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 4-6 years old IM
Aberdeen, SD
See all hospitals reporting CPT 90696 →Price type
Avera St. Luke's’s median price of $120 is 18% above the median hospital's median price ($102), higher than 58% 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: 4 payers, 8 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 com fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 2 | Medica ind fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 3 | Wellmark ppo fee schedule · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 4 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $120 | $120 | — | — | — | $120 – $120 |
| 5 | UnitedHealthcare com fee schedule · outpatient | $126 | $126 | — | — | — | $126 – $126 |
| 6 | Medica ind percent of total billed charges · inpatientfrom % of charges | $139 | $139 | — | — | — | $139 – $139 |
| 7 | Medica com percent of total billed charges · inpatientfrom % of charges | $163 | $163 | — | — | — | $163 – $163 |
| 8 | UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges | $168 | $168 | — | — | — | $168 – $168 |
Last updated: Apr 1, 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.