Vaccines CPT 90696 Inpatient — admitted to hospital

DTaP-polio booster (age 4-6) cost in Marietta, OH — inpatient

In Marietta, OH, 2 hospitals list a cash price for DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) as an inpatient: from $12.75 to $12.75, with a median of $12.75. The lowest listed price is at Selby General Hospital and 1 other hospital. Across Ohio, the median is $129.00 at 54 hospitals.

Cash prices at 2 facilities for code 90696, as an inpatient (admitted to hospital) . Collected Oct 1, 2026; the hospital files themselves were last updated between Oct 1, 2026 and Oct 1, 2026.

Lowest$12.75Selby General Hospital + 1 more

Median$12.75half of hospitals charge less

Highest$12.75in 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 Marietta, OH.

median

Lowest $12.75Highest $85.28

Hospitals, cheapest first

Hospital	Cash price	List price	Insurers pay	Off list
Selby General Hospital lowest Marietta, OH · (740) 568-2000 Dtap-Ipv Vacc 4-6 Yr Im(Vfc) File of Oct 1, 2026 · source file	$12.75	$21.25	—	40%
Marietta Memorial Hospital lowest Marietta, OH · (740) 374-1400 Dtap-Ipv Vacc 4-6 Yr Im(Vfc) File of Oct 1, 2026 · source file	$12.75	$21.25	—	40%
Selby General Hospital Marietta, OH · (740) 568-2000 Dtap-Ipv Vacc 4-6 Yr Im(Fac) File of Oct 1, 2026 · source file	$85.28	$142.14	—	40%
Marietta Memorial Hospital Marietta, OH · (740) 374-1400 Dtap-Ipv Vacc 4-6 Yr Im(Fac) File of Oct 1, 2026 · source file	$85.28	$142.14	—	40%

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.

Inpatient: lowest $12.75, median $12.75, highest $12.75.

As an outpatient, the same code is billed by 2 facilities here, median $12.75 — 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).