Vaccines CPT 90723 Outpatient

Pediarix (DTaP-HepB-IPV) cost in Philadelphia, PA

In Philadelphia-Camden-Wilmington, PA-NJ-DE-MD, 10 hospitals list a cash price for DTaP, hepatitis B and polio combination vaccine (Pediarix): from $90.00 to $726.89, with a median of $270.00. The lowest listed price is at St Luke's Hospital - Grand View Campus and 1 other hospital — $180.00 less than the median here. Across Pennsylvania, the median is $83.00 at 43 hospitals.

Cash prices at 10 facilities across 9 cities for code 90723, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 29, 2026; the hospital files themselves were last updated between Feb 26, 2026 and Apr 1, 2026.

Lowest$90.00St Luke's Hospital - Grand View Campus + 1 more
Median$270.00half of hospitals charge less
Highest$726.89in this market
Difference8.1×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 Philadelphia-Camden-Wilmington, PA-NJ-DE-MD.

median
Lowest $90.00Highest $726.89

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
St Luke's Hospital - Grand View Campus lowest Sellersville, PA · (215) 453-4000 HB DTAP-HEP B-IPV VACCINE IM File of Feb 26, 2026 · source file $90.00 $100.00 $12.00–$1,150.00 10%
St Luke's Hospital - Upper Bucks Campus lowest Quakertown, PA · (267) 985-1000 HB DTAP-HEP B-IPV VACCINE IM File of Feb 26, 2026 · source file $90.00 $100.00 $9.60–$112.20 10%
Lankenau Medical Center Wynnewood, PA · (610) 645-2000 HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE [34550] File of Apr 1, 2026 · source file $270.00 $675.00 — 60%
Paoli Hospital Paoli, PA · (610) 648-1000 HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE [34550] File of Apr 1, 2026 · source file $270.00 $675.00 — 60%
Bryn Mawr Rehabilitation Hospital Malvern, PA HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE [34550] source file $270.00 $675.00 — 60%
The Bryn Mawr Hospital Bryn Mawr, PA · (610) 526-3000 HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE [34550] source file $270.00 $675.00 — 60%
Riddle Memorial Hospital Media, PA · (610) 566-9400 HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE [34550] File of Apr 1, 2026 · source file $270.00 $675.00 — 60%
Nemours Children's Hospital, Delaware Wilmington, DE · (302) 651-4000 DTAP-HEPATITIS B RECOMB-IPV IM SUSP+1 more line at this price source file $290.00 $290.00 — —
St. Francis Hospital Wilmington, DE · (302) 421-4100 HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE File of Mar 31, 2026 · source file $307.80 $307.80 $71.10–$310.11 —
St Luke's Hospital - Upper Bucks Campus Quakertown, PA · (267) 985-1000 DTAP-HEPATITIS B RECOMB-IPV IM SUSY File of Feb 26, 2026 · source file $496.48 $598.17 $10.00–$495.40 17%
St Luke's Hospital - Grand View Campus Sellersville, PA · (215) 453-4000 DTAP-HEPATITIS B RECOMB-IPV IM SUSY File of Feb 26, 2026 · source file $496.48 $598.17 $12.50–$1,150.00 17%
The Children's Hospital of Philadelphia Philadelphia, PA · (215) 590-1000 DTAP-HEPATITIS B RECOMB-IPV IM SUSY source file $726.89 $726.89 $13.50–$654.20 —
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.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

Outpatient: lowest $90.00, median $270.00, highest $726.89 — a 8.1× difference within the same market.

As an inpatient, the same code is billed by 10 facilities here, median $270.00. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 3 of 4 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

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).