Vaccines CPT 90696 Vermont Outpatient

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

In Vermont, 3 hospitals publish a cash price for DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel): from $90.00 to $230.10, with a median of $128.69. The lowest price is at Mt. Ascutney Hospital and Health Center (Windsor). The highest price is 2.6× 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 28, 2026. See them on a map

Lowest$90.00Mt. Ascutney Hospital and Health Center
Median$128.69half of hospitals charge less
Highest$230.10in Vermont
Lowest saves$38.69vs the median

Hospitals in Vermont, cheapest first

HospitalCash priceList priceFile date
Mt. Ascutney Hospital and Health Center lowest Windsor · Lebanon-Claremont, NH-VT Tc Diphtheria ,Tetanus Tox, Acellular Pertussis&polio,inact 4-6 Yrs,im $90.00 $113.00 —
source file
Southwestern Vermont Medical Center Bennington · Bennington, VT DIPH,PERTUS(ACEL),TET,POLIO/PF $128.69 $183.84 —
source file
University of Vermont Medical Center Burlington · Burlington-South Burlington, VT DIPH,PERTUS(ACELL),TET,POLIO (PF) 15 LF-48 MCG-5 LF/0.5 ML IM SYRINGE $230.10 $230.10 Apr 28, 2026
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.
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
Bennington, VT 1 $128.69 $128.69
Burlington-South Burlington, VT 1 $230.10 $230.10
Lebanon-Claremont, NH-VT 1 $90.00 $90.00
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.