Vaccines CPT 90696 Outpatient

DTaP-polio booster (age 4-6) cost in Utica, NY

In Utica-Rome, NY, 3 hospitals list a cash price for DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel): from $30.51 to $41.18, with a median of $40.80. The lowest listed price is at Little Falls Hospital — $10.29 less than the median here. Across New York, the median is $93.05 at 59 hospitals.

Cash prices at 3 facilities across 3 cities 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 Aug 11, 2026 and Aug 11, 2026.

Lowest$30.51Little Falls Hospital
Median$40.80half pay less
Highest$41.18in this market
Difference1.3×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 Utica-Rome, NY.

median
Lowest $30.51Highest $126.04

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Little Falls Hospital lowest Little Falls, NY · (315) 823-5261 HC Diph,Pertus(Acel),Tet,Polio(Pf) 25 Lf-58 Mcg-10 Lf/0.5 Ml Im Susp [112665] $30.51 $113.00 $101.70–$96.05 73% —
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Little Falls Hospital lowest Little Falls, NY · (315) 823-5261 HC Diph,Pertus(Acell),Tet,Polio (Pf) 25 Lf-58 Mcg-10 Lf/0.5 Ml Im Syringe [92788] $30.51 $113.00 $101.70–$98.60 73% —
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Wynn Hospital Utica, NY · (315) 624-6002 Dtap-Ipv Vaccine Child 4-6 Yrs for Im Use $40.80 $68.00 $23.80–$68.00 40% —
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Wynn Hospital Utica, NY · (315) 624-6002 Dtap-Ipv Vaccine Child 4-6 Yrs for Im Use $40.80 $68.00 $23.80–$68.00 40% —
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Rome Memorial Hospital Rome, NY · (315) 338-7000 Dtap-ipv (quadracel) $41.18 $102.00 $51.94 60% Aug 11, 2026
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Rome Memorial Hospital Rome, NY · (315) 338-7000 Dtap-ipv vaccine 4-6 yrs im $41.18 $102.00 $51.94 60% Aug 11, 2026
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Rome Memorial Hospital Rome, NY · (315) 338-7000 Dtap-ipv vaccine 4-6 yrs im $41.18 $102.00 $51.94 60% Aug 11, 2026
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Rome Memorial Hospital Rome, NY · (315) 338-7000 Dtap-ipv (quadracel) $41.18 $102.00 $51.94 60% Aug 11, 2026
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Wynn Hospital Utica, NY · (315) 624-6002 HC Kinrix Admin Medicaid $50.40 $84.00 $8.91–$110.84 40% —
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Wynn Hospital Utica, NY · (315) 624-6002 HC Kinrix Admin Medicaid $50.40 $84.00 $8.91–$110.84 40% —
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Wynn Hospital Utica, NY · (315) 624-6002 DIPH,PERTUSS(ACEL),TET,POLIO(PF)25-58-10 0.5 ML (WRAPPED) $126.04 $210.06 $8.91–$157.55 40% —
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Outpatient: lowest $30.51, median $40.80, highest $41.18 — a 1.3× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $40.99. 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 3 of 3 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 2 it is 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).