Vaccines CPT 90696 Outpatient

DTaP-polio booster (age 4-6) cost in Montpelier, OH

In Montpelier, OH, 1 hospital lists a cash price for DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel): from $105.90 to $105.90, with a median of $105.90. Across Ohio, the median is $129.00 at 54 hospitals.

Cash prices at 1 facility 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 — and —.

Lowest$105.90Parkview Montpelier Hospital
Median$105.90half pay less
Highest$105.90in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Parkview Montpelier Hospital Montpelier, OH · (419) 636-1131 DIPH,PERTUS(ACEL),TET,POL (PF) 15 LF-48 MCG- 5 LF UNIT/0.5ML IM SUSP $105.90 $211.79 — 50% —
source file

Outpatient: lowest $105.90, median $105.90, highest $105.90.

As an inpatient, the same code is billed by 1 facility here, median $105.90. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

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).