Vaccines CPT 90696 Outpatient

DTaP-polio booster (age 4-6) cost in Allentown, PA

In Allentown-Bethlehem-Easton, PA-NJ, 9 hospitals list a cash price for DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel): from $83.00 to $232.95, with a median of $83.00. The lowest listed price is at St Luke's Hospital - Sacred Heart Campus and 6 other hospitals. Across Pennsylvania, the median is $83.00 at 31 hospitals.

Cash prices at 9 facilities across 6 cities for code 90696, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 29, 2026; the hospital files themselves were last updated between Feb 26, 2026 and Feb 27, 2026.

Lowest$83.00St Luke's Hospital - Sacred Heart Campus + 6 more
Median$83.00half pay less
Highest$232.95in this market
Difference2.8×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 Allentown-Bethlehem-Easton, PA-NJ.

median
Lowest $83.00Highest $232.95

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
St Luke's Hospital - Sacred Heart Campus lowest Allentown, PA HB DTAP-IPV VACC 4-6 YR IM $83.00 $100.00 $9.60–$76.88 17% Feb 26, 2026
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St Luke's Hospital - Lehighton Campus lowest Lehighton, PA HB DTAP-IPV VACC 4-6 YR IM $83.00 $100.00 $10.00–$76.88 17% Feb 27, 2026
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St Luke's Hospital - Bethlehem Campus lowest Bethlehem, PA · (484) 526-4000 HB DTAP-IPV VACC 4-6 YR IM $83.00 $100.00 $9.60–$76.88 17% Feb 26, 2026
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St Luke's Hospital - Allentown Campus lowest Allentown, PA HB DTAP-IPV VACC 4-6 YR IM $83.00 $100.00 $9.60–$76.88 17% Feb 26, 2026
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St Luke's Hospital - Anderson Campus lowest Easton, PA HB DTAP-IPV VACC 4-6 YR IM $83.00 $100.00 $9.60–$76.88 17% Feb 26, 2026
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St Luke's Hospital - Easton Campus lowest Easton, PA · (610) 250-4076 HB DTAP-IPV VACC 4-6 YR IM $83.00 $100.00 $11.50–$76.88 17% Feb 26, 2026
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St Luke's Hospital - Carbon Campus lowest Lehighton, PA · (610) 377-7001 HB DTAP-IPV VACC 4-6 YR IM $83.00 $100.00 $11.80–$76.88 17% Feb 27, 2026
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St Luke's Warren Hospital Phillipsburg, NJ · (908) 847-6700 HB DTAP-IPV VACC 4-6 YR IM $90.00 $100.00 $9.60–$76.88 10% Feb 27, 2026
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Hackettstown Medical Center Hackettstown, NJ · (908) 852-5100 Dtap-Ipv Vaccine Child 4-6 Yrs for Im Use $232.95 $776.01 — 70% —
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Outpatient: lowest $83.00, median $83.00, highest $232.95 — a 2.8× difference within the same market.

As an inpatient, the same code is billed by 8 facilities here, median $83.00. 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 0 of 8 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. 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

Kinrix and Quadracel combine the last childhood doses of DTaP and polio in one shot, given at ages 4 to 6 before school.

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).