Vaccines CPT 90696 Missouri Outpatient

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

In Missouri, 24 hospitals publish a cash price for DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel): from $13.65 to $288.05, with a median of $53.50. The lowest price is at Mercy Hospital St Louis (Saint Louis). The highest price is 21.1× 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 Oct 2, 2026. See them on a map

Lowest$13.65Mercy Hospital St Louis
Median$53.50half of hospitals charge less
Highest$288.05in Missouri
Lowest saves$39.85vs the median

Hospitals in Missouri, cheapest first

HospitalCash priceList priceFile date
Mercy Hospital St Louis lowest Saint Louis · St. Louis, MO-IL Vfc Dtap/Ipv Kinrix $13.65 $21.00 Jun 4, 2026
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Children's Mercy Hospital Kansas City · Kansas City, MO-KS DTaP/IPV 0.5mL (VFC) $17.40 $36.24 Apr 1, 2026
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Cox Medical Center Branson Branson · Branson, MO DTAP-IPV VACCINE 4-6 YRS IM $34.69 $152.82 Apr 24, 2026
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Ste. Genevieve County Memorial Hospital Ste. Genevieve · Ste. Genevieve, MO DTaP-IPV AGE 4-6 $37.50 $75.00 May 19, 2026
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Lester E Cox Medical Centers Springfield · Springfield, MO DTAP-IPV VACCINE 4-6 YRS IM $38.51 $152.82 Apr 24, 2026
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Harrison County Community Hospital Bethany · Bethany, MO DTAP-IPV VACCINE 4-6 YRS IM $41.93 $64.50 Sep 10, 2025
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Hermann Area Hospital District Hermann · Hermann, MO Diphtheria, tetanus, acellular pertussis, and polio vaccine $42.00 $70.00 Oct 1, 2026
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Golden Valley Memorial Hospital Clinton · Clinton, MO DTAP-IPV VACCINE 4-6 YRS IM $44.79 $74.65 Jul 1, 2026
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Cox-Monett Hospital Monett · Monett, MO DTAP-IPV VACCINE 4-6 YRS IM $46.61 $152.82 Apr 24, 2026
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Cox Barton County Hospital Lamar · Lamar, MO DTAP-IPV VACCINE 4-6 YRS IM $48.75 $152.82 Apr 24, 2026
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Nevada City Hospital Nevada · Nevada, MO tetanus/diphth/pertuss/polio (Kinrix) $49.50 $110.00 Jan 14, 2025
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Citizens Memorial Hospital Bolivar · Springfield, MO DTAP-IPV VACCINE 4-6 YRS IM $52.00 $65.00 Mar 25, 2026
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Madison Medical Center Fredericktown · Fredericktown, MO CL- FISCHER DTAP IPV 4-6 YRS OLD VACCINE $55.00 $55.00 Jan 5, 2025
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Pike County Memorial Hospital Lousiana · Lousiana, MO 90696 DTaP-IPV, when administered to children 4 through 6 years of age, for intramuscular use $76.00 $95.00 May 5, 2026
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Phelps Health Rolla · Rolla, MO DTAP-IPV VACCINE 4-6 YRS IM $90.60 $129.43 Feb 26, 2026
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Heartland Long Term Acute Hospital St. Joseph · St. Joseph, MO-KS DIPH,PERTUS(ACELL),TET,POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE $100.30 $118.00 Jun 23, 2026
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Mosaic Life Care at St Joseph Medical Center St. Joseph · St. Joseph, MO-KS DIPH,PERTUS(ACELL),TET,POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE $100.30 $118.00 Sep 26, 2025
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Mosaic Medical Center Albany Albany · Albany, MO DIPH,PERTUS(ACELL),TET,POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE $100.30 $118.00 Sep 26, 2025
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Mosaic Medical Center Maryville Maryville · Maryville, MO DIPH,PERTUS(ACELL),TET,POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE $100.30 $118.00 Sep 26, 2025
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Curators of the University of Missouri Columbia · Columbia, MO diphtheria/pertussis acel/tetanus/polio Inj 0.5 mL $160.02 $266.70 Dec 15, 2025
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Poplar Bluff Regional Medical Center Poplar Bluff · Poplar Bluff, MO 49281-0564-10 - diphtheria/pertussis, acellular/te $183.71 $874.80 Apr 1, 2026
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Mercy Hospital Springfield Springfield · Springfield, MO DIPH,PERTUS(ACELL),TET,POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE $188.04 $289.30 Jun 4, 2026
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Mercy Orthopedic Hospital Springfield Ozark · Springfield, MO DIPH,PERTUS(ACELL),TET,POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE $188.04 $289.30 Jun 4, 2026
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Scotland County Memorial Hospital Memphis · Memphis, MO DTAP-IPV VAC 4-6 YRS IM-OFFICE $288.05 $411.50 Oct 24, 2025
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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
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

By metro area

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

Metro areaHospitalsLowestMedian
Springfield, MO 4 $38.51 $120.02
St. Joseph, MO-KS 2 $100.30 $100.30
Albany, MO 1 $100.30 $100.30
Bethany, MO 1 $41.93 $41.93
Branson, MO 1 $34.69 $34.69
Clinton, MO 1 $44.79 $44.79
Columbia, MO 1 $160.02 $160.02
Fredericktown, MO 1 $55.00 $55.00
Hermann, MO 1 $42.00 $42.00
Kansas City, MO-KS 1 $17.40 $17.40
Lamar, MO 1 $48.75 $48.75
Lousiana, MO 1 $76.00 $76.00
Memphis, MO 1 $288.05 $288.05
Monett, MO 1 $46.61 $46.61
Maryville, MO 1 $100.30 $100.30
Nevada, MO 1 $49.50 $49.50
Poplar Bluff, MO 1 $183.71 $183.71
Rolla, MO 1 $90.60 $90.60
Ste. Genevieve, MO 1 $37.50 $37.50
St. Louis, MO-IL 1 $13.65 $13.65
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More

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.