Vaccines CPT 90723 Outpatient

Pediarix (DTaP-HepB-IPV) cost in Shelby, MT

In Shelby, MT, 1 hospital lists a cash price for DTaP, hepatitis B and polio combination vaccine (Pediarix): from $143.81 to $143.81, with a median of $143.81. Across Montana, the median is $111.20 at 13 hospitals.

Cash prices at 1 facility 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 Apr 1, 2026 and Apr 1, 2026.

Lowest$143.81Logan Health - Shelby
Median$143.81half pay less
Highest$143.81in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Logan Health - Shelby Shelby, MT · (406) 434-3200 diphth/hepB/pertussis,acel/polio/tetanus vaccine 0.5mL syringe $143.81 $221.25 — 35% Apr 1, 2026
source file

Outpatient: lowest $143.81, median $143.81, highest $143.81.

As an inpatient, the same code is billed by 1 facility here, median $143.81. 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).