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-hib-hepb vaccine im
Devils Lake, ND
See all hospitals reporting CPT 90697 →Price type
Altru Hospital Devils Lake’s median price of $157 is 24% below the median hospital's median price ($207), higher than 23% of the 1,216 hospitals reporting CPT 90697. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 7 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.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Medica medicaid managed care plan facility · fee schedule · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 3 | Medica medicare managed care plan facility · fee schedule · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 4 | Medica all commercial plans facility · fee schedule · outpatient | $155 | $155 | — | — | — | $155 – $155 |
| 5 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $159 | $159 | — | — | — | $159 – $159 |
| 6 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $159 | $159 | — | — | — | $159 – $159 |
| 7 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $170 | $170 | — | — | — | $170 – $170 |
Last updated: Mar 1, 2026
See Combined DTaP, polio, Hib and hepatitis B vaccine pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.