Vaccines CPT 90696 Nebraska Outpatient

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

In Nebraska, 32 hospitals publish a cash price for DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel): from $14.00 to $204.68, with a median of $60.38. The lowest price is at Gothenburg Health (Gothenburg). The highest price is 14.6× 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$14.00Gothenburg Health
Median$60.38half of hospitals charge less
Highest$204.68in Nebraska
Lowest saves$46.38vs the median

Hospitals in Nebraska, cheapest first

HospitalCash priceList priceFile date
Gothenburg Health lowest Gothenburg · Lexington, NE Vfc Kinrix Charge $14.00 $15.00 —
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West Holt Memorial Hospital Atkinson · Atkinson, NE Cln Vfc Dtap-ipv(kinrix) $15.00 $19.00 —
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Kearney County Hospital Minden · Kearney, NE Vfc 90696 Diphtheria, Tetanus Toxoids, Acellular Pertussis Vaccine And Inactivated Poliovirus Vaccin $16.00 $20.00 —
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Cozad Community Hospital Cozad · Lexington, NE Dtap And Ipv -Vfc (Clinic) $17.00 $19.00 —
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Callaway District Hospital Callaway · Callaway, NE Vfc 90696 Diphtheria, Tetanus Toxoids, Acellular Pertussis Vaccine And Inactivated Poliovirus Vaccin $18.00 $20.00 —
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Gordon Memorial Hospital Gordon · Gordon, NE Cl Vfc Kinrix $20.00 $20.00 —
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Harlan County Health System Alma · Alma, NE Diphtheria, tetanus, acellular pertussis, and polio vaccine $42.85 $53.56 Sep 2, 2026
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Nebraska Heart Hospital Lincoln · Lincoln, NE DIPHPERTUS(ACELL)TETPOLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE $44.31 $96.32 Feb 28, 2026
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Saint Elizabeth Regional Medical Center Lincoln · Lincoln, NE DIPHPERTUS(ACELL)TETPOLIO (PF) 25 LF-58 MCGM-10 LF/0.5 ML IM SYRINGME $48.16 $96.32 Feb 28, 2026
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Phelps Memorial Health Center Holdrege · Holdrege, NE Diphtheria, tetanus, acellular pertussis, and polio vaccine $48.60 $54.00 Feb 16, 2026
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Garden County Health Services Oshkosh · Oshkosh, NE Cl-vaccine Kinrix Dtap/ipv $50.00 $74.00 —
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Community Hospital - McCook McCook · McCook, NE DIPH-PERT-TET-POLIO VACCI $50.63 $56.25 Dec 27, 2025
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Bellevue Medical Center Bellevue · Omaha, NE-IA Diphtheria, tetanus, acellular pertussis, and polio vaccine $55.25 $85.00 Aug 10, 2026
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Nebraska Medical Center Omaha · Omaha, NE-IA Diphtheria, tetanus, acellular pertussis, and polio vaccine $55.25 $85.00 Aug 10, 2026
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Saint Francis Medical Center Grand Island · Grand Island, NE DIPHPERTUS(ACELL)TETPOLIO (PF) 25 LF-58 MCGM-10 LF/0.5 ML IM SYRINGME $56.83 $96.32 Feb 28, 2026
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Good Samaritan Hospital Kearney · Kearney, NE DIPHPERTUS(ACELL)TETPOLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE $58.76 $96.32 Feb 28, 2026
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Chadron Community Hospital Chadron · Chadron, NE Amb Diphtheria/pertussis/polio/tetanus Charge -> 0.5 Ml Diphtheria/pertussis/poliovirus/tetanus Vaccine (Kinr $62.00 $88.00 —
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Valley County Hospital Ord · Ord, NE DTaP 4-6 YEARS OF AGE (KI $76.50 $85.00 Jun 15, 2026
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St. Mary's Community Hospital Nebraska City · Nebraska City, NE DIPHPERTUS(ACELL)TETPOLIO (PF) 25 LF-58 MCGM-10 LF/0.5 ML IM SYRINGME $79.95 $96.32 Feb 28, 2026
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Lexington Regional Health Center Lexington · Lexington, NE 90696 DTaP-IPV, when administered to children 4 through 6 years $89.28 $93.00 Dec 28, 2025
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Beatrice Community Hospital Beatrice · Beatrice, NE Pr Dtap-ipv Vaccine Child 4-6 Yrs For Im Use $90.00 $90.00 —
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Tri Valley Health System Cambridge · Cambridge, NE Diphtheria, tetanus, acellular pertussis, and polio vaccine $99.25 $110.28 Jul 15, 2026
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Alegent Health Immanuel Medical Center Omaha · 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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CHI Health Bergan Mercy Omaha · 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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CHI Health Lakeside Omaha · 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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CHI Health Midlands Papillion · 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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Lasting Hope Recovery Center Omaha · 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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Rock County Hospital Bassett · Bassett, NE 0.5 Ml Diphtheria/pertussis/poliovirus/tetanus Vaccine (Kinramb Diphtheria/pertussis/polio/tetanus Charge $131.00 $138.00 —
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Chase County Hospital Imperial · Imperial, NE Diphtheria, Tetanus Toxoids, Acellular Pertussis Vaccine And Poliovirus Vaccine, Inactivated (Dtap-i $138.00 $138.00 —
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Kimball County Hospital Kimball · Kimball, NE Diphtheria, tetanus, acellular pertussis, and polio vaccine $181.52 $181.52 Jul 15, 2026
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CHI Health Plainview Hospital Plainview · Norfolk, NE DIPHPERTUS(ACELL)TETPOLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE $202.28 $240.80 Feb 28, 2026
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Alegent Health Memorial Hospital, Schuyler Schuyler · Columbus, NE DIPHPERTUS(ACELL)TETPOLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE $204.68 $240.80 Feb 28, 2026
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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
Omaha, NE-IA 7 $55.25 $101.14
Lexington, NE 3 $14.00 $17.00
Kearney, NE 2 $16.00 $37.38
Lincoln, NE 2 $44.31 $46.24
Alma, NE 1 $42.85 $42.85
Atkinson, NE 1 $15.00 $15.00
Bassett, NE 1 $131.00 $131.00
Beatrice, NE 1 $90.00 $90.00
Callaway, NE 1 $18.00 $18.00
Cambridge, NE 1 $99.25 $99.25
Chadron, NE 1 $62.00 $62.00
Columbus, NE 1 $204.68 $204.68
Gordon, NE 1 $20.00 $20.00
Grand Island, NE 1 $56.83 $56.83
Holdrege, NE 1 $48.60 $48.60
Imperial, NE 1 $138.00 $138.00
Kimball, NE 1 $181.52 $181.52
McCook, NE 1 $50.63 $50.63
Nebraska City, NE 1 $79.95 $79.95
Norfolk, NE 1 $202.28 $202.28
Ord, NE 1 $76.50 $76.50
Oshkosh, NE 1 $50.00 $50.00
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.