Vaccines CPT 90696 Iowa Outpatient

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

In Iowa, 51 hospitals publish a cash price for DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel): from $41.83 to $191.73, with a median of $84.00. The lowest price is at Cass County Memorial Hospital (Atlantic). The highest price is 4.6× 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$41.83Cass County Memorial Hospital
Median$84.00half pay less
Highest$191.73in Iowa
Lowest saves$42.17vs the median

Hospitals in Iowa, cheapest first

HospitalCash price List priceFile date
Cass County Memorial Hospital lowest Atlantic · Atlantic, IA Diphtheria, tetanus, acellular pertussis, and polio vaccine $41.83 $59.75 Jun 1, 2026
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Floyd County Memorial Hospital Commission Charles City · Charles City, IA Diphtheria, tetanus, acellular pertussis, and polio vaccine $45.60 $114.00 Aug 31, 2026
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Lakes Regional Hospital Spirit Lake · Spirit Lake, IA $52.25 $55.00 —
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Gundersen Palmer Lutheran Hospital and Clinic West Union · West Union, IA PR DIPHTHERIA TETANUS TOXOIDS ACELLULAR PERTUSSIS & INACT POLIO $52.87 $89.00 Jun 27, 2026
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Sioux Center Health Sioux Center · Sioux Center, IA $53.35 $55.00 —
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Mercy Medical Center - New Hampton New Hampton · New Hampton, IA HC Vaccine Dtap-Ipv 4-6 Years Im $54.60 $84.00 Mar 31, 2026
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MercyOne Dyersville Medical Center Dyersville · Dubuque, IA HC Vaccine Dtap-Ipv 4-6 Years Im $54.60 $84.00 Mar 31, 2026
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MercyOne Elkader Medical Center Elkader · Elkader, IA HC Vaccine Dtap-Ipv 4-6 Years Im $54.60 $84.00 Mar 31, 2026
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MercyOne Newton Medical Center Newton · Des Moines-West Des Moines, IA HC Vaccine Dtap-Ipv 4-6 Years Im $54.60 $84.00 Mar 31, 2026
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MercyOne Oelwein Medical Center Oelwein · Oelwein, IA HC Vaccine Dtap-Ipv 4-6 Years Im $54.60 $84.00 Mar 31, 2026
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Waverly Health Center Waverly · Waterloo-Cedar Falls, IA Diphtheria, tetanus, acellular pertussis, and polio vaccine $55.12 $106.00 Mar 3, 2026
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MercyOne Clinton Medical Center Clinton · Clinton, IA HC Vaccine Dtap-Ipv 4-6 Years Im $57.20 $88.00 Mar 31, 2026
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MercyOne Des Moines Medical Center Des Moines · Des Moines-West Des Moines, IA HC Vaccine Dtap-Ipv 4-6 Years Im $57.20 $88.00 Mar 31, 2026
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MercyOne Dubuque Medical Center Dubuque · Dubuque, IA HC Vaccine Dtap-Ipv 4-6 Years Im $57.20 $88.00 Mar 31, 2026
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MercyOne North Iowa Medical Center Mason City · Mason City, IA HC Vaccine Dtap-Ipv 4-6 Years Im $57.20 $88.00 Mar 31, 2026
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MercyOne Waterloo Medical Center Waterloo · Waterloo-Cedar Falls, IA HC Vaccine Dtap-Ipv 4-6 Years Im $57.20 $88.00 Mar 31, 2026
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Sartori Memorial Hospital Cedar Falls · Waterloo-Cedar Falls, IA HC Vaccine Dtap-Ipv 4-6 Years Im $57.20 $88.00 Mar 31, 2026
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Boone County Hospital Boone · Ames, IA Diphtheria, tetanus, acellular pertussis, and polio vaccine $59.20 $74.00 Jul 27, 2026
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Hawarden Regional Healthcare Harwarden · Harwarden, IA CLN DTAP-IPV $61.80 $72.70 —
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Washington County Hospital Washington · Iowa City, IA Diphtheria, tetanus, acellular pertussis, and polio vaccine $66.00 $88.00 Sep 8, 2026
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Orange City Municipal Hospital Orange City · Orange City, IA Diphtheria, tetanus, acellular pertussis, and polio vaccine $67.20 $84.00 Sep 23, 2026
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Regional Medical Center Manchester · Manchester, IA DTAP-IPV VACCINE 4-6 YRS IM $76.00 $95.00 —
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Clarinda Regional Health Center Clarinda · Clarinda, IA Diphtheria, tetanus, acellular pertussis, and polio vaccine $78.36 $132.81 Jul 13, 2026
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St Anthony Regional Hospital and Nursing Home Carroll · Carroll, IA Diphtheria, tetanus, acellular pertussis, and polio vaccine $79.00 $79.00 Jul 14, 2026
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Adair County Memorial Hospital Greenfield · Greenfield, IA Diphtheria, tetanus, acellular pertussis, and polio vaccine $82.50 $110.00 Sep 2, 2026
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MercyOne Centerville Medical Center Centerville · Centerville, IA HC Vaccine Dtap-Ipv 4-6 Years Im $84.00 $84.00 Mar 31, 2026
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Spencer Municipal Hospital Spencer · Spencer, IA DTaP-IPV 4-6 years old IM $85.50 $114.00 —
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Van Diest Medical Center Webster City · Webster City, IA diphtheria/pertussis,acel/tetanus/polio - Sus SDV [VDMC] $87.67 $109.58 Feb 5, 2026
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MercyOne West Des Moines Medical Center West Des Moines · Des Moines-West Des Moines, IA HC Vaccine Dtap-Ipv 4-6 Years Im $88.00 $88.00 Mar 31, 2026
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Van Buren County Hospital Keosauqua · Keosauqua, IA Diphtheria, tetanus, acellular pertussis, and polio vaccine $91.00 $130.00 Jul 20, 2026
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Kossuth Regional Health Center Algona · Algona, IA Diphtheria, tetanus, acellular pertussis, and polio vaccine $94.22 $117.78 Jul 16, 2026
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Greene County Medical Center Jefferson · Jefferson, IA PR DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE $95.20 $170.00 —
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Sanford Sheldon Medical Center Sheldon · Sheldon, IA Diph-Tetanus Tox Ad-Acell Pert & Polio Virus, IPV Vac Inj $95.35 $119.18 Mar 4, 2026
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WinnMed Decorah · Decorah, IA Diphtheria, tetanus, acellular pertussis, and polio vaccine $97.99 $139.98 Jul 17, 2026
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Veterans Memorial Hospital City of Waukon Ia Waukon · Waukon, IA Diphtheria, tetanus, acellular pertussis, and polio vaccine $100.06 $175.54 May 11, 2026
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CHI Health Mercy Council Bluffs Council Bluffs · Omaha, NE-IA DIPHPERTUS(ACELL)TETPOLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE $101.14 $240.80 Feb 28, 2026
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Madison County Memorial Hospital Winterset · Des Moines-West Des Moines, IA Diphtheria, tetanus, acellular pertussis, and polio vaccine $104.00 $130.00 Sep 23, 2026
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MercyOne Genesis Davenport Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL Diphth-Pertussis,acel-Tetanus-Polio Inj 0.5 ml $106.49 $177.49 Mar 31, 2026
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MercyOne Genesis Davenport West Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL Diphth-Pertussis,acel-Tetanus-Polio Inj 0.5 ml $106.49 $177.49 Mar 31, 2026
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MercyOne Genesis DeWitt Medical Center Dewitt · Clinton, IA Diphth-Pertussis,acel-Tetanus-Polio Inj 0.5 ml $106.49 $177.49 Mar 31, 2026
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Belmond Community Hospital Belmond · Belmond, IA Diphtheria, tetanus, acellular pertussis, and polio vaccine $107.68 $179.46 Apr 22, 2026
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Iowa Specialty Hospital-Clarion Clarion · Clarion, IA Diphtheria, tetanus, acellular pertussis, and polio vaccine $107.68 $179.46 Jun 11, 2026
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Alegent Health - Mercy Hospital, Corning Iowa Corning · Corning, IA DIPHPERTUS(ACELL)TETPOLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE $115.59 $240.80 Feb 28, 2026
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Alegent Health Community Memorial Hospital of Missouri Valley, Iowa Missouri Valley · Omaha, NE-IA DIPHPERTUS(ACELL)TETPOLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE $118.00 $240.80 Feb 28, 2026
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Palo Alto County Hospital Emmetsburg · Emmetsburg, IA 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 $126.75 $169.00 —
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Franklin General Hospital Hampton · Hampton, IA Diphtheria, tetanus, acellular pertussis, and polio vaccine $134.10 $149.00 Jul 16, 2026
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Virginia Gay Hospital Vinton · Cedar Rapids, IA Diphtheria, tetanus, acellular pertussis, and polio vaccine $134.40 $168.00 Aug 13, 2026
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Rawford County Memorial Hospital Denison · Denison, IA Diphtheria, tetanus, acellular pertussis, and polio vaccine $148.80 $186.00 Jul 27, 2026
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Story County Hospital Nevada · Ames, IA PR DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE $158.40 $198.00 —
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Hancock County Health System Britt · Britt, IA Diphtheria, tetanus, acellular pertussis, and polio vaccine $181.50 $242.00 Jun 30, 2026
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Wayne County Hospital Corydon · Corydon, IA Diphtheria, tetanus, acellular pertussis, and polio vaccine $191.73 $191.73 Jun 10, 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
Des Moines-West Des Moines, IA 4 $54.60 $72.60
Waterloo-Cedar Falls, IA 3 $55.12 $57.20
Ames, IA 2 $59.20 $108.80
Clinton, IA 2 $57.20 $81.84
Davenport-Moline-Rock Island, IA-IL 2 $106.49 $106.49
Dubuque, IA 2 $54.60 $55.90
Omaha, NE-IA 2 $101.14 $109.57
Algona, IA 1 $94.22 $94.22
Atlantic, IA 1 $41.83 $41.83
Belmond, IA 1 $107.68 $107.68
Britt, IA 1 $181.50 $181.50
Centerville, IA 1 $84.00 $84.00
Charles City, IA 1 $45.60 $45.60
Clarinda, IA 1 $78.36 $78.36
Clarion, IA 1 $107.68 $107.68
Corning, IA 1 $115.59 $115.59
Corydon, IA 1 $191.73 $191.73
Carroll, IA 1 $79.00 $79.00
Cedar Rapids, IA 1 $134.40 $134.40
Decorah, IA 1 $97.99 $97.99
Denison, IA 1 $148.80 $148.80
Elkader, IA 1 $54.60 $54.60
Emmetsburg, IA 1 $126.75 $126.75
Greenfield, IA 1 $82.50 $82.50
Hampton, IA 1 $134.10 $134.10
Harwarden, IA 1 $61.80 $61.80
Iowa City, IA 1 $66.00 $66.00
Jefferson, IA 1 $95.20 $95.20
Keosauqua, IA 1 $91.00 $91.00
Manchester, IA 1 $76.00 $76.00
Mason City, IA 1 $57.20 $57.20
New Hampton, IA 1 $54.60 $54.60
Oelwein, IA 1 $54.60 $54.60
Orange City, IA 1 $67.20 $67.20
Sheldon, IA 1 $95.35 $95.35
Sioux Center, IA 1 $53.35 $53.35
Spencer, IA 1 $85.50 $85.50
Spirit Lake, IA 1 $52.25 $52.25
Waukon, IA 1 $100.06 $100.06
Webster City, IA 1 $87.67 $87.67
West Union, IA 1 $52.87 $52.87

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.