Vaccines CPT 90696 Inpatient — admitted to hospital

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

In San Jose-Sunnyvale-Santa Clara, CA, 3 hospitals list a cash price for DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) as an inpatient: from $166.32 to $248.80, with a median of $166.32. The lowest listed price is at Kaiser Foundation Hospital - San Jose and 1 other hospital. Across California, the median is $166.32 at 65 hospitals.

Cash prices at 3 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$166.32Kaiser Foundation Hospital - San Jose + 1 more
Median$166.32half 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 $271.25

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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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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Inpatient: lowest $166.32, median $166.32, highest $248.80 — a 1.5× difference within the same market.

As an outpatient, the same code is billed by 4 facilities here, median $194.66 — 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).