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-POLIO-HIB (PF) 15 LF UNIT-20 MCG-5 LF/0.5 ML INTRAMUSC KIT [97177]
Arlington, TX
See all hospitals reporting CPT 90698 →Price type
AMH Cath Labs LLC’s median price of $230 is 39% above the median hospital's median price ($165), higher than 67% of the 1,538 hospitals reporting CPT 90698. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 25 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 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $33 | $33 | — | — | — | $33 – $33 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $33 | $33 | — | — | — | $33 – $33 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $34 | $34 | — | — | — | $34 – $34 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $35 | $35 | — | — | — | $35 – $35 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $36 | $36 | — | — | — | $36 – $36 |
| 6 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $128 | $128 | — | — | — | $128 – $128 |
| 7 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $151 | $151 | — | — | — | $151 – $151 |
| 8 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $170 | $170 | — | — | — | $170 – $170 |
| 9 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $191 | $191 | — | — | — | $191 – $191 |
| 10 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $202 | $202 | — | — | — | $202 – $202 |
| 11 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $202 | $202 | — | — | — | $202 – $202 |
| 12 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $204 | $204 | — | — | — | $204 – $204 |
| 13 | Blue Cross Blue Shield hmo fee schedule · outpatient | $230 | $230 | — | — | — | $230 – $230 |
| 14 | Blue Cross Blue Shield exchange fee schedule · outpatient | $236 | $236 | — | — | — | $236 – $236 |
| 15 | Blue Cross Blue Shield ppo fee schedule · outpatient | $256 | $256 | — | — | — | $256 – $256 |
| 16 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $256 | $256 | — | — | — | $256 – $256 |
| 17 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $257 | $257 | — | — | — | $257 – $257 |
| 18 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $258 | $258 | — | — | — | $258 – $258 |
| 19 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $258 | $258 | — | — | — | $258 – $258 |
| 20 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $275 | $275 | — | — | — | $275 – $275 |
| 21 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $321 | $321 | — | — | — | $321 – $321 |
| 22 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $321 | $321 | — | — | — | $321 – $321 |
| 23 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $347 | $347 | — | — | — | $347 – $347 |
| 24 | Cigna indemnity percent of total billed charges · outpatientfrom % of charges | $347 | $347 | — | — | — | $347 – $347 |
| 25 | Blue Cross Blue Shield traditional fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
Last updated: Apr 21, 2026
See Combined DTaP, polio and Hib childhood vaccine injection pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.