Vaccines CPT 90723 Inpatient — admitted to hospital

Pediarix (DTaP-HepB-IPV) cost in San Jose, CA — inpatient

In San Jose-Sunnyvale-Santa Clara, CA, 3 hospitals list a cash price for DTaP, hepatitis B and polio combination vaccine (Pediarix) as an inpatient: from $118.72 to $410.40, with a median of $118.72. The lowest listed price is at Kaiser Foundation Hospital - San Jose and 1 other hospital. Across California, the median is $164.63 at 98 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$118.72Kaiser Foundation Hospital - San Jose + 1 more

Median$118.72half of hospitals charge less

Highest$410.40in this market

Difference3.5×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 San Jose-Sunnyvale-Santa Clara, CA.

median

Lowest $118.72Highest $468.52

Hospitals, cheapest first

Hospital	Cash price	List price	Insurers pay	Off list
Kaiser Foundation Hospital - San Jose lowest San Jose, CA · (408) 972-7000 DTAP-HEPB-IPV VACCINE INTRAMUSCULAR source file	$118.72	$212.00	—	44%
Kaiser Foundation Hospital - Santa Clara lowest Santa Clara, CA · (408) 236-6400 DTAP-HEPB-IPV VACCINE INTRAMUSCULAR source file	$118.72	$212.00	—	44%
Kaiser Foundation Hospital - San Jose San Jose, CA · (408) 972-7000 hepatitis B-diphtheria-pertussis (acell)-tetanus-polio (PF) vaccine 10 mcg-25Lf-25 mcg-10Lf/0.5 mL Syringe 0.5 mL SYRINGE source file	$177.29	$316.59	—	44%
Kaiser Foundation Hospital - Santa Clara Santa Clara, CA · (408) 236-6400 hepatitis B-diphtheria-pertussis (acell)-tetanus-polio (PF) vaccine 10 mcg-25Lf-25 mcg-10Lf/0.5 mL Syringe 0.5 mL SYRINGE source file	$177.29	$316.59	—	44%
Stanford Health Care Stanford, CA · (650) 723-4000 Dtap-Hepb-Ipv Vacc Im Dose File of Apr 1, 2026 · source file	$410.40	$1,026.00	—	60%
Stanford Health Care Stanford, CA · (650) 723-4000 HEP B-DP(A)T-POLIO VAC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRG+1 more line at this price File of Apr 1, 2026 · source file	$468.52	$1,171.31	—	60%

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 $118.72, median $118.72, highest $410.40 — a 3.5× difference within the same market.

As an outpatient, the same code is billed by 4 facilities here, median $221.61 — 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).