Vaccines CPT 90696 Outpatient

DTaP-polio booster (age 4-6) cost in Bloomington, IL

In Bloomington, IL, 1 hospital lists a cash price for DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel): from $88.86 to $88.86, with a median of $88.86. Across Illinois, the median is $103.00 at 41 hospitals.

Cash prices at 1 facility 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 Apr 15, 2026 and Apr 15, 2026.

Lowest$88.86Carle BroMenn Medical Center
Median$88.86half pay less
Highest$88.86in this market
Difference1.0×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 Bloomington, IL.

median
Lowest $88.86Highest $95.81

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Carle BroMenn Medical Center lowest Normal, IL · (309) 454-1400 QUADRACEL (PF) 15 LF-48 MCG-5 LF UNIT/0.5 ML INTRAMUSCULAR SUSPENSION $88.86 $88.86 $8.89–$86.41 — Apr 15, 2026
source file
Carle BroMenn Medical Center Normal, IL · (309) 454-1400 KINRIX (PF) 25 LF-58 MCG-10 LF/0.5 ML INTRAMUSCULAR SYRINGE $93.19 $93.19 $9.32–$86.41 — Apr 15, 2026
source file
Carle BroMenn Medical Center Normal, IL · (309) 454-1400 QUADRACEL (PF) 15 LF-48 MCG-5 LF UNIT/0.5 ML INTRAMUSCULAR SYRINGE $95.81 $95.81 $9.58–$86.41 — Apr 15, 2026
source file

Outpatient: lowest $88.86, median $88.86, highest $88.86.

As an inpatient, the same code is billed by 1 facility here, median $88.86. 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 the one hospital here that publishes insurer rates for this code, the cash price is not below the highest rate a health plan has negotiated. 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).