Pneumonia vaccine (Prevnar 20) cost in North Dakota
In North Dakota, 8 hospitals publish a cash price for pneumonia vaccine, 20-valent conjugate (Prevnar 20): from $134.64 to $573.40, with a median of $341.92. The lowest price is at St. Alexius Medical Center (Bismarck). The highest price is 4.3× 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 23, 2026.
Hospitals in North Dakota, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| St. Alexius Medical Center lowest Bismarck · Bismarck, ND HC PCV20 VACCINE IM | $134.64 | $264.00 | Feb 28, 2026 source file |
| St Joseph's Hospital and Health Center Dickinson · Dickinson, ND PCV20 VACCINE FPC | $199.12 | $316.05 | Feb 28, 2026 source file |
| Garrison Memorial Hospital Garrison · Garrison, ND PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGME | $317.97 | $467.60 | Feb 28, 2026 source file |
| St. Alexius Medical Center Turtle Lake · Turtle Lake, ND PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $332.00 | $467.60 | Feb 28, 2026 source file |
| Mercy Medical Center Williston · Williston, ND PCV20 VACCINE IM FPC | $351.84 | $606.62 | Feb 28, 2026 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 20-VAL CONJ VACC 0.5 ML SUSPENSION PREFILLED SYRINGE | $457.12 | $609.50 | Jan 1, 2026 source file |
| Carrington Health Center Carrington · Carrington, ND PNEUMOL 20-VAL CONJUG 0.5 ML | $573.40 | $988.61 | Feb 28, 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 |
|---|---|---|---|
| Bismarck, ND | 1 | $134.64 | $134.64 |
| Carrington, ND | 1 | $573.40 | $573.40 |
| Devils Lake, ND | 1 | $415.22 | $415.22 |
| Dickinson, ND | 1 | $199.12 | $199.12 |
| Fargo, ND-MN | 1 | $457.12 | $457.12 |
| Garrison, ND | 1 | $317.97 | $317.97 |
| Turtle Lake, ND | 1 | $332.00 | $332.00 |
| Williston, ND | 1 | $351.84 | $351.84 |
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 Carolina$653.00
- 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.