Vaccines CPT 90696 Pennsylvania Outpatient

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

In Pennsylvania, 30 hospitals publish a cash price for DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel): from $23.14 to $543.60, with a median of $83.00. The lowest price is at Penn Highlands Brookville (Brookville) and 3 other hospitals. The highest price is 23.5× 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$23.14Penn Highlands Brookville + 3 more
Median$83.00half of hospitals charge less
Highest$543.60in Pennsylvania
Lowest saves$59.86vs the median

Hospitals in Pennsylvania, cheapest first

HospitalCash priceList priceFile date
Penn Highlands Brookville lowest Brookville · Brookville, PA RHC DTAP-IPV VACCINE 4-6 YRS IM MA ONLY $23.14 $23.14 Apr 1, 2026
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Penn Highlands Elk lowest Saint Marys · St. Marys, PA RHC DTAP-IPV VACCINE 4-6 YRS IM MA ONLY $23.14 $23.14 Apr 1, 2026
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Penn Highlands Huntingdon lowest Huntingdon · Huntingdon, PA RHC DTAP-IPV VACCINE 4-6 YRS IM MA ONLY $23.14 $23.14 Apr 1, 2026
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Penn Highlands Tyrone lowest Tyrone · Altoona, PA RHC DTAP-IPV VACCINE 4-6 YRS IM MA ONLY $23.14 $23.14 Apr 1, 2026
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UPMC Wellsboro Wellsboro · Wellsboro, PA KINRIX DTAP-IPV VACC 4-6 YR IM $31.20 $52.00 —
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UPMC Williamsport Williamsport · Williamsport, PA KINRIX DTAP-IPV VACC 4-6 YR IM $36.60 $61.00 —
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Titusville Area Hospital Titusville · Oil City, PA DTAP-IPV VACCINE 4-6 YRS IM $46.80 $78.00 —
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Uniontown Hospital Uniontown · Pittsburgh, PA DTAP-IPV VACCINE 4-6 YRS IM $57.50 $115.00 —
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St Luke's Hospital - Allentown Campus Allentown · Allentown-Bethlehem-Easton, PA-NJ HB DTAP-IPV VACC 4-6 YR IM $83.00 $100.00 Feb 26, 2026
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St Luke's Hospital - Anderson Campus Easton · Allentown-Bethlehem-Easton, PA-NJ HB DTAP-IPV VACC 4-6 YR IM $83.00 $100.00 Feb 26, 2026
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St Luke's Hospital - Bethlehem Campus Bethlehem · Allentown-Bethlehem-Easton, PA-NJ HB DTAP-IPV VACC 4-6 YR IM $83.00 $100.00 Feb 26, 2026
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St Luke's Hospital - Carbon Campus Lehighton · Allentown-Bethlehem-Easton, PA-NJ HB DTAP-IPV VACC 4-6 YR IM $83.00 $100.00 Feb 27, 2026
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St Luke's Hospital - Easton Campus Easton · Allentown-Bethlehem-Easton, PA-NJ HB DTAP-IPV VACC 4-6 YR IM $83.00 $100.00 Feb 26, 2026
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St Luke's Hospital - Lehighton Campus Lehighton · Allentown-Bethlehem-Easton, PA-NJ HB DTAP-IPV VACC 4-6 YR IM $83.00 $100.00 Feb 27, 2026
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St Luke's Hospital - Monroe Campus Stroudsburg · East Stroudsburg, PA HB DTAP-IPV VACC 4-6 YR IM $83.00 $100.00 Feb 27, 2026
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St Luke's Hospital - Sacred Heart Campus Allentown · Allentown-Bethlehem-Easton, PA-NJ HB DTAP-IPV VACC 4-6 YR IM $83.00 $100.00 Feb 26, 2026
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Geisinger St Luke's Hospital - Orwigsburg Campus Orwigsburg · Pottsville, PA HB DTAP-IPV VACC 4-6 YR IM $90.00 $100.00 Feb 26, 2026
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St Luke's Hospital - Grand View Campus Sellersville · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD HB DTAP-IPV VACC 4-6 YR IM $90.00 $100.00 Feb 26, 2026
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St Luke's Hospital - Miners Campus Coaldale · Pottsville, PA HB DTAP-IPV VACC 4-6 YR IM $90.00 $100.00 Feb 27, 2026
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St Luke's Hospital - Upper Bucks Campus Quakertown · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD HB DTAP-IPV VACC 4-6 YR IM $90.00 $100.00 Feb 26, 2026
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Armstrong County Memorial Hospital Kittanning · Pittsburgh, PA DIPTHPERTTETPOLI VAC.5MYSYR $93.19 $310.64 Mar 2, 2026
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Robert Packer Hospital Sayre · Sayre, PA Kinrix Vacc Dtap-Ipv $94.08 $117.60 —
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Robert Packer Hospital, Towanda Campus Towanda · Sayre, PA Kinrix Vacc Dtap-Ipv $94.08 $117.60 —
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Troy Community Hospital Troy · Sayre, PA Kinrix Vacc Dtap-Ipv $94.08 $117.60 —
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Conemaugh Memorial Medical Center Johnstown · Johnstown, PA 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 $131.00 $327.49 —
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UPMC Kane Kane · Bradford, PA DTAP-IPV (KINRIX) 0.5 ML SYR AGE 4 - 6 $158.40 $264.00 —
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Penn Highlands Dubois DuBois · DuBois, PA diphtheria/pertussis,acel/tetanus/polio 0.5mL SDV-[D] $159.35 $159.35 Aug 1, 2025
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Highlands Hospital Connellsville · Pittsburgh, PA DTaP-IPV VACC, INACTIVATED IM $174.57 $290.95 —
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Warren General Hospital Warren · Warren, PA Dtap-Ipv Inactivated If Admin $212.00 $212.00 Sep 24, 2026
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UPMC Altoona Altoona · Altoona, PA KINRIX DTAP-IPV VACC 4-6 YR IM $543.60 $906.00 —
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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
Allentown-Bethlehem-Easton, PA-NJ 7 $83.00 $83.00
Pittsburgh, PA 3 $57.50 $93.19
Sayre, PA 3 $94.08 $94.08
Altoona, PA 2 $23.14 $283.37
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 2 $90.00 $90.00
Pottsville, PA 2 $90.00 $90.00
Brookville, PA 1 $23.14 $23.14
Bradford, PA 1 $158.40 $158.40
DuBois, PA 1 $159.35 $159.35
East Stroudsburg, PA 1 $83.00 $83.00
Huntingdon, PA 1 $23.14 $23.14
Johnstown, PA 1 $131.00 $131.00
Oil City, PA 1 $46.80 $46.80
St. Marys, PA 1 $23.14 $23.14
Wellsboro, PA 1 $31.20 $31.20
Warren, PA 1 $212.00 $212.00
Williamsport, PA 1 $36.60 $36.60
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.