Vaccines CPT 90696 Outpatient

DTaP-polio booster (age 4-6) cost in Indianapolis, IN

In Indianapolis-Carmel-Greenwood, IN, 6 hospitals list a cash price for DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel): from $131.34 to $131.65, with a median of $131.65. The lowest listed price is at Franciscan Health Indianapolis — $0.31 less than the median here. Across Indiana, the median is $131.65 at 38 hospitals.

Cash prices at 6 facilities across 3 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 — and —.

Lowest$131.34Franciscan Health Indianapolis
Median$131.65half pay less
Highest$131.65in 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 Indianapolis-Carmel-Greenwood, IN.

median
Lowest $131.34Highest $131.65

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Franciscan Health Indianapolis lowest Indianapolis, IN · (317) 528-5000 DIPH,PERTUS(ACEL),TET,POLIO(PF) 15 LF-48 MCG-5 LF UNIT/0.5 ML IM SUSP $131.34 $568.55 $362.17–$511.70 77% —
source file
Carmel AmbSurg Carmel, IN DIP/TET/PERT(ACEL)/POLIO VACC $131.65 $219.41 $47.21–$137.43 40% —
source file
St. Vincent Fishers Hospital Fishers, IN · (317) 415-9000 DIP/TET/PERT(ACEL)/POLIO VACC $131.65 $219.41 $47.21–$137.43 40% —
source file
St. Vincent Fishers Hospital Fishers, IN · (317) 415-9000 DIP/TET/PERT(ACEL)/POLIO VACC $131.65 $219.41 $47.21–$137.43 40% —
source file
St. Vincent Carmel Hospital Carmel, IN · (317) 582-7000 DIP/TET/PERT(ACEL)/POLIO VACC $131.65 $219.41 $47.21–$137.43 40% —
source file
St. Vincent Carmel Hospital Carmel, IN · (317) 582-7000 DIP/TET/PERT(ACEL)/POLIO VACC $131.65 $219.41 $47.21–$137.43 40% —
source file
Naab Road Surgery Center Indianapolis, IN DIP/TET/PERT(ACEL)/POLIO VACC $131.65 $219.41 $47.21–$137.43 40% —
source file
Naab Road Surgery Center Indianapolis, IN DIP/TET/PERT(ACEL)/POLIO VACC $131.65 $219.41 $47.21–$137.43 40% —
source file
Endo Surgery Center Carmel, IN DIP/TET/PERT(ACEL)/POLIO VACC $131.65 $219.41 $47.21–$137.43 40% —
source file
Carmel AmbSurg Carmel, IN DIP/TET/PERT(ACEL)/POLIO VACC $131.65 $219.41 $47.21–$137.43 40% —
source file
Endo Surgery Center Carmel, IN DIP/TET/PERT(ACEL)/POLIO VACC $131.65 $219.41 $47.21–$137.43 40% —
source file

Outpatient: lowest $131.34, median $131.65, highest $131.65.

As an inpatient, the same code is billed by 6 facilities here, median $131.65. 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 6 of 6 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 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).