Vaccines CPT 90696 Outpatient

DTaP-polio booster (age 4-6) cost in Los Angeles, CA

In Los Angeles-Long Beach-Anaheim, CA, 11 hospitals list a cash price for DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel): from $54.08 to $242.04, with a median of $54.08. The lowest listed price is at Kaiser Foundation Hospital - Baldwin Park and 8 other hospitals. Across California, the median is $166.32 at 65 hospitals.

Cash prices at 11 facilities across 8 cities for code 90696, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$54.08Kaiser Foundation Hospital - Baldwin Park + 8 more
Median$54.08half of hospitals charge less
Highest$242.04in this market
Difference4.5×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 Los Angeles-Long Beach-Anaheim, CA.

median
Lowest $54.08Highest $242.04

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Kaiser Foundation Hospital - Baldwin Park lowest Baldwin Park, CA · (626) 851-1011 DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE source file $54.08 $104.00 — 48%
Kaiser Foundation Hospital - Woodland Hills lowest Woodland Hills, CA · (818) 719-3800 DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE source file $54.08 $104.00 — 48%
Kaiser Fnd Hospital - Irvine lowest Irvine, CA · (714) 279-4000 DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE source file $54.08 $104.00 — 48%
Kaiser Foundation Hospital - Downey lowest Downey, CA · (562) 461-6007 DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE source file $54.08 $104.00 — 48%
Kaiser Foundation Hospital - Panorama City lowest Panorama City, CA · (818) 375-2000 DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE source file $54.08 $104.00 — 48%
Kaiser Foundation Hospital - Orange County - Anaheim lowest Anaheim, CA · (714) 279-4000 DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE source file $54.08 $104.00 — 48%
Kaiser Foundation Hospital - West LA lowest Los Angeles, CA · (213) 857-2201 DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE source file $54.08 $104.00 — 48%
Kaiser Foundation Hospital - South Bay lowest Harbor City, CA · (310) 325-5111 DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE source file $54.08 $104.00 — 48%
Kaiser Foundation Hospital - Los Angeles lowest Los Angeles, CA · (323) 783-4011 DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE source file $54.08 $104.00 — 48%
USC Kenneth Norris Jr Cancer Hospital Los Angeles, CA Diphth/Pert,Acel/Tetanus/Polio Pf 0.5 Ml Injection File of Apr 1, 2026 · source file $230.51 $230.51 — —
Keck Hospital of USC Los Angeles, CA · (323) 442-8656 Diphth/Pert,Acel/Tetanus/Polio Pf 0.5 Ml Injection File of Apr 1, 2026 · source file $242.04 $242.04 — —
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

Outpatient: lowest $54.08, median $54.08, highest $242.04 — a 4.5× difference within the same market.

As an inpatient, the same code is billed by 12 facilities here, median $54.08. 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).