Vaccines CPT 90696 Inpatient — admitted to hospital

DTaP-polio booster (age 4-6) cost in Davenport, IA — inpatient

In Davenport-Moline-Rock Island, IA-IL, 2 hospitals list a cash price for DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) as an inpatient: from $106.49 to $106.49, with a median of $106.49. The lowest listed price is at MercyOne Genesis Silvis Medical Center and 1 other hospital. Across Iowa, the median is $83.25 at 48 hospitals.

Cash prices at 2 facilities across 2 cities for code 90696, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 31, 2026 and Mar 31, 2026.

Lowest$106.49MercyOne Genesis Silvis Medical Center + 1 more

Median$106.49half of hospitals charge less

Highest$106.49in 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 Davenport-Moline-Rock Island, IA-IL.

median

Lowest $106.49Highest $126.79

Hospitals, cheapest first

Hospital	Cash price	List price	Insurers pay	Off list
MercyOne Genesis Silvis Medical Center lowest Silvis, IL · (309) 281-4000 Diphth-Pertussis,acel-Tetanus-Polio Inj 0.5 ml+1 more line at this price File of Mar 31, 2026 · source file	$106.49	$177.49	$25.05–$163.29	40%
MercyOne Genesis Aledo Medical Center lowest Aledo, IL · (309) 582-9100 Diphth-Pertussis,acel-Tetanus-Polio Inj 0.5 ml+1 more line at this price File of Mar 31, 2026 · source file	$106.49	$177.49	$79.87–$129.57	40%
MercyOne Genesis Aledo Medical Center Aledo, IL · (309) 582-9100 Diphtheria-acel Pertussis-Tetanus-Polio 0.5 ml Inj+1 more line at this price File of Mar 31, 2026 · source file	$126.79	$211.31	$95.09–$154.26	40%
MercyOne Genesis Silvis Medical Center Silvis, IL · (309) 281-4000 Diphtheria-acel Pertussis-Tetanus-Polio 0.5 ml Inj+1 more line at this price File of Mar 31, 2026 · source file	$126.79	$211.31	$25.05–$194.41	40%

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.

Inpatient: lowest $106.49, median $106.49, highest $106.49.

As an outpatient, the same code is billed by 5 facilities here, median $106.49 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 2 of 2 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).