Pneumonia vaccine (Pneumovax 23) cost in North Dakota
In North Dakota, 24 hospitals publish a cash price for pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23): from $26.00 to $535.68, with a median of $139.39. The lowest price is at Nelson County Health System Hospital (McVille). The highest price is 20.6× the lowest.
- The median here, $139.39, is 26% below the US median of $189.61.
- North Dakota ranks 9th of 48 states by median, cheapest first.
- 5 of 24 hospitals list a cash price equal to their full list price, with no self-pay discount.
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 Nov 11, 2026. See them on a map
Lowest$26.00Nelson County Health System Hospital
Median$139.39half of hospitals charge less
Highest$535.68in North Dakota
Lowest saves$113.39vs the median
Hospitals in North Dakota, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Nelson County Health System Hospital lowest McVille · McVille, ND PR PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE | $26.00 | $26.00 | Jul 14, 2026 source file |
| CHI St Alexius Health Bismarck · Bismarck, ND HC PNEUMOCOCCAL VACCINE23-VALENTADULT | $45.00 | $90.00 | Sep 30, 2026 source file |
| Garrison Memorial Hospital Garrison · Garrison, ND HC PNEUMOCOCCAL VACCINE23-VALENTADULT | $93.80 | $140.00 | Sep 30, 2026 source file |
| St Joseph's Hospital and Health Center Dickinson · Dickinson, ND PPSV23 VACC 2 YRS+ SUBQ/IM FPC | $94.82 | $160.70 | Sep 30, 2026 source file |
| CHI St Alexius Health Turtle Lake Turtle Lake · Turtle Lake, ND HC PNEUMOCOCCAL VACCINE23-VALENTADULT | $95.20 | $140.00 | Sep 30, 2026 source file |
| McKenzie County Healthcare System Watford City · Watford City, ND PNEUMOCOCCAL POLYSACCHARIDE VACCINE 23-VALENT ADULT IMMUNOSUPPRESSED P | $106.60 | $164.00 | May 1, 2026 source file |
| Southwest Healthcare Services Bowman · Bowman, ND CL-PNEUMOCOCCAL POLYV VACCINE(PNEUMOVAX | $109.80 | $122.00 | Oct 16, 2025 source file |
| Northwood Deaconess Health Center Northwood · Grand Forks, ND-MN Pneumococcal Vaccine Polyvalent Soln Pref Syr 25 MCG/0.5ML | $110.00 | $138.00 | Jul 16, 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 |
| Lisbon Area Health Services Lisbon · Lisbon, ND PNEU 23-VAL P-SAC VAC 25MCG | $128.79 | $234.16 | Sep 30, 2026 source file |
| Altru Hospital Devils Lake Devils Lake · Devils Lake, ND Pneumococcal Vaccine Polyvalent Soln Pref Syr 25 MCG/0.5ML | $133.53 | $218.90 | Mar 1, 2026 source file |
| Altru Hospital Grand Forks · Grand Forks, ND-MN Pneumococcal Vaccine Polyvalent Soln Pref Syr 25 MCG/0.5ML | $133.56 | $218.95 | Mar 1, 2026 source file |
| Mercy Medical Center Williston · Williston, ND PPSV23 VACC 2 YRS+ SUBQ/IM FPC | $145.22 | $264.02 | Sep 30, 2026 source file |
| Ashley Medical Center Ashley · Ashley, ND CLN - PNEUMOVAX 23 | $151.00 | $151.00 | Oct 9, 2026 source file |
| Mercy Hospital of Valley City Valley City · Valley City, ND PNEU 23-VAL P-SAC VAC 25MCG | $162.98 | $280.99 | Sep 30, 2026 source file |
| Carrington Health Center Carrington · Carrington, ND PNEU 23-VAL P-SAC VAC 0.5ML | $165.79 | $281.00 | Sep 30, 2026 source file |
| Mercy Hospital of Devils Lake Devils Lake · Devils Lake, ND PNEU 23-VAL P-SAC VAC 0.5ML | $172.11 | $409.78 | Feb 28, 2026 source file |
| Towner County Medical Center Cando · Cando, ND Pr Ppsv23 Vaccine 2 Yrs Or Older For Subq/im Use | $174.00 | $174.00 | — 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 |
| CHI Oakes Hospital Oakes · Oakes, ND PNEU 23-VAL P-SAC VAC 0.5ML | $213.09 | $409.78 | Feb 28, 2026 source file |
| Tioga Medical Center Tioga · Williston, ND Ppsv23 Vaccine 2 Yrs Or Older For Subq/im Use | $226.00 | $226.00 | — 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 |
| SMP Health - St. Aloisius Harvey · Harvey, ND Vaccine Pneumococcal 23-valent Conjugateamb Pneumococcal 23-valent Vaccine Charge | $407.00 | $452.00 | — source file |
| St. Luke's Hospital Crosby · Crosby, ND PR PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE | $535.68 | $535.68 | Oct 6, 2026 source file |
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.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
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 | $45.00 | $82.79 |
| Devils Lake, ND | 2 | $133.53 | $152.82 |
| Grand Forks, ND-MN | 2 | $110.00 | $121.78 |
| Williston, ND | 2 | $145.22 | $185.61 |
| Ashley, ND | 1 | $151.00 | $151.00 |
| Bowman, ND | 1 | $109.80 | $109.80 |
| Cando, ND | 1 | $174.00 | $174.00 |
| Carrington, ND | 1 | $165.79 | $165.79 |
| Crosby, ND | 1 | $535.68 | $535.68 |
| Dickinson, ND | 1 | $94.82 | $94.82 |
| Fargo, ND-MN | 1 | $292.43 | $292.43 |
| Garrison, ND | 1 | $93.80 | $93.80 |
| Harvey, ND | 1 | $407.00 | $407.00 |
| Hillsboro, ND | 1 | $181.98 | $181.98 |
| Lisbon, ND | 1 | $128.79 | $128.79 |
| McVille, ND | 1 | $26.00 | $26.00 |
| Oakes, ND | 1 | $213.09 | $213.09 |
| Turtle Lake, ND | 1 | $95.20 | $95.20 |
| Valley City, ND | 1 | $162.98 | $162.98 |
| Watford City, ND | 1 | $106.60 | $106.60 |
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 pneumonia vaccine (Pneumovax 23) is, what the price covers and why prices differ: Pneumonia vaccine (Pneumovax 23) explained.
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) in other states
- Alabama$192.64
- Alaska$369.08
- Arizona$73.23
- Arkansas$181.94
- California$161.72
- Colorado$353.00
- Connecticut$309.69
- Delaware$303.22, 4 hospitals
- District of Columbia$251.34, 2 hospitals
- Florida$397.54
- Georgia$304.45
- Hawaii$196.70
- Idaho$149.28
- Illinois$188.00
- Indiana$232.73
- Iowa$219.79
- Kansas$173.88
- Kentucky$277.60
- Louisiana$134.88
- Maine$90.60
- Maryland$261.35
- Massachusetts$277.48
- Michigan$158.27
- Minnesota$125.92
- Mississippi$196.69
- Missouri$174.72
- Montana$142.01
- Nebraska$218.63
- Nevada$295.15
- New Hampshire$222.27
- New Jersey$177.80
- New Mexico$168.83
- New York$169.51
- North Carolina$264.84
- Ohio$274.95
- Oklahoma$166.53
- Oregon$175.97
- Pennsylvania$128.40
- Rhode Island$297.51, 4 hospitals
- South Carolina$158.33
- South Dakota$141.60
- Tennessee$158.67
- Texas$252.90
- Utah$365.60
- Vermont$118.87
- Virginia$190.80
- Washington$133.20
- West Virginia$109.52
- Wisconsin$141.05
- Wyoming$177.13
Median cash price across the state's hospitals.