Pneumonia vaccine (Prevnar 20) cost in North Dakota
In North Dakota, 22 hospitals publish a cash price for pneumonia vaccine, 20-valent conjugate (Prevnar 20): from $186.47 to $1,117.88, with a median of $377.91. The lowest price is at St Joseph's Hospital and Health Center (Dickinson). The highest price is 6.0× the lowest.
- The median here, $377.91, is 23% below the US median of $488.01.
- North Dakota ranks 13th of 49 states by median, cheapest first.
- 5 of 22 hospitals list a cash price equal to their full list price, with no self-pay discount.
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 Nov 11, 2026. See them on a map
Lowest$186.47St Joseph's Hospital and Health Center
Median$377.91half of hospitals charge less
Highest$1,117.88in North Dakota
Lowest saves$191.44vs the median
Hospitals in North Dakota, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| St Joseph's Hospital and Health Center lowest Dickinson · Dickinson, ND PCV20 VACCINE FPC | $186.47 | $316.05 | Sep 30, 2026 source file |
| Heart of America Medical Center Rugby · Rugby, ND PR PCV20 VACCINE FOR INTRAMUSCULAR USE | $271.50 | $362.00 | Mar 31, 2026 source file |
| Northwood Deaconess Health Center Northwood · Grand Forks, ND-MN Pneumococcal 20-Valent Conjugate Vaccine Sus Pref Syr 0.5 ML | $275.00 | $344.00 | Jul 16, 2026 source file |
| Altru Hospital Grand Forks · Grand Forks, ND-MN Pneumococcal 20-Valent Conjugate Vaccine Sus Pref Syr 0.5 ML | $276.20 | $452.78 | Mar 1, 2026 source file |
| Altru Hospital Devils Lake Devils Lake · Devils Lake, ND Pneumococcal 20-Valent Conjugate Vaccine Sus Pref Syr 0.5 ML | $276.20 | $452.78 | Mar 1, 2026 source file |
| McKenzie County Healthcare System Watford City · Watford City, ND PCV20 VACCINE FOR INTRAMUSCULAR USE | $287.95 | $443.00 | May 1, 2026 source file |
| Unity Medical Center Graften · Graften, ND PR PCV20 VACCINE FOR INTRAMUSCULAR USE | $330.00 | $330.00 | Mar 5, 2026 source file |
| Mercy Medical Center Williston · Williston, ND PCV20 VACCINE IM FPC | $333.65 | $606.62 | Sep 30, 2026 source file |
| Lisbon Area Health Services Lisbon · Lisbon, ND PCV20 VACCINE IM CLI | $344.75 | $626.81 | Sep 30, 2026 source file |
| Mercy Hospital of Valley City Valley City · Valley City, ND PCV20 VACCINE IM CLI | $363.55 | $626.81 | Sep 30, 2026 source file |
| Carrington Health Center Carrington · Carrington, ND PCV20 VACCINE IM CLI | $369.82 | $626.81 | Sep 30, 2026 source file |
| Ashley Medical Center Ashley · Ashley, ND CLN - PREVNAR 20 | $386.00 | $386.00 | Oct 9, 2026 source file |
| Towner County Medical Center Cando · Cando, ND Pr Pcv20 Vaccine For Intramuscular Use | $390.00 | $390.00 | — source file |
| Mercy Hospital of Devils Lake Devils Lake · Devils Lake, ND PNEUMOL 20-VAL CONJUG 0.5 ML | $415.22 | $988.61 | Feb 28, 2026 source file |
| Essentia Health Fargo Fargo · Fargo, ND-MN PNEUMOCOCCAL CONJUGATE VACCINE, 20 VALENT (PCV20), FOR INTRAMUSCULAR USE | $457.12 | $609.50 | Jan 1, 2026 source file |
| Linton Regional Medical Center Linton · Linton, ND Pneumococcal Conjugate Vaccine, 20 Valent (Pcv20), For Intramuscular Use | $464.00 | $464.00 | — source file |
| Southwest Healthcare Services Bowman · Bowman, ND PNEUMOCOCCAL 20-VALENT CONJ 90677 | $481.50 | $535.00 | Oct 16, 2025 source file |
| CHI Oakes Hospital Oakes · Oakes, ND PNEUMOL 20-VAL CONJUG 0.5 ML | $514.08 | $988.61 | Feb 28, 2026 source file |
| CHI St Alexius Health Bismarck · Bismarck, ND PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $566.75 | $1,133.50 | Sep 30, 2026 source file |
| Garrison Memorial Hospital Garrison · Garrison, ND PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $759.45 | $1,133.50 | Sep 30, 2026 source file |
| CHI St Alexius Health Turtle Lake Turtle Lake · Turtle Lake, ND PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $770.78 | $1,133.50 | Sep 30, 2026 source file |
| St. Luke's Hospital Crosby · Crosby, ND PR PCV20 VACCINE FOR INTRAMUSCULAR USE | $1,117.88 | $1,117.88 | Oct 6, 2026 source file |
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
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Devils Lake, ND | 2 | $276.20 | $345.71 |
| Grand Forks, ND-MN | 2 | $275.00 | $275.60 |
| Ashley, ND | 1 | $386.00 | $386.00 |
| Bowman, ND | 1 | $481.50 | $481.50 |
| Bismarck, ND | 1 | $566.75 | $566.75 |
| Cando, ND | 1 | $390.00 | $390.00 |
| Carrington, ND | 1 | $369.82 | $369.82 |
| Crosby, ND | 1 | $1,117.88 | $1,117.88 |
| Dickinson, ND | 1 | $186.47 | $186.47 |
| Fargo, ND-MN | 1 | $457.12 | $457.12 |
| Garrison, ND | 1 | $759.45 | $759.45 |
| Graften, ND | 1 | $330.00 | $330.00 |
| Linton, ND | 1 | $464.00 | $464.00 |
| Lisbon, ND | 1 | $344.75 | $344.75 |
| Oakes, ND | 1 | $514.08 | $514.08 |
| Rugby, ND | 1 | $271.50 | $271.50 |
| Turtle Lake, ND | 1 | $770.78 | $770.78 |
| Valley City, ND | 1 | $363.55 | $363.55 |
| Watford City, ND | 1 | $287.95 | $287.95 |
| Williston, ND | 1 | $333.65 | $333.65 |
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
What pneumonia vaccine (Prevnar 20) is, what the price covers and why prices differ: Pneumonia vaccine (Prevnar 20) explained.
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) in other states
- Alabama$814.49
- Alaska$639.92
- Arizona$539.94
- Arkansas$572.40
- California$519.56
- Colorado$859.62
- Connecticut$487.50
- Delaware$927.00
- District of Columbia$541.31, 2 hospitals
- Florida$954.69
- Georgia$558.65
- Hawaii$702.10
- Idaho$395.58
- Illinois$444.25
- Indiana$625.18
- Iowa$512.71
- Kansas$376.22
- Kentucky$589.27
- Louisiana$322.01
- Maine$350.67
- Maryland$414.89
- Massachusetts$564.33
- Michigan$381.40
- Minnesota$402.27
- Mississippi$475.19
- Missouri$499.50
- Montana$316.87
- Nebraska$487.41
- Nevada$457.83
- New Hampshire$495.57
- New Jersey$195.35
- New Mexico$417.18
- New York$428.10
- North Carolina$766.20
- Ohio$661.70
- Oklahoma$753.26
- Oregon$341.19
- Pennsylvania$322.80
- Rhode Island$468.00, 2 hospitals
- South Carolina$551.40
- South Dakota$316.80
- Tennessee$308.69
- Texas$563.36
- Utah$444.50
- Vermont$488.38
- Virginia$328.70
- Washington$472.27
- West Virginia$363.50
- Wisconsin$292.50
- Wyoming$408.38
Median cash price across the state's hospitals.