Vaccines CPT 90696 Outpatient

DTaP-polio booster (age 4-6) cost in Cleveland, OH

In Cleveland, OH, 21 hospitals list a cash price for DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel): from $17.50 to $288.17, with a median of $136.50. The lowest listed price is at Ashtabula County Medical Center — $119.00 less than the median here. Across Ohio, the median is $129.00 at 54 hospitals.

Cash prices at 21 facilities across 15 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 Apr 1, 2026 and Sep 8, 2026.

Lowest$17.50Ashtabula County Medical Center
Median$136.50half of hospitals charge less
Highest$288.17in this market
Difference16.5×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 Cleveland, OH.

median
Lowest $17.50Highest $291.15

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Ashtabula County Medical Center lowest Ashtabula, OH · (440) 997-2262 DTAP-IPV VACC 4-6 YR IM File of Sep 8, 2026 · source file $17.50 $25.00 $6.30–$23.50 30%
Metrohealth System Cleveland, OH · (216) 778-7089 NDC Description Not Available+1 more line at this price File of Apr 1, 2026 · source file $26.60 $76.00 — 65%
Metrohealth System Cleveland, OH · (216) 778-7089 Kinrix: 10 Syringe In 1 Carton (58160-812-52) / .5 Ml In 1 Syringe (58160-812-43) File of Apr 1, 2026 · source file $56.00 $160.00 — 65%
Metrohealth System Cleveland, OH · (216) 778-7089 DTAP-IPV VACCINE 0.5 ML IM SUSY [159805] File of Apr 1, 2026 · source file $107.25 $165.00 — 35%
Metrohealth System Cleveland, OH · (216) 778-7089 DTAP-IPV VACCINE IM SUSP [107845] File of Apr 1, 2026 · source file $110.50 $170.00 — 35%
Parma Community General Hospital Parma, OH · (440) 743-3000 HC DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE File of Jul 14, 2026 · source file $129.00 $172.00 $52.29–$154.80 25%
UH St John Medical Center Westlake, OH · (440) 835-8000 HC DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE File of Jul 14, 2026 · source file $129.00 $172.00 $42.14–$222.50 25%
Lake West Hospital Willoughby, OH · (440) 953-9600 HC DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE File of Jul 14, 2026 · source file $129.00 $172.00 $68.80–$154.80 25%
University Hospitals - Elyria Medical Center Elyria, OH · (440) 329-7500 HC DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE File of Jul 14, 2026 · source file $129.00 $172.00 $56.76–$154.80 25%
UH Cleveland Medical Center Cleveland, OH · (216) 844-1000 HC DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE+1 more line at this price File of Jul 14, 2026 · source file $129.00 $172.00 $46.44–$1,329.39 25%
UH Regional Hospitals Chardon, OH · (440) 285-6246 HC DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE File of Jul 14, 2026 · source file $129.00 $172.00 $44.89–$154.80 25%
University Hospitals Ahuja Medical Center Beachwood, OH · (216) 593-5511 HC DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE File of Jul 14, 2026 · source file $129.00 $172.00 $38.01–$154.80 25%
University Hospitals Beachwood Medical Center Beachwood, OH · (216) 545-4800 HC DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE File of Jul 14, 2026 · source file $129.00 $172.00 $68.80–$154.80 25%
Lodi Community Hospital Lodi, OH · (330) 948-1222 DTAP-IPV VACC 4-6 YR IM+1 more line at this price File of Jun 15, 2026 · source file $136.50 $210.00 $59.39–$210.00 35%
Fairview Hospital Cleveland, OH · (216) 476-7000 DTAP-IPV VACC 4-6 YR IM+1 more line at this price File of Jun 15, 2026 · source file $136.50 $210.00 $32.63–$210.00 35%
Medina Hospital Medina, OH · (330) 725-1000 DTAP-IPV VACC 4-6 YR IM+1 more line at this price File of Jun 15, 2026 · source file $136.50 $210.00 $30.43–$210.00 35%
Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 DTAP-IPV VACC 4-6 YR IM+1 more line at this price File of Jun 15, 2026 · source file $136.50 $210.00 $32.63–$210.00 35%
Euclid Hospital Euclid, OH · (216) 531-9000 DTAP-IPV VACC 4-6 YR IM+1 more line at this price File of Jun 15, 2026 · source file $136.50 $210.00 $35.78–$210.00 35%
Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 DTAP-IPV VACC 4-6 YR IM+1 more line at this price File of Jun 15, 2026 · source file $136.50 $210.00 $35.78–$210.00 35%
Marymount Hospital Garfield Heights, OH · (216) 587-8210 DTAP-IPV VACC 4-6 YR IM+1 more line at this price File of Jun 15, 2026 · source file $136.50 $210.00 $35.78–$210.00 35%
Lutheran Hospital Cleveland, OH · (216) 696-4300 DTAP-IPV VACC 4-6 YR IM+1 more line at this price File of Jun 15, 2026 · source file $136.50 $210.00 $35.78–$210.00 35%
The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 DTAP-IPV VACC 4-6 YR IM+1 more line at this price File of Jun 16, 2026 · source file $136.50 $210.00 $45.78–$210.00 35%
South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 DTAP-IPV VACC 4-6 YR IM+1 more line at this price File of Jun 15, 2026 · source file $136.50 $210.00 $35.78–$210.00 35%
Marymount Hospital Garfield Heights, OH · (216) 587-8210 QUADRACEL (PF) 15 LF-48 MCG-5 LF UNIT/0.5 ML INTRAMUSCULAR SUSPENSION+1 more line at this price File of Jun 15, 2026 · source file $288.17 $443.34 $75.55–$443.34 35%
Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 QUADRACEL (PF) 15 LF-48 MCG-5 LF UNIT/0.5 ML INTRAMUSCULAR SUSPENSION+1 more line at this price File of Jun 15, 2026 · source file $288.17 $443.34 $68.90–$443.34 35%
Lodi Community Hospital Lodi, OH · (330) 948-1222 QUADRACEL (PF) 15 LF-48 MCG-5 LF UNIT/0.5 ML INTRAMUSCULAR SUSPENSION+1 more line at this price File of Jun 15, 2026 · source file $288.17 $443.34 $125.38–$443.34 35%
South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 QUADRACEL (PF) 15 LF-48 MCG-5 LF UNIT/0.5 ML INTRAMUSCULAR SUSPENSION+1 more line at this price File of Jun 15, 2026 · source file $288.17 $443.34 $75.55–$443.34 35%
Medina Hospital Medina, OH · (330) 725-1000 QUADRACEL (PF) 15 LF-48 MCG-5 LF UNIT/0.5 ML INTRAMUSCULAR SUSPENSION+1 more line at this price File of Jun 15, 2026 · source file $288.17 $443.34 $64.24–$443.34 35%
Cleveland Clinic Children's Hospital for Rehabilitation Cleveland, OH · (216) 448-6400 QUADRACEL (PF) 15 LF-48 MCG-5 LF UNIT/0.5 ML INTRAMUSCULAR SUSPENSION+1 more line at this price File of Jun 15, 2026 · source file $288.17 $443.34 $125.38–$443.34 35%
Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 QUADRACEL (PF) 15 LF-48 MCG-5 LF UNIT/0.5 ML INTRAMUSCULAR SUSPENSION+1 more line at this price File of Jun 15, 2026 · source file $288.17 $443.34 $75.55–$443.34 35%
Fairview Hospital Cleveland, OH · (216) 476-7000 QUADRACEL (PF) 15 LF-48 MCG-5 LF UNIT/0.5 ML INTRAMUSCULAR SUSPENSION+1 more line at this price File of Jun 15, 2026 · source file $288.17 $443.34 $68.90–$443.34 35%
Lutheran Hospital Cleveland, OH · (216) 696-4300 QUADRACEL (PF) 15 LF-48 MCG-5 LF UNIT/0.5 ML INTRAMUSCULAR SUSPENSION+1 more line at this price File of Jun 15, 2026 · source file $288.17 $443.34 $75.55–$443.34 35%
Euclid Hospital Euclid, OH · (216) 531-9000 QUADRACEL (PF) 15 LF-48 MCG-5 LF UNIT/0.5 ML INTRAMUSCULAR SUSPENSION+1 more line at this price File of Jun 15, 2026 · source file $288.17 $443.34 $75.55–$443.34 35%
South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 KINRIX (PF) 25 LF-58 MCG-10 LF/0.5 ML INTRAMUSCULAR SYRINGE+1 more line at this price File of Jun 15, 2026 · source file $291.15 $447.93 $76.33–$447.93 35%
Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 KINRIX (PF) 25 LF-58 MCG-10 LF/0.5 ML INTRAMUSCULAR SYRINGE+1 more line at this price File of Jun 15, 2026 · source file $291.15 $447.93 $69.61–$447.93 35%
Euclid Hospital Euclid, OH · (216) 531-9000 KINRIX (PF) 25 LF-58 MCG-10 LF/0.5 ML INTRAMUSCULAR SYRINGE+1 more line at this price File of Jun 15, 2026 · source file $291.15 $447.93 $76.33–$447.93 35%
Fairview Hospital Cleveland, OH · (216) 476-7000 KINRIX (PF) 25 LF-58 MCG-10 LF/0.5 ML INTRAMUSCULAR SYRINGE+1 more line at this price File of Jun 15, 2026 · source file $291.15 $447.93 $69.61–$447.93 35%
Marymount Hospital Garfield Heights, OH · (216) 587-8210 KINRIX (PF) 25 LF-58 MCG-10 LF/0.5 ML INTRAMUSCULAR SYRINGE+1 more line at this price File of Jun 15, 2026 · source file $291.15 $447.93 $76.33–$447.93 35%
Lutheran Hospital Cleveland, OH · (216) 696-4300 KINRIX (PF) 25 LF-58 MCG-10 LF/0.5 ML INTRAMUSCULAR SYRINGE+1 more line at this price File of Jun 15, 2026 · source file $291.15 $447.93 $76.33–$447.93 35%
Lodi Community Hospital Lodi, OH · (330) 948-1222 KINRIX (PF) 25 LF-58 MCG-10 LF/0.5 ML INTRAMUSCULAR SYRINGE+1 more line at this price File of Jun 15, 2026 · source file $291.15 $447.93 $126.67–$447.93 35%
Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 KINRIX (PF) 25 LF-58 MCG-10 LF/0.5 ML INTRAMUSCULAR SYRINGE+1 more line at this price File of Jun 15, 2026 · source file $291.15 $447.93 $76.33–$447.93 35%
Cleveland Clinic Children's Hospital for Rehabilitation Cleveland, OH · (216) 448-6400 KINRIX (PF) 25 LF-58 MCG-10 LF/0.5 ML INTRAMUSCULAR SYRINGE+1 more line at this price File of Jun 15, 2026 · source file $291.15 $447.93 $126.67–$447.93 35%
Medina Hospital Medina, OH · (330) 725-1000 KINRIX (PF) 25 LF-58 MCG-10 LF/0.5 ML INTRAMUSCULAR SYRINGE+1 more line at this price File of Jun 15, 2026 · source file $291.15 $447.93 $64.91–$447.93 35%
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 $17.50, median $136.50, highest $288.17 — a 16.5× difference within the same market.

As an inpatient, the same code is billed by 22 facilities here, median $132.75. 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 20 of 20 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).