Vaccines CPT 90696 Outpatient

DTaP-polio booster (age 4-6) cost in St. Louis, MO

In St. Louis, MO-IL, 3 hospitals list a cash price for DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel): from $13.65 to $153.00, with a median of $140.70. The lowest listed price is at Mercy Hospital St Louis — $127.05 less than the median here. Across Missouri, the median is $55.00 at 23 hospitals.

Cash prices at 3 facilities across 3 cities for code 90696, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between — and —.

Lowest$13.65Mercy Hospital St Louis
Median$140.70half pay less
Highest$153.00in this market
Difference11.2×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 St. Louis, MO-IL.

median
Lowest $13.65Highest $153.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Mercy Hospital St Louis lowest Saint Louis, MO · (314) 251-6000 Vfc Dtap/Ipv Kinrix $13.65 $21.00 $1.37–$21.00 35% —
source file
Carlinville Area Hospital Carlinville, IL · (217) 854-3141 KINRIX (DTaP-IPV) 0.5ML PFS* $140.70 $201.00 $72.36–$287.14 30% —
source file
Jersey Community Hospital Jerseyville, IL · (618) 498-6402 AMB Med Charge (DTaP-IPV) -> 90696 dtap-ipv inactivated $153.00 $153.00 $82.00–$130.05 — —
source file

Outpatient: lowest $13.65, median $140.70, highest $153.00 — a 11.2× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $146.85. 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 2 of 3 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it 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).