Pneumonia vaccine is a hospital service. Prices are from 1666 US hospitals across 51 states, from their machine-readable files.
Price comparison (median)
Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| Kingman Healthcare Center | Kingman, KS | $32 | $46 | — | 97 min | — |
| Childrens Hospital | New Orleans, LA | $32 | $147 | — | — | — |
| Dell Seton Med Center at the University of Tx | Austin, TX | $33 | $133 | ★ 4/5 | 249 min | — |
| Ascension Seton Hays | Kyle, TX | $33 | $133 | ★ 3/5 | 163 min | — |
| Hospital Pavia Caguas | Caguas, PR | $35 | $35 | — | — | — |
| St Rose Hospital | Hayward, CA | $35 | $82 | ★ 1/5 | 160 min | — |
| Anderson Hospital | Maryville, IL | $37 | $46 | ★ 3/5 | 231 min | — |
| North Texas Medical Center | Gainesville, TX | $37 | $92 | ★ 4/5 | 117 min | — |
| Southwestern Medical Center | Lawton, OK | $38 | — | ★ 2/5 | 135 min | — |
| Canton-Potsdam Hospital | Potsdam, NY | $39 | $44 | ★ 2/5 | 142 min | — |
| Winner Regional Healthcare Center-CAH | Winner, SD | $40 | $34 | — | 109 min | — |
| Oakleaf Surgical Hospital | Altoona, WI | $41 | — | — | — | — |
| Ohio Valley Surgical Hospital | Springfield, OH | $42 | $162 | — | — | — |
| Whitesburg ARH Hospital | Whitesburg, KY | $42 | $150 | ★ 3/5 | 160 min | — |
| McDowell ARH Hospital | Mc Dowell, KY | $42 | $15 | — | 86 min | — |
| Permian Regional Medical Center Andrews County Ho | Andrews, TX | $42 | $103 | — | 106 min | — |
| Deaconess Hospital Inc | Evansville, IN | $42 | $72 | ★ 2/5 | 186 min | — |
| Hays Medical Center | Hays, KS | $43 | $130 | ★ 3/5 | 112 min | — |
| Muleshoe Area Medical Center | Muleshoe, TX | $43 | $58 | — | 113 min | — |
| Brookdale Hospital Medical Center | Brooklyn, NY | $44 | $44 | ★ 1/5 | 228 min | — |
| Essentia Health St Mary's Medical Center | Duluth, MN | $45 | $49 | ★ 4/5 | 201 min | — |
| Essentia Health Duluth | Duluth, MN | $45 | $49 | — | — | — |
| Southwell Medical, a Campus of Trmc | Adel, GA | $45 | $45 | — | — | — |
| Graham Regional Medical Center | Graham, TX | $45 | $30 | — | 131 min | — |
| Essentia Health St Joseph's Medical Center | Brainerd, MN | $46 | $49 | ★ 3/5 | 114 min | — |
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 October 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: $202.
| Insurer | Hospitals | Negotiated median |
|---|---|---|
| Workers' Comp / No-Fault | 64 |
$21 – $431 |
| Geisinger | 51 |
$14 – $293 |
| AmeriHealth | 168 |
$12 – $202 |
| EmblemHealth | 53 |
$44 – $278 |
| Amerigroup | 107 |
$22 – $235 |
| UCare | 59 |
$79 – $249 |
| Univera | 13 |
$123 – $133 |
| Medicaid | 188 |
$44 – $214 |
| Independent Health | 19 |
$119 – $129 |
| Medicare | 229 |
$87 – $258 |
| Sanford Health Plan | 62 |
$70 – $261 |
| Priority Health | 24 |
$70 – $200 |
| Centene / Ambetter | 427 |
$28 – $257 |
| Devoted Health | 70 |
$46 – $460 |
| Anthem | 343 |
$56 – $480 |
| Tricare / VA | 189 |
$68 – $483 |
| Molina Healthcare | 328 |
$19 – $278 |
| Humana | 578 |
$47 – $472 |
| MVP Health Care | 56 |
$44 – $387 |
| Blue Cross Blue Shield | 888 |
$69 – $400 |
| Bright Health | 22 |
$21 – $266 |
| UPMC Health Plan | 64 |
$19 – $506 |
| UnitedHealthcare | 1075 |
$52 – $407 |
| Highmark | 85 |
$64 – $175 |
| HealthPartners | 179 |
$90 – $454 |
| Security Health Plan | 46 |
$75 – $222 |
| Kaiser Permanente | 118 |
$71 – $478 |
| Aetna | 854 |
$52 – $562 |
| Medica | 135 |
$82 – $361 |
| Harvard Pilgrim | 38 |
$133 – $432 |
| Oscar Health | 88 |
$94 – $331 |
| Cigna | 794 |
$69 – $586 |
| AvMed | 42 |
$109 – $458 |
| Healthcare Highways | 19 |
$100 – $532 |
| Health Net | 187 |
$84 – $575 |
| SelectHealth | 31 |
$115 – $465 |
| MultiPlan / PHCS network | 624 |
$83 – $681 |
| Coventry | 98 |
$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
| State | Median cash |
|---|---|
| Puerto Rico | $63 |
| Washington | $125 |
| New Jersey | $133 |
| Pennsylvania | $143 |
| Idaho | $149 |
| Minnesota | $150 |
Prices by city
Prices by state
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 1666 US hospitals across 51 states, the typical (median) cash price is $202, versus a chargemaster (list) price around $317, a median insurer-negotiated rate of $161. Most cash prices fall between $74 and $599 — 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?
Why do Pneumonia vaccine prices vary between hospitals?
Is the cash price lower than using insurance?
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