Vaccines CPT 90696 Outpatient

DTaP-polio booster (age 4-6) cost in Salt Lake City, UT

In Salt Lake City-Murray, UT, 1 hospital lists a cash price for DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel): from $88.20 to $88.20, with a median of $88.20. Across Utah, the median is $88.20 at 3 hospitals.

Cash prices at 1 facility for code 90696, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 25, 2026; the hospital files themselves were last updated between — and —.

Lowest$88.20University of Utah Hospital and Clinics
Median$88.20half pay less
Highest$88.20in 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 Salt Lake City-Murray, UT.

median
Lowest $88.20Highest $126.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
University of Utah Hospital and Clinics lowest Salt Lake City, UT · (801) 581-2121 Dtap/Ipv,4-6 Yrs,Im $88.20 $126.00 — 30% —
source file
University of Utah Hospital and Clinics Salt Lake City, UT · (801) 581-2121 DTAP-IPV VACCINE IM SUSP MASTER $126.00 $126.00 — — —
source file

Outpatient: lowest $88.20, median $88.20, highest $88.20.

As an inpatient, the same code is billed by 1 facility here, median $88.20. 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).

1 row held back from this comparison

It is 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.

University of Utah Hospital and Clinics Salt Lake City, UTVfc Dtap/Ipv,4-6 Yrs,Im $0.01 file