Vaccines CPT 90696 Outpatient

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

In Massena-Ogdensburg, NY, 4 hospitals list a cash price for DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel): from $73.05 to $154.04, with a median of $83.12. The lowest listed price is at Gouverneur Hospital — $10.07 less than the median here. Across New York, the median is $93.05 at 59 hospitals.

Cash prices at 4 facilities across 4 cities for code 90696, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 29, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$73.05Gouverneur Hospital
Median$83.12half pay less
Highest$154.04in this market
Difference2.1×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 Massena-Ogdensburg, NY.

median
Lowest $73.05Highest $154.04

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Gouverneur Hospital lowest Gouverneur, NY · (315) 287-1000 HC DTAP_IPV 4_6 YRS OF AGE $73.05 $112.39 — 35% —
source file
Slhs Massena Massena, NY · (315) 769-4234 HC DTAP_IPV 4_6 YRS OF AGE $73.18 $112.59 — 35% Apr 1, 2026
source file
Canton-Potsdam Hospital Potsdam, NY · (315) 265-3300 HC DTAP_IPV 4_6 YRS OF AGE $93.05 $143.16 — 35% Apr 1, 2026
source file
Clifton-Fine Healthcare Star Lake, NY · (315) 848-4205 DTaP-IPV (KINRIX) VACCINE 0.5 ML $154.04 $154.04 $130.93 — —
source file

Outpatient: lowest $73.05, median $83.12, highest $154.04 — a 2.1× difference within the same market.

As an inpatient, the same code is billed by 3 facilities here, median $73.18. 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 the one hospital here that publishes insurer rates for this code, the cash price is not below the highest rate a health plan has negotiated. 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).