Vaccines CPT 90696 Outpatient

DTaP-polio booster (age 4-6) cost in Lexington, NE

In Lexington, NE, 3 hospitals list a cash price for DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel): from $14.00 to $89.28, with a median of $17.00. The lowest listed price is at Gothenburg Health — $3.00 less than the median here. Across Nebraska, the median is $69.25 at 34 hospitals.

Cash prices at 3 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 Dec 28, 2025 and Dec 28, 2025.

Lowest$14.00Gothenburg Health
Median$17.00half pay less
Highest$89.28in this market
Difference6.4×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 Lexington, NE.

median
Lowest $14.00Highest $166.72

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Gothenburg Health lowest Gothenburg, NE · (308) 537-3661 Vfc Kinrix Charge $14.00 $15.00 $9.00–$14.00 7% —
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Cozad Community Hospital Cozad, NE · (308) 784-2261 Dtap And Ipv -Vfc (Clinic) $17.00 $19.00 $11.00–$19.00 11% —
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Gothenburg Health Gothenburg, NE · (308) 537-3661 Diphtheria, Tetanus Toxoids, Acellular Pertussis Vaccine And Poliovirus Vaccine, Inactivated (Dtap-i $87.00 $97.00 $60.00–$93.00 10% —
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Lexington Regional Health Center Lexington, NE · (308) 324-5651 90696 DTaP-IPV, when administered to children 4 through 6 years $89.28 $93.00 $46.50–$93.00 4% Dec 28, 2025
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Lexington Regional Health Center Lexington, NE · (308) 324-5651 90696 DTaP-IPV, when administered to children 4 through 6 years $89.28 $93.00 $46.50–$93.00 4% Dec 28, 2025
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Cozad Community Hospital Cozad, NE · (308) 784-2261 Dtap And Ipv (Clinic) $151.00 $168.00 $94.00–$168.00 10% —
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Lexington Regional Health Center Lexington, NE · (308) 324-5651 diphtheria/pertussisacel/tetanus/polio [PRIVATE] - Sus [LRHC] $166.72 $173.67 $86.84–$173.67 4% Dec 28, 2025
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Lexington Regional Health Center Lexington, NE · (308) 324-5651 diphtheria/pertussisacel/tetanus/polio [PRIVATE] - Sus [LRHC] $166.72 $173.67 $86.84–$173.67 4% Dec 28, 2025
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Outpatient: lowest $14.00, median $17.00, highest $89.28 — a 6.4× difference within the same market.

As an inpatient, the same code is billed by 1 facility here, median $89.28. 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 2 of 3 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).