Vaccines CPT 90696 New York Outpatient

DTaP-polio booster (age 4-6) cost in New York

In New York, 59 hospitals publish a cash price for DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel): from $11.60 to $424.00, with a median of $93.05. The lowest price is at Samaritan Hospital (Troy). The highest price is 36.6× 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$11.60Samaritan Hospital
Median$93.05half of hospitals charge less
Highest$424.00in New York
Lowest saves$81.45vs the median

Hospitals in New York, cheapest first

HospitalCash priceList priceFile date
Samaritan Hospital lowest Troy · Albany-Schenectady-Troy, NY HC Vaccine Dtap-Ipv 4-6 Years Im $11.60 $17.85 Mar 31, 2026
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Mount Sinai Brooklyn Brooklyn · New York-Newark-Jersey City, NY-NJ HC Dtap Ipv Vaccine 4-6 Yr Im $22.59 $25.10 Apr 1, 2026
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Brooks Memorial Hospital Dunkirk · Jamestown-Dunkirk, NY Dtap-Ipv Vaccine 4-6 Yrs Im $24.00 $24.00 Apr 1, 2026
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Cuba Memorial Hospital Cuba · Cuba, NY Dtap-Ipv Vaccine 4-6 Yrs Im $24.00 $24.00 Apr 1, 2026
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Cobleskill Regional Hospital Cobleskill · Albany-Schenectady-Troy, NY HC Diph,Pertus(Acell),Tet,Polio (Pf) 25 Lf-58 Mcg-10 Lf/0.5 Ml Im Syringe [92788] $30.51 $113.00 —
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Little Falls Hospital Little Falls · Utica-Rome, NY HC Diph,Pertus(Acell),Tet,Polio (Pf) 25 Lf-58 Mcg-10 Lf/0.5 Ml Im Syringe [92788] $30.51 $113.00 —
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Mary Imogene Bassett Hospital Cooperstown · Oneonta, NY HC Diph,Pertus(Acel),Tet,Polio(Pf) 25 Lf-58 Mcg-10 Lf/0.5 Ml Im Susp [112665] $30.51 $113.00 —
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OConnor Hospital Delhi · Delhi, NY HC Diph,Pertus(Acel),Tet,Polio(Pf) 25 Lf-58 Mcg-10 Lf/0.5 Ml Im Susp [112665] $30.51 $113.00 —
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Aurelia Osborn Fox Memorial Society Oneonta · Oneonta, NY HC Diph,Pertus(Acell),Tet,Polio (Pf) 25 Lf-58 Mcg-10 Lf/0.5 Ml Im Syringe [92788] $34.87 $129.15 —
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F.F. Thompson Hospital Canandaigua · Rochester, NY HB Dtap-Ipv Inactivated Admin Pts Age 4-6 Yrs Im $38.00 — —
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Wynn Hospital Utica · Utica-Rome, NY Dtap-Ipv Vaccine Child 4-6 Yrs for Im Use $40.80 $68.00 —
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Rome Memorial Hospital Rome · Utica-Rome, NY Dtap-ipv (quadracel) $41.18 $102.00 Aug 11, 2026
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Mercy Hospital of Buffalo Buffalo · Buffalo-Cheektowaga, NY Dtap-Ipv Vaccine Child 4-6 Yrs for Im Use $53.00 $53.00 —
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Mount St. Mary's Hospital Lewiston · Buffalo-Cheektowaga, NY Dtap-Ipv Vaccine Child 4-6 Yrs for Im Use $53.00 $53.00 —
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Sisters of Charity Hospital Buffalo · Buffalo-Cheektowaga, NY Dtap-Ipv Vaccine Child 4-6 Yrs for Im Use $53.00 $53.00 —
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Niagara Falls Memorial Medical Center Niagara Falls · Buffalo-Cheektowaga, NY DTAP-IPV VACCINE 4-6 YRS IM $55.74 $79.63 —
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Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville · Wellsville, NY HB Dtap-Ipv Inactivated Admin Pts Age 4-6 Yrs Im $63.00 — —
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Nassau University Medical Center East Meadow · New York-Newark-Jersey City, NY-NJ Dtap-Ipv Vacc 4-6 Yr Im $68.14 $97.33 Oct 28, 2025
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St Johns Episcopal Hospital Far Rockaway · New York-Newark-Jersey City, NY-NJ Kinrix $70.60 $70.60 —
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Brooklyn Hospital Center at Downtown Campus Brooklyn · New York-Newark-Jersey City, NY-NJ DIPHTHERIA; TETANUS; ACELLULAR PERTUSSIS; AND POLIO VACCINE $72.77 $72.77 —
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Gouverneur Hospital Gouverneur · Massena-Ogdensburg, NY HC DTAP_IPV 4_6 YRS OF AGE $73.05 $112.39 —
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Slhs Massena Massena · Massena-Ogdensburg, NY HC DTAP_IPV 4_6 YRS OF AGE $73.18 $112.59 Apr 1, 2026
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St Josephs Hospital Health Center Syracuse · Syracuse, NY HC Vaccine Dtap-Ipv 4-6 Years Im $86.45 $133.00 Mar 31, 2026
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Wyoming County Warsaw · Warsaw, NY Kinrix $88.73 $126.76 —
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Chsli St Joseph Hospital Bethpage · New York-Newark-Jersey City, NY-NJ XRX ABATACEPT 250 MG IV SOLR $89.40 $447.00 Feb 19, 2026
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Good Samaritan Hospital Medical Center West Islip · New York-Newark-Jersey City, NY-NJ XRX ABATACEPT 250 MG IV SOLR $89.40 $447.00 Feb 19, 2026
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Mercy Medical Center Rockville Centre · New York-Newark-Jersey City, NY-NJ XRX ABATACEPT 250 MG IV SOLR $89.40 $447.00 Feb 19, 2026
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St. Catherine of Siena Medical Center Smithtown · New York-Newark-Jersey City, NY-NJ XRX (NICU) BEVACIZUMAB INTRAVITREAL INJECTION 25 MG/ML $89.40 $447.00 Feb 19, 2026
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St. Francis Hospital Roslyn · New York-Newark-Jersey City, NY-NJ XRX ABATACEPT 250 MG IV SOLR $89.40 $447.00 Feb 19, 2026
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Canton-Potsdam Hospital Potsdam · Massena-Ogdensburg, NY HC DTAP_IPV 4_6 YRS OF AGE $93.05 $143.16 Apr 1, 2026
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Corning Hospital Corning · Corning, NY Kinrix Vacc Dtap-Ipv $94.08 $117.60 —
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Guthrie Cortland Medical Center Cortland · Cortland, NY Kinrix Vacc Dtap-Ipv $94.08 $117.60 —
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Maimonides Medical Center Brooklyn · New York-Newark-Jersey City, NY-NJ DTaP-IPV(KINRIX) vacc,4-6ys IM $98.00 $98.00 Apr 1, 2026
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The Mount Sinai Hospital New York · New York-Newark-Jersey City, NY-NJ diphteria, tetanus, acellular pertussis, inactivated polio (DTaP-IPV) 25 Lf-58 mcg-10 Lf/0.5 mL syringe 0.5 mL Syringe $101.15 $112.39 Apr 1, 2026
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Strong Memorial Hospital Rochester · Rochester, NY HB Dtap-Ipv Inactivated Admin Pts Age 4-6 Yrs Im $106.25 — —
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NYU Langone Mineola · New York-Newark-Jersey City, NY-NJ DTAP-IPV VACCINE 4-6 YRS IM $116.97 $615.63 Jan 1, 2026
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NYU Langone Brooklyn · New York-Newark-Jersey City, NY-NJ DTAP-IPV VACCINE 4-6 YRS IM $116.97 $615.63 Jan 1, 2026
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NYU Langone Hospital - Suffolk Patchogue · New York-Newark-Jersey City, NY-NJ DTAP-IPV VACCINE 4-6 YRS IM $116.97 $615.63 Jan 1, 2026
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NYU Langone – Orthopedic Hospital New York · New York-Newark-Jersey City, NY-NJ DTAP-IPV VACCINE 4-6 YRS IM $116.97 $615.63 Jan 1, 2026
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NYU Langone – Tisch Hospital New York · New York-Newark-Jersey City, NY-NJ DTAP-IPV VACCINE 4-6 YRS IM $116.97 $615.63 Jan 1, 2026
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Clifton Springs Hospital And Clinic Clifton Springs · Rochester, NY HC DTAP_IPV 4_6 YRS OF AGE $122.60 $188.62 Apr 1, 2026
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Newark-Wayne Community Hospital Newark · Rochester, NY HC DTAP_IPV 4_6 YRS OF AGE $122.60 $188.62 Apr 1, 2026
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Rochester General Hospital Rochester · Rochester, NY HC DTAP_IPV 4_6 YRS OF AGE $122.60 $188.62 Apr 1, 2026
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United Memorial Medical Center Batavia · Batavia, NY HC DTAP_IPV 4_6 YRS OF AGE $122.60 $188.62 Apr 1, 2026
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Samaritan Medical Center Watertown · Watertown-Fort Drum, NY **SFHN** KINRIX VACCINE 0.5ML SYRINGE $124.67 $124.66 Feb 2, 2026
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Bronx-Lebanon Hospital Center - Concourse Division Bronx · New York-Newark-Jersey City, NY-NJ DTAP-IPV VACC 4-6 YR IM $128.96 $128.96 —
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BronxCare Hospital Center - Fulton Campus Bronx · New York-Newark-Jersey City, NY-NJ DTAP-IPV VACC 4-6 YR IM $128.96 $128.96 —
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Stony Brook University Hospital Stony Brook · New York-Newark-Jersey City, NY-NJ Kinrix PFS $136.12 $136.12 —
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The Unity Hospital of Rochester Rochester · Rochester, NY HC DTAP_IPV 4_6 YRS OF AGE $150.90 $188.62 Apr 1, 2026
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Clifton-Fine Healthcare Star Lake · Massena-Ogdensburg, NY DTaP-IPV (KINRIX) VACCINE 0.5 ML $154.04 $154.04 —
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New York Community Hospital of Brooklyn Brooklyn · New York-Newark-Jersey City, NY-NJ DTAP-IPV VACC VL 4-6 IM $168.65 $168.65 Apr 1, 2026
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Kaleida Health Buffalo · Buffalo-Cheektowaga, NY Dtpp Quadracel 0.5Ml Inj $170.00 $170.00 Apr 1, 2026
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Alice Hyde Medical Center Malone · Malone, NY DIPH,PERTUS(ACELL),TET,POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE $191.45 $191.45 Apr 28, 2026
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Elizabethtown Community Hospital Elizabethtown · Elizabethtown, NY DIPH,PERTUS(ACELL),TET,POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE $191.45 $191.45 Apr 28, 2026
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Flushing Hospital Medical Center Flushing · New York-Newark-Jersey City, NY-NJ DTAP-IPV VACCINE 4-6 YRS IM $214.00 $214.00 —
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Jamaica Hospital Medical Center Jamaica · New York-Newark-Jersey City, NY-NJ DTAP-IPV VACCINE 4-6 YRS IM $214.00 $214.00 —
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HealthAlliance Hospital Kingston · Kingston, NY DTAP IPV VACC 4-6 YR IM $309.56 $309.56 Jun 24, 2026
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Margaretville Memorial Hospital Margaretville · Margaretville, NY DTAP IPV VACC 4-6 YR IM $309.56 $309.56 Jun 24, 2026
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University Hospital of Brooklyn Brooklyn · New York-Newark-Jersey City, NY-NJ 90696 - DTAP-IPV VACCINE 4-6 YRS IM $424.00 $424.00 —
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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
New York-Newark-Jersey City, NY-NJ 23 $22.59 $116.97
Rochester, NY 6 $38.00 $122.60
Buffalo-Cheektowaga, NY 5 $53.00 $53.00
Massena-Ogdensburg, NY 4 $73.05 $83.12
Utica-Rome, NY 3 $30.51 $40.80
Albany-Schenectady-Troy, NY 2 $11.60 $21.06
Oneonta, NY 2 $30.51 $32.69
Batavia, NY 1 $122.60 $122.60
Cuba, NY 1 $24.00 $24.00
Corning, NY 1 $94.08 $94.08
Cortland, NY 1 $94.08 $94.08
Delhi, NY 1 $30.51 $30.51
Elizabethtown, NY 1 $191.45 $191.45
Jamestown-Dunkirk, NY 1 $24.00 $24.00
Kingston, NY 1 $309.56 $309.56
Malone, NY 1 $191.45 $191.45
Margaretville, NY 1 $309.56 $309.56
Syracuse, NY 1 $86.45 $86.45
Warsaw, NY 1 $88.73 $88.73
Wellsville, NY 1 $63.00 $63.00
Watertown-Fort Drum, NY 1 $124.67 $124.67
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.