Vaccines CPT 90684 250 markets

Pneumonia vaccine (Capvaxive) cost without insurance

The median hospital cash price for pneumonia vaccine, 21-valent conjugate (Capvaxive) is $398.12 across 383 US hospitals; most list between $162.30 and $989.63. The lowest outpatient cash price in any of 250 markets is $59.00. Prices come from each hospital's own price file; pick your area below to compare hospitals side by side.

Collected Sep 29, 2026 Each price links to its source file All Vaccine costs

Lowest$59.00any market
Median market$401.68middle of market medians
Most below$989.639 in 10 hospitals
Listings383hospital prices

Compared with the vaccine's list price

$302.10 (Capvaxive) per dose is the manufacturer's private-sector price in the CDC vaccine price list: what a clinic or pharmacy pays for the vaccine itself. The median hospital cash price, $398.12 across 383 hospitals, is 1.3× that.

Giving the shot is billed separately (CPT 90471), and anyone who gives it adds a markup, so treat this as a floor: a concrete number to mention when you ask for a cash discount. Source: CDC.

What is CPT 90684?

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).

Why prices differ

Pharmacies, health departments and pediatric offices also give this vaccine, and hospital prices for the same dose vary widely.

What to ask

Ask whether the self-pay price for CPT 90684 includes giving the shot (90471) and how many doses the full series needs.

Prices by state

Median outpatient cash price, one line per hospital. Pick a state to see every hospital, cheapest first.

Prices by market

Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.

MarketHospitalsLowest MedianHighest×
Alturas, CA single city 1 $688.80 $688.80 $688.80 1.0×
Atlantic, IA single city 1 $169.62 $169.62 $169.62 1.0×
Aberdeen, SD 1 $418.77 $418.77 $418.77 1.0×
Akron, OH 1 $1,731.25 $1,731.25 $1,731.25 1.0×
Albany, OR 1 $368.00 $368.00 $368.00 1.0×
Albertville, AL 2 $1,151.81 $1,151.81 $1,151.81 1.0×
Allentown-Bethlehem-Easton, PA-NJ 1 $254.43 $254.43 $254.43 1.0×
Altoona, PA 1 $189.60 $189.60 $189.60 1.0×
Anchorage, AK 1 $294.84 $294.84 $294.84 1.0×
Anderson Creek, NC 1 $989.63 $989.63 $989.63 1.0×
Andrews, TX 1 $112.15 $112.15 $112.15 1.0×
Astoria, OR 1 $205.60 $205.60 $205.60 1.0×
Bad Axe, MI single city 1 $467.50 $467.50 $467.50 1.0×
Belmond, IA single city 1 $542.43 $542.43 $542.43 1.0×
Big Stone Gap, VA single city 1 $415.01 $415.01 $415.01 1.0×
Blue Hill, ME single city 1 $200.70 $200.70 $200.70 1.0×
Bowman, ND single city 1 $522.90 $522.90 $522.90 1.0×
Bridgeport, CT single city 1 $486.54 $486.54 $486.54 1.0×
Bangor, ME 2 $108.49 $147.24 $185.98 1.7×
Bay City, MI 1 $486.20 $486.20 $486.20 1.0×
Bemidji, MN 1 $268.32 $268.32 $268.32 1.0×
Birmingham, AL 2 $135.00 $175.13 $215.25 1.6×
Bismarck, ND 1 $384.24 $384.24 $384.24 1.0×
Bloomington, IL 1 $434.84 $434.84 $434.84 1.0×
Bluefield, WV-VA 1 $217.00 $217.00 $217.00 1.0×
Boston-Cambridge-Newton, MA-NH 6 $308.25 $470.91 $864.78 2.8×
Bradford, PA 1 $414.00 $414.00 $414.00 1.0×
Brattleboro, VT 1 $560.00 $560.00 $560.00 1.0×
Buffalo-Cheektowaga, NY 5 $161.99 $605.00 $605.00 3.7×
Cadiz, OH single city 1 $333.50 $333.50 $333.50 1.0×
Canby, MN single city 1 $418.77 $418.77 $418.77 1.0×
Caro, MI single city 1 $467.50 $467.50 $467.50 1.0×
Cedar Rapids, IA single city 1 $530.40 $530.40 $530.40 1.0×
Charlevoix, MI single city 1 $629.05 $629.05 $629.05 1.0×
Cheraw, SC single city 1 $260.57 $260.57 $260.57 1.0×
Clarion, IA single city 1 $542.43 $542.43 $542.43 1.0×
Clay Center, KS single city 1 $413.28 $413.28 $413.28 1.0×
Clintwood, VA single city 1 $636.35 $636.35 $636.35 1.0×
Coudersport, PA single city 1 $360.00 $360.00 $360.00 1.0×
Cadillac, MI 1 $629.05 $629.05 $629.05 1.0×
Casper, WY 1 $323.19 $323.19 $323.19 1.0×
Cedar Rapids, IA 1 $530.40 $530.40 $530.40 1.0×
Champaign-Urbana, IL 1 $434.84 $434.84 $434.84 1.0×
Charleston, WV 1 $222.50 $222.50 $222.50 1.0×
Charleston-Mattoon, IL 1 $861.00 $861.00 $861.00 1.0×
Charlotte-Concord-Gastonia, NC-SC 1 $163.51 $163.51 $163.51 1.0×
Chicago-Naperville-Elgin, IL-IN 11 $66.03 $456.52 $2,014.77 30.5×
Chillicothe, OH 1 $267.50 $267.50 $267.50 1.0×
Clarksburg, WV 1 $222.50 $222.50 $222.50 1.0×
Clarksville, TN-KY 1 $294.61 $294.61 $294.61 1.0×
Cleveland, OH 1 $577.20 $577.20 $577.20 1.0×
Coeur d'Alene, ID 1 $319.39 $319.39 $319.39 1.0×
Columbia, MO 1 $535.87 $535.87 $535.87 1.0×
Columbus, OH 1 $316.95 $316.95 $316.95 1.0×
Coos Bay-North Bend, OR 1 $218.32 $218.32 $218.32 1.0×
Corbin, KY 1 $2,352.65 $2,352.65 $2,352.65 1.0×
Corning, NY 1 $385.56 $385.56 $385.56 1.0×
Corsicana, TX 1 $347.17 $347.17 $347.17 1.0×
Cortland, NY 1 $385.56 $385.56 $385.56 1.0×
Crawfordsville, IN 1 $84.01 $84.01 $84.01 1.0×
Crestview-Fort Walton Beach-Destin, FL 1 $92.69 $92.69 $92.69 1.0×
Crossville, TN 1 $312.99 $312.99 $312.99 1.0×
Cumberland, MD-WV 2 $271.80 $302.65 $333.50 1.2×
Devils Lake, ND single city 1 $268.25 $268.25 $268.25 1.0×
Dillon, SC single city 1 $260.57 $260.57 $260.57 1.0×
Douglas, WY single city 1 $323.19 $323.19 $323.19 1.0×
Durham, NC single city 1 $398.12 $398.12 $398.12 1.0×
Danville, IL 1 $434.84 $434.84 $434.84 1.0×
Davenport-Moline-Rock Island, IA-IL 2 $530.40 $530.40 $530.40 1.0×
Defiance, OH 1 $582.60 $582.60 $582.60 1.0×
Denver-Aurora-Centennial, CO 1 $315.36 $315.36 $315.36 1.0×
Des Moines-West Des Moines, IA 1 $350.40 $350.40 $350.40 1.0×
Detroit-Warren-Dearborn, MI 8 $475.07 $480.64 $486.20 1.0×
Dover, DE 1 $1,038.03 $1,038.03 $1,038.03 1.0×
Durant, OK 1 $405.23 $405.23 $405.23 1.0×
Durham-Chapel Hill, NC 1 $398.12 $398.12 $398.12 1.0×
Elizabethtown, NC single city 1 $989.63 $989.63 $989.63 1.0×
Emmetsburg, IA single city 1 $339.75 $339.75 $339.75 1.0×
Estherville, IA single city 1 $1,013.46 $1,013.46 $1,013.46 1.0×
Everett, PA single city 1 $189.60 $189.60 $189.60 1.0×
Elizabethtown, KY 1 $2,352.65 $2,352.65 $2,352.65 1.0×
Erie, PA 1 $189.60 $189.60 $189.60 1.0×
Farmington, CT single city 1 $492.00 $492.00 $492.00 1.0×
Flora, IL single city 1 $570.00 $570.00 $570.00 1.0×
Fairmont, WV 1 $862.88 $862.88 $862.88 1.0×
Fargo, ND-MN 1 $663.72 $663.72 $663.72 1.0×
Fayetteville, NC 3 $989.63 $989.63 $989.63 1.0×
Fayetteville-Springdale-Rogers, AR 1 $183.54 $183.54 $183.54 1.0×
Fergus Falls, MN 1 $211.25 $211.25 $211.25 1.0×
Flint, MI 1 $486.20 $486.20 $486.20 1.0×
Florence, SC 1 $260.57 $260.57 $260.57 1.0×
Fort Dodge, IA 1 $530.40 $530.40 $530.40 1.0×
Fort Wayne, IN 5 $549.98 $778.97 $933.43 1.7×
Freeport, IL 1 $600.00 $600.00 $600.00 1.0×
Gassaway, WV single city 1 $333.50 $333.50 $333.50 1.0×
Greenfield, OH single city 1 $267.50 $267.50 $267.50 1.0×
Greenville, ME single city 1 $271.21 $271.21 $271.21 1.0×
Grinnell, IA single city 1 $530.40 $530.40 $530.40 1.0×
Gadsden, AL 1 $295.68 $295.68 $295.68 1.0×
Grand Forks, ND-MN 2 $268.25 $358.13 $448.00 1.7×
Grand Junction, CO 2 $252.56 $653.65 $1,054.73 4.2×
Grand Rapids-Wyoming-Kentwood, MI 1 $189.00 $189.00 $189.00 1.0×
Greeneville, TN 1 $415.01 $415.01 $415.01 1.0×
Hartford, CT single city 1 $486.54 $486.54 $486.54 1.0×
Houlton, ME single city 1 $589.74 $589.74 $589.74 1.0×
Hagerstown-Martinsburg, MD-WV 1 $222.50 $222.50 $222.50 1.0×
Harrisburg-Carlisle, PA 2 $162.00 $162.00 $162.00 1.0×
Hattiesburg, MS 1 $470.99 $470.99 $470.99 1.0×
Hays, KS 1 $184.47 $184.47 $184.47 1.0×
Hermitage, PA 1 $189.60 $189.60 $189.60 1.0×
Holland, MI 1 $327.00 $327.00 $327.00 1.0×
Houma-Bayou Cane-Thibodaux, LA 1 $1,450.10 $1,450.10 $1,450.10 1.0×
Huntsville, AL 1 $484.44 $484.44 $484.44 1.0×
Indianapolis-Carmel-Greenwood, IN 4 $71.61 $75.18 $260.19 3.6×
Jackson, MS 3 $99.94 $345.20 $345.20 3.5×
Jamestown-Dunkirk, NY 1 $189.60 $189.60 $189.60 1.0×
Johnson City, TN 3 $415.01 $415.01 $415.01 1.0×
Knox, IN single city 1 $813.49 $813.49 $813.49 1.0×
Kalispell, MT 1 $538.85 $538.85 $538.85 1.0×
Kansas City, MO-KS 2 $507.50 $697.66 $887.81 1.7×
Kearney, NE 1 $436.00 $436.00 $436.00 1.0×
Key West-Key Largo, FL 1 $380.22 $380.22 $380.22 1.0×
Kingsport-Bristol, TN-VA 5 $415.01 $415.01 $415.01 1.0×
Kiryas Joel-Poughkeepsie-Newburgh, NY 1 $1,088.00 $1,088.00 $1,088.00 1.0×
Knoxville, TN 7 $202.81 $322.77 $322.77 1.6×
Larned, KS single city 1 $223.60 $223.60 $223.60 1.0×
Lebanon, VA single city 1 $415.01 $415.01 $415.01 1.0×
Lyons, KS single city 1 $385.06 $385.06 $385.06 1.0×
Lafayette-West Lafayette, IN 1 $68.51 $68.51 $68.51 1.0×
Lancaster, PA 1 $162.00 $162.00 $162.00 1.0×
Lansing-East Lansing, MI 3 $189.00 $189.00 $486.20 2.6×
Laredo, TX 1 $227.97 $227.97 $227.97 1.0×
Lawrence, KS 1 $543.56 $543.56 $543.56 1.0×
Lebanon-Claremont, NH-VT 3 $247.50 $274.00 $478.95 1.9×
Lewiston-Auburn, ME 1 $308.94 $308.94 $308.94 1.0×
Lexington-Fayette, KY 1 $2,352.65 $2,352.65 $2,352.65 1.0×
Lima, OH 1 $766.74 $766.74 $766.74 1.0×
Longview, TX 1 $410.68 $410.68 $410.68 1.0×
Louisville/Jefferson County, KY-IN 3 $2,352.65 $2,352.65 $2,352.65 1.0×
Madison, MN single city 1 $256.70 $256.70 $256.70 1.0×
Manning, SC single city 1 $260.57 $260.57 $260.57 1.0×
Marion, VA single city 1 $415.01 $415.01 $415.01 1.0×
Medicine Lodge, KS single city 1 $491.33 $491.33 $491.33 1.0×
Memphis, MO single city 1 $1,328.95 $1,328.95 $1,328.95 1.0×
Meriden, CT single city 1 $486.54 $486.54 $486.54 1.0×
Morris, MN single city 1 $452.93 $452.93 $452.93 1.0×
Mountain City, TN single city 1 $636.35 $636.35 $636.35 1.0×
Manchester-Nashua, NH 1 $317.07 $317.07 $317.07 1.0×
Marshall, MN 1 $410.26 $410.26 $410.26 1.0×
Marshalltown, IA 1 $530.40 $530.40 $530.40 1.0×
Massena-Ogdensburg, NY 1 $698.94 $698.94 $698.94 1.0×
Michigan City-La Porte, IN 1 $994.27 $994.27 $994.27 1.0×
Morgantown, WV 3 $222.50 $248.50 $1,291.50 5.8×
Morristown, TN 1 $293.43 $293.43 $293.43 1.0×
Mount Pleasant, MI 1 $486.20 $486.20 $486.20 1.0×
Myrtle Beach-Conway-North Myrtle Beach, SC 3 $260.57 $260.57 $260.57 1.0×
Neodesha, KS single city 1 $264.75 $264.75 $264.75 1.0×
New Britain, CT single city 1 $486.54 $486.54 $486.54 1.0×
New Martinsville, WV single city 1 $222.50 $222.50 $222.50 1.0×
Newport, VT single city 1 $621.54 $621.54 $621.54 1.0×
Norwich, CT single city 1 $486.54 $486.54 $486.54 1.0×
Naples-Marco Island, FL 4 $292.11 $340.79 $415.14 1.4×
Nashville-Davidson--Murfreesboro--Franklin, TN 2 $144.42 $206.67 $268.92 1.9×
Natchez, MS-LA 1 $760.91 $760.91 $760.91 1.0×
New Orleans-Metairie, LA 3 $120.40 $120.40 $120.40 1.0×
New York-Newark-Jersey City, NY-NJ 21 $60.10 $416.42 $1,088.00 18.1×
Newport, OR 2 $368.00 $368.00 $368.00 1.0×
Olney, IL single city 1 $434.84 $434.84 $434.84 1.0×
Ortonville, MN single city 1 $238.85 $238.85 $238.85 1.0×
Oil City, PA 1 $189.60 $189.60 $189.60 1.0×
Oklahoma City, OK 1 $98.40 $98.40 $98.40 1.0×
Penn Yan, NY single city 1 $148.16 $148.16 $148.16 1.0×
Pennington Gap, VA single city 1 $636.35 $636.35 $636.35 1.0×
Petersburg, WV single city 1 $533.60 $533.60 $533.60 1.0×
Pinckneyville, IL single city 1 $570.00 $570.00 $570.00 1.0×
Pittsfield, ME single city 1 $184.43 $184.43 $184.43 1.0×
Presque Isle, ME single city 1 $108.49 $108.49 $108.49 1.0×
Paducah, KY-IL 1 $2,352.65 $2,352.65 $2,352.65 1.0×
Parkersburg-Vienna, WV 1 $222.50 $222.50 $222.50 1.0×
Pensacola-Ferry Pass-Brent, FL 4 $192.83 $315.00 $315.00 1.6×
Peoria, IL 4 $434.84 $434.84 $434.84 1.0×
Peru, IN 1 $1,163.99 $1,163.99 $1,163.99 1.0×
Petoskey, MI 1 $486.20 $486.20 $486.20 1.0×
Phoenix-Mesa-Chandler, AZ 1 $486.54 $486.54 $486.54 1.0×
Pittsburgh, PA 11 $189.60 $189.60 $222.17 1.2×
Pittsfield, MA 3 $1,067.90 $1,067.90 $1,067.90 1.0×
Poplar Bluff, MO 1 $427.84 $427.84 $427.84 1.0×
Portland-South Portland, ME 2 $134.32 $274.16 $414.00 3.1×
Portland-Vancouver-Hillsboro, OR-WA 1 $753.59 $753.59 $753.59 1.0×
Ripley, WV single city 1 $325.50 $325.50 $325.50 1.0×
Rotan, TX single city 1 $370.00 $370.00 $370.00 1.0×
Ruleville, MS single city 1 $275.00 $275.00 $275.00 1.0×
Raleigh-Cary, NC 1 $398.12 $398.12 $398.12 1.0×
Rapid City, SD 3 $341.60 $341.60 $341.60 1.0×
Richmond, VA 3 $582.60 $582.60 $582.60 1.0×
Richmond-Berea, KY 1 $2,352.65 $2,352.65 $2,352.65 1.0×
Riverside-San Bernardino-Ontario, CA 1 $677.00 $677.00 $677.00 1.0×
Rochester, NY 1 $148.16 $148.16 $148.16 1.0×
Roswell, NM 1 $342.35 $342.35 $342.35 1.0×
Saint Francis, KS single city 1 $246.67 $246.67 $246.67 1.0×
Saint Ignace, MI single city 1 $435.00 $435.00 $435.00 1.0×
Scobey, MT single city 1 $568.65 $568.65 $568.65 1.0×
Sioux Center, IA single city 1 $396.73 $396.73 $396.73 1.0×
Slayton, MN single city 1 $291.85 $291.85 $291.85 1.0×
Sneedville, TN single city 1 $364.00 $364.00 $364.00 1.0×
St. Johnsbury, VT single city 1 $333.75 $333.75 $333.75 1.0×
Statesville, NC single city 1 $423.92 $423.92 $423.92 1.0×
Ste. Genevieve, MO single city 1 $232.50 $232.50 $232.50 1.0×
Summersville, WV single city 1 $325.50 $325.50 $325.50 1.0×
San Antonio-New Braunfels, TX 2 $129.50 $310.00 $490.50 3.8×
San Francisco-Oakland-Fremont, CA 1 $948.00 $948.00 $948.00 1.0×
Sayre, PA 3 $385.56 $385.56 $385.56 1.0×
Seaford, DE 1 $1,038.03 $1,038.03 $1,038.03 1.0×
Seattle-Tacoma-Bellevue, WA 1 $448.81 $448.81 $448.81 1.0×
Sedalia, MO 1 $859.50 $859.50 $859.50 1.0×
Sevierville, TN 1 $283.65 $283.65 $283.65 1.0×
Shelbyville, TN 1 $144.42 $144.42 $144.42 1.0×
Sioux City, IA-NE-SD 1 $530.40 $530.40 $530.40 1.0×
Sioux Falls, SD-MN 2 $437.00 $463.80 $490.59 1.1×
Slidell-Mandeville-Covington, LA 1 $120.40 $120.40 $120.40 1.0×
Somerset, PA 2 $162.00 $272.25 $382.50 2.4×
Spearfish, SD 2 $341.60 $341.60 $341.60 1.0×
Spencer, IA 1 $522.75 $522.75 $522.75 1.0×
Spirit Lake, IA 1 $323.95 $323.95 $323.95 1.0×
Springfield, MA 1 $1,696.60 $1,696.60 $1,696.60 1.0×
Statesboro, GA 1 $333.06 $333.06 $333.06 1.0×
Thief River Falls, MN single city 2 $511.28 $511.28 $511.28 1.0×
Texarkana, TX-AR 1 $1,163.99 $1,163.99 $1,163.99 1.0×
Traverse City, MI 1 $629.05 $629.05 $629.05 1.0×
Trenton-Princeton, NJ 2 $1,184.00 $1,184.00 $1,184.00 1.0×
Tullahoma-Manchester, TN 1 $144.42 $144.42 $144.42 1.0×
Utica-Rome, NY 1 $330.23 $330.23 $330.23 1.0×
Vermillion, SD 1 $418.77 $418.77 $418.77 1.0×
Waverly, OH single city 1 $267.50 $267.50 $267.50 1.0×
Wayne, NE single city 1 $981.54 $981.54 $981.54 1.0×
Wellsboro, PA single city 1 $189.60 $189.60 $189.60 1.0×
Weston, WV single city 1 $861.00 $861.00 $861.00 1.0×
Wolfeboro, NH single city 1 $223.50 $223.50 $223.50 1.0×
Warner Robins, GA 2 $1,268.30 $1,268.30 $1,268.30 1.0×
Warsaw, IN 1 $573.48 $573.48 $573.48 1.0×
Washington Court House, OH 1 $59.00 $59.00 $59.00 1.0×
Washington-Arlington-Alexandria, DC-VA-MD-WV 1 $333.50 $333.50 $333.50 1.0×
Waterloo-Cedar Falls, IA 3 $466.05 $530.40 $691.70 1.5×
Watertown-Fort Drum, NY 1 $584.80 $584.80 $584.80 1.0×
Weatherford, OK 1 $640.00 $640.00 $640.00 1.0×
Weirton-Steubenville, WV-OH 1 $222.50 $222.50 $222.50 1.0×
Wheeling, WV-OH 3 $222.50 $222.50 $325.50 1.5×
Williamsport, PA 2 $189.60 $189.60 $189.60 1.0×
Worthington, MN 1 $410.26 $410.26 $410.26 1.0×
York-Hanover, PA 2 $162.00 $162.00 $162.00 1.0×

Common questions

What is CPT code 90684?

CPT 90684 is the billing code for pneumonia vaccine, 21-valent conjugate (Capvaxive). 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.

Is Capvaxive better than Prevnar 20?

Both are single-dose options the CDC recommends for adults 50 and older; they cover partly different types. Your doctor can choose based on your history.

Does insurance cover it?

Most health plans must cover vaccines the CDC recommends for your age with nothing to pay when you use an in-network provider.

What does a dose of the pneumonia vaccine (Capvaxive) cost a clinic or pharmacy?

$302.10 (Capvaxive) per dose is the manufacturer's private-sector price in the CDC vaccine price list: what a clinic or pharmacy pays for the vaccine itself. The median hospital cash price, $398.12 across 383 hospitals, is 1.3× that. Giving the shot is billed separately (CPT 90471).

Other vaccine prices

Median hospital cash price, one per hospital.