Vaccines CPT 90696 Outpatient

DTaP-polio booster (age 4-6) cost in Terre Haute, IN

In Terre Haute, IN, 2 hospitals list a cash price for DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel): from $54.00 to $54.00, with a median of $54.00. The lowest listed price is at Union Hospital Terre Haute and 1 other hospital. Across Indiana, the median is $141.32 at 36 hospitals.

Cash prices at 2 facilities 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$54.00Union Hospital Terre Haute + 1 more
Median$54.00half pay less
Highest$54.00in 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 Terre Haute, IN.

median
Lowest $54.00Highest $54.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Union Hospital Terre Haute lowest Terre Haute, IN · (812) 238-7606 Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use $54.00 $90.00 $47.70–$90.00 40% —
source file
Union Hospital Regional lowest Terre Haute, IN · (812) 232-0021 Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use $54.00 $90.00 $47.70–$90.00 40% —
source file

Outpatient: lowest $54.00, median $54.00, highest $54.00.

Cash or insurance?

At 2 of 2 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).