Cost analysis for CPT 90677 — Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
Average Medicare Payment
N/A
Total Payments (Latest)
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Services (Latest)
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Price Change (–)
N/A
The most expensive state pays 1.9x more than the cheapest for this procedure. ID averages $281.59 vs RI at $148.24.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| ID | $281.59 | $13.0M | 46.2K | 160 |
| FL | $279.44 | $44.4M | 158.9K | 3.3K |
| OR | $279.36 | $3.3M | 11.9K | 511 |
| NH | $279.17 | $2.3M | 8.1K | 317 |
| VA | $278.96 | $14.8M | 53.2K | 1.8K |
| OH | $278.89 | $14.0M | 50.0K | 2.2K |
| MT | $278.69 | $1.3M | 4.6K | 172 |
| IA | $278.66 | $5.7M | 20.6K | 716 |
| SD | $278.63 | $874.9K | 3.1K | 113 |
| AR | $278.62 | $4.4M | 15.8K | 569 |
| WV | $278.58 | $1.1M | 4.1K | 173 |
| MO | $278.50 | $7.3M | 26.2K | 985 |
| CA | $278.45 | $38.6M | 138.5K | 4.4K |
| NY | $278.39 | $19.5M | 70.0K | 2.5K |
| MN | $278.37 | $4.1M | 14.6K | 726 |
| WA | $278.28 | $8.2M | 29.5K | 1.2K |
| NJ | $278.27 | $15.2M | 54.5K | 1.8K |
| LA | $278.03 | $3.2M | 11.4K | 464 |
| KS | $277.94 | $5.2M | 18.6K | 617 |
| WI | $277.93 | $7.1M | 25.5K | 1.1K |
| MA | $277.85 | $14.0M | 50.4K | 1.8K |
| PA | $277.82 | $21.1M | 76.0K | 2.9K |
| IL | $277.81 | $20.2M | 72.7K | 2.5K |
| NE | $277.80 | $3.4M | 12.1K | 424 |
| CT | $277.78 | $4.1M | 14.6K | 656 |
| GA | $277.75 | $10.6M | 38.1K | 1.5K |
| OK | $277.74 | $5.5M | 20.0K | 697 |
| TX | $277.68 | $26.8M | 96.4K | 3.6K |
| NC | $277.51 | $12.2M | 43.8K | 1.8K |
| KY | $277.36 | $5.6M | 20.1K | 838 |
| TN | $277.33 | $10.5M | 37.9K | 1.3K |
| MI | $277.33 | $8.4M | 30.3K | 1.3K |
| SC | $277.26 | $10.9M | 39.2K | 1.2K |
| MS | $277.20 | $4.2M | 15.1K | 482 |
| DE | $277.08 | $2.4M | 8.8K | 260 |
| IN | $277.00 | $9.8M | 35.2K | 1.4K |
| AL | $276.95 | $4.0M | 14.6K | 637 |
| MD | $276.85 | $12.0M | 43.2K | 1.4K |
| AZ | $275.71 | $8.9M | 32.2K | 1.1K |
| ND | $275.57 | $613.1K | 2.2K | 81 |
| HI | $275.29 | $1.6M | 5.8K | 130 |
| NV | $274.73 | $3.0M | 10.8K | 359 |
| WY | $274.64 | $967.0K | 3.5K | 109 |
| DC | $273.80 | $798.4K | 2.9K | 120 |
| ME | $272.12 | $559.2K | 2.1K | 90 |
| NM | $271.39 | $2.0M | 7.5K | 247 |
| UT | $271.00 | $2.3M | 8.7K | 383 |
| CO | $270.61 | $14.3M | 52.7K | 924 |
| VT | $270.58 | $524.1K | 1.9K | 77 |
| PR | $268.54 | $247.9K | 923 | 37 |
| AK | $266.12 | $758.7K | 2.9K | 75 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Vaxcare Corporation | Centralized Flu | FL | $15.4M | 54.7K | $282.03 |
| Walgreen Co | Centralized Flu | CO | $8.2M | 30.9K | $265.12 |
| Safeway Inc | Centralized Flu | ID | $4.6M | 16.2K | $282.12 |
| Albertsons Llc | Centralized Flu | ID | $2.0M | 7.0K | $282.11 |
| American Drug Stores Llc | Centralized Flu | ID | $1.9M | 6.9K | $282.29 |
| Nai Saturn Eastern Llc | Centralized Flu | ID | $1.2M | 4.2K | $281.93 |
| Vons Companies Inc | Centralized Flu | ID | $831.2K | 2.9K | $282.06 |
| Acme Markets Inc | Centralized Flu | ID | $578.9K | 2.1K | $282.14 |
| Randalls Food & Drugs Lp | Centralized Flu | ID | $486.3K | 1.7K | $282.25 |
| United Supermarkets Llc | Centralized Flu | TX | $440.6K | 1.6K | $282.42 |
| Geri Script L L C | Mass Immunizer Roster Biller | NJ | $389.6K | 1.4K | $282.10 |
| Shaws Supermarkets Inc | Centralized Flu | ID | $306.6K | 1.1K | $282.11 |
| Pharmacy Relief Services, Pllc | Pharmacy | IA | $164.2K | 583 | $281.64 |
| Dania Discount Drugs Inc | Centralized Flu | FL | $160.7K | 568 | $282.89 |
| Casey O'donnell | Physical Medicine and Rehabilitation | MA | $153.0K | 541 | $282.83 |
| Longs Drug Stores California Llc | Mass Immunizer Roster Biller | CA | $127.0K | 456 | $278.60 |
| Giant Of Maryland Llc | Centralized Flu | MD | $122.8K | 435 | $282.38 |
| Ltc Pharmacy Management Services, Llc | Pharmacy | IN | $118.0K | 418 | $282.42 |
| Genoa Healthcare Llc | Centralized Flu | WA | $114.6K | 406 | $282.17 |
| Wilshire Pharmcare, Inc. | Pharmacy | CA | $114.3K | 404 | $282.89 |
Based on the data, CPT 90677 shows a 1.9x variation in pricing across states — moderate variation by Medicare standards.
Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.