Vaccines CPT 90696 Inpatient — admitted to hospital

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

In Rochester, NY, 4 hospitals list a cash price for DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) as an inpatient: from $122.60 to $150.90, with a median of $122.60. The lowest listed price is at Clifton Springs Hospital And Clinic and 2 other hospitals. Across New York, the median is $93.05 at 59 hospitals.

Cash prices at 4 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$122.60Clifton Springs Hospital And Clinic + 2 more

Median$122.60half of hospitals charge less

Highest$150.90in 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 Rochester, NY.

median

Lowest $122.60Highest $150.90

Hospitals, cheapest first

Hospital	Cash price	List price	Insurers pay	Off list
Clifton Springs Hospital And Clinic lowest Clifton Springs, NY · (315) 462-9561 HC DTAP_IPV 4_6 YRS OF AGE File of Apr 1, 2026 · source file	$122.60	$188.62	—	35%
Newark-Wayne Community Hospital lowest Newark, NY · (315) 332-2022 HC DTAP_IPV 4_6 YRS OF AGE File of Apr 1, 2026 · source file	$122.60	$188.62	—	35%
Rochester General Hospital lowest Rochester, NY · (585) 922-4000 HC DTAP_IPV 4_6 YRS OF AGE File of Apr 1, 2026 · source file	$122.60	$188.62	—	35%
The Unity Hospital of Rochester Rochester, NY · (585) 723-7000 HC DTAP_IPV 4_6 YRS OF AGE File of Apr 1, 2026 · source file	$150.90	$188.62	—	20%

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 $122.60, median $122.60, highest $150.90 — a 1.2× difference within the same market.

As an outpatient, the same code is billed by 6 facilities here, median $122.60 — 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).