CMS Price Transparency Data

DTaP vaccine (diphtheria, tetanus, pertussis)

Facility: Good Samaritan Hospital

Billing Code: 90700 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$46
modeled fair price · typically $28–$116
modeled estimate · not a bill or quote
What this hospital charges insurers
$59
Above the fair price
about $13 over the fair price
Fair price $46 This hospital $59 Cash price $527 Hospital's list price $527

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $11 Priciest $59

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a DTaP vaccine (diphtheria, tetanus, pertussis) is about $46. Good Samaritan Hospital charges insurers about $59, or about $527 in cash — above the fair price. Located in San Jose, CA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $46. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $122 - $154 —
Blue Cross Blue Shieldmajor $31 - $32 —
Aetnamajor $72 - $128 —
Cignamajor $59 - $484 —
Humanamajor $335 - $423 —
Health Net $32 - $363 —
+ 8 smaller / regional plans $28 - $484
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 2425 Samaritan Drive, San Jose, CA 95124
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals