Vaccines CPT 90696 Hawaii Outpatient

DTaP-polio booster (age 4-6) cost in Hawaii

In Hawaii, 8 hospitals publish a cash price for DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel): from $79.80 to $198.47, with a median of $91.70. The lowest price is at Pali Momi Medical Center (Aiea) and 1 other hospital. The highest price is 2.5× the lowest.

Outpatient cash prices, one line per hospital — its lowest listed price for code 90696. Prices for both sides of the body and inpatient prices are not mixed in. Collected Sep 27, 2026. See them on a map

Lowest$79.80Pali Momi Medical Center + 1 more
Median$91.70half pay less
Highest$198.47in Hawaii
Lowest saves$11.90vs the median

Hospitals in Hawaii, cheapest first

HospitalCash price List priceFile date
Pali Momi Medical Center lowest Aiea · Urban Honolulu, HI DTAP-IPV VACC,(DTAP-IPV)4-6YRS IM $79.80 $133.00 Feb 12, 2026
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Straub Clinic & Hospital lowest Honolulu · Urban Honolulu, HI DTAP-IPV VACC,(DTAP-IPV)4-6YRS IM $79.80 $133.00 Feb 12, 2026
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The Queens Medical Center - Wahiawa Wahiawa · Urban Honolulu, HI DTAP-IPV VACCINE 4-6 YRS IM $91.00 $130.00 —
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Queens Medical Center - West Oahu Ewa Beach · Urban Honolulu, HI DTAP-IPV VACCINE 4-6 YRS IM $91.70 $131.00 —
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The Queens Medical Center Honolulu · Urban Honolulu, HI DTAP-IPV VACCINE 4-6 YRS IM $91.70 $131.00 —
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Queens North Hawaii Community Hospital Waimea · Hilo-Kailua, HI DTAP-IPV VACCINE 4-6 YRS IM $116.20 $166.00 —
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Molokai General Hospital Kaunakakai · Kahului-Wailuku, HI DTAP-IPV VACCINE 4-6 YRS IM $147.00 $210.00 —
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Kapiolani Medical Center for Women & Children Honolulu · Urban Honolulu, HI Diph-Tetanus Tox Ad-Acell Pert & Polio Virus IPV Vac Inj $198.47 $330.78 Feb 12, 2026
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By metro area

Each metro page compares every listing, including prices for both sides of the body.

Metro areaHospitals LowestMedian
Urban Honolulu, HI 6 $79.80 $91.35
Hilo-Kailua, HI 1 $116.20 $116.20
Kahului-Wailuku, HI 1 $147.00 $147.00

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).

DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) in other states

Median cash price across the state's hospitals.