Vaccines CPT 90696 Outpatient

DTaP-polio booster (age 4-6) cost in Boston, MA

In Boston-Cambridge-Newton, MA-NH, 4 hospitals list a cash price for DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel): from $55.30 to $345.65, with a median of $345.65. The lowest listed price is at Signature Healthcare Brockton Hospital — $290.35 less than the median here. Across Massachusetts, the median is $345.65 at 5 hospitals.

Cash prices at 4 facilities across 4 cities for code 90696, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Jan 28, 2026 and Jan 28, 2026.

Lowest$55.30Signature Healthcare Brockton Hospital
Median$345.65half of hospitals charge less
Highest$345.65in this market
Difference6.3×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 Boston-Cambridge-Newton, MA-NH.

median
Lowest $55.30Highest $345.65

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Signature Healthcare Brockton Hospital lowest Brockton, MA · (508) 941-7000 VACC; DTAP-IPV 4-6YRS (PRCHSD) File of Jan 28, 2026 · source file $55.30 $79.00 $29.23–$72.70 30%
Tufts Medical Center Boston, MA · (617) 636-5000 HC Pbb Dtap-Ipv Vaccine Child 4-6 Yrs for Im Use source file $345.65 $493.79 $0.01–$493.79 30%
Lowell General Hospital Lowell, MA · (978) 937-6000 HC Pbb Dtap-Ipv Vaccine Child 4-6 Yrs for Im Use source file $345.65 $493.79 $172.83–$493.79 30%
Melrosewakefield Healthcare Melrose, MA · (781) 979-3000 HC Pbb Dtap-Ipv Vaccine Child 4-6 Yrs for Im Use source file $345.65 $493.79 $172.83–$533.94 30%
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
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.

Outpatient: lowest $55.30, median $345.65, highest $345.65 — a 6.3× difference within the same market.

As an inpatient, the same code is billed by 4 facilities here, median $345.65. 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 4 of 4 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).

1 row held back from this comparison

It is priced below $1 or below a tenth of the national median for code 90696 ($100.00). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

HospitalCash priceFile
Cambridge Health Alliance Cambridge, MAHC Kinrix Susp. $0.01 file
File Link to the hospital's own price file.