Prevnar 20 (PCV20 Pneumococcal Conjugate)

CPT 9067167 Texas 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

$272to$714

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 $280.

$272$714

Log scale · this page only

Cash price (median)

$693

What you'd pay self-pay

Gross charge (median)

$866

The chargemaster sticker

vs Medicare

—

Coming with enrichment

Sourced from 67 Colorado hospitals publishing under 45 CFR §180.50.

Choose your insurance carrier

Medicare Advantage? Find your plan under More carriers; your MA rate differs from these chips.

Straight Medicare or uninsured? Carrier rates don’t apply; see the cash and methodology notes.

More carriers and specialty networks

Most patients pick a Major carrier. The networks below are repricers, employer plans, and specialty payers; choose one only if it’s printed on your insurance card.

At a glance

Code: CPT 90671
Code system: CPT (Current Procedural Terminology)
Typical setting: an outpatient setting
Hospitals reporting: 67
Medicare preventive: Yes — typically no cost-sharing

How they price Prevnar 20 (PCV20 Pneumococcal Conjugate)

Across 67 Texas hospitals that publish a commercial negotiated rate for CPT 90671, the typical insured price for Prevnar 20 (PCV20 Pneumococcal Conjugate) runs $272 to $714 (the 25th-to-75th percentile of per-hospital medians). The Texas median is $280 — half of reporting hospitals are at or below that figure. The median discounted cash price across the same hospitals is $693, against a median gross charge of $866.

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.

Every reporting hospital on one scale

Where to get it

Ranked by price: by your carrier’s rate once you pick one, otherwise by the median. The ruler plots each hospital’s price band and median on a shared scale; the colors compare each price to the Texas median.

67 hospitals listed

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

Hospitals reporting rates for this procedure, ranked by median negotiated price.
Hospital	Metro	Median · ledger Log scale · this page only	Your carrier's rate	Negotiated band	Cash	Payers
Children S Medical Center Plano Compare Metro Dallas–Fort Worth Median negotiated $245below the state median Your carrier's rate — 25th–75th $245 – $245 Cash — Payers 2	Dallas–Fort Worth	$245below the state median	—	$245 – $245	—	2
Children S Medical Center Dallas Compare Metro Dallas–Fort Worth Median negotiated $245below the state median Your carrier's rate — 25th–75th $245 – $245 Cash — Payers 2	Dallas–Fort Worth	$245below the state median	—	$245 – $245	—	2
Ascension Seton Medical Center Austin Compare Metro Austin Median negotiated $246below the state median Your carrier's rate — 25th–75th $246 – $853 Cash — Payers 2	Austin	$246below the state median	—	$246 – $853	—	2
Ascension Seton Northwest Hospital Compare Metro Austin Median negotiated $246below the state median Your carrier's rate — 25th–75th $246 – $853 Cash — Payers 2	Austin	$246below the state median	—	$246 – $853	—	2
Ascension Seton Cedar Park Hospital Compare Metro Austin Median negotiated $246below the state median Your carrier's rate — 25th–75th $246 – $853 Cash — Payers 2	Austin	$246below the state median	—	$246 – $853	—	2
Dell Seton Medical Center at the University of Texas Compare Metro Austin Median negotiated $246below the state median Your carrier's rate — 25th–75th $246 – $838 Cash — Payers 2	Austin	$246below the state median	—	$246 – $838	—	2
Ascension Seton Hays Compare Metro Austin Median negotiated $246below the state median Your carrier's rate — 25th–75th $246 – $853 Cash — Payers 2	Austin	$246below the state median	—	$246 – $853	—	2
Ascension Seton Highland Lakes Compare Metro Rest of Texas Median negotiated $246below the state median Your carrier's rate — 25th–75th $246 – $853 Cash — Payers 2	Rest of Texas	$246below the state median	—	$246 – $853	—	2
Ascension Seton Edgar B Davis Compare Metro Austin Median negotiated $246below the state median Your carrier's rate — 25th–75th $246 – $853 Cash — Payers 2	Austin	$246below the state median	—	$246 – $853	—	2
Ascension Seton Southwest Hospital Compare Metro Austin Median negotiated $246below the state median Your carrier's rate — 25th–75th $246 – $853 Cash — Payers 2	Austin	$246below the state median	—	$246 – $853	—	2
Dell Children S Medical Center Compare Metro Austin Median negotiated $246below the state median Your carrier's rate — 25th–75th $246 – $853 Cash — Payers 2	Austin	$246below the state median	—	$246 – $853	—	2
Peterson Regional Medical Center Compare Metro Rest of Texas Median negotiated $248below the state median Your carrier's rate — 25th–75th $248 – $258 Cash — Payers 3	Rest of Texas	$248below the state median	—	$248 – $258	—	3
Permian Regional Medical Center Andrews County Ho Compare Metro Rest of Texas Median negotiated $253below the state median Your carrier's rate — 25th–75th $243 – $268 Cash — Payers 3	Rest of Texas	$253below the state median	—	$243 – $268	—	3
Post Acute Medical Specialty Hospital of Texarkana Compare Metro Rest of Texas Median negotiated $259below the state median Your carrier's rate — 25th–75th $259 – $259 Cash — Payers 1	Rest of Texas	$259below the state median	—	$259 – $259	—	1
Hendrick Medical Center Brownwood Compare Metro Rest of Texas Median negotiated $261below the state median Your carrier's rate — 25th–75th $261 – $261 Cash — Payers 1	Rest of Texas	$261below the state median	—	$261 – $261	—	1
Christus Saint Michael Rehabilitation Hospital Compare Metro Rest of Texas Median negotiated $261below the state median Your carrier's rate — 25th–75th $251 – $261 Cash — Payers 4	Rest of Texas	$261below the state median	—	$251 – $261	—	4
Texas Health Center for Diagnostics Surgery Compare Metro Dallas–Fort Worth Median negotiated $272below the state median Your carrier's rate — 25th–75th $261 – $290 Cash — Payers 4	Dallas–Fort Worth	$272below the state median	—	$261 – $290	—	4
Texas Health Cleburne Compare Metro Dallas–Fort Worth Median negotiated $272below the state median Your carrier's rate — 25th–75th $261 – $290 Cash — Payers 4	Dallas–Fort Worth	$272below the state median	—	$261 – $290	—	4
Texas Health Arlington Memorial Compare Metro Dallas–Fort Worth Median negotiated $272below the state median Your carrier's rate — 25th–75th $261 – $290 Cash — Payers 4	Dallas–Fort Worth	$272below the state median	—	$261 – $290	—	4
Clay County Memorial Hospital Compare Metro Rest of Texas Median negotiated $278below the state median Your carrier's rate — 25th–75th $256 – $278 Cash — Payers 2	Rest of Texas	$278below the state median	—	$256 – $278	—	2
Texas Health Frisco Compare Metro Dallas–Fort Worth Median negotiated $280about the state median Your carrier's rate — 25th–75th $269 – $299 Cash — Payers 4	Dallas–Fort Worth	$280about the state median	—	$269 – $299	—	4
Texas Health Denton Compare Metro Dallas–Fort Worth Median negotiated $280about the state median Your carrier's rate — 25th–75th $269 – $299 Cash — Payers 4	Dallas–Fort Worth	$280about the state median	—	$269 – $299	—	4
Texas Health Azle Compare Metro Dallas–Fort Worth Median negotiated $280about the state median Your carrier's rate — 25th–75th $269 – $299 Cash — Payers 4	Dallas–Fort Worth	$280about the state median	—	$269 – $299	—	4
Texas Health Harris Methodist Hospital Stephenvill Compare Metro Rest of Texas Median negotiated $280about the state median Your carrier's rate — 25th–75th $269 – $299 Cash — Payers 4	Rest of Texas	$280about the state median	—	$269 – $299	—	4
Texas Health Harris Methodist Hospital Southwest F Compare Metro Dallas–Fort Worth Median negotiated $280about the state median Your carrier's rate — 25th–75th $269 – $299 Cash — Payers 4	Dallas–Fort Worth	$280about the state median	—	$269 – $299	—	4
Texas Health Presbyterian Hospital Dallas Compare Metro Dallas–Fort Worth Median negotiated $280about the state median Your carrier's rate — 25th–75th $269 – $299 Cash — Payers 4	Dallas–Fort Worth	$280about the state median	—	$269 – $299	—	4
Texas Health Kaufman Compare Metro Dallas–Fort Worth Median negotiated $280about the state median Your carrier's rate — 25th–75th $269 – $299 Cash — Payers 4	Dallas–Fort Worth	$280about the state median	—	$269 – $299	—	4
Texas Health Flower Mound Compare Metro Dallas–Fort Worth Median negotiated $280about the state median Your carrier's rate — 25th–75th $269 – $299 Cash — Payers 4	Dallas–Fort Worth	$280about the state median	—	$269 – $299	—	4
Texas Health Harris Methodist Fort Worth Compare Metro Dallas–Fort Worth Median negotiated $280about the state median Your carrier's rate — 25th–75th $269 – $299 Cash — Payers 4	Dallas–Fort Worth	$280about the state median	—	$269 – $299	—	4
Texas Health Alliance Compare Metro Dallas–Fort Worth Median negotiated $280about the state median Your carrier's rate — 25th–75th $269 – $299 Cash — Payers 4	Dallas–Fort Worth	$280about the state median	—	$269 – $299	—	4
Texas Health Heart Vascular Hospital Arlington Compare Metro Dallas–Fort Worth Median negotiated $280about the state median Your carrier's rate — 25th–75th $275 – $302 Cash — Payers 4	Dallas–Fort Worth	$280about the state median	—	$275 – $302	—	4
Texas Health Harris Methodist Hurst Euless Bedford Compare Metro Dallas–Fort Worth Median negotiated $280about the state median Your carrier's rate — 25th–75th $269 – $299 Cash — Payers 4	Dallas–Fort Worth	$280about the state median	—	$269 – $299	—	4
Texas Health Harris Methodist Hospital Southlake Compare Metro Dallas–Fort Worth Median negotiated $280about the state median Your carrier's rate — 25th–75th $269 – $299 Cash — Payers 4	Dallas–Fort Worth	$280about the state median	—	$269 – $299	—	4
Texas Health Presbyterian Hospital Allen Compare Metro Dallas–Fort Worth Median negotiated $280about the state median Your carrier's rate — 25th–75th $269 – $299 Cash — Payers 4	Dallas–Fort Worth	$280about the state median	—	$269 – $299	—	4
Texas Health Plano Compare Metro Dallas–Fort Worth Median negotiated $280about the state median Your carrier's rate — 25th–75th $269 – $299 Cash — Payers 4	Dallas–Fort Worth	$280about the state median	—	$269 – $299	—	4
Baylor Scott White Surgical Hospital at Sherman Compare Metro Rest of Texas Median negotiated $281about the state median Your carrier's rate — 25th–75th $281 – $281 Cash — Payers 1	Rest of Texas	$281about the state median	—	$281 – $281	—	1
William P Clements Jr University Hospital Gross charge $497 Compare Metro Dallas–Fort Worth Median negotiated $410above the state median Your carrier's rate — 25th–75th $256 – $499 Cash $373 Payers 11	Dallas–Fort Worth	$410above the state median	—	$256 – $499	$373	11
River Crest Hospital Compare Metro Rest of Texas Median negotiated $426above the state median Your carrier's rate — 25th–75th $399 – $522 Cash — Payers 9	Rest of Texas	$426above the state median	—	$399 – $522	—	9
Shannon Medical Center Compare Metro Rest of Texas Median negotiated $426above the state median Your carrier's rate — 25th–75th $399 – $522 Cash — Payers 9	Rest of Texas	$426above the state median	—	$399 – $522	—	9
Christus Trinity Mother Frances Hospital Winnsboro Compare Metro Rest of Texas Median negotiated $516above the state median Your carrier's rate — 25th–75th $343 – $543 Cash — Payers 2	Rest of Texas	$516above the state median	—	$343 – $543	—	2
Christus Trinity Mother Frances Hospital Jacksonville Compare Metro Rest of Texas Median negotiated $516above the state median Your carrier's rate — 25th–75th $343 – $543 Cash — Payers 2	Rest of Texas	$516above the state median	—	$343 – $543	—	2
Hill Country Memorial Hospital Compare Metro Rest of Texas Median negotiated $585more than twice the state median Your carrier's rate — 25th–75th $482 – $816 Cash — Payers 2	Rest of Texas	$585more than twice the state median	—	$482 – $816	—	2
Baylor Scott White Medical Center Marble Falls Gross charge $866 Compare Metro Rest of Texas Median negotiated $628more than twice the state median Your carrier's rate — 25th–75th $498 – $661 Cash $693 Payers 4	Rest of Texas	$628more than twice the state median	—	$498 – $661	$693	4
Falls Community Hospital and Clinic Gross charge $866 Compare Metro Waco Median negotiated $628more than twice the state median Your carrier's rate — 25th–75th $498 – $661 Cash $693 Payers 4	Waco	$628more than twice the state median	—	$498 – $661	$693	4
Ascension Providence Hospital Compare Metro Waco Median negotiated $640more than twice the state median Your carrier's rate — 25th–75th $607 – $687 Cash — Payers 2	Waco	$640more than twice the state median	—	$607 – $687	—	2
Hca Houston Healthcare Medical Center Compare Metro Houston Metro Median negotiated $669more than twice the state median Your carrier's rate — 25th–75th $535 – $669 Cash — Payers 3	Houston Metro	$669more than twice the state median	—	$535 – $669	—	3
Texas Orthopedic Hospital Compare Metro Houston Metro Median negotiated $669more than twice the state median Your carrier's rate — 25th–75th $535 – $669 Cash — Payers 3	Houston Metro	$669more than twice the state median	—	$535 – $669	—	3
Christus Spohn Hospital Corpus Christi South Compare Metro Corpus Christi Median negotiated $680more than twice the state median Your carrier's rate — 25th–75th $261 – $792 Cash — Payers 3	Corpus Christi	$680more than twice the state median	—	$261 – $792	—	3
Christus Saint Michael Hospital Atlanta Compare Metro Rest of Texas Median negotiated $684more than twice the state median Your carrier's rate — 25th–75th $261 – $1,185 Cash — Payers 5	Rest of Texas	$684more than twice the state median	—	$261 – $1,185	—	5
Christus Saint Michael Hospital Compare Metro Rest of Texas Median negotiated $684more than twice the state median Your carrier's rate — 25th–75th $261 – $1,185 Cash — Payers 5	Rest of Texas	$684more than twice the state median	—	$261 – $1,185	—	5
Christus Spohn Hospital Corpus Christi Shoreline Compare Metro Corpus Christi Median negotiated $744more than twice the state median Your carrier's rate — 25th–75th $439 – $796 Cash — Payers 3	Corpus Christi	$744more than twice the state median	—	$439 – $796	—	3
Christus Spohn Hospital Beeville Compare Metro Rest of Texas Median negotiated $761more than twice the state median Your carrier's rate — 25th–75th $261 – $860 Cash — Payers 3	Rest of Texas	$761more than twice the state median	—	$261 – $860	—	3
Christus Santa Rosa Hospital Westover Hills Compare Metro San Antonio Median negotiated $776more than twice the state median Your carrier's rate — 25th–75th $449 – $829 Cash — Payers 3	San Antonio	$776more than twice the state median	—	$449 – $829	—	3
Christus Santa Rosa Hospital Alamo Heights Compare Metro San Antonio Median negotiated $781more than twice the state median Your carrier's rate — 25th–75th $452 – $829 Cash — Payers 3	San Antonio	$781more than twice the state median	—	$452 – $829	—	3
Christus Mother Frances Hospital Sulphur Springs Compare Metro Rest of Texas Median negotiated $850more than twice the state median Your carrier's rate — 25th–75th $840 – $920 Cash — Payers 1	Rest of Texas	$850more than twice the state median	—	$840 – $920	—	1
Christus Good Shepherd Medical Center Marshall Compare Metro Longview Median negotiated $913more than twice the state median Your carrier's rate — 25th–75th $261 – $1,468 Cash — Payers 3	Longview	$913more than twice the state median	—	$261 – $1,468	—	3
Christus Good Shepherd Medical Center Longview Compare Metro Longview Median negotiated $913more than twice the state median Your carrier's rate — 25th–75th $261 – $1,468 Cash — Payers 3	Longview	$913more than twice the state median	—	$261 – $1,468	—	3
Christus Spohn Hospital Alice Compare Metro Rest of Texas Median negotiated $920more than twice the state median Your carrier's rate — 25th–75th $261 – $1,143 Cash — Payers 3	Rest of Texas	$920more than twice the state median	—	$261 – $1,143	—	3
Christus Santa Rosa Hospital San Marcos Compare Metro Austin Median negotiated $972more than twice the state median Your carrier's rate — 25th–75th $952 – $1,041 Cash — Payers 2	Austin	$972more than twice the state median	—	$952 – $1,041	—	2
Limestone Medical Center Gross charge $1,649 Compare Metro Rest of Texas Median negotiated $1,019more than twice the state median Your carrier's rate — 25th–75th $483 – $1,237 Cash $990 Payers 6	Rest of Texas	$1,019more than twice the state median	—	$483 – $1,237	$990	6
Christus Santa Rosa Hospital New Braunfels Compare Metro San Antonio Median negotiated $1,052more than twice the state median Your carrier's rate — 25th–75th $975 – $1,148 Cash — Payers 2	San Antonio	$1,052more than twice the state median	—	$975 – $1,148	—	2
Christus Spohn Hospital Kleberg Compare Metro Rest of Texas Median negotiated $1,056more than twice the state median Your carrier's rate — 25th–75th $473 – $1,159 Cash — Payers 2	Rest of Texas	$1,056more than twice the state median	—	$473 – $1,159	—	2
The Medical Center of Southeast Texas Compare Metro Beaumont–Port Arthur Median negotiated $1,202more than twice the state median Your carrier's rate — 25th–75th $614 – $1,269 Cash — Payers 2	Beaumont–Port Arthur	$1,202more than twice the state median	—	$614 – $1,269	—	2
Christus Southeast Texas Saint Elizabeth Compare Metro Beaumont–Port Arthur Median negotiated $1,202more than twice the state median Your carrier's rate — 25th–75th $614 – $1,269 Cash — Payers 2	Beaumont–Port Arthur	$1,202more than twice the state median	—	$614 – $1,269	—	2
Baylor Surgical Hospital at Las Colinas Compare Metro Dallas–Fort Worth Median negotiated $7,584more than five times the state median Your carrier's rate — 25th–75th $5,646 – $8,006 Cash — Payers 1	Dallas–Fort Worth	$7,584more than five times the state median	—	$5,646 – $8,006	—	1
Baylor Scott White Medical Center Trophy Club Compare Metro Dallas–Fort Worth Median negotiated $7,584more than five times the state median Your carrier's rate — 25th–75th $5,646 – $8,006 Cash — Payers 1	Dallas–Fort Worth	$7,584more than five times the state median	—	$5,646 – $8,006	—	1
North Central Surgical Center Hospital Compare Metro Dallas–Fort Worth Median negotiated $7,584more than five times the state median Your carrier's rate — 25th–75th $5,646 – $8,006 Cash — Payers 1	Dallas–Fort Worth	$7,584more than five times the state median	—	$5,646 – $8,006	—	1

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Prices by metro: Houston MetroDallas–Fort WorthSan AntonioAustinCorpus ChristiBeaumont–Port ArthurWacoLongviewRest of Texas

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 Texas?

Across 67 Texas hospitals that publish a commercial negotiated rate, the median is $280. The middle half of hospitals fall between $272 and $714 — 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. Texas hospitals publish negotiated rates for Prevnar 20 (PCV20 Pneumococcal Conjugate) under 28 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 Texas hospitals is $693. 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.