Pneumonia vaccine Cost by Hospital

Pneumonia vaccine is a hospital service. Prices are from 1647 US hospitals across 51 states, from their machine-readable files.

$199median cash price · 1647 hospitals, 51 statestypically $74–$606 depending on the hospital
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Price comparison (median)

Chargemaster (list price)
$322
Cash / self-pay
$199
Insurer-negotiated
$162
$74$606
Median cash $199  ·  bar = typical cash range (10th–90th percentile)
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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Hemet Global Medical Center Hemet, CA $30 $13 ★ 1/5 217 min 14.6%
Menifee Global Medical Center Sun City, CA $30 $14 — 186 min 16.2%
Northern Maine Medical Center Fort Kent, ME $30 $123 — 147 min —
Beloit Health System Beloit, WI $30 $106 ★ 3/5 122 min 15.5%
Kingman Healthcare Center Kingman, KS $32 $46 — 98 min 14.7%
Childrens Hospital New Orleans, LA $32 $147 — — —
Dell Seton Med Center at the University of Tx Austin, TX $33 $133 ★ 4/5 233 min 14.9%
Ascension Seton Hays Kyle, TX $33 $133 ★ 3/5 165 min 14.4%
Hospital Pavia Caguas Caguas, PR $35 $35 — — 17.1%
St Rose Hospital Hayward, CA $35 $82 ★ 1/5 167 min 16.5%
Anderson Hospital Maryville, IL $37 $46 ★ 3/5 223 min 15.8%
North Texas Medical Center Gainesville, TX $37 $92 ★ 4/5 121 min 14.9%
Southwestern Medical Center Lawton, OK $38 — ★ 2/5 139 min 15.3%
Canton-Potsdam Hospital Potsdam, NY $39 $44 ★ 2/5 137 min 15.6%
Winner Regional Healthcare Center-CAH Winner, SD $40 $34 — 108 min 15.1%
Oakleaf Surgical Hospital Altoona, WI $41 — — — 14.1%
Ohio Valley Surgical Hospital Springfield, OH $42 $162 — — 14.5%
Whitesburg ARH Hospital Whitesburg, KY $42 $150 ★ 3/5 160 min 14.9%
McDowell ARH Hospital Mc Dowell, KY $42 $15 — 90 min 15.0%
Permian Regional Medical Center Andrews County Ho Andrews, TX $42 $103 — 104 min 15.0%
Deaconess Hospital Inc Evansville, IN $42 $72 ★ 2/5 189 min 15.3%
Hays Medical Center Hays, KS $43 $130 ★ 3/5 114 min 14.9%
Muleshoe Area Medical Center Muleshoe, TX $43 $58 — 110 min —
Brookdale Hospital Medical Center Brooklyn, NY $44 $44 ★ 1/5 228 min 15.7%
Essentia Health St Mary's Medical Center Duluth, MN $45 $49 ★ 4/5 196 min 14.4%

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated August 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

What insurers pay for Pneumonia vaccine

Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $199.

InsurerHospitalsNegotiated median
Workers' Comp / No-Fault 63
$21
$21 – $437
Geisinger 49
$76
$13 – $271
AmeriHealth 165
$85
$12 – $202
Amerigroup 106
$121
$22 – $235
UCare 58
$123
$79 – $249
Univera 13
$123
$123 – $133
Medicaid 184
$123
$44 – $214
Independent Health 19
$129
$119 – $129
EmblemHealth 38
$131
$44 – $323
Medicare 224
$131
$88 – $257
Sanford Health Plan 60
$132
$69 – $255
Priority Health 25
$133
$70 – $200
Centene / Ambetter 404
$133
$34 – $257
Devoted Health 66
$133
$45 – $460
Anthem 329
$133
$67 – $485
Molina Healthcare 325
$133
$20 – $278
Tricare / VA 184
$133
$68 – $514
Humana 568
$133
$46 – $469
MVP Health Care 55
$133
$46 – $387
Blue Cross Blue Shield 880
$142
$69 – $403
UPMC Health Plan 60
$147
$16 – $506
Bright Health 22
$147
$21 – $266
UnitedHealthcare 1049
$163
$55 – $407
Highmark 79
$166
$64 – $166
HealthPartners 177
$182
$89 – $454
Security Health Plan 46
$184
$75 – $222
Kaiser Permanente 116
$186
$71 – $478
Aetna 832
$195
$56 – $562
Medica 133
$199
$82 – $361
Harvard Pilgrim 38
$208
$133 – $432
Oscar Health 75
$231
$120 – $331
Cigna 776
$232
$71 – $589
AvMed 40
$238
$108 – $458
Healthcare Highways 19
$249
$100 – $532
Health Net 186
$257
$84 – $575
SelectHealth 31
$289
$115 – $465
MultiPlan / PHCS network 609
$328
$84 – $681
Coventry 95
$336
$63 – $544

Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.

Where it’s cheapest

StateMedian cash
Puerto Rico$63
Washington$129
Pennsylvania$133
New Jersey$133
Tennessee$141
Missouri$143

Prices by city

Chicago, ILAustin, TXBaltimore, MDDallas, TXHouston, TXNew York, NYPhiladelphia, PASacramento, CABronx, NYBrooklyn, NYCharlotte, NCCleveland, OHFort Worth, TXBirmingham, ALMilwaukee, WISan Antonio, TXSan Francisco, CAArlington, TXAurora, COCincinnati, OHColorado Springs, COColumbus, OHDenver, COJacksonville, FL

Prices by state

TexasCaliforniaOhioFloridaWisconsinNew YorkIllinoisMinnesotaPennsylvaniaMichiganNorth CarolinaLouisianaGeorgiaColoradoIowaTennesseeNew JerseyIndianaNebraskaKentuckyMaineWest VirginiaKansasMissouriAlabamaOklahomaWashingtonNorth DakotaSouth CarolinaMarylandMassachusettsArkansasVirginiaMississippiIdahoArizonaSouth DakotaUtahMontanaNew HampshireNew MexicoOregonNevadaConnecticutHawaiiWyomingVermontAlaskaDelawarePuerto Rico

Does Medicare cover Pneumonia vaccine?

We don’t have a standard national Medicare rate for Pneumonia vaccine, so we can’t confirm coverage here — it may depend on medical necessity, the setting, or your specific plan. Check Medicare.gov or ask your provider.

About these prices

Based on prices published by 1647 US hospitals across 51 states, the typical (median) cash price is $199, versus a chargemaster (list) price around $322, a median insurer-negotiated rate of $162. Most cash prices fall between $74 and $606 — a wide spread, which is exactly why comparing hospitals pays off.

How to save

  • Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
  • Compare several nearby hospitals; prices for the same service can differ severalfold.
  • Request a written estimate and the billing code (CPT/DRG) before scheduling.
  • Use the Medicare benchmark above to judge whether a quote is reasonable.
  • If you are uninsured, ask about financial assistance or prompt-pay discounts.

Frequently asked questions

How much does Pneumonia vaccine cost without insurance?
The median cash (self-pay) price across 1647 US hospitals is $199. Most hospitals fall between $74 and $606. Prices vary widely between hospitals, so it pays to compare before you book.
Why do Pneumonia vaccine prices vary between hospitals?
Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.
Is the cash price lower than using insurance?
Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

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