Vaccines CPT 90696 Utah Outpatient

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

In Utah, 3 hospitals publish a cash price for DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel): from $60.54 to $274.37, with a median of $88.20. The lowest price is at Moab Regional (Moab). The highest price is 4.5× 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 27, 2026. See them on a map

Lowest$60.54Moab Regional

Median$88.20half of hospitals charge less

Highest$274.37in Utah

Lowest saves$27.66vs the median

Hospitals in Utah, cheapest first

Hospital	Cash price	List price	File date
Moab Regional lowest Moab · Moab, UT DTAP-IPV	$60.54	$99.25	— source file
University of Utah Hospital and Clinics Salt Lake City · Salt Lake City-Murray, UT Dtap/Ipv,4-6 Yrs,Im	$88.20	$126.00	— source file
Ashley Regional Medical Center Noth Vernal · Vernal, UT 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	$274.37	$457.28	— source file

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.

By metro area

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

Metro area	Hospitals	Lowest	Median
Moab, UT	1	$60.54	$60.54
Salt Lake City-Murray, UT	1	$88.20	$88.20
Vernal, UT	1	$274.37	$274.37

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.