Vaccines CPT 90697 Outpatient

Vaxelis (6-in-1 vaccine) cost in Utica, NY

In Utica-Rome, NY, 2 hospitals list a cash price for DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis): from $39.97 to $123.00, with a median of $81.49. The lowest listed price is at Rome Memorial Hospital — $41.52 less than the median here. Across New York, the median is $230.00 at 37 hospitals.

Cash prices at 2 facilities across 2 cities for code 90697, 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$39.97Rome Memorial Hospital

Median$81.49half of hospitals charge less

Highest$123.00in this market

Difference3.1×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 $39.97Highest $706.51

Hospitals, cheapest first

Hospital	Cash price	List price	Insurers pay	Off list
Rome Memorial Hospital lowest Rome, NY · (315) 338-7000 Dtap-ipv-hib-hepb vaccine im+1 more line at this price File of Aug 11, 2026 · source file	$39.97	$99.00	$99.00	60%
Wynn Hospital Utica, NY · (315) 624-6002 Dtap-Ipv-Hib-Hepb Vaccine Intramuscular+1 more line at this price source file	$123.00	$205.00	$71.75–$164.45	40%
Wynn Hospital Utica, NY · (315) 624-6002 HC Dtap-Ipv-Hib-Hepb Vaccine Im+1 more line at this price source file	$316.20	$527.00	$139.29–$395.25	40%
Wynn Hospital Utica, NY · (315) 624-6002 DIP,PERT(A)TET-HEPB-POLIO-HIB PED(PF) 15-5 UNIT-10 MCG/0.5 ML IM SYRNG source file	$324.49	$540.81	$142.94–$405.61	40%
Rome Memorial Hospital Rome, NY · (315) 338-7000 Dipper(a)tet-hepb-pol-hib(pf) syrg 15 unit-5 unit- 10 mcg/0.5 ml+1 more line at this price File of Aug 11, 2026 · source file	$706.51	$1,750.08	$1,750.08	60%

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 $39.97, median $81.49, highest $123.00 — a 3.1× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $81.49. 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 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 1 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

Vaxelis combines six vaccines in one shot: DTaP, polio, Hib and hepatitis B. It is given at 2, 4 and 6 months; the later DTaP and Hib boosters use other vaccines.

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).