Pediatrics West

Cash prices

1. Developmental Screening

   Code 96110

   Ask what's included
   $56
   Source: pediatricswest.org · checked Oct 2026
2. Pentacel Vaccine

   Standard service: DTaP-Hib-IPV vaccine (Pentacel)

   Code 90698

   Ask what's included
   $243 per unit

   Vaccine price only; administration fees are listed separately: $72 vaccine administration fee and $37 additional administration fee.

   Source: pediatricswest.org · checked Oct 2026
3. Office Visit - 99213

   Standard service: Established patient visit (level 3)

   Code 99213

   Ask what's included
   $279 per visit
   Source: pediatricswest.org · checked Oct 2026
4. Office Visit - 99214

   Standard service: Established patient visit (level 4)

   Code 99214

   Ask what's included
   $394 per visit
   Source: pediatricswest.org · checked Oct 2026
5. Gardasil Vaccine

   Standard service: HPV vaccine (Gardasil 9)

   Code 90651

   Ask what's included
   $680 per unit

   Vaccine price only; administration fees are listed separately: $72 vaccine administration fee and $37 additional administration fee.

   Source: pediatricswest.org · checked Oct 2026
6. MMR+Varicella Vaccine

   Standard service: MMRV vaccine (ProQuad)

   Code 90710

   Ask what's included
   $640 per unit

   Vaccine price only; administration fees are listed separately: $72 vaccine administration fee and $37 additional administration fee.

   Source: pediatricswest.org · checked Oct 2026
7. Vaxneuvance Vaccine

   Standard service: Pneumococcal conjugate vaccine PCV15 (Vaxneuvance)

   Code 90671

   Ask what's included
   $761 per unit

   Vaccine price only; administration fees are listed separately: $72 vaccine administration fee and $37 additional administration fee.

   Source: pediatricswest.org · checked Oct 2026
8. Preventative Visit age 1-4

   Standard service: Preventive visit (child 1-4)

   Ask what's included
   $321 per visit
   Source: pediatricswest.org · checked Oct 2026
9. Preventative Visit age 5-11

   Standard service: Preventive visit (child 5-11)

   Ask what's included
   $320 per visit
   Source: pediatricswest.org · checked Oct 2026
10. Preventative Newborn-1

    Standard service: Preventive visit (newborn to age 1)

    Ask what's included
    $302 per visit
    Source: pediatricswest.org · checked Oct 2026
11. Rotateq Vaccine

    Standard service: Rotavirus vaccine (RotaTeq)

    Code 90680

    Ask what's included
    $230 per unit

    Vaccine price only; administration fees are listed separately: $72 vaccine administration fee and $37 additional administration fee.

    Source: pediatricswest.org · checked Oct 2026
12. Social Determinants Screening

    Standard service: Social determinants of health screening

    Ask what's included
    $59
    Source: pediatricswest.org · checked Oct 2026
13. Vaccine Administration Fee

    Standard service: Vaccine administration

    Ask what's included
    $72 per unit

    Administration fee only; vaccine prices and a $37 additional vaccine administration fee are listed separately.

    Source: pediatricswest.org · checked Oct 2026
14. Additional Vaccine Administration Fee

    Standard service: Vaccine administration (each additional)

    Code 90472

    Ask what's includedAddon
    $37 per unit

    Additional administration charge; vaccine prices and the $72 vaccine administration fee are listed separately.

    Source: pediatricswest.org · checked Oct 2026
15. Preventative Adolescent 12-17

    Standard service: Well child visit (age 12-17)

    Ask what's included
    $349 per visit
    Source: pediatricswest.org · checked Oct 2026

Prices are published cash prices with their source and the date we last checked. Confirm with the provider before you book. Hospital prices for a billing code are often the facility charge only.