Vaccines CPT 90696 Inpatient — admitted to hospital

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

In Jamestown-Dunkirk, NY, 1 hospital lists a cash price for DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) as an inpatient: from $24.00 to $24.00, with a median of $24.00. Across New York, the median is $91.23 at 60 hospitals.

Cash prices at 1 facility 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.

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

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

As an outpatient, the same code is billed by 1 facility here, median $24.00 — that is the price to compare if you are not being admitted.

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).