DTaP-polio booster (age 4-6) cost in Fort Wayne, IN — inpatient
In Fort Wayne, IN, 8 hospitals list a cash price for DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) as an inpatient: from $113.49 to $368.38, with a median of $174.63. The lowest listed price is at Lutheran Musculoskeletal Center – The Orthopedic Hospital — $61.14 less than the median here. Across Indiana, the median is $141.32 at 36 hospitals.
Cash prices at 8 facilities across 3 cities for code 90696, as an inpatient (admitted to hospital) . Collected Sep 27, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Fort Wayne, IN.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Lutheran Musculoskeletal Center – The Orthopedic Hospital lowest Fort Wayne, IN 49281-0564-15 - diphtheria/pertussis,acel/tetanus/ File of Apr 1, 2026 · source file | $113.49 | $420.35 | $113.49–$420.35 | 73% |
| Lutheran Musculoskeletal Center – The Orthopedic Hospital Fort Wayne, IN 58160-0812-11 - diphtheria/pertussisacel/tetanus/+5 more lines at this price File of Apr 1, 2026 · source file | $124.04 | $459.39 | $124.04–$459.39 | 73% |
| Parkview Whitley Hospital Columbia City, IN · (260) 248-9301 DIPH,PERTUS(ACEL),TET,POL (PF) 15 LF-48 MCG- 5 LF UNIT/0.5ML IM SUSP source file | $150.98 | $301.95 | — | 50% |
| Parkview Regional Medical Center Fort Wayne, IN · (260) 266-1195 DIPH,PERTUS(ACEL),TET,POL (PF) 15 LF-48 MCG- 5 LF UNIT/0.5ML IM SUSP source file | $150.98 | $301.95 | — | 50% |
| Parkview Ortho Hospital Fort Wayne, IN DIPH,PERTUS(ACEL),TET,POL (PF) 15 LF-48 MCG- 5 LF UNIT/0.5ML IM SUSP source file | $150.98 | $301.95 | — | 50% |
| Bluffton Regional Medical Center Bluffton, IN · (260) 824-3210 58160-0812-52 - diphtheria/pertussis, acellular/te File of Apr 1, 2026 · source file | $198.28 | $360.50 | $107.79–$324.45 | 45% |
| Lutheran Hospital of Indiana Fort Wayne, IN · (260) 435-7001 49281-0564-15 - diphtheria/pertussis,acel/tetanus/ File of Apr 1, 2026 · source file | $231.15 | $642.07 | $161.79–$577.86 | 64% |
| Lutheran Hospital of Indiana Fort Wayne, IN · (260) 435-7001 58160-0812-52 - diphtheria/pertussis,acel/tetanus/+5 more lines at this price File of Apr 1, 2026 · source file | $252.62 | $701.71 | $176.81–$631.54 | 64% |
| Dupont Hospital Fort Wayne, IN · (260) 416-3000 49281-0564-15 - diphtheria/pertussis,acel/tetanus/ File of Apr 1, 2026 · source file | $303.27 | $673.94 | $200.16–$606.55 | 55% |
| Bluffton Regional Medical Center Bluffton, IN · (260) 824-3210 49281-0564-15 - diphtheria/pertussis,acel/tetanus/+4 more lines at this price File of Apr 1, 2026 · source file | $327.21 | $594.92 | $177.88–$535.43 | 45% |
| Dupont Hospital Fort Wayne, IN · (260) 416-3000 58160-0812-52 - diphtheria/pertussis,acel/tetanus/+2 more lines at this price File of Apr 1, 2026 · source file | $331.44 | $736.54 | $218.75–$662.89 | 55% |
| St. Joseph Health System Fort Wayne, IN · (260) 425-3000 49281-0564-15 - diphtheria/pertussis,acel/tetanus/ File of Apr 1, 2026 · source file | $368.38 | $669.78 | $190.89–$669.78 | 45% |
| St. Joseph Health System Fort Wayne, IN · (260) 425-3000 58160-0812-52 - diphtheria/pertussis,acel/tetanus/+5 more lines at this price File of Apr 1, 2026 · source file | $402.60 | $732.00 | $208.62–$732.00 | 45% |
Inpatient: lowest $113.49, median $174.63, highest $368.38 — a 3.2× difference within the same market.
As an outpatient, the same code is billed by 8 facilities here, median $150.98 — that is the price to compare if you are not being admitted.
Cash or insurance?
At 5 of 5 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).
3 rows held back from this comparison
They are 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.
| Hospital | Cash price | File |
|---|---|---|
| Bluffton Regional Medical Center Bluffton, IN49281-0562-10 - diphtheria/pertussis,acel/tetanus/ | $0.01 | file |
| St. Joseph Health System Fort Wayne, IN49281-0562-10 - diphtheria/pertussisacel/tetanus/ | $0.01 | file |
| St. Joseph Health System Fort Wayne, IN49281-0562-10 - diphtheria/pertussis,acel/tetanus/ | $0.01 | file |