Vaccines CPT 90696 Wisconsin Outpatient

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

In Wisconsin, 53 hospitals publish a cash price for DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel): from $13.08 to $163.69, with a median of $84.17. The lowest price is at Southwest Health Center (Platteville). The highest price is 12.5× 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 Oct 2, 2026. See them on a map

Lowest$13.08Southwest Health Center
Median$84.17half of hospitals charge less
Highest$163.69in Wisconsin
Lowest saves$71.09vs the median

Hospitals in Wisconsin, cheapest first

HospitalCash priceList priceFile date
Southwest Health Center lowest Platteville · Platteville, WI DOXYCYCLINE HYCLATE 100 MG PO CAPS $13.08 $17.44 Mar 27, 2026
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Amery Hospital East Amery · East Amery, WI Dtap-Ipv Vaccine Child 4-6 Yrs for Im Use $41.71 $80.00 Mar 31, 2026
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Westfields Hospital New Richmond · Minneapolis-St. Paul-Bloomington, MN-WI Dtap-Ipv Vaccine Child 4-6 Yrs for Im Use $42.08 $80.00 Mar 31, 2026
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Gundersen St Josephs Hospital and Clinics Hillsboro · La Crosse-Onalaska, WI-MN PR DIPHTHERIA TETANUS TOXOIDS ACELLULAR PERTUSSIS & INACT POLIO $44.18 $84.00 Jun 27, 2026
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Memorial Hospital of Boscobel Boscobel · Platteville, WI PR DIPHTHERIA TETANUS TOXOIDS ACELLULAR PERTUSSIS & INACT POLIO $56.65 $110.00 Jun 27, 2026
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Ascension Calumet Hospital Chilton · Appleton, WI HC FAC DTAP-IPV VACCINE 4-6 YRS IM $57.57 $101.00 Jan 1, 2026
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Gundersen Lutheran Medical Center La Crosse · La Crosse-Onalaska, WI-MN QUADRACEL (PF) 15 LF-48 MCG- 5 LF UNIT/0.5ML IM SUSP $58.92 $147.30 Jun 27, 2026
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Aspirus Divine Savior Hospital Portage · Madison, WI Fac Dtap-Ipv, Im, Age 4-6 Year $61.75 $95.00 Apr 1, 2026
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Aspirus Eagle River Hospital Eagle River · Eagle River, WI Fac Dtap-Ipv, Im, Age 4-6 Year $61.75 $95.00 Apr 1, 2026
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Aspirus Langlade Hospital Antigo · Antigo, WI Fac Dtap-Ipv, Im, Age 4-6 Year $61.75 $95.00 Apr 1, 2026
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Aspirus Medford Hospital Medford · Medford, WI Fac Dtap-Ipv, Im, Age 4-6 Year $61.75 $95.00 Apr 1, 2026
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Aspirus Merrill Hospital Merrill · Merrill, WI Fac Dtap-Ipv, Im, Age 4-6 Year $61.75 $95.00 Apr 1, 2026
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Aspirus Plover Hospital Stevens Point · Stevens Point-Plover, WI Fac Dtap-Ipv, Im, Age 4-6 Year $61.75 $95.00 Apr 1, 2026
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Aspirus Rhinelander Hospital Rhinelander · Rhinelander, WI Fac Dtap-Ipv, Im, Age 4-6 Year $61.75 $95.00 Apr 1, 2026
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Aspirus Stanley Hospital Stanley · Eau Claire, WI Fac Dtap-Ipv, Im, Age 4-6 Year $61.75 $95.00 Apr 1, 2026
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Aspirus Stevens Point Hospital Stevens Point · Stevens Point-Plover, WI Fac Dtap-Ipv, Im, Age 4-6 Year $61.75 $95.00 Apr 1, 2026
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Aspirus Tomahawk Hospital Tomahawk · Tomahawk, WI Fac Dtap-Ipv, Im, Age 4-6 Year $61.75 $95.00 Apr 1, 2026
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Aspirus Wausau Hospital Wausau · Wausau, WI Fac Dtap-Ipv, Im, Age 4-6 Year $61.75 $95.00 Apr 1, 2026
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Aspirus Wisconsin Rapids Hospital Wisconsin Rapids · Wisconsin Rapids-Marshfield, WI Fac Dtap-Ipv, Im, Age 4-6 Year $61.75 $95.00 Apr 1, 2026
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Howard Young Medical Center Woodruff · Woodruff, WI Fac Dtap-Ipv, Im, Age 4-6 Year $61.75 $95.00 Apr 1, 2026
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Ascension Columbia St. Mary's Hospital - Ozaukee Campus Mequon · Milwaukee-Waukesha, WI HC 90696 KINRIX DTAP-IPV (C $64.13 $121.00 Jan 1, 2026
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Ascension Columbia St. Mary's Hospital - Milwaukee Campus Milwaukee · Milwaukee-Waukesha, WI HC 90696 KINRIX DTAP-IPV (C $66.01 $124.55 Jan 1, 2026
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Gundersen Tri-County Hospital & Clinics Whitehall · Whitehall, WI PR DIPHTHERIA TETANUS TOXOIDS ACELLULAR PERTUSSIS & INACT POLIO $72.28 $114.00 Jun 27, 2026
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Bellin Memorial Health Green Bay · Green Bay, WI HCHG 90696 DTAP-IPV VACCINE, 4-6 YRS, IM USE $75.93 $164.00 Jun 27, 2026
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Edgerton Hospital and Health Services Edgerton · Janesville-Beloit, WI HC DTAP IPV KINRIX 4-6YRS IM $83.95 $115.00 Jul 20, 2026
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ThedaCare Regional Medical Center-Berlin Berlin · Berlin, WI DTAP-IPV VACC 4-6 YR IM $84.17 $150.30 Aug 8, 2026
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ThedaCare Regional Medical Center-OSP Appleton · Appleton, WI DTAP-IPV VACC 4-6 YR IM $84.17 $150.30 Aug 8, 2026
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ThedaCare Regional Medical Center-Appleton Appleton · Appleton, WI DTAP-IPV VACC 4-6 YR IM $84.17 $150.30 Aug 7, 2026
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ThedaCare Regional Medical Center-Fond Du Lac Fond Du Lac · Fond du Lac, WI DTAP-IPV VACC 4-6 YR IM $84.17 $150.30 Aug 8, 2026
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ThedaCare Regional Medical Center-Neenah Neenah · Oshkosh-Neenah, WI DTAP-IPV VACC 4-6 YR IM $84.17 $150.30 Aug 8, 2026
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ThedaCare Regional Medical Center-New London New London · New London, WI DTAP-IPV VACC 4-6 YR IM $84.17 $150.30 Aug 8, 2026
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ThedaCare Regional Medical Center-Oshkosh Oshkosh · Oshkosh-Neenah, WI DTAP-IPV VACC 4-6 YR IM $84.17 $150.30 Aug 8, 2026
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ThedaCare Regional Medical Center-Shawano Shawano · Shawano, WI DTAP-IPV VACC 4-6 YR IM $84.17 $150.30 Aug 8, 2026
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ThedaCare Regional Medical Center-Waupaca Waupaca · Waupaca, WI DTAP-IPV VACC 4-6 YR IM $84.17 $150.30 Aug 8, 2026
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ThedaCare Regional Medical Center-Wild Rose Wild Rose · Wild Rose, WI DTAP-IPV VACC 4-6 YR IM $84.17 $150.30 Aug 8, 2026
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Burnett Medical Center Grantsburg · Grantsburg, WI Diphtheria, tetanus, acellular pertussis, and polio vaccine $88.80 $111.00 Oct 1, 2026
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Marshfield Medical Center - Beaver Dam Beaver Dam · Beaver Dam, WI DIPHTHERIA-TETANUS-PERTUSSIS,ACEL-POLIO VACCINE SUSP (QUADRACEL) $90.46 $95.22 Feb 20, 2026
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Marshfield Medical Center - Eau Claire Eau Claire · Eau Claire, WI DIPHTHERIA-TETANUS-PERTUSSIS,ACEL-POLIO VACCINE SUSP (QUADRACEL) $90.46 $95.22 Feb 20, 2026
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Marshfield Medical Center - Ladysmith Ladysmith · Ladysmith, WI DIPHTHERIA-TETANUS-PERTUSSIS,ACEL-POLIO VACCINE SUSP (QUADRACEL) $90.46 $95.22 Feb 20, 2026
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Marshfield Medical Center - Marshfield Marshfield · Wisconsin Rapids-Marshfield, WI DIPHTHERIA-TETANUS-PERTUSSIS,ACEL-POLIO VACCINE SUSP (QUADRACEL) $90.46 $95.22 Feb 20, 2026
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Marshfield Medical Center - Minocqua Minocqua · Minocqua, WI DIPHTHERIA-TETANUS-PERTUSSIS,ACEL-POLIO VACCINE SUSP (QUADRACEL) $90.46 $95.22 Feb 20, 2026
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Marshfield Medical Center - Neillsville Neillsville · Neillsville, WI DIPHTHERIA-TETANUS-PERTUSSIS,ACEL-POLIO VACCINE SUSP (QUADRACEL) $90.46 $95.22 Feb 20, 2026
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Marshfield Medical Center - Park Falls Park Falls · Park Falls, WI DIPHTHERIA-TETANUS-PERTUSSIS,ACEL-POLIO VACCINE SUSP (QUADRACEL) $90.46 $95.22 Feb 20, 2026
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Marshfield Medical Center - Rice Lake Rice Lake · Rice Lake, WI DIPHTHERIA-TETANUS-PERTUSSIS,ACEL-POLIO VACCINE SUSP (QUADRACEL) $90.46 $95.22 Feb 20, 2026
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Marshfield Medical Center - River Region at Stevens Point Stevens Point · Stevens Point-Plover, WI DIPHTHERIA-TETANUS-PERTUSSIS,ACEL-POLIO VACCINE SUSP (QUADRACEL) $90.46 $95.22 Feb 20, 2026
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Marshfield Medical Center - Weston Weston · Wausau, WI DIPHTHERIA-TETANUS-PERTUSSIS,ACEL-POLIO VACCINE SUSP (QUADRACEL) $90.46 $95.22 Feb 20, 2026
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Gundersen Moundview Hospital and Clinics Friendship · Friendship, WI PR DIPHTHERIA TETANUS TOXOIDS ACELLULAR PERTUSSIS & INACT POLIO $99.57 $196.00 Jun 27, 2026
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River Falls Area Hospital River Falls · Minneapolis-St. Paul-Bloomington, MN-WI diphtheria-tetanus-pertussis-polio vaccine injecti $107.40 $191.78 Jun 15, 2026
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Crossing Rivers Health Medical Center Prairie Du Chien · Prairie Du Chien, WI Diphtheria, tetanus, acellular pertussis, and polio vaccine $110.00 $110.00 Jul 23, 2026
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Cumberland Memorial Hospital Cumberland · Rice Lake, WI KINRIX $110.55 $110.55 Apr 16, 2026
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Children's Hospital of Wisconsin Milwaukee · Milwaukee-Waukesha, WI HBC DPT-IPV (KINRIX) $124.71 $226.75 Mar 23, 2026
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Indianhead Medical Center Shell Lake · Shell Lake, WI DTAP IPV VACCINE CHILD 4-6 YRS FOR IM US $160.00 $200.00 Apr 1, 2026
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Black River Memorial Hospital Black River Falls · Black River Falls, WI diphtheria/pertussis,acel/tetanus/polio - Sus [BRMH] $163.69 $181.88 Jan 8, 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
Appleton, WI 3 $57.57 $84.17
Milwaukee-Waukesha, WI 3 $64.13 $66.01
Stevens Point-Plover, WI 3 $61.75 $61.75
Eau Claire, WI 2 $61.75 $76.10
La Crosse-Onalaska, WI-MN 2 $44.18 $51.55
Minneapolis-St. Paul-Bloomington, MN-WI 2 $42.08 $74.74
Oshkosh-Neenah, WI 2 $84.17 $84.17
Platteville, WI 2 $13.08 $34.86
Rice Lake, WI 2 $90.46 $100.50
Wausau, WI 2 $61.75 $76.10
Wisconsin Rapids-Marshfield, WI 2 $61.75 $76.10
Antigo, WI 1 $61.75 $61.75
Berlin, WI 1 $84.17 $84.17
Black River Falls, WI 1 $163.69 $163.69
Beaver Dam, WI 1 $90.46 $90.46
Eagle River, WI 1 $61.75 $61.75
East Amery, WI 1 $41.71 $41.71
Friendship, WI 1 $99.57 $99.57
Fond du Lac, WI 1 $84.17 $84.17
Grantsburg, WI 1 $88.80 $88.80
Green Bay, WI 1 $75.93 $75.93
Janesville-Beloit, WI 1 $83.95 $83.95
Ladysmith, WI 1 $90.46 $90.46
Medford, WI 1 $61.75 $61.75
Merrill, WI 1 $61.75 $61.75
Minocqua, WI 1 $90.46 $90.46
Madison, WI 1 $61.75 $61.75
Neillsville, WI 1 $90.46 $90.46
New London, WI 1 $84.17 $84.17
Park Falls, WI 1 $90.46 $90.46
Prairie Du Chien, WI 1 $110.00 $110.00
Rhinelander, WI 1 $61.75 $61.75
Shell Lake, WI 1 $160.00 $160.00
Shawano, WI 1 $84.17 $84.17
Tomahawk, WI 1 $61.75 $61.75
Waupaca, WI 1 $84.17 $84.17
Whitehall, WI 1 $72.28 $72.28
Wild Rose, WI 1 $84.17 $84.17
Woodruff, WI 1 $61.75 $61.75
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.