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
$0
Average
$163
Median
$126
High
$6.6k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1086 hospitals; the 90th percentile is 7.5× 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.
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1,519 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · both | 1 | $92 | $92 | — | — | 450 | $92 – $92 |
| 2 | Mercy Hospitals East Communities Washington, MO professional · fee schedule · outpatient | 2 | $46 | $46 | $25 | 54% | 97–106 | $22 – $72 |
| 3 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 2 | $73 | $73 | — | — | 80 | $73 – $73 |
| 4 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 5 | $70 | $69 | $3 | 5% | 75 | $64 – $72 |
| 5 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $92 | $92 | — | — | 44 | $92 – $92 |
| 6 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 2 | $64 | $64 | $8 | 12% | 34 | $56 – $72 |
| 7 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $76 | $76 | — | — | 29 | $76 – $76 |
| 8 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 3 | $105 | $115 | $20 | 18% | 29–47 | $96 – $143 |
| 9 | SONORA COMMUNITY HOSPITAL Sonora, CA percent of total billed charges · outpatientfrom % of charges | 4 | $47 | $74 | $59 | 79% | 20–200 | $20 – $184 |
| 10 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $92 | $92 | — | — | 17 | $92 – $92 |
| 11 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 1 | $133 | $133 | — | — | 13 | $133 – $133 |
| 12 | WINNESHIEK MEDICAL CENTER Decorah, IA percent of total billed charges · outpatientfrom % of charges | 1 | $82 | $82 | $1 | 2% | 13 | $81 – $84 |
| 13 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $89 | $89 | $70 | 79% | 11 | $19 – $159 |
| 14 | Pagosa Springs Medical Center Springs, CO percent of total billed charges · outpatientfrom % of charges | 1 | $30 | $38 | $32 | 85% | 3–30 | $3 – $80 |
| 15 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 2 | $77 | $66 | $23 | 34% | 2–20 | $21 – $77 |
| 16 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 2 | $73 | $73 | — | — | 2–20 | $73 – $73 |
| 17 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 2 | $73 | $73 | — | — | 2–20 | $73 – $73 |
| 18 | Pagosa Springs Medical Center Springs, CO other · outpatient | 1 | $107 | $107 | — | — | 2–20 | $107 – $107 |
| 19 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · inpatient | 8 | $70 | $69 | $1 | 1% | 1–10 | $68 – $70 |
| 20 | HOSPITAL SERVICE DISTRICT #2 OF LASALLE PARISH JENA, LA other · both | 1 | $75 | $75 | — | — | 1–10 | $75 – $75 |
| 21 | Mayo Clinic Health System Lake City 55041-1143 facility · percent of total billed charges · bothfrom % of charges | 2 | $71 | $69 | $11 | 15% | 1–10 | $47 – $77 |
| 22 | Mayo Clinic Health System Saint James 56081-5550 facility · percent of total billed charges · bothfrom % of charges | 2 | $71 | $69 | $12 | 18% | 1–10 | $43 – $77 |
| 23 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $71 | $65 | $20 | 30% | 1–10 | $25 – $77 |
| 24 | Mayo Clinic Health System Bloomer, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $71 | $65 | $18 | 28% | 1–10 | $29 – $77 |
| 25 | Mayo Clinic Health System Waseca 56093-2811 facility · percent of total billed charges · bothfrom % of charges | 2 | $71 | $66 | $16 | 24% | 1–10 | $33 – $77 |
← Payers reporting CPT 90696 · Snapshot 20261112T124536Z-e251e855