Vaccines CPT 90696 Outpatient

DTaP-polio booster (age 4-6) cost in San Jose, CA

In San Jose-Sunnyvale-Santa Clara, CA, 4 hospitals list a cash price for DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel): from $166.32 to $248.80, with a median of $194.66. The lowest listed price is at Kaiser Foundation Hospital - San Jose and 1 other hospital — $28.34 less than the median here. Across California, the median is $166.32 at 65 hospitals.

Cash prices at 4 facilities across 4 cities 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 Mar 31, 2026 and Apr 1, 2026.

Lowest$166.32Kaiser Foundation Hospital - San Jose + 1 more
Median$194.66half pay less
Highest$248.80in this market
Difference1.5×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 San Jose-Sunnyvale-Santa Clara, CA.

median
Lowest $166.32Highest $458.44

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Kaiser Foundation Hospital - San Jose lowest San Jose, CA · (408) 972-7000 DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE $166.32 $297.00 — 44% —
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Kaiser Foundation Hospital - Santa Clara lowest Santa Clara, CA · (408) 236-6400 DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE $166.32 $297.00 — 44% —
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Lucile Salter Packard Children's Hospital at Stanford Palo Alto, CA · (650) 497-8000 HC Dtap-Ipv Vaccine 4-6 Yrs Im $223.00 $446.00 $142.68 50% Mar 31, 2026
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Stanford Health Care Stanford, CA · (650) 723-4000 Dtap-Hepb-Ipv Vac Im [4-6yrs Old] $248.80 $622.00 — 60% Apr 1, 2026
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Stanford Health Care Stanford, CA · (650) 723-4000 DIPH,PERTUS(ACEL),TET,POL (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRG $271.25 $678.13 — 60% Apr 1, 2026
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Lucile Salter Packard Children's Hospital at Stanford Palo Alto, CA · (650) 497-8000 DIPH,PERTUS(ACELL),TET,POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE $458.44 $916.89 $293.31 50% Mar 31, 2026
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Outpatient: lowest $166.32, median $194.66, highest $248.80 — a 1.5× difference within the same market.

As an inpatient, the same code is billed by 3 facilities here, median $166.32. 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 the one hospital here that publishes insurer rates for this code, the cash price is not below the highest rate a health plan has negotiated. 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).