Vaccines CPT 90684 Vermont Outpatient

Pneumonia vaccine (Capvaxive) cost in Vermont

In Vermont, 4 hospitals publish a cash price for pneumonia vaccine, 21-valent conjugate (Capvaxive): from $274.00 to $621.54, with a median of $446.88. The lowest price is at Mt. Ascutney Hospital and Health Center (Windsor). The highest price is 2.3× 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 28, 2026. See them on a map

Lowest$274.00Mt. Ascutney Hospital and Health Center
Median$446.88half pay less
Highest$621.54in Vermont
Lowest saves$172.88vs the median

Hospitals in Vermont, cheapest first

HospitalCash price List priceFile date
Mt. Ascutney Hospital and Health Center lowest Windsor · Lebanon-Claremont, NH-VT Tc Pneumococcal Conjugate Vaccine, 21 Valent, Im $274.00 $343.00 —
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Northeastern Vermont Regional Hospital St. Johnsbury · St. Johnsbury, VT PNEUMO 21-VAL SYRINGE $333.75 $445.00 —
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Grace Cottage Hospital Townshend · Brattleboro, VT 90684-capvaxive 0.5 Ml Pneumococcal Conjugate Vaccine , 21 Valent (Pcv 21) For Im Use $560.00 $700.00 —
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North Country Hospital & Health Center Newport · Newport, VT AMB pneumococcal 21-valent conjugate vac charge $621.54 $776.92 —
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By metro area

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

Metro areaHospitals LowestMedian
Brattleboro, VT 1 $560.00 $560.00
Lebanon-Claremont, NH-VT 1 $274.00 $274.00
Newport, VT 1 $621.54 $621.54
St. Johnsbury, VT 1 $333.75 $333.75

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.