Vaccines CPT 90696 Indiana Outpatient

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

In Indiana, 38 hospitals publish a cash price for DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel): from $54.00 to $1,444.77, with a median of $131.65. The lowest price is at Union Hospital Regional (Terre Haute) and 1 other hospital. The highest price is 26.8× 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 29, 2026. See them on a map

Lowest$54.00Union Hospital Regional + 1 more
Median$131.65half pay less
Highest$1,444.77in Indiana
Lowest saves$77.65vs the median

Hospitals in Indiana, cheapest first

HospitalCash price List priceFile date
Union Hospital Regional lowest Terre Haute · Terre Haute, IN Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use $54.00 $90.00 —
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Union Hospital Terre Haute lowest Terre Haute · Terre Haute, IN Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use $54.00 $90.00 —
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Rush Memorial Hospital Rushville · Rushville, IN Diphtheria, tetanus, acellular pertussis, and polio vaccine $78.48 $104.64 Apr 27, 2026
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Henry County Memorial Hospital New Castle · New Castle, IN Diphtheria, tetanus, acellular pertussis, and polio vaccine $84.28 $120.40 Jun 3, 2026
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Bluffton Regional Medical Center Bluffton · Fort Wayne, IN 58160-0812-52 - diphtheria/pertussis, acellular/te $86.52 $360.50 Apr 1, 2026
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Perry County Memorial Hospital Tell City · Tell City, IN KINRIX $92.40 $132.00 Jun 8, 2026
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Deaconess Hospital Newburgh · Evansville, IN HC DTAP-IPV IM AGE 4-6 YEAR $93.72 $284.00 Feb 11, 2026
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Franciscan Health Rensselaer Rensselaer · Chicago-Naperville-Elgin, IL-IN Dtap-Ipv Vaccine 4-6 Yrs Im $103.10 $288.00 —
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Woodlawn Hospital Rochester · Rochester, IN Diphtheria, tetanus, acellular pertussis, and polio vaccine $108.75 $145.00 Sep 22, 2026
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Lutheran Musculoskeletal Center – The Orthopedic Hospital Fort Wayne · Fort Wayne, IN 49281-0564-15 - diphtheria/pertussis,acel/tetanus/ $113.49 $420.35 Apr 1, 2026
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Kosciusko Community Hospital Warsaw · Warsaw, IN 49281-0564-15 - diphtheria/pertussis,acel/tetanus/ $118.34 $563.54 Apr 1, 2026
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Franciscan Health Lafayette Lafayette · Lafayette-West Lafayette, IN DIPH,PERTUS(ACEL),TET,POLIO(PF) 15 LF-48 MCG-5 LF UNIT/0.5 ML IM SUSP $125.65 $568.55 —
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Franciscan Health Indianapolis Indianapolis · Indianapolis-Carmel-Greenwood, IN DIPH,PERTUS(ACEL),TET,POLIO(PF) 15 LF-48 MCG-5 LF UNIT/0.5 ML IM SUSP $131.34 $568.55 —
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Ascension St Vincent Evansville Evansville · Evansville, IN DIP/TET/PERT(ACEL)/POLIO VACC $131.65 $219.41 —
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Carmel AmbSurg Carmel · Indianapolis-Carmel-Greenwood, IN DIP/TET/PERT(ACEL)/POLIO VACC $131.65 $219.41 —
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Endo Surgery Center Carmel · Indianapolis-Carmel-Greenwood, IN DIP/TET/PERT(ACEL)/POLIO VACC $131.65 $219.41 —
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Naab Road Surgery Center Indianapolis · Indianapolis-Carmel-Greenwood, IN DIP/TET/PERT(ACEL)/POLIO VACC $131.65 $219.41 —
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St. Vincent Carmel Hospital Carmel · Indianapolis-Carmel-Greenwood, IN DIP/TET/PERT(ACEL)/POLIO VACC $131.65 $219.41 —
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St. Vincent Fishers Hospital Fishers · Indianapolis-Carmel-Greenwood, IN DIP/TET/PERT(ACEL)/POLIO VACC $131.65 $219.41 —
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Parkview DeKalb Hospital Auburn · Auburn, IN DIPH,PERTUS(ACEL),TET,POL (PF) 15 LF-48 MCG- 5 LF UNIT/0.5ML IM SUSP $150.98 $301.95 —
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Parkview Huntington Hospital Huntington · Huntington, IN DIPH,PERTUS(ACEL),TET,POL (PF) 15 LF-48 MCG- 5 LF UNIT/0.5ML IM SUSP $150.98 $301.95 —
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Parkview LaGrange Hospital LaGrange · LaGrange, IN DIPH,PERTUS(ACEL),TET,POL (PF) 15 LF-48 MCG- 5 LF UNIT/0.5ML IM SUSP $150.98 $301.95 —
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Parkview Logansport Hospital Logansport · Logansport, IN DIPH,PERTUS(ACEL),TET,POL (PF) 15 LF-48 MCG- 5 LF UNIT/0.5ML IM SUSP $150.98 $301.95 —
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Parkview Noble Hospital Kendallville · Kendallville, IN DIPH,PERTUS(ACEL),TET,POL (PF) 15 LF-48 MCG- 5 LF UNIT/0.5ML IM SUSP $150.98 $301.95 —
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Parkview Ortho Hospital Fort Wayne · Fort Wayne, IN DIPH,PERTUS(ACEL),TET,POL (PF) 15 LF-48 MCG- 5 LF UNIT/0.5ML IM SUSP $150.98 $301.95 —
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Parkview Regional Medical Center Fort Wayne · Fort Wayne, IN DIPH,PERTUS(ACEL),TET,POL (PF) 15 LF-48 MCG- 5 LF UNIT/0.5ML IM SUSP $150.98 $301.95 —
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Parkview Wabash Hospital Wabash · Wabash, IN DIPH,PERTUS(ACEL),TET,POL (PF) 15 LF-48 MCG- 5 LF UNIT/0.5ML IM SUSP $150.98 $301.95 —
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Parkview Whitley Hospital Columbia City · Fort Wayne, IN DIPH,PERTUS(ACEL),TET,POL (PF) 15 LF-48 MCG- 5 LF UNIT/0.5ML IM SUSP $150.98 $301.95 —
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Franciscan Health Crawfordsville Crawfordsville · Crawfordsville, IN DIPH,PERTUS(ACEL),TET,POLIO(PF) 15 LF-48 MCG-5 LF UNIT/0.5 ML IM SUSP $154.08 $568.55 —
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St. Joseph Health System Fort Wayne · Fort Wayne, IN 49281-0564-15 - diphtheria/pertussis,acel/tetanus/ $160.75 $669.78 Apr 1, 2026
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Northwest Health - Starke Knox · Knox, IN 49281-0564-15 - diphtheria/pertussis,acel/tetanus/ $167.87 $621.74 Apr 1, 2026
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Dupont Hospital Fort Wayne · Fort Wayne, IN 49281-0564-15 - diphtheria/pertussis,acel/tetanus/ $181.96 $673.94 Apr 1, 2026
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Lutheran Hospital of Indiana Fort Wayne · Fort Wayne, IN 49281-0564-15 - diphtheria/pertussis,acel/tetanus/ $192.62 $642.07 Apr 1, 2026
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Northwest Health-la Porte La Porte · Michigan City-La Porte, IN 49281-0564-15 - diphtheria/pertussis,acel/tetanus/ $205.17 $621.74 Apr 1, 2026
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Dukes Memorial Hospital Peru · Peru, IN 49281-0564-15 - diphtheria/pertussis,acel/tetanus/ $240.20 $480.40 Apr 1, 2026
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Uchicago Medicine Northwest Indiana Crown Point · Chicago-Naperville-Elgin, IL-IN DIPH,PERTUS(ACELL),TET,POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE $400.81 $400.81 Apr 1, 2026
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Pulaski Memorial Hospital Winamac · Winamac, IN Diphtheria, tetanus, acellular pertussis, and polio vaccine $1,444.77 $2,063.95 Jul 7, 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
Fort Wayne, IN 8 $86.52 $150.98
Indianapolis-Carmel-Greenwood, IN 6 $131.34 $131.65
Chicago-Naperville-Elgin, IL-IN 2 $103.10 $251.96
Evansville, IN 2 $93.72 $112.68
Terre Haute, IN 2 $54.00 $54.00
Auburn, IN 1 $150.98 $150.98
Crawfordsville, IN 1 $154.08 $154.08
Huntington, IN 1 $150.98 $150.98
Knox, IN 1 $167.87 $167.87
Kendallville, IN 1 $150.98 $150.98
LaGrange, IN 1 $150.98 $150.98
Lafayette-West Lafayette, IN 1 $125.65 $125.65
Logansport, IN 1 $150.98 $150.98
Michigan City-La Porte, IN 1 $205.17 $205.17
New Castle, IN 1 $84.28 $84.28
Peru, IN 1 $240.20 $240.20
Rochester, IN 1 $108.75 $108.75
Rushville, IN 1 $78.48 $78.48
Tell City, IN 1 $92.40 $92.40
Winamac, IN 1 $1,444.77 $1,444.77
Wabash, IN 1 $150.98 $150.98
Warsaw, IN 1 $118.34 $118.34

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.