Vaccines CPT 90723 Outpatient

Pediarix (DTaP-HepB-IPV) cost in Santa Rosa, CA

In Santa Rosa-Petaluma, CA, 2 hospitals list a cash price for DTaP, hepatitis B and polio combination vaccine (Pediarix): from $118.72 to $301.07, with a median of $209.90. The lowest listed price is at Kaiser Foundation Hospital - Santa Rosa — $91.18 less than the median here. Across California, the median is $164.63 at 99 hospitals.

Cash prices at 2 facilities for code 90723, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$118.72Kaiser Foundation Hospital - Santa Rosa
Median$209.90half pay less
Highest$301.07in this market
Difference2.5×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 Santa Rosa-Petaluma, CA.

median
Lowest $118.72Highest $301.07

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Kaiser Foundation Hospital - Santa Rosa lowest Santa Rosa, CA · (707) 571-4000 DTAP-HEPB-IPV VACCINE INTRAMUSCULAR $118.72 $212.00 — 44% —
source file
Kaiser Foundation Hospital - Santa Rosa Santa Rosa, CA · (707) 571-4000 hepatitis B-diphtheria-pertussis (acell)-tetanus-polio (PF) vaccine 10 mcg-25Lf-25 mcg-10Lf/0.5 mL Syringe 0.5 mL SYRINGE $177.29 $316.59 — 44% —
source file
Providence Santa Rosa Memorial Hospital Santa Rosa, CA · (707) 525-5300 DIPH-TET TOX-ACELL PERT-HEP B-POLIO IPV VAC SUSP PREF SYR $301.07 $590.33 — 49% Apr 1, 2026
source file

Outpatient: lowest $118.72, median $209.90, highest $301.07 — a 2.5× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $209.90. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

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).