What does code 90696 cost?

Across the published hospital price files, the disclosed cash price for 90696 ranges from $41.60 to $249. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

90696 is the billing code hospitals use to identify "QUADRACEL (PF) 15 LF-48 MCG-5 LF UNIT/0.5 ML INTRAMUSCULAR SUSPENSION" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

90696

CPT

QUADRACEL (PF) 15 LF-48 MCG-5 LF UNIT/0.5 ML INTRAMUSCULAR SUSPENSION

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code 90696 (QUADRACEL (PF) 15 LF-48 MCG-5 LF UNIT/0.5 ML INTRAMUSCULAR SUSPENSION) appears at 11 hospitals with disclosed cash prices from $41.60 to $249. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

Cash

List

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare 90696 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Published cash prices for code 90696 vary by about 6× across the 9 hospitals with disclosed prices here — from $41.60 to $249. Shopping around can matter.

Hospitals

Prices shown

$41.60

Lowest cash

$249

Highest cash

code 90696 cash price10 disclosed · 9 hospitals

$41.60median ~$108$249

Lowest cash price by hospital

Providence St Joseph Medical Center$41.60
Henderson Hospital$85.20
Carle Foundation Hospital$88.86
Methodist Medical Center of Illinois$88.86
Carle BroMenn Medical Center$88.86
Providence Valdez Medical Center$127

Cash price by city

Reflects your current filters.

Cash price by city$41.60 – $127

Polson · 1 hospital$41.60
Henderson · 1 hospital$85.20
Urbana · 1 hospital$88.86
Peoria · 1 hospital$88.86
Normal · 1 hospital$88.86
Valdez · 1 hospital$127

15 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
QUADRACEL (PF) 15 LF-48 MCG-5 LF UNIT/0.5 ML INTRAMUSCULAR SUSPENSION Inpatient	Carle Foundation Hospital	90696 CPT	$88.86	$88.86	$8.89 – $86.41	—
Dtap-ipv vaccine 4-6 yrs im Outpatient	Endeavor Health Edward Hospital	90696 HCPCS	—	—	$160 – $160	—
QUADRACEL (PF) 15 LF-48 MCG-5 LF UNIT/0.5 ML INTRAMUSCULAR SUSPENSION Inpatient	Methodist Medical Center of Illinois	90696 CPT	$88.86	$88.86	$8.89 – $86.41	—
Kinrix: 10 Syringe In 1 Carton (58160-812-52) / .5 Ml In 1 Syringe (58160-812-43) Inpatient & outpatient	University of Chicago Medical Center	90696 HCPCS	—	—	—	—
Pr Dtap-Ipv Vaccine Child 4-6 Yrs For Im Use Inpatient & outpatient	University of Chicago Medical Center	90696 HCPCS	—	—	—	—
NDC Description Not Available Inpatient & outpatient	University of Chicago Medical Center	90696 HCPCS	—	—	—	—
Dtap-ipv vaccine 4-6 yrs im Outpatient	University of Chicago Medical Center	90696 HCPCS	—	—	—	—
QUADRACEL (PF) 15 LF-48 MCG-5 LF UNIT/0.5 ML INTRAMUSCULAR SUSPENSION Inpatient	Carle BroMenn Medical Center	90696 CPT	$88.86	$88.86	$8.89 – $86.41	—
diphtheria/pertussis,acel/tetanus/polio Charge Inpatient	Munson Healthcare Charlevoix Hospital	90696 CPT	$152	$129	$122 – $152	—
diphtheria/pertussis,acel/tetanus/polio Charge Inpatient	Munson Healthcare Cadillac	90696 CPT	$155	$132	$93.00 – $852	—
HC DTAP-IPV IM AGE 4-6 YEAR Inpatient	Henderson Hospital	90696 CPT	$284	$85.20	$82.36 – $275	—
Dtap-Hepb-Ipv Vac Im [4-6yrs Old] Inpatient	Stanford Health Care	90696 HCPCS	$622	$249	—	—
Dtap-Hepb-Ipv Vac Im [4-6yrs Old] Outpatient	Stanford Health Care	90696 HCPCS	$622	$249	—	—
HC PR RX DTAP-IPV VACCINE CHILD 4-6 YRS IM 0.5 ML Inpatient & outpatient	Providence Valdez Medical Center	90696 HCPCS	$163	$127	—	—
HC PR RX DTAP-IPV VACCINE CHILD 4-6 YRS IM 0.5 ML Inpatient & outpatient	Providence St Joseph Medical Center	90696 HCPCS	$52.00	$41.60	—	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish 90696 prices

Open a hospital to see this code in the context of its full published prices.

Carle Foundation Hospital Endeavor Health Edward Hospital Methodist Medical Center of Illinois University of Chicago Medical Center Carle BroMenn Medical Center Munson Healthcare Charlevoix Hospital Munson Healthcare Cadillac Henderson Hospital Stanford Health Care Providence Valdez Medical Center Providence St Joseph Medical Center

Code 90696: frequently asked

What does code 90696 cost?: Across the published hospital price files, the disclosed cash price for 90696 ranges from $41.60 to $249. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code 90696?: 90696 is the billing code hospitals use to identify "QUADRACEL (PF) 15 LF-48 MCG-5 LF UNIT/0.5 ML INTRAMUSCULAR SUSPENSION" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

All CPT / HCPCS codes Browse hospitals How to read this data

Hospitals publishing code 90696 by state

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