Vaccines CPT 90696 Inpatient — admitted to hospital

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

In Salt Lake City-Murray, UT, 1 hospital lists a cash price for DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) as an inpatient: 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 inpatient (admitted to hospital) . Collected Sep 25, 2026; the hospital files themselves were last updated between — and —.

Lowest$88.20University of Utah Hospital and Clinics

Median$88.20half of hospitals charge 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

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

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.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

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

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

1 row held back from this comparison

It is priced below $1 or below a tenth of the national median for code 90696 ($100.00). 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.

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

File Link to the hospital's own price file.