Vaccines CPT 90723 Outpatient

Pediarix (DTaP-HepB-IPV) cost in Stockton, CA

In Stockton-Lodi, CA, 2 hospitals list a cash price for DTaP, hepatitis B and polio combination vaccine (Pediarix): from $118.72 to $160.23, with a median of $139.48. The lowest listed price is at Kaiser Foundation Hospital - Manteca — $20.76 less than the median here. Across California, the median is $164.63 at 99 hospitals.

Cash prices at 2 facilities across 2 cities for code 90723, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Feb 28, 2026 and Feb 28, 2026.

Lowest$118.72Kaiser Foundation Hospital - Manteca

Median$139.48half of hospitals charge less

Highest$160.23in this market

Difference1.3×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 Stockton-Lodi, CA.

median

Lowest $118.72Highest $177.29

Hospitals, cheapest first

Hospital	Cash price	List price	Insurers pay	Off list
Kaiser Foundation Hospital - Manteca lowest Manteca, CA · (209) 825-3700 DTAP-HEPB-IPV VACCINE INTRAMUSCULAR source file	$118.72	$212.00	—	44%
St Joseph's Medical Center of Stockton Stockton, CA · (209) 943-2000 HEP B VAC/DTAP/IPV0.5MLIM File of Feb 28, 2026 · source file	$160.23	$545.00	$98.68–$472.89	71%
Kaiser Foundation Hospital - Manteca Manteca, CA · (209) 825-3700 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%

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.

Outpatient: lowest $118.72, median $139.48, highest $160.23 — a 1.3× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $139.48. 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 the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. 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).