CPT 90677

Vaccine Product

Current code43 hospitals with prices

This name is the CMS category the code belongs to (CMS's Restructured BETOS Classification System), shared with similar codes. The official CPT description belongs to the American Medical Association and isn't shown.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for CPT 90677 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$107 – $490$268 – $1,226
Cascade Medical CenterLeavenworth$457 – $6864 plans$657$821
Cascade Valley HospitalArlington$8141 plan$651$813
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$107 – $653$268 – $1,633
EvergreenHealth Medical CenterKirkland—$215 – $218$269 – $273
Highline Medical CenterBurienFile dated 2026-02-28—$474$1,553
Island HospitalAnacortes$77.36 – $83.933 plans$268 – $500$268 – $500
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$695$992
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$107 – $490$268 – $1,226
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$490$1,226
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$490$1,226
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$490$1,226
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$107 – $653$268 – $1,633
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$402 – $436$805 – $872
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$418 – $608$597 – $869
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$418 – $608$597 – $869
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$608$869
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$182$350
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$608$869
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$1,301 – $1,301$1,859 – $1,859
Seattle Children's HospitalSeattle$161 – $20312 plans$626$626
Skagit Valley HospitalMount Vernon$9.62 – $12.724 plans$651$813
St Anthony HospitalGig HarborFile dated 2026-02-28—$472$1,553
St Clare HospitalLakewoodFile dated 2026-02-28—$448$1,553
St Elizabeth HospitalEnumclawFile dated 2026-02-28$435 – $5155 plans$549$1,553
St Francis Community HospitalFederal WayFile dated 2026-02-28—$487$1,553
St Joseph Medical CenterTacomaFile dated 2026-02-28—$514$1,553
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$685$1,553
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$592$1,233
Swedish IssaquahIssaquahFile dated 2026-04-01—$592$1,233
Swedish Medical CenterSeattleFile dated 2026-04-01—$592$1,233
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$592$1,233
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$107 – $490$268 – $1,226
Three Rivers HospitalBrewster$3201 plan$457$457
Virginia Mason Medical CenterSeattle—$11.95 – $375$23.44 – $735
Yakima Valley MemorialYakimaFile dated 2026-08-27—$107$268

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.