Pneumonia vaccine (Pneumovax 23) cost in North Dakota
In North Dakota, 10 hospitals publish a cash price for pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23): from $45.90 to $292.43, with a median of $136.86. The lowest price is at St. Alexius Medical Center (Bismarck). The highest price is 6.4× the lowest.
Outpatient cash prices, one line per hospital — its lowest listed price for code 90732. 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 PNEUMOCOCCAL VACCINE23-VALENTADULT | $45.90 | $90.00 | Feb 28, 2026 source file |
| Garrison Memorial Hospital Garrison · Garrison, ND HC PNEUMOCOCCAL VACCINE23-VALENTADULT | $95.20 | $140.00 | Feb 28, 2026 source file |
| St. Alexius Medical Center Turtle Lake · Turtle Lake, ND HC PNEUMOCOCCAL VACCINE23-VALENTADULT | $99.40 | $140.00 | Feb 28, 2026 source file |
| St Joseph's Hospital and Health Center Dickinson · Dickinson, ND PPSV23 VACC 2 YRS+ SUBQ/IM FPC | $101.25 | $160.70 | Feb 28, 2026 source file |
| Sanford Medical Center Bismarck Bismarck · Bismarck, ND Pneumococcal Vaccine Polyvalent Inj Soln 25 MCG/0.5ML | $120.58 | $150.72 | Mar 4, 2026 source file |
| Mercy Medical Center Williston · Williston, ND PPSV23 VACC 2 YRS+ SUBQ/IM FPC | $153.14 | $264.02 | Feb 28, 2026 source file |
| Mercy Hospital of Devils Lake Devils Lake · Devils Lake, ND PNEU 23-VAL P-SAC VAC 25MCG | $172.11 | $409.78 | Feb 28, 2026 source file |
| Sanford Hillsboro Medical Center Hillsboro · Hillsboro, ND Pneumococcal Vaccine Polyvalent Soln Pref Syr 25 MCG/0.5ML | $181.98 | $227.47 | Mar 4, 2026 source file |
| Carrington Health Center Carrington · Carrington, ND PNEU 23-VAL P-SAC VAC 0.5ML | $237.68 | $409.78 | Feb 28, 2026 source file |
| Sanford Fargo Medical Center Fargo · Fargo, ND-MN Pneumococcal Vaccine Polyvalent Soln Pref Syr 25 MCG/0.5ML | $292.43 | $365.53 | Mar 4, 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 | 2 | $45.90 | $83.24 |
| Carrington, ND | 1 | $237.68 | $237.68 |
| Devils Lake, ND | 1 | $172.11 | $172.11 |
| Dickinson, ND | 1 | $101.25 | $101.25 |
| Fargo, ND-MN | 1 | $292.43 | $292.43 |
| Garrison, ND | 1 | $95.20 | $95.20 |
| Hillsboro, ND | 1 | $181.98 | $181.98 |
| Turtle Lake, ND | 1 | $99.40 | $99.40 |
| Williston, ND | 1 | $153.14 | $153.14 |
What it is
Pneumovax 23 is the older polysaccharide pneumonia vaccine, covering 23 types of pneumococcus. Today it is mainly given after the 15-valent conjugate vaccine, or to complete a series started with it.
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, 23-valent polysaccharide (Pneumovax 23) in other states
- Alabama$282.00
- Alaska$596.49
- Arizona$71.48
- Arkansas$201.00
- California$161.72
- Colorado$423.28
- Connecticut$312.04
- Delaware$303.22
- Florida$340.06
- Georgia$635.90
- Hawaii$224.06
- Idaho$149.28
- Illinois$158.71
- Indiana$166.40
- Iowa$219.79
- Kansas$1,010.42
- Kentucky$1,109.05
- Louisiana$60.76
- Maine$78.56
- Maryland$120.00
- Massachusetts$282.17
- Michigan$154.00
- Minnesota$121.66
- Mississippi$170.40
- Missouri$177.75
- Montana$136.85
- Nebraska$206.26
- Nevada$214.50
- New Hampshire$95.42
- New Jersey$223.40
- New Mexico$177.61
- New York$187.77
- North Carolina$271.50
- Ohio$274.95
- Oklahoma$150.79
- Oregon$186.67
- Pennsylvania$75.00
- Rhode Island$297.51
- South Carolina$267.00
- South Dakota$110.04
- Tennessee$131.67
- Texas$252.90
- Utah$199.86
- Vermont$154.00
- Virginia$179.31
- Washington$199.62
- West Virginia$105.50
- Wisconsin$141.05
- Wyoming$102.40
Median cash price across the state's hospitals.