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
Boulder, CO
See all hospitals reporting CPT 90697 →Price type
Boulder Community Health’s median price of $200 is 3% below the median hospital's median price ($207), higher than 48% 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: 5 payers, 9 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 | Humana medicare advantage professional · fee schedule · both | $128 | $128 | — | — | — | $128 – $128 |
| 2 | UnitedHealthcare commercial professional · fee schedule · both | $157 | $157 | — | — | — | $157 – $157 |
| 3 | Aetna medicare advantage professional · fee schedule · both | $165 | $165 | — | — | — | $165 – $165 |
| 4 | UnitedHealthcare medicare advantage professional · fee schedule · both | $172 | $172 | — | — | — | $172 – $172 |
| 5 | Cigna commercial facility · fee schedule · outpatient | $175 | $175 | — | — | — | $175 – $175 |
| 6 | Cigna commercial professional · fee schedule · both | $187 | $187 | — | — | — | $187 – $187 |
| 7 | Anthem commercial professional · fee schedule · both | $200 | $200 | — | — | — | $200 – $200 |
| 8 | Anthem managed care professional · fee schedule · both | $200 | $200 | — | — | — | $200 – $200 |
| 9 | Aetna commercial professional · fee schedule · both | $237 | $237 | $72 | 31% | — | $165 – $309 |
Last updated: Sep 16, 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.