Vaccines CPT 90696 Inpatient — admitted to hospital

DTaP-polio booster (age 4-6) cost in Omaha, NE — inpatient

In Omaha, NE-IA, 7 hospitals list a cash price for DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) as an inpatient: from $101.14 to $118.00, with a median of $101.14. The lowest listed price is at Lasting Hope Recovery Center and 5 other hospitals. Across Nebraska, the median is $60.38 at 32 hospitals.

Cash prices at 7 facilities across 4 cities for code 90696, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Feb 28, 2026 and Feb 28, 2026.

Lowest$101.14Lasting Hope Recovery Center + 5 more
Median$101.14half of hospitals charge less
Highest$118.00in this market
Difference1.2×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 Omaha, NE-IA.

median
Lowest $101.14Highest $118.00

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Lasting Hope Recovery Center lowest Omaha, NE DIPHPERTUS(ACELL)TETPOLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE File of Feb 28, 2026 · source file $101.14 $240.80 $144.48–$204.68 58%
CHI Health Mercy Council Bluffs lowest Council Bluffs, IA · (712) 328-5000 DIPHPERTUS(ACELL)TETPOLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE File of Feb 28, 2026 · source file $101.14 $240.80 $144.48–$204.68 58%
CHI Health Bergan Mercy lowest Omaha, NE · (402) 398-6020 DIPHPERTUS(ACELL)TETPOLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE File of Feb 28, 2026 · source file $101.14 $240.80 $144.48–$204.68 58%
CHI Health Midlands lowest Papillion, NE · (402) 593-3000 DIPHPERTUS(ACELL)TETPOLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE File of Feb 28, 2026 · source file $101.14 $240.80 $144.48–$204.68 58%
Alegent Health Immanuel Medical Center lowest Omaha, NE · (402) 572-2121 DIPHPERTUS(ACELL)TETPOLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE File of Feb 28, 2026 · source file $101.14 $240.80 $144.48–$204.68 58%
CHI Health Lakeside lowest Omaha, NE · (402) 717-8000 DIPHPERTUS(ACELL)TETPOLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE File of Feb 28, 2026 · source file $101.14 $240.80 $144.48–$204.68 58%
Alegent Health Community Memorial Hospital of Missouri Valley, Iowa Missouri Valley, IA · (712) 642-2784 DIPHPERTUS(ACELL)TETPOLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE File of Feb 28, 2026 · source file $118.00 $240.80 $137.26–$235.99 51%
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 $101.14, median $101.14, highest $118.00 — a 1.2× difference within the same market.

As an outpatient, the same code is billed by 9 facilities here, median $101.14 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 7 of 7 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 7 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).