Prevnar 20 (PCV20 Pneumococcal Conjugate)

CPT 9067127 Colorado hospitals reporting a negotiated rate

20-valent pneumococcal conjugate vaccine, the broader-coverage option for adults 65+ alongside or instead of PPSV23.

Typical insured price · Colorado

$256to$428

What hospitals actually accept from insurers, between the 25th and 75th percentile of per-hospital medians — half of reporting hospitals’ median rates fall in this window with a median of $298.

$256$428

Cash price (median)

$204

What you'd pay self-pay

Gross charge (median)

$354

The chargemaster sticker

vs Medicare

—

Coming with enrichment

Sourced from 27 Colorado hospitals publishing under 45 CFR §180.50.

At a glance

Code: CPT 90671
Code system: CPT (Current Procedural Terminology)
Typical setting: an outpatient setting
Hospitals reporting: 27
Medicare preventive: Yes — typically no cost-sharing

How they price Prevnar 20 (PCV20 Pneumococcal Conjugate)

Across 27 Colorado hospitals that publish a commercial negotiated rate for CPT 90671, the typical insured price for Prevnar 20 (PCV20 Pneumococcal Conjugate) runs $256 to $428 (the 25th-to-75th percentile of per-hospital medians). The Colorado median is $298 — half of reporting hospitals are at or below that figure. The median discounted cash price across the same hospitals is $204, against a median gross charge of $354.

What affects the price

Structural and contractual factors that move the price for this code — not clinical reasons.

Outpatient setting (hospital outpatient department, ambulatory surgery center, or office) is the single biggest non-clinical price driver — the same code in a hospital outpatient department often costs 2–4× the ambulatory-surgery-center rate.
In-network vs out-of-network status — out-of-network claims rarely use the negotiated rates shown here.
Facility fee — many hospitals add a separate facility fee in addition to the procedure rate; ask explicitly when calling.
Bundled vs unbundled billing — the rate may or may not include radiology read, anesthesia, or pathology. Ask which professional services are included.

Where to get it

Sorted by median negotiated rate, low to high. The bar shows each hospital’s position in the Colorado range.

29 hospitals listed

Medians shown combine all commercial payers; your plan's rate may differ. Choose your insurance carrier to filter.

Choose your insurance carrier

Carriers named by their MRF label. Confirm in-network status with your insurer before scheduling.

Hospitals reporting rates for this procedure, ranked by median negotiated price.
Hospital	Metro	Position · Median	Your carrier's rate	Negotiated band	Cash	Payers
Commonspirit St Anthony Summit Medical Center Compare Metro Rest of Colorado Median negotiated $256 Your carrier's rate — 25th–75th $256 – $256 Cash — Payers 9	Rest of Colorado	$256	—	$256 – $256	—	9
Commonspirit St Anthony North Hospital Compare Metro Denver Metro Median negotiated $256 Your carrier's rate — 25th–75th $256 – $256 Cash — Payers 11	Denver Metro	$256	—	$256 – $256	—	11
Commonspirit Longmont United Hospital Compare Metro Boulder Median negotiated $256 Your carrier's rate — 25th–75th $256 – $256 Cash — Payers 11	Boulder	$256	—	$256 – $256	—	11
Commonspirit St Anthony Hospital Lakewood Compare Metro Denver Metro Median negotiated $256 Your carrier's rate — 25th–75th $256 – $302 Cash — Payers 6	Denver Metro	$256	—	$256 – $302	—	6
Commonspirit St Francis Hospital Interquest Compare Metro Colorado Springs Median negotiated $256 Your carrier's rate — 25th–75th $256 – $256 Cash — Payers 9	Colorado Springs	$256	—	$256 – $256	—	9
Commonspirit Mercy Hospital Durango Compare Metro Rest of Colorado Median negotiated $256 Your carrier's rate — 25th–75th $256 – $256 Cash — Payers 11	Rest of Colorado	$256	—	$256 – $256	—	11
Commonspirit St Mary Corwin Hospital Pueblo Compare Metro Rest of Colorado Median negotiated $256 Your carrier's rate — 25th–75th $256 – $387 Cash — Payers 11	Rest of Colorado	$256	—	$256 – $387	—	11
Commonspirit Orthocolorado Hospital Compare Metro Denver Metro Median negotiated $256 Your carrier's rate — 25th–75th $256 – $256 Cash — Payers 9	Denver Metro	$256	—	$256 – $256	—	9
Commonspirit St Elizabeth Hospital Fort Morgan Compare Metro Rest of Colorado Median negotiated $256 Your carrier's rate — 25th–75th $256 – $257 Cash — Payers 8	Rest of Colorado	$256	—	$256 – $257	—	8
Uchealth University of Colorado Hospital Aurora Compare Metro Denver Metro Median negotiated $261 Your carrier's rate — 25th–75th $261 – $416 Cash — Payers 9	Denver Metro	$261	—	$261 – $416	—	9
Boulder Community Health Foothills Hospital Compare Metro Boulder Median negotiated $264 Your carrier's rate — 25th–75th $256 – $267 Cash — Payers 13	Boulder	$264	—	$256 – $267	—	13
Commonspirit St Francis Hospital Compare Metro Colorado Springs Median negotiated $264 Your carrier's rate — 25th–75th $264 – $264 Cash — Payers 10	Colorado Springs	$264	—	$264 – $264	—	10
Children S Hospital Colorado Colorado Springs Compare Metro Colorado Springs Median negotiated $283 Your carrier's rate — 25th–75th $283 – $283 Cash — Payers 1	Colorado Springs	$283	—	$283 – $283	—	1
Uchealth Grandview Hospital Colorado Springs Compare Metro Colorado Springs Median negotiated $298 Your carrier's rate — 25th–75th $261 – $494 Cash — Payers 8	Colorado Springs	$298	—	$261 – $494	—	8
Uchealth Highlands Ranch Hospital Compare Metro Denver Metro Median negotiated $332 Your carrier's rate — 25th–75th $261 – $524 Cash — Payers 8	Denver Metro	$332	—	$261 – $524	—	8
Uchealth Memorial Hospital North Colorado Springs Compare Metro Colorado Springs Median negotiated $342 Your carrier's rate — 25th–75th $261 – $554 Cash — Payers 8	Colorado Springs	$342	—	$261 – $554	—	8
Uchealth Memorial Hospital Central Colorado Springs Compare Metro Colorado Springs Median negotiated $342 Your carrier's rate — 25th–75th $261 – $554 Cash — Payers 8	Colorado Springs	$342	—	$261 – $554	—	8
Uchealth Longs Peak Hospital Longmont Compare Metro Boulder Median negotiated $355 Your carrier's rate — 25th–75th $261 – $494 Cash — Payers 8	Boulder	$355	—	$261 – $494	—	8
Uchealth Estes Valley Medical Center Estes Park Compare Metro Fort Collins Median negotiated $393 Your carrier's rate — 25th–75th $393 – $393 Cash — Payers 1	Fort Collins	$393	—	$393 – $393	—	1
Uchealth Parkview Medical Center Pueblo Compare Metro Rest of Colorado Median negotiated $418 Your carrier's rate — 25th–75th $261 – $488 Cash — Payers 7	Rest of Colorado	$418	—	$261 – $488	—	7
Denver Health Medical Center Compare Metro Denver Metro Median negotiated $438 Your carrier's rate — 25th–75th $344 – $450 Cash — Payers 6	Denver Metro	$438	—	$344 – $450	—	6
Uchealth Greeley Hospital Compare Metro Rest of Colorado Median negotiated $458 Your carrier's rate — 25th–75th $261 – $789 Cash — Payers 8	Rest of Colorado	$458	—	$261 – $789	—	8
Uchealth Yampa Valley Medical Center Steamboat Springs Compare Metro Rest of Colorado Median negotiated $495 Your carrier's rate — 25th–75th $261 – $788 Cash — Payers 8	Rest of Colorado	$495	—	$261 – $788	—	8
Commonspirit St Thomas More Hospital Ca on City Compare Metro Rest of Colorado Median negotiated $507 Your carrier's rate — 25th–75th $507 – $507 Cash — Payers 1	Rest of Colorado	$507	—	$507 – $507	—	1
Uchealth Medical Center of the Rockies Loveland Compare Metro Fort Collins Median negotiated $523 Your carrier's rate — 25th–75th $261 – $905 Cash — Payers 8	Fort Collins	$523	—	$261 – $905	—	8
Uchealth Poudre Valley Hospital Fort Collins Compare Metro Fort Collins Median negotiated $523 Your carrier's rate — 25th–75th $261 – $905 Cash — Payers 8	Fort Collins	$523	—	$261 – $905	—	8
Pikes Peak Regional Hospital Woodland Park Compare Metro Colorado Springs Median negotiated $528 Your carrier's rate — 25th–75th $431 – $1,031 Cash — Payers 2	Colorado Springs	$528	—	$431 – $1,031	—	2
Prowers Medical Center Lamar Gross charge $301 Compare Metro Rest of Colorado Median negotiated — Your carrier's rate — 25th–75th — Cash $181 Payers —	Rest of Colorado	—	—	—	$181	—
Community Hospital Grand Junction Gross charge $406 Compare Metro Rest of Colorado Median negotiated — Your carrier's rate — 25th–75th — Cash $228 Payers —	Rest of Colorado	—	—	—	$228	—

0 of 3 hospitals selected

Pick up to 3 hospitals from the table to compare.

Prices by metro: Denver MetroColorado SpringsFort CollinsBoulderRest of Colorado

What to do next

Ask the hospital for a Good Faith Estimate — under the federal No Surprises Act, hospitals must give uninsured and self-pay patients a written estimate for scheduled care. If you're insured, ask your insurer for your expected cost-sharing in advance, confirm the hospital is in-network, and bring your insurance card.

Know your rights under the No Surprises Act (CMS) →

Common questions

Short answers, derived from the data on this page. See the full FAQ for site-wide questions.

How much does Prevnar 20 (PCV20 Pneumococcal Conjugate) cost in Colorado?

Across 27 Colorado hospitals that publish a commercial negotiated rate, the median is $298. The middle half of hospitals fall between $256 and $428 — the 25th-to-75th percentile of per-hospital medians.

Is the doctor's fee included in these prices?

Vaccines are usually administered by hospital staff with no separate physician fee — the price shown is typically for the vaccine itself. Confirm when scheduling whether an office-visit or administration fee applies.

Does insurance change what I'd pay?

Yes. The negotiated rate depends on which insurer and plan you have, and what you actually pay depends on your deductible, coinsurance, and whether the hospital is in your network. Colorado hospitals publish negotiated rates for Prevnar 20 (PCV20 Pneumococcal Conjugate) under 24 different payer names. Verify coverage with your insurer before scheduling. Choose your insurance carrier above the hospital table to see per-insurer rates.

What's the cash price for Prevnar 20 (PCV20 Pneumococcal Conjugate) if I don't have insurance?

The median discounted cash price across reporting Colorado hospitals is $204. Hospitals are required to publish any discounted cash price they offer self-pay patients — often less than the gross "chargemaster" charge but typically more than the lowest negotiated rate — the per-hospital table on this page shows the full spread.

Is Prevnar 20 (PCV20 Pneumococcal Conjugate) covered by Medicare?

Prevnar 20 (PCV20 Pneumococcal Conjugate) is generally eligible for Medicare preventive coverage when it's performed as a covered screening or immunization and you meet Medicare's eligibility rules — in those cases there's typically no cost-sharing. The same procedure done for diagnostic or treatment reasons is billed normally against your deductible and coinsurance. Verify with your plan — the coverage pathway, frequency limits, and clinical criteria all matter.

Is this a price quote?

No. These are rates hospitals have published under the federal price-transparency rule — they show what insurers have negotiated, not what you will be billed. Your bill depends on your plan, deductible, in-network status, and clinical circumstances. Verify the price with the hospital and confirm coverage with your insurer before scheduling.

What are my rights if the bill doesn't match?

If you're uninsured or paying cash, the federal No Surprises Act gives you the right to a written Good Faith Estimate before scheduled care — and if the final bill is at least $400 over that estimate, you can dispute it. Most insured patients are also protected from surprise bills for emergency care and certain out-of-network care at in-network facilities.

Know your rights under the No Surprises Act (CMS) →

What does CPT 90671 mean?

CPT 90671 is the CPT (Current Procedural Terminology) code for Prevnar 20 (PCV20 Pneumococcal Conjugate). It identifies the procedure for billing and price-disclosure purposes — every hospital's machine-readable file reports rates against this code.

Browse related collections

The same procedure shows up under several useful lenses. Each collection groups it with peers that get shopped together.