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
DIPHPERTUS(ACEL)TETPOLIO/PF 0.5 ML SYR
Pendleton, OR
See all hospitals reporting CPT 90696 →Price type
Commonspirit Oregon’s median price of $146 is 43% above the median hospital's median price ($103), higher than 69% of the 1,532 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 | Cigna commercial|all plans fee schedule · inpatient | $88 | $88 | — | — | — | $88 – $88 |
| 2 | Cigna commercial|all plans fee schedule · outpatient | $91 | $91 | — | — | — | $91 – $91 |
| 3 | Regence commercial|all plans fee schedule · inpatient | $130 | $130 | — | — | — | $130 – $130 |
| 4 | Regence commercial|all plans fee schedule · outpatient | $130 | $130 | — | — | — | $130 – $130 |
| 5 | Aetna commercial|all plans fee schedule · inpatient | $155 | $155 | — | — | — | $155 – $155 |
| 6 | Aetna commercial|all plans fee schedule · outpatient | $155 | $155 | — | — | — | $155 – $155 |
| 7 | UnitedHealthcare commercial|all plans fee schedule · inpatient | $155 | $155 | — | — | — | $155 – $155 |
| 8 | UnitedHealthcare commercial|all plans fee schedule · outpatient | $155 | $155 | — | — | — | $155 – $155 |
Last updated: Feb 28, 2026
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