Vaccines CPT 90696 Outpatient

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

In New York-Newark-Jersey City, NY-NJ, 30 hospitals list a cash price for DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel): from $22.59 to $424.00, with a median of $116.97. The lowest listed price is at Mount Sinai Brooklyn — $94.38 less than the median here. Across New York, the median is $93.05 at 59 hospitals.

Cash prices at 30 facilities across 22 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 Oct 28, 2025 and Apr 1, 2026.

Lowest$22.59Mount Sinai Brooklyn
Median$116.97half pay less
Highest$424.00in this market
Difference18.8×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 New York-Newark-Jersey City, NY-NJ.

median
Lowest $22.59Highest $424.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Mount Sinai Brooklyn lowest Brooklyn, NY HC Dtap Ipv Vaccine 4-6 Yr Im $22.59 $25.10 — 10% Apr 1, 2026
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Nassau University Medical Center East Meadow, NY · (516) 572-0123 Dtap-Ipv Vacc 4-6 Yr Im $68.14 $97.33 $24.33–$97.33 30% Oct 28, 2025
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St Johns Episcopal Hospital Far Rockaway, NY · (718) 869-7000 Kinrix $70.60 $70.60 $65.43 — —
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Brooklyn Hospital Center at Downtown Campus Brooklyn, NY · (718) 250-8000 DIPHTHERIA; TETANUS; ACELLULAR PERTUSSIS; AND POLIO VACCINE $72.77 $72.77 — — —
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Brooklyn Hospital Center at Downtown Campus Brooklyn, NY · (718) 250-8000 DTAP-IPV VACCINE 4-6 YRS IM $83.31 $83.31 — — —
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St. Catherine of Siena Medical Center Smithtown, NY · (631) 862-3000 XRX (NICU) BEVACIZUMAB INTRAVITREAL INJECTION 25 MG/ML $89.40 $447.00 $25.00–$447.00 80% Feb 19, 2026
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Good Samaritan Hospital Medical Center West Islip, NY · (631) 376-3000 XRX ABATACEPT 250 MG IV SOLR $89.40 $447.00 $37.73–$447.00 80% Feb 19, 2026
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Mercy Medical Center Rockville Centre, NY · (516) 705-2525 XRX ABATACEPT 250 MG IV SOLR $89.40 $447.00 $37.73–$447.00 80% Feb 19, 2026
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St. Francis Hospital Roslyn, NY XRX ABATACEPT 250 MG IV SOLR $89.40 $447.00 $37.73–$447.00 80% Feb 19, 2026
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Chsli St Joseph Hospital Bethpage, NY · (516) 759-6000 XRX ABATACEPT 250 MG IV SOLR $89.40 $447.00 $37.73–$447.00 80% Feb 19, 2026
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CentraState Medical Center Freehold Township, NJ · (732) 294-7012 Dtap-Ipv Vaccine Child 4-6 Yrs for Im Use $94.97 $776.01 — 88% —
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Maimonides Medical Center Brooklyn, NY · (718) 283-6000 DTaP-IPV(KINRIX) vacc,4-6ys IM $98.00 $98.00 — — Apr 1, 2026
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Mount Sinai Brooklyn Brooklyn, NY HC Dtap Ipv Vacc 4-6 Yr Im $98.14 $109.05 — 10% Apr 1, 2026
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The Mount Sinai Hospital New York, NY · (212) 241-7981 diphteria, tetanus, acellular pertussis, inactivated polio (DTaP-IPV) 25 Lf-58 mcg-10 Lf/0.5 mL syringe 0.5 mL Syringe $101.15 $112.39 — 10% Apr 1, 2026
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NYU Langone Hospital - Suffolk Patchogue, NY · (631) 654-7100 DTAP-IPV VACCINE 4-6 YRS IM $116.97 $615.63 $6.16–$615.63 81% Jan 1, 2026
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NYU Langone – Tisch Hospital New York, NY · (212) 263-7300 DTAP-IPV VACCINE 4-6 YRS IM $116.97 $615.63 $6.16–$615.63 81% Jan 1, 2026
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NYU Langone – Orthopedic Hospital New York, NY DTAP-IPV VACCINE 4-6 YRS IM $116.97 $615.63 $6.16–$615.63 81% Jan 1, 2026
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NYU Langone Mineola, NY DTAP-IPV VACCINE 4-6 YRS IM $116.97 $615.63 $6.16–$615.63 81% Jan 1, 2026
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NYU Langone Brooklyn, NY DTAP-IPV VACCINE 4-6 YRS IM $116.97 $615.63 $6.16–$615.63 81% Jan 1, 2026
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BronxCare Hospital Center - Fulton Campus Bronx, NY · (212) 588-7000 DTAP-IPV VACC 4-6 YR IM $128.96 $128.96 $29.81–$116.06 — —
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Bronx-Lebanon Hospital Center - Concourse Division Bronx, NY · (212) 588-7000 DTAP-IPV VACC 4-6 YR IM $128.96 $128.96 $29.81–$116.06 — —
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Stony Brook University Hospital Stony Brook, NY · (631) 444-4000 Kinrix PFS $136.12 $136.12 $4,255.00 — —
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Maimonides Medical Center Brooklyn, NY · (718) 283-6000 KINRIX VACCINE INJ $145.00 $145.00 — — Apr 1, 2026
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Mount Sinai Brooklyn Brooklyn, NY HC Dtap Ipv Vaccine 46 Yr Im $159.39 $177.10 — 10% Apr 1, 2026
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Newton Medical Center Newton, NJ · (973) 383-2121 Dtap-Ipv Vaccine Child 4-6 Yrs for Im Use $165.65 $776.01 — 79% —
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New York Community Hospital of Brooklyn Brooklyn, NY · (718) 692-5302 DTAP-IPV VACC VL 4-6 IM $168.65 $168.65 — — Apr 1, 2026
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Overlook Medical Center Summit, NJ · (908) 522-2000 Dtap-Ipv Vaccine Child 4-6 Yrs for Im Use $168.85 $591.03 — 71% —
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St Johns Episcopal Hospital Far Rockaway, NY · (718) 869-7000 DTAP-IPV VACCINE 4-6 YRS IM $201.45 $201.45 $65.43 — —
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Saint Peters University Hospital New Brunswick, NJ · (732) 745-8600 58160-0812-11 DTAP-IPV VACCINE 4-6 $204.00 $229.00 $25.00–$229.00 11% —
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Chilton Medical Center Pompton Plains, NJ · (973) 831-5000 Dtap-Ipv Vaccine Child 4-6 Yrs for Im Use $209.50 $1,240.01 — 83% —
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Flushing Hospital Medical Center Flushing, NY · (718) 670-5000 DTAP-IPV VACCINE 4-6 YRS IM $214.00 $214.00 $63.59–$1,912.00 — —
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Jamaica Hospital Medical Center Jamaica, NY · (718) 262-6000 Kinrix $214.00 $214.00 $63.59–$1,912.00 — —
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Jamaica Hospital Medical Center Jamaica, NY · (718) 262-6000 DTAP-IPV VACCINE 4-6 YRS IM $214.00 $214.00 $63.59–$1,912.00 — —
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Flushing Hospital Medical Center Flushing, NY · (718) 670-5000 Kinrix $214.00 $214.00 $63.59–$1,912.00 — —
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Morristown Medical Center Morristown, NJ · (973) 971-5450 Dtap-Ipv Vaccine Child 4-6 Yrs for Im Use $237.18 $848.02 — 72% —
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Hackensack Meridian Mountainside Medical Center Montclair, NJ · (973) 429-6000 DIPH,PERTUS(ACELL),TET,POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE $258.97 $258.97 $27.19–$258.97 — —
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University Hospital of Brooklyn Brooklyn, NY · (718) 270-1000 90696 - DTAP-IPV VACCINE 4-6 YRS IM $424.00 $424.00 $27.00–$491.00 — —
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Outpatient: lowest $22.59, median $116.97, highest $424.00 — a 18.8× difference within the same market.

As an inpatient, the same code is billed by 13 facilities here, median $116.97. 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 16 of 20 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 it is 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).

9 rows held back from this comparison

They are priced below $1 or below a tenth of the national median for code 90696 ($100.30). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

Brookdale Hospital Medical Center Brooklyn, NYHC DTAP-IPV 4-6 YEARS $0.01 file
Brookdale Hospital Medical Center Brooklyn, NYDTaP-IPV 0.5 ML Susy 0.5 mL Syringe $0.01 file
Brookdale Hospital Medical Center Brooklyn, NYDTaP-IPV 0.5 ML Susy 0.5 mL Vial $0.01 file
Interfaith Medical Center Brooklyn, NYHC DTAP-IPV 4-6 YEARS $0.01 file
Interfaith Medical Center Brooklyn, NYDTaP-IPV 0.5 ML Susy 0.5 mL Syringe $0.01 file
Interfaith Medical Center Brooklyn, NYDTaP-IPV 0.5 ML Susy 0.5 mL Vial $0.01 file
Kingsbrook Jewish Medical Center Brooklyn, NYHC DTAP-IPV 4-6 YEARS $0.01 file
Kingsbrook Jewish Medical Center Brooklyn, NYDTaP-IPV 0.5 ML Susy 0.5 mL Syringe $0.01 file
Kingsbrook Jewish Medical Center Brooklyn, NYDTaP-IPV 0.5 ML Susy 0.5 mL Vial $0.01 file