Vaccines CPT 90723 New York Outpatient

Pediarix (DTaP-HepB-IPV) cost in New York

In New York, 61 hospitals publish a cash price for DTaP, hepatitis B and polio combination vaccine (Pediarix): from $21.83 to $334.00, with a median of $137.92. The lowest price is at Aurelia Osborn Fox Memorial Society (Oneonta). The highest price is 15.3× the lowest.

Outpatient cash prices, one line per hospital — its lowest listed price for code 90723. Prices for both sides of the body and inpatient prices are not mixed in. Collected Sep 29, 2026. See them on a map

Lowest$21.83Aurelia Osborn Fox Memorial Society
Median$137.92half of hospitals charge less
Highest$334.00in New York
Lowest saves$116.09vs the median

Hospitals in New York, cheapest first

HospitalCash priceList priceFile date
Aurelia Osborn Fox Memorial Society lowest Oneonta · Oneonta, NY HC Hep B-Dp(a)T-Polio Vacc (Pf) 10 Mcg-25lf-25 Mcg-10lf/0.5 Ml Im Syringe [111379] $21.83 $80.85 —
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Arnot Ogden Medical Center Elmira · Elmira, NY HC Dtap-Hepb-Ipv Vaccine Intramuscular $32.32 $161.62 Mar 27, 2026
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Ira Davenport Memorial Hospital Bath · Corning, NY HC Dtap-Hepb-Ipv Vaccine Intramuscular $32.32 $161.62 Mar 27, 2026
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St. Joseph's Hospital Campus Elmira · Elmira, NY HC Dtap-Hepb-Ipv Vaccine Intramuscular $32.32 $161.62 Mar 27, 2026
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Nassau University Medical Center East Meadow · New York-Newark-Jersey City, NY-NJ Pediarix 0.5 Ml Vial $37.68 $53.82 Oct 28, 2025
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Cobleskill Regional Hospital Cobleskill · Albany-Schenectady-Troy, NY HC Hep B-Dp(a)T-Polio Vacc (Pf) 10 Mcg-25lf-25 Mcg-10lf/0.5 Ml Im Syringe [111379] $42.39 $157.00 —
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Little Falls Hospital Little Falls · Utica-Rome, NY HC Hep B-Dp(a)T-Polio Vacc (Pf) 10 Mcg-25lf-25 Mcg-10lf/0.5 Ml Im Syringe [111379] $42.39 $157.00 —
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OConnor Hospital Delhi · Delhi, NY HC Hep B-Dp(a)T-Polio Vacc (Pf) 10 Mcg-25lf-25 Mcg-10lf/0.5 Ml Im Syringe [111379] $42.39 $157.00 —
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Mary Imogene Bassett Hospital Cooperstown · Oneonta, NY HC Hep B-Dp(a)T-Polio Vacc (Pf) 10 Mcg-25lf-25 Mcg-10lf/0.5 Ml Im Syringe [111379] $44.55 $165.00 —
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Mercy Hospital of Buffalo Buffalo · Buffalo-Cheektowaga, NY HC Pbb Dtap-Hepb-Ipv Vaccine Intramuscular $53.00 $53.00 —
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Mount St. Mary's Hospital Lewiston · Buffalo-Cheektowaga, NY HC Pbb Dtap-Hepb-Ipv Vaccine Intramuscular $53.00 $53.00 —
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Sisters of Charity Hospital Buffalo · Buffalo-Cheektowaga, NY HC Pbb Dtap-Hepb-Ipv Vaccine Intramuscular $53.00 $53.00 —
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F.F. Thompson Hospital Canandaigua · Rochester, NY HB Dtap-Hepb-Ipv Vaccine Intramuscular $56.00 — —
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Schuyler Hospital Montour Falls · Montour Falls, NY HC Dtap-Hepb-Ipv Vaccine Intramuscular $59.75 $298.75 Mar 27, 2026
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Strong Memorial Hospital Rochester · Rochester, NY DTAP-HEPATITIS B RECOMB-IPV IM SUSY *I* $67.80 $169.49 —
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Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville · Wellsville, NY HB Dtap-Hepb-Ipv Vaccine Intramuscular $91.00 — —
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St Johns Episcopal Hospital Far Rockaway · New York-Newark-Jersey City, NY-NJ Pediarix $99.87 $99.87 —
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Slhs Massena Massena · Massena-Ogdensburg, NY HC DTAP_HEB_IPVIM USE $100.70 $154.93 Apr 1, 2026
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Gouverneur Hospital Gouverneur · Massena-Ogdensburg, NY HC DTAP_HEB_IPVIM USE $101.67 $156.41 —
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Rome Memorial Hospital Rome · Utica-Rome, NY Dtap-hep b-ipv vaccine im $102.94 $255.00 Aug 11, 2026
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Corning Hospital Corning · Corning, NY Pediarix Vacc $117.60 $147.00 —
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Guthrie Cortland Medical Center Cortland · Cortland, NY Pediarix Vacc $117.60 $147.00 —
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St Josephs Hospital Health Center Syracuse · Syracuse, NY HC Vaccine Dtap-Hep B-Ipv Im $118.95 $183.00 Mar 31, 2026
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Highland Hospital Rochester · Rochester, NY HB Dtap-Hepb-Ipv Vaccine Intramuscular $125.80 — —
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Stony Brook Southampton Hospital Southampton · New York-Newark-Jersey City, NY-NJ DTAP-HEP B-IPV VACCINE IM $133.75 $133.75 —
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Mount Sinai Brooklyn Brooklyn · New York-Newark-Jersey City, NY-NJ HC Dtap Hep B Ipv Vaccine Im $133.81 $148.68 Apr 1, 2026
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Clifton Springs Hospital And Clinic Clifton Springs · Rochester, NY HC DTAP_HEB_IPVIM USE $135.58 $208.58 Apr 1, 2026
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Newark-Wayne Community Hospital Newark · Rochester, NY HC DTAP_HEB_IPVIM USE $135.58 $208.58 Apr 1, 2026
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Rochester General Hospital Rochester · Rochester, NY HC DTAP_HEB_IPVIM USE $135.58 $208.58 Apr 1, 2026
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United Memorial Medical Center Batavia · Batavia, NY HC DTAP_HEB_IPVIM USE $135.58 $208.58 Apr 1, 2026
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Mount Sinai Queens Long Island · New York-Newark-Jersey City, NY-NJ hep B-DP(Acell)T-polio vac-PF 10 mcg-25Lf-25 mcg-10Lf/0.5 mL syringe 0.5 mL Syringe $137.92 $153.24 Apr 1, 2026
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The Mount Sinai Hospital New York · New York-Newark-Jersey City, NY-NJ hep B-DP(Acell)T-polio vac-PF 10 mcg-25Lf-25 mcg-10Lf/0.5 mL syringe 0.5 mL Syringe $137.92 $153.24 Apr 1, 2026
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Wyoming County Warsaw · Warsaw, NY DTAP-HEP B-IPV VACCINE IM $140.33 $200.47 —
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Maimonides Medical Center Brooklyn · New York-Newark-Jersey City, NY-NJ DTaP-Hep B-IPV vacc,IM $145.00 $145.00 Apr 1, 2026
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Canton-Potsdam Hospital Potsdam · Massena-Ogdensburg, NY HC DTAP_HEB_IPVIM USE $146.37 $225.19 Apr 1, 2026
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NYU Langone Mineola · New York-Newark-Jersey City, NY-NJ DTAP-HEP B-IPV VACCINE IM $148.01 $778.98 Jan 1, 2026
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NYU Langone Brooklyn · New York-Newark-Jersey City, NY-NJ DTAP-HEP B-IPV VACCINE IM $148.01 $778.98 Jan 1, 2026
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NYU Langone Hospital - Suffolk Patchogue · New York-Newark-Jersey City, NY-NJ DTAP-HEP B-IPV VACCINE IM $148.01 $778.98 Jan 1, 2026
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NYU Langone – Orthopedic Hospital New York · New York-Newark-Jersey City, NY-NJ DTAP-HEP B-IPV VACCINE IM $148.01 $778.98 Jan 1, 2026
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NYU Langone – Tisch Hospital New York · New York-Newark-Jersey City, NY-NJ DTAP-HEP B-IPV VACCINE IM $148.01 $778.98 Jan 1, 2026
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Chsli St Joseph Hospital Bethpage · New York-Newark-Jersey City, NY-NJ XRX ABATACEPT 250 MG IV SOLR $152.80 $764.00 Feb 19, 2026
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Good Samaritan Hospital Medical Center West Islip · New York-Newark-Jersey City, NY-NJ XRX ABATACEPT 250 MG IV SOLR $152.80 $764.00 Feb 19, 2026
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Mercy Medical Center Rockville Centre · New York-Newark-Jersey City, NY-NJ XRX ABATACEPT 250 MG IV SOLR $152.80 $764.00 Feb 19, 2026
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St. Catherine of Siena Medical Center Smithtown · New York-Newark-Jersey City, NY-NJ XRX (NICU) BEVACIZUMAB INTRAVITREAL INJECTION 25 MG/ML $152.80 $764.00 Feb 19, 2026
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St. Francis Hospital Roslyn · New York-Newark-Jersey City, NY-NJ XRX ABATACEPT 250 MG IV SOLR $152.80 $764.00 Feb 19, 2026
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University Hospital of Brooklyn Brooklyn · New York-Newark-Jersey City, NY-NJ 90723 - DTAP-HEP B-IPV VACCINE IM $158.00 $158.00 —
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The Unity Hospital of Rochester Rochester · Rochester, NY HC DTAP_HEB_IPVIM USE $166.86 $208.58 Apr 1, 2026
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Wynn Hospital Utica · Utica-Rome, NY Pediarix Admin Medicaid $192.60 $321.00 —
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St Peters Hospital Albany · Albany-Schenectady-Troy, NY HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE $200.07 $307.80 Mar 31, 2026
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Brooklyn Hospital Center at Downtown Campus Brooklyn · New York-Newark-Jersey City, NY-NJ DTAP-HEP B-IPV VACCINE IM $200.90 $200.90 —
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Samaritan Medical Center Watertown · Watertown-Fort Drum, NY **SFHN** PEDIARIX VACCINE 0.5ML SYRINGE $202.75 $202.74 Feb 2, 2026
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Clifton-Fine Healthcare Star Lake · Massena-Ogdensburg, NY DTaP-HepB-IPV (PEDIARIX) VAC 0.5 ML $210.12 $210.12 —
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Stony Brook University Hospital Stony Brook · New York-Newark-Jersey City, NY-NJ Pediarix PFS $214.61 $214.61 —
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Bronx-Lebanon Hospital Center - Concourse Division Bronx · New York-Newark-Jersey City, NY-NJ DTAP-HEPB-IPV,IM CLINIC (PEDS/ $217.25 $217.25 —
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BronxCare Hospital Center - Fulton Campus Bronx · New York-Newark-Jersey City, NY-NJ DTAP-HEPB-IPVIM CLINIC $217.25 $217.25 —
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Mount Sinai Morningside New York · New York-Newark-Jersey City, NY-NJ hep B-DP(Acell)T-polio vac-PF 10 mcg-25Lf-25 mcg-10Lf/0.5 mL syringe 0.5 mL Syringe $223.97 $248.86 Apr 1, 2026
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Alice Hyde Medical Center Malone · Malone, NY HEP B-DP(ACELL)T-POLIO VACC-PF 10MCG-25LF-25MCG-10LF-40-8-32 IM SYRING $256.57 $256.57 Apr 28, 2026
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Elizabethtown Community Hospital Elizabethtown · Elizabethtown, NY HEP B-DP(ACELL)T-POLIO VACC-PF 10MCG-25LF-25MCG-10LF-40-8-32 IM SYRING $256.57 $256.57 Apr 28, 2026
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Kaleida Health Buffalo · Buffalo-Cheektowaga, NY Dtap-Hep B-Ipv Vacc Im $275.89 $275.89 Apr 1, 2026
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Flushing Hospital Medical Center Flushing · New York-Newark-Jersey City, NY-NJ DTAP-HEP B-IPV VACCINE IM $334.00 $334.00 —
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Jamaica Hospital Medical Center Jamaica · New York-Newark-Jersey City, NY-NJ DTAP-HEP B-IPV VACCINE IM $334.00 $334.00 —
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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
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
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

By metro area

Each metro page compares every listing, including prices for both sides of the body.

Metro areaHospitalsLowestMedian
New York-Newark-Jersey City, NY-NJ 25 $37.68 $152.80
Rochester, NY 7 $56.00 $135.58
Buffalo-Cheektowaga, NY 4 $53.00 $53.00
Massena-Ogdensburg, NY 4 $100.70 $124.02
Utica-Rome, NY 3 $42.39 $102.94
Albany-Schenectady-Troy, NY 2 $42.39 $121.23
Corning, NY 2 $32.32 $74.96
Elmira, NY 2 $32.32 $32.32
Oneonta, NY 2 $21.83 $33.19
Batavia, NY 1 $135.58 $135.58
Cortland, NY 1 $117.60 $117.60
Delhi, NY 1 $42.39 $42.39
Elizabethtown, NY 1 $256.57 $256.57
Malone, NY 1 $256.57 $256.57
Montour Falls, NY 1 $59.75 $59.75
Syracuse, NY 1 $118.95 $118.95
Warsaw, NY 1 $140.33 $140.33
Wellsville, NY 1 $91.00 $91.00
Watertown-Fort Drum, NY 1 $202.75 $202.75
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More

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).

DTaP, hepatitis B and polio combination vaccine (Pediarix) in other states

Median cash price across the state's hospitals.