Vaccines CPT 90684 Pennsylvania Outpatient

Pneumonia vaccine (Capvaxive) cost in Pennsylvania

In Pennsylvania, 30 hospitals publish a cash price for pneumonia vaccine, 21-valent conjugate (Capvaxive): from $162.00 to $414.00, with a median of $189.60. The lowest price is at UPMC Carlisle (Carlisle) and 5 other hospitals. The highest price is 2.6× the lowest.

Outpatient cash prices, one line per hospital — its lowest listed price for code 90684. Prices for both sides of the body and inpatient prices are not mixed in. Collected Sep 27, 2026. See them on a map

Lowest$162.00UPMC Carlisle + 5 more
Median$189.60half of hospitals charge less
Highest$414.00in Pennsylvania
Lowest saves$27.60vs the median

Hospitals in Pennsylvania, cheapest first

HospitalCash priceList priceFile date
UPMC Carlisle lowest Carlisle · Harrisburg-Carlisle, PA PNEUMOCOCCAL 21-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $162.00 $270.00 —
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UPMC Hanover lowest Hanover · York-Hanover, PA PNEUMOCOCCAL 21-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $162.00 $270.00 —
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UPMC Lititz lowest Lititz · Lancaster, PA PNEUMOCOCCAL 21-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $162.00 $270.00 —
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UPMC Memorial lowest York · York-Hanover, PA PNEUMOCOCCAL 21-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $162.00 $270.00 —
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UPMC Pinnacle Hospitals lowest Harrisburg · Harrisburg-Carlisle, PA PNEUMOCOCCAL 21-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $162.00 $270.00 —
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UPMC Somerset lowest Somerset · Somerset, PA PNEUMOCOCCAL 21-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $162.00 $270.00 —
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UPMC Altoona Altoona · Altoona, PA CAPVAXIVE VACCINE 0.5 ML SYR $189.60 $316.00 —
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UPMC Bedford Everett · Everett, PA CAPVAXIVE VACCINE 0.5 ML SYR $189.60 $316.00 —
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UPMC Childrens Hospital of Pittsburgh Pittsburgh · Pittsburgh, PA CAPVAXIVE VACCINE 0.5 ML SYR $189.60 $316.00 Mar 6, 2026
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UPMC East Monroeville · Pittsburgh, PA CAPVAXIVE VACCINE 0.5 ML SYR $189.60 $316.00 —
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UPMC Hamot Erie · Erie, PA CAPVAXIVE VACCINE 0.5 ML SYR $189.60 $316.00 —
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UPMC Horizon - Greenville Greenville · Hermitage, PA CAPVAXIVE VACCINE 0.5 ML SYR $189.60 $316.00 —
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UPMC Jameson New Castle · Pittsburgh, PA CAPVAXIVE VACCINE 0.5 ML SYR $189.60 $316.00 —
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UPMC Magee-Womens Hospital Pittsburgh · Pittsburgh, PA HC CAPVAXIVE VACCINE 0.5 ML SYR $189.60 $316.00 —
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UPMC McKeesport McKeesport · Pittsburgh, PA CAPVAXIVE VACCINE 0.5 ML SYR $189.60 $316.00 —
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UPMC Mercy Pittsburgh · Pittsburgh, PA CAPVAXIVE VACCINE 0.5 ML SYR $189.60 $316.00 —
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UPMC Muncy Muncy · Williamsport, PA CAPVAXIVE VACCINE 0.5 ML SYR $189.60 $316.00 —
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UPMC Northwest Seneca · Oil City, PA CAPVAXIVE VACCINE 0.5 ML SYR $189.60 $316.00 —
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UPMC Passavant - McCandless Pittsburgh · Pittsburgh, PA HC CAPVAXIVE VACCINE 0.5 ML SYR $189.60 $316.00 —
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UPMC Presbyterian Pittsburgh · Pittsburgh, PA CAPVAXIVE VACCINE 0.5 ML SYR $189.60 $316.00 Mar 6, 2026
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UPMC St Margaret Pittsburgh · Pittsburgh, PA CAPVAXIVE VACCINE 0.5 ML SYR $189.60 $316.00 —
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UPMC Wellsboro Wellsboro · Wellsboro, PA CAPVAXIVE VACCINE 0.5 ML SYR $189.60 $316.00 —
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UPMC Western Psychiatric Hospital Pittsburgh · Pittsburgh, PA CAPVAXIVE VACCINE 0.5 ML SYR $189.60 $316.00 —
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UPMC Williamsport Williamsport · Williamsport, PA CAPVAXIVE VACCINE 0.5 ML SYR $189.60 $316.00 —
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Uniontown Hospital Uniontown · Pittsburgh, PA Capvaxive PFS $222.17 $444.34 —
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UPMC Cole Coudersport · Coudersport, PA PNEUMOC-21 (CAPVAXIVE)-PF >=19YO INJ 0.5ML SYRINGE $360.00 $600.00 —
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Robert Packer Hospital Sayre · Sayre, PA Pcv21 Vaccine Im $385.56 $481.95 —
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Robert Packer Hospital, Towanda Campus Towanda · Sayre, PA Pcv21 Vaccine Im $385.56 $481.95 —
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Troy Community Hospital Troy · Sayre, PA Pcv21 Vaccine Im $385.56 $481.95 —
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UPMC Kane Kane · Bradford, PA CL-PNEUMOCOCCAL21(CAPVAXIVE) 0.5ML SYR $414.00 $690.00 —
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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.

By metro area

Each metro page compares every listing, including prices for both sides of the body.

Metro areaHospitalsLowestMedian
Pittsburgh, PA 11 $189.60 $189.60
Sayre, PA 3 $385.56 $385.56
Harrisburg-Carlisle, PA 2 $162.00 $162.00
Williamsport, PA 2 $189.60 $189.60
York-Hanover, PA 2 $162.00 $162.00
Altoona, PA 1 $189.60 $189.60
Bradford, PA 1 $414.00 $414.00
Coudersport, PA 1 $360.00 $360.00
Everett, PA 1 $189.60 $189.60
Erie, PA 1 $189.60 $189.60
Hermitage, PA 1 $189.60 $189.60
Lancaster, PA 1 $162.00 $162.00
Oil City, PA 1 $189.60 $189.60
Somerset, PA 1 $162.00 $162.00
Wellsboro, PA 1 $189.60 $189.60
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 it is

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).

Pneumonia vaccine, 21-valent conjugate (Capvaxive) in other states

Median cash price across the state's hospitals.