Vaccines CPT 90696 Inpatient — admitted to hospital

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

In Massena-Ogdensburg, NY, 3 hospitals list a cash price for DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) as an inpatient: from $73.05 to $93.05, with a median of $73.18. The lowest listed price is at Gouverneur Hospital — $0.13 less than the median here. Across New York, the median is $93.05 at 59 hospitals.

Cash prices at 3 facilities across 3 cities for code 90696, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$73.05Gouverneur Hospital
Median$73.18half pay less
Highest$93.05in this market
Difference1.3×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 $93.05

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

Inpatient: lowest $73.05, median $73.18, highest $93.05 — a 1.3× difference within the same market.

As an outpatient, the same code is billed by 4 facilities here, median $83.12 — 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).