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
DIPH,PERTUS(ACELL),TET,POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE
Fort Morgan, CO
See all hospitals reporting CPT 90696 →Price type
Catholic Health Initiatives Colorado’s median price of $291 is 183% above the median hospital's median price ($103), higher than 92% of the 1,487 hospitals reporting CPT 90696. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Last updated: Feb 5, 2026
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