Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Dtap-Ipv Vaccine Child 4-6 Yrs for Im Use
Low
$37
Average
$90
Median
$71
High
$275
Each hospital's average Healthpartners rate, under the methodology and billing class chosen below.
56 hospitals; the 90th percentile is 3.3× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
82 hospital rates
iThe hospitals that file a Healthpartners rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $17 | $37 | $28 | 77% | 13 | $16 – $80 |
| 2 | Mayo Clinic Health System Lake City 55041-1143 facility · percent of total billed charges · bothfrom % of charges | 3 | $45 | $47 | $31 | 65% | 1–10 | $16 – $84 |
| 3 | Mayo Clinic Health System St, NE professional · percent of total billed charges · outpatientfrom % of charges | 3 | $80 | $79 | $1 | 1% | 1–10 | $78 – $80 |
| 4 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 3 | $80 | $79 | $1 | 1% | 1–10 | $78 – $80 |
| 5 | Mayo Clinic Health System Bloomer, WI facility · percent of total billed charges · bothfrom % of charges | 3 | $45 | $46 | $30 | 64% | 1–10 | $16 – $79 |
| 6 | Mayo Clinic Health System Waseca 56093-2811 facility · percent of total billed charges · bothfrom % of charges | 3 | $45 | $47 | $31 | 65% | 1–10 | $16 – $84 |
| 7 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 3 | $45 | $47 | $31 | 65% | 1–10 | $16 – $84 |
| 8 | Mayo Clinic Health System Barron, WI facility · percent of total billed charges · bothfrom % of charges | 3 | $45 | $46 | $30 | 64% | 1–10 | $16 – $79 |
| 9 | Allina Health Systems Owatonna, MN facility · other · outpatient | 1 | $141 | $141 | $11 | 8% | — | $130 – $151 |
| 10 | Allina Health Systems Cambridge, MN facility · other · outpatient | 1 | $141 | $141 | $11 | 8% | — | $130 – $151 |
| 11 | Allina Health Systems Faribualt, MN facility · other · outpatient | 1 | $141 | $141 | $11 | 8% | — | $130 – $151 |
| 12 | Allina Health Systems Buffalo, MN facility · other · outpatient | 1 | $141 | $141 | $11 | 8% | — | $130 – $151 |
| 13 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $190 | $190 | — | — | — | $190 – $190 |
| 14 | Amery Hospital Amery, WI facility · fee schedule · both | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 15 | Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · both | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 16 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · both | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 17 | Aspirus Wausau Hospital Wausau, WI fee schedule · both | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 18 | Aspirus Wisconsin Rapids Hospital Wisconsin Rapids, WI fee schedule · both | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 19 | Avera Behavioral Health Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 20 | Avera Dell Rapids Hospital Dell Rapids, SD percent of total billed charges · inpatientfrom % of charges | 1 | $251 | $251 | — | — | — | $251 – $251 |
| 21 | Avera Dell Rapids Hospital Dell Rapids, SD percent of total billed charges · outpatientfrom % of charges | 1 | $251 | $251 | — | — | — | $251 – $251 |
| 22 | Avera Granite Falls Health Center Granite Falls, MN percent of total billed charges · inpatientfrom % of charges | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 23 | Avera Granite Falls Health Center Granite Falls, MN percent of total billed charges · outpatientfrom % of charges | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 24 | Avera Gregory Hospital Gregory, SD percent of total billed charges · inpatientfrom % of charges | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 25 | Avera Gregory Hospital Gregory, SD percent of total billed charges · outpatientfrom % of charges | 1 | $55 | $55 | — | — | — | $55 – $55 |
← Payers reporting CPT 90696 · Snapshot 20261111T120946Z-9134e7f7