Vaccines CPT 90696 Outpatient

DTaP-polio booster (age 4-6) cost in Wray, CO

In Wray, CO, 1 hospital lists a cash price for DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel): from $83.46 to $83.46, with a median of $83.46. Across Colorado, the median is $135.18 at 10 hospitals.

Cash prices at 1 facility for code 90696, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 29, 2026; the hospital files themselves were last updated between Mar 1, 2024 and Mar 1, 2024.

Lowest$83.46Wray Community District Hospital

Median$83.46half of hospitals charge less

Highest$83.46in this market

Difference1.0×highest vs lowest

Hospitals, cheapest first

Hospital	Cash price	List price	Insurers pay	Off list
Wray Community District Hospital Wray, CO · (970) 332-4811 NONCDM CHARGE RECORD PHARMACY File of Mar 1, 2024 · source file	$83.46	$111.28	—	25%

Hospital The hospital that published the price, its city and the line exactly as written in its price file.

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Off list How much lower the cash price is than the list price.

Outpatient: lowest $83.46, median $83.46, highest $83.46.

As an inpatient, the same code is billed by 1 facility here, median $83.46. 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).