CPT 90677
Vaccine Product
Current code43 hospitals with prices
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.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $81.94 – $121 | $107 – $490 | $268 – $1,226 |
| Cascade Valley Hospital | $814 | $651 | $813 |
| Deaconess Medical Center | $74.97 – $79.38 | $107 – $653 | $268 – $1,633 |
| EvergreenHealth Medical Center | — | $215 – $218 | $269 – $273 |
| Highline Medical Center | — | $474 | $1,553 |
| Island Hospital | $77.36 – $83.93 | $268 – $500 | $268 – $500 |
| Kadlec Regional Medical Center | — | $695 | $992 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $77.55 – $83.75 | $107 – $490 | $268 – $1,226 |
| MultiCare Auburn Medical Center | $76.14 – $82.23 | $490 | $1,226 |
| MultiCare Covington Medical Center | $76.14 – $82.23 | $490 | $1,226 |
| MultiCare Good Samaritan Hospital | $77.90 – $84.14 | $490 | $1,226 |
| MultiCare Valley Hospital | $74.44 – $78.82 | $107 – $653 | $268 – $1,633 |
| Olympic Medical Center | $95.84 – $105 | — | — |
| Overlake Hospital Medical Center & Clinics | — | $402 – $436 | $805 – $872 |
| PeaceHealth Peace Island Medical Center | — | $258 | $397 |
| PeaceHealth Southwest Medical Cente | — | $260 | $399 |
| PeaceHealth St John Medical Center | — | $260 | $399 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $418 – $608 | $597 – $869 |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | $418 – $608 | $597 – $869 |
| Providence Mount Carmel Hospital | — | $608 | $869 |
| Providence Regional Medical Center Everett | — | $182 | $350 |
| Providence St Joseph Hospital | — | $608 | $869 |
| Providence St Mary Medical Center | — | $1,301 – $1,301 | $1,859 – $1,859 |
| Seattle Children's Hospital | $161 – $203 | $626 | $626 |
| Skagit Valley Hospital | $9.62 – $12.72 | $173 – $651 | $216 – $813 |
| St Anthony Hospital | — | $472 | $1,553 |
| St Clare Hospital | — | $448 | $1,553 |
| St Elizabeth Hospital | $264 – $321 | $549 | $1,553 |
| St Francis Community Hospital | — | $487 | $1,553 |
| St Joseph Medical Center | — | $514 | $1,553 |
| St Michael Medical Center | — | $685 | $1,553 |
| Swedish Edmonds Hospital | — | $592 | $1,233 |
| Swedish Issaquah | — | $592 | $1,233 |
| Swedish Medical Center | — | $592 | $1,233 |
| Swedish Medical Center / Cherry Hill | — | $592 | $1,233 |
| Tacoma General Allenmore Hospital | $77.93 – $84.17 | $107 – $490 | $268 – $1,226 |
| Three Rivers Hospital | $320 | $457 | $457 |
| Virginia Mason Medical Center | — | $11.95 – $375 | $23.44 – $735 |
| WhidbeyHealth Medical Center | — | $268 – $292 | $268 – $292 |
| Yakima Valley Memorial | $74.47 – $86.52 | $107 | $268 |
Medicare (traditional) reference
CMS publishes no national amount for this code.