Vaccines CPT 90696 Outpatient

DTaP-polio booster (age 4-6) cost in Portland, ME

In Portland-South Portland, ME, 1 hospital lists a cash price for DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel): from $62.40 to $62.40, with a median of $62.40. Across Maine, the median is $62.40 at 7 hospitals.

Cash prices at 1 facility for code 90696, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.

Lowest$62.40York Hospital
Median$62.40half pay less
Highest$62.40in 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 Portland-South Portland, ME.

median
Lowest $62.40Highest $355.80

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
York Hospital lowest York, ME · (207) 351-2478 DTAP-IPV VACC 4-6 YR IM $62.40 $104.00 — 40% —
source file
York Hospital York, ME · (207) 351-2478 DIPH,PERTUS(ACEL),TET,POL (PF) VACCINE $355.80 $593.00 — 40% —
source file

Outpatient: lowest $62.40, median $62.40, highest $62.40.

As an inpatient, the same code is billed by 1 facility here, median $62.40. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

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).