What is the typical price for Prevnar 20 (PCV20 Pneumococcal Conjugate) in Colorado?

Across 27 Colorado hospitals reporting a commercial negotiated rate for CPT 90671, the 25th-to-75th percentile band runs $256 to $428 per hospital median. The 50th-percentile (Colorado median) is $298.

Why is the price range for Prevnar 20 (PCV20 Pneumococcal Conjugate) so wide?

Hospitals negotiate differently with different insurers, the procedure can be performed in different settings (hospital outpatient, ambulatory, inpatient), and in-network status varies plan-by-plan. The 1.7× spread between the 25th and 75th percentile in the data reflects those structural differences, not clinical ones.

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

Prevnar 20 (PCV20 Pneumococcal Conjugate) is on Medicare's preventive-services list, which generally means no patient cost-sharing under Original Medicare or Medicare Advantage when the eligibility rules are met. Verify with your specific plan — frequency limits and clinical criteria still apply.

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 offer a self-pay rate that's 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.

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 MRF reports rates against this code.

Prevnar 20 (PCV20 Pneumococcal Conjugate)

CPT 9067127 Colorado hospitals reporting

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 — half of negotiated 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, anaesthesia, 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

Pin a plan

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

Common questions

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

What is the typical price for Prevnar 20 (PCV20 Pneumococcal Conjugate) in Colorado?: Across 27 Colorado hospitals reporting a commercial negotiated rate for CPT 90671, the 25th-to-75th percentile band runs $256 to $428 per hospital median. The 50th-percentile (Colorado median) is $298.
Why is the price range for Prevnar 20 (PCV20 Pneumococcal Conjugate) so wide?: Hospitals negotiate differently with different insurers, the procedure can be performed in different settings (hospital outpatient, ambulatory, inpatient), and in-network status varies plan-by-plan. The 1.7× spread between the 25th and 75th percentile in the data reflects those structural differences, not clinical ones.
Is Prevnar 20 (PCV20 Pneumococcal Conjugate) covered by Medicare?: Prevnar 20 (PCV20 Pneumococcal Conjugate) is on Medicare's preventive-services list, which generally means no patient cost-sharing under Original Medicare or Medicare Advantage when the eligibility rules are met. Verify with your specific plan — frequency limits and clinical criteria still apply.
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 offer a self-pay rate that's 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.
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 MRF 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.