Vaccines CPT 90723 Inpatient — admitted to hospital

Pediarix (DTaP-HepB-IPV) cost in Massena, NY — inpatient

In Massena-Ogdensburg, NY, 3 hospitals list a cash price for DTaP, hepatitis B and polio combination vaccine (Pediarix) as an inpatient: from $100.70 to $146.37, with a median of $101.67. The lowest listed price is at Slhs Massena — $0.97 less than the median here. Across New York, the median is $139.13 at 64 hospitals.

Cash prices at 3 facilities across 3 cities for code 90723, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$100.70Slhs Massena

Median$101.67half of hospitals charge less

Highest$146.37in this market

Difference1.5×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Massena-Ogdensburg, NY.

median

Lowest $100.70Highest $146.37

Hospitals, cheapest first

Hospital	Cash price	List price	Insurers pay	Off list
Slhs Massena lowest Massena, NY · (315) 769-4234 HC DTAP_HEB_IPVIM USE File of Apr 1, 2026 · source file	$100.70	$154.93	—	35%
Gouverneur Hospital Gouverneur, NY · (315) 287-1000 HC DTAP_HEB_IPVIM USE source file	$101.67	$156.41	—	35%
Canton-Potsdam Hospital Potsdam, NY · (315) 265-3300 HC DTAP_HEB_IPVIM USE File of Apr 1, 2026 · source file	$146.37	$225.19	—	35%

Hospital The hospital that published the price, its city and the line exactly as written in its price file.

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Off list How much lower the cash price is than the list price.

Inpatient: lowest $100.70, median $101.67, highest $146.37 — a 1.5× difference within the same market.

As an outpatient, the same code is billed by 4 facilities here, median $124.02 — that is the price to compare if you are not being admitted.

What it is

Pediarix combines DTaP, hepatitis B and polio vaccines in one shot, so a baby gets fewer injections. It is given at 2, 4 and 6 months.

What the price covers

The price is for the vaccine dose. Giving the shot is usually a separate line (code 90471 for the first vaccine of the visit, 90472 for each additional one).