Vaccines CPT 90696 Outpatient

DTaP-polio booster (age 4-6) cost in Jamestown, NY

In Jamestown-Dunkirk, NY, 1 hospital lists a cash price for DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel): from $24.00 to $24.00, with a median of $24.00. Across New York, the median is $93.05 at 59 hospitals.

Cash prices at 1 facility 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 Apr 1, 2026 and Apr 1, 2026.

Lowest$24.00Brooks Memorial Hospital
Median$24.00half pay less
Highest$24.00in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Brooks Memorial Hospital Dunkirk, NY · (716) 366-1111 Dtap-Ipv Vaccine 4-6 Yrs Im $24.00 $24.00 — — Apr 1, 2026
source file

Outpatient: lowest $24.00, median $24.00, highest $24.00.

As an inpatient, the same code is billed by 1 facility here, median $24.00. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

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).