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
diphtheria-tetanus-pertussis-polio vaccine injecti
Rapids, MN
See all hospitals reporting CPT 90696 →Price type
Allina Health Systems’s median price of $113 is 10% above the median hospital's median price ($102), higher than 54% of the 1,548 hospitals reporting CPT 90696. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 22 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare united healthcare (um) facility · case rate · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $39 | $39 | — | — | — | $39 – $39 |
| 3 | Medica medica pmap (um) facility · percent of total billed charges · outpatientfrom % of charges | $43 | $43 | — | — | — | $43 – $43 |
| 4 | Bcbs Mn bc pmap (amu) facility · other · outpatient | $67 | $67 | — | — | — | $67 – $67 |
| 5 | Aetna aetna elevate (amu) facility · percent of total billed charges · outpatientfrom % of charges | $68 | $68 | — | — | — | $68 – $68 |
| 6 | Aetna aetna performance (amu) facility · percent of total billed charges · outpatientfrom % of charges | $72 | $72 | — | — | — | $72 – $72 |
| 7 | Bcbs Mn bc premier (m u) facility · other · outpatient | $75 | $75 | — | — | — | $75 – $75 |
| 8 | Medica medica dual solutions (m) facility · percent of total billed charges · outpatientfrom % of charges | $85 | $85 | — | — | — | $85 – $85 |
| 9 | Blue Cross Blue Shield bc aehp (mu) facility · other · outpatient | $88 | $88 | — | — | — | $88 – $88 |
| 10 | Bcbs Mn bc state health plan (mu) facility · other · outpatient | $90 | $90 | — | — | — | $90 – $90 |
| 11 | Bcbs Mn bc high value/performance network (mu) facility · other · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 12 | Aetna aetna direct network (amu) facility · percent of total billed charges · outpatientfrom % of charges | $105 | $105 | — | — | — | $105 – $105 |
| 13 | Bcbs Mn bc aware/blue plus (a m u) facility · percent of total billed charges · outpatientfrom % of charges | $113 | $113 | — | — | — | $113 – $113 |
| 14 | Medica medica ubh (m) facility · percent of total billed charges · inpatientfrom % of charges | $134 | $134 | — | — | — | $134 – $134 |
| 15 | Medica medica elect (u m) facility · percent of total billed charges · outpatientfrom % of charges | $138 | $138 | — | — | — | $138 – $138 |
| 16 | Medica medica essentials (u m) facility · percent of total billed charges · outpatientfrom % of charges | $144 | $144 | — | — | — | $144 – $144 |
| 17 | Medica medica mhps (u m) facility · percent of total billed charges · outpatientfrom % of charges | $144 | $144 | — | — | — | $144 – $144 |
| 18 | Medica medica choice (u m) facility · percent of total billed charges · outpatientfrom % of charges | $151 | $151 | — | — | — | $151 – $151 |
| 19 | Medica medica ubh pmap (m) facility · percent of total billed charges · outpatientfrom % of charges | $153 | $153 | — | — | — | $153 – $153 |
| 20 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $161 | $161 | — | — | — | $161 – $161 |
| 21 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $161 | $161 | — | — | — | $161 – $161 |
| 22 | Medica medica ubh (m) facility · percent of total billed charges · outpatientfrom % of charges | $161 | $161 | — | — | — | $161 – $161 |
Last updated: Jun 17, 2026
See DTaP-IPV vaccine for children ages 4 to 6 pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.