Vaccines CPT 90696 Outpatient

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

In Chicago-Naperville-Elgin, IL-IN, 16 hospitals list a cash price for DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel): from $26.47 to $400.81, with a median of $105.05. The lowest listed price is at Morris Hospital — $78.58 less than the median here. Across Illinois, the median is $103.00 at 41 hospitals.

Cash prices at 16 facilities across 12 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 Mar 31, 2026 and Aug 24, 2026.

Lowest$26.47Morris Hospital
Median$105.05half pay less
Highest$400.81in this market
Difference15.1×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 Chicago-Naperville-Elgin, IL-IN.

median
Lowest $26.47Highest $400.81

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Morris Hospital lowest Morris, IL · (815) 942-2932 Diphtheria, tetanus, acellular pertussis, and polio vaccine $26.47 $110.00 $37.40–$93.50 76% Jun 30, 2026
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Gottlieb Memorial Hospital Melrose Park, IL · (708) 681-3200 Dtap-Ipv (Kinrix) Vacc Age 4-6 Im Inj $33.06 $174.00 $52.37–$145.81 81% Mar 31, 2026
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Gottlieb Memorial Hospital Melrose Park, IL · (708) 681-3200 Dtap-Ipv (Kinrix) Vacc Age 4-6 Im Inj $33.06 $174.00 $52.37–$145.81 81% Mar 31, 2026
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MacNeal Hospital Berwyn, IL · (708) 783-9100 Dtap-Ipv (Kinrix) Vacc Age 4-6 Im Inj $33.06 $174.00 $33.06–$240.99 81% Mar 31, 2026
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Gottlieb Memorial Hospital Melrose Park, IL · (708) 681-3200 DTAP-IPV (QUADRACEL) VACC AGE 4-6 IM INJ $34.01 $178.99 $53.88–$149.99 81% Mar 31, 2026
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Gottlieb Memorial Hospital Melrose Park, IL · (708) 681-3200 DTAP-IPV (QUADRACEL) VACC AGE 4-6 IM INJ $34.01 $178.99 $53.88–$149.99 81% Mar 31, 2026
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Gottlieb Memorial Hospital Melrose Park, IL · (708) 681-3200 Dtap-Ipv (Quadracel) Vacc Age 4-6 Im Inj $37.05 $195.00 $58.70–$163.41 81% Mar 31, 2026
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Gottlieb Memorial Hospital Melrose Park, IL · (708) 681-3200 Dtap-Ipv (Quadracel) Vacc Age 4-6 Im Inj $37.05 $195.00 $58.70–$163.41 81% Mar 31, 2026
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MacNeal Hospital Berwyn, IL · (708) 783-9100 Dtap-Ipv (Quadracel) Vacc Age 4-6 Im Inj $37.05 $195.00 $37.05–$270.08 81% Mar 31, 2026
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Loyola University Medical Center Maywood, IL · (708) 216-9000 Dtap-Ipv (Kinrix) Vacc Age 4-6 Im Inj $40.02 $174.00 $36.28 77% Mar 31, 2026
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Loyola University Medical Center Maywood, IL · (708) 216-9000 Dtap-Ipv (Kinrix) Vacc Age 4-6 Im Inj $40.02 $174.00 $60.38–$183.40 77% Mar 31, 2026
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Loyola University Medical Center Maywood, IL · (708) 216-9000 Dtap-Ipv (Quadracel) Vacc Age 4-6 Im Inj $44.85 $195.00 $67.67–$205.53 77% Mar 31, 2026
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Loyola University Medical Center Maywood, IL · (708) 216-9000 Dtap-Ipv (Quadracel) Vacc Age 4-6 Im Inj $44.85 $195.00 $36.28 77% Mar 31, 2026
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NorthShore University HealthSystems Glenbrook Hospital Glenview, IL Dtap-Ipv Vacc 4-6 Yr Im (Quadracel) $69.55 $107.00 $14.45–$58.42 35% —
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NorthShore University HealthSystems Skokie Hospital Skokie, IL Dtap-Ipv Vacc 4-6 Yr Im (Quadracel) $69.55 $107.00 $14.45–$58.42 35% —
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Humboldt Park Health Chicago, IL · (773) 292-8200 Diphtheria, tetanus, acellular pertussis, and polio vaccine $75.26 $268.80 $268.80 72% Aug 24, 2026
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Franciscan Health Rensselaer Rensselaer, IN · (219) 866-5141 Dtap-Ipv Vaccine 4-6 Yrs Im $103.10 $288.00 $72.00–$230.40 64% —
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Swedish Covenant Health Chicago, IL · (773) 878-8200 DTAP-IPV VACC 4-6 YR IM (QUADRACEL) $107.00 $107.00 — — Apr 1, 2026
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Endeavor Health Highland Park Hospital Highland Park, IL DTAP-IPV VACC 4-6 YR IM (QUADRACEL) $107.00 $107.00 — — Apr 1, 2026
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Northshore University Healthsystem - Evanston Hospital Evanston, IL · (847) 570-2000 DTAP-IPV VACC 4-6 YR IM (QUADRACEL) $107.00 $107.00 — — Apr 1, 2026
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The University of Chicago Medical Center Chicago, IL · (773) 702-9785 Pr Dtap-Ipv Vaccine Child 4-6 Yrs For Im Use $139.00 $139.00 — — Apr 1, 2026
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The University of Chicago Medical Center Chicago, IL · (773) 702-9785 NDC Description Not Available $139.00 $139.00 — — Apr 1, 2026
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Franciscan Health Rensselaer Rensselaer, IN · (219) 866-5141 DIPH,PERTUS(ACEL),TET,POLIO(PF) 15 LF-48 MCG-5 LF UNIT/0.5 ML IM SUSP $218.02 $609.00 $152.25–$487.20 64% —
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Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL · (312) 227-4000 H DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE $250.82 $358.31 $60.91–$8,500.00 30% —
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Vista Medical Center East Waukegan, IL · (847) 360-3000 DTAP-IPV 4-6YR IM $295.54 $295.54 $0.01–$147.77 — —
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John H. Stroger, Jr. Hospital Chicago, IL · (312) 864-6000 DTAP/IPV (QUADRACEL) INJ 0.5ML $379.67 $542.39 $75.17–$433.91 30% —
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The University of Chicago Medical Center Chicago, IL · (773) 702-9785 Kinrix: 10 Syringe In 1 Carton (58160-812-52) / .5 Ml In 1 Syringe (58160-812-43) $389.13 $389.13 — — Apr 1, 2026
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Uchicago Medicine Northwest Indiana Crown Point, IN · (312) 755-4706 DIPH,PERTUS(ACELL),TET,POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE $400.81 $400.81 — — Apr 1, 2026
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Outpatient: lowest $26.47, median $105.05, highest $400.81 — a 15.1× difference within the same market.

As an inpatient, the same code is billed by 13 facilities here, median $107.00. 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 7 of 11 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 3 it is 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).