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Procedure price report · Prophylactic vaccinations and inoculations

Diphtheria, tetanus, whooping cough and polio shot

CPT 90696the billing code this page is about

The vaccine product for a single combined injection protecting against diphtheria, tetanus, whooping cough, and polio, used in children about 4 to 6 years old; giving the shot is billed separately.

Hospitals typically charge $89 cash for this outpatient procedure — the median across 1,145 hospitals that filed a usable cash price; the average of the middle 60% is $91. Most fall between $49 and $151 (20th–80th percentile).

Hospitals
1,145
States
49
Filings dated
Mar 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 1,145 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$37$55$89$139$199

The most expensive tenth of hospitals charges at least 5.5× what the cheapest tenth charges ($37 vs $199).

How the prices are spread

$21 – $27: 34 hospitals$21$27 – $35: 23 hospitals$35 – $46: 79 hospitals$35$46 – $59: 141 hospitals$59 – $77: 159 hospitals$59$77 – $99: 182 hospitals$99 – $128: 122 hospitals$99$128 – $166: 186 hospitals$166 – $216: 63 hospitals$166$216 – $279: 43 hospitals$216median $89price bands are equal on a log scale
Hospitals per price band (1,032 of 1,145 — the bands cover the 5th to 95th percentile)
FromToHospitals
$21$2734
$27$3523
$35$4679
$46$59141
$59$77159
$77$99182
$99$128122
$128$166186
$166$21663
$216$27943

By state

The median cash price in each state, against the national median of $89.

Alaska: 6 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 9 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: median $51 across 20 hospitalsWA$51Idaho: 9 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $92 across 21 hospitalsMT$92North Dakota: median $94 across 15 hospitalsND$94Minnesota: median $91 across 50 hospitalsMN$91Illinois: median $94 across 46 hospitalsIL$94Wisconsin: median $70 across 56 hospitalsWI$70Michigan: median $56 across 49 hospitalsMI$56New York: median $93 across 56 hospitalsNY$93Massachusetts: 7 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $76 across 24 hospitalsOR$76Nevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $93 across 22 hospitalsSD$93Iowa: median $90 across 68 hospitalsIA$90Indiana: median $142 across 47 hospitalsIN$142Ohio: median $129 across 53 hospitalsOH$129Pennsylvania: median $90 across 33 hospitalsPA$90New Jersey: median $25 across 18 hospitalsNJ$25Connecticut: 2 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $72 across 69 hospitalsCA$72Utah: 9 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $139 across 30 hospitalsCO$139Nebraska: median $55 across 47 hospitalsNE$55Missouri: median $66 across 26 hospitalsMO$66Kentucky: median $62 across 16 hospitalsKY$62West Virginia: median $69 across 24 hospitalsWV$69Virginia: median $29 across 12 hospitalsVA$29Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: median $216 across 11 hospitalsNM$216Kansas: median $84 across 25 hospitalsKS$84Arkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $83 across 19 hospitalsTN$83North Carolina: median $44 across 31 hospitalsNC$44South Carolina: median $149 across 27 hospitalsSC$149Oklahoma: median $80 across 19 hospitalsOK$80Louisiana: median $70 across 17 hospitalsLA$70Mississippi: median $41 across 15 hospitalsMS$41Alabama: 7 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $263 across 13 hospitalsGA$263Hawaii: median $116 across 12 hospitalsHI$116Texas: median $84 across 36 hospitalsTX$84Florida: median $142 across 34 hospitalsFL$142
Cash price by state, most expensive first. National median $89. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA13$263+197%$75 – $263
New Mexico NM11$216+144%$112 – $216
South Carolina SC27$149+68%$73 – $149
Florida FL34$142+60%$106 – $184
Indiana IN47$142+60%$92 – $154
Colorado CO30$139+57%$65 – $279
Ohio OH53$129+45%$50 – $137
Hawaii HI12$116+31%$81 – $157
North Dakota ND15$94+6%$53 – $132
Illinois IL46$94+6%$78 – $162
New York NY56$93+5%$53 – $169
South Dakota SD22$93+5%$72 – $217
Montana MT21$92+4%$60 – $127
Minnesota MN50$91+2%$65 – $107
Iowa IA68$90+1%$57 – $116
Pennsylvania PA33$90+1%$23 – $106
Kansas KS25$84−5%$71 – $112
Texas TX36$84−5%$42 – $345
Tennessee TN19$83−7%$38 – $94
Oklahoma OK19$80−10%$57 – $108
Oregon OR24$76−15%$23 – $165
California CA69$72−18%$54 – $166
Louisiana LA17$70−21%$54 – $161
Wisconsin WI56$70−21%$62 – $90
West Virginia WV24$69−22%$46 – $90
Missouri MO26$66−26%$42 – $100
Kentucky KY16$62−30%$37 – $133
Michigan MI49$56−37%$41 – $111
Nebraska NE47$55−38%$19 – $101
Washington WA20$51−43%$32 – $65
North Carolina NC31$44−51%$41 – $114
Mississippi MS15$41−54%$21 – $62
Virginia VA12$29−67%$24 – $55
New Jersey NJ18$25−72%$22 – $210
Idaho ID9not enough hospitals filed a usable price
Maine ME9not enough hospitals filed a usable price
Utah UT9not enough hospitals filed a usable price
Alabama AL7not enough hospitals filed a usable price
Massachusetts MA7not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Alaska AK6not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $89.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care693$89$48 – $157
Children’s29$92$20 – $223
Critical access421$84$53 – $142
Ownership
For-profit61$129$63 – $209
Government264$78$41 – $142
Non-profit818$89$52 – $151
System affiliation
Part of a system907$90$50 – $151
Independent238$84$46 – $149

Cash price vs list price

Median list price (chargemaster)$124
Median cash price$89
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

809 hospitals filed a usable inpatient cash price for this code. The median is $90 and the average of the middle 60% is $97; most fall between $53 and $157.

Cash price percentiles, inpatient, across 809 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$40$57$90$142$216

The most expensive tenth of hospitals charges at least 5.4× what the cheapest tenth charges ($40 vs $216).

Of the 921 hospitals that filed this code inpatient, 809 gave a usable cash price; 39 carried a plausibility flag, 10 filed a number their own filing marks as not a price, 0 gave an estimate, and 63 a list price only.

How complete is this

1,145 of the 3,956 hospitals with a price file in our corpus (29%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,296 hospitals that filed this code at all gave us
Usable cash price — counted1,145
Cash price carrying a plausibility flag — shown on the compare tool, excluded here54
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded19
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded78
Hospitals that filed this code1,296

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Prophylactic vaccinations and inoculations family.

Hospitals file this code under descriptions such as Dtap-Ipv Vaccine Child 4-6 Yrs for Im Use.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Diphtheria, tetanus, whooping cough and polio shot (CPT 90696) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90696-diphtheria-tetanus-whooping-cough-and-polio-shot