York$428.10
- North Dakota$341.92
- Ohio$661.70
- Oklahoma$406.16
- Oregon$348.00
- Pennsylvania$349.04
- Rhode Island$468.00
- South Carolina$765.80
- South Dakota$469.60
- Tennessee$308.69
- Texas$563.36
- Utah$323.97
- Vermont$461.11
- Virginia$328.70
- Washington$480.80
- West Virginia$242.50
- Wisconsin$292.50
- Wyoming$429.30
Median cash price across the state's hospitals.