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
DIP,PERT(A)TET-HEPB-POLIO-HIB PED(PF) 15-5 UNIT-10 MCG/0.5 ML IM SYRNG
Low
$0
Average
$413
Median
$205
High
$33.5k
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 379 hospitals; the 90th percentile is 6.6× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Mayo Clinic Rochester, MN | $148 | $168 | $36 | 22% | 602–746 | $32 – $218 |
| 2 | Mayo Clinic Health System Mankato 56001-4752 | $165 | $157 | $14 | 9% | 420–528 | $32 – $174 |
| 3 | Mayo Clinic Health System Owatonna 55060-5503 | $165 | $165 | $4 | 2% | 329–410 | $148 – $174 |
| 4 | Mayo Clinic Health System Eau Claire 54703-5270 | $165 | $157 | $16 | 10% | 200–317 | $32 – $174 |
| 5 | Mayo Clinic Health System Menomonie, WI | $165 | $157 | $19 | 12% | 171–288 | $32 – $174 |
| 6 | FHN Memorial Hospital Freeport, IL | $130 | $176 | $162 | 92% | 170–188 | $13 – $425 |
| 7 | Mayo Clinic Health System Bloomer, WI | $165 | $157 | $18 | 11% | 100–280 | $32 – $174 |
| 8 | Mayo Clinic Health System St, NE | $165 | $154 | $19 | 13% | 83–137 | $32 – $174 |
| 9 | Children's Healthcare of Atlanta Atlanta, GA | $65 | $76 | $25 | 33% | 81–108 | $48 – $110 |
| 10 | Mayo Clinic Health System Barron, WI | $165 | $157 | $19 | 12% | 72–153 | $32 – $174 |
Ask Claude or any MCP client for CPT 90697 pricing at a specific hospital — see how to connect.