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
90696,VFC DTAP-IPV VACC 4-6 YR IM
Peru, IN
See all hospitals reporting CPT 90696 →Price type
Dukes Health System LLC’s median price of $96 is 6% below the median hospital's median price ($102), higher than 49% 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: 10 payers, 26 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 | Tricare node tricare facility · fee schedule · outpatient | $89 | $63 | $38 | 61% | — | $14 – $97 |
| 2 | Anthem node anthem in mcr select facility · fee schedule · outpatient | $95 | $66 | $40 | 61% | — | $15 – $103 |
| 3 | Humana node humana mcr adv facility · fee schedule · outpatient | $95 | $66 | $40 | 61% | — | $15 – $103 |
| 4 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $95 | $66 | $40 | 61% | — | $15 – $103 |
| 5 | Anthem anthem in hip facility · fee schedule · outpatient | $96 | $68 | $41 | 61% | — | $15 – $105 |
| 6 | Anthem node anthem in mcr adv facility · fee schedule · outpatient | $96 | $68 | $41 | 61% | — | $15 – $105 |
| 7 | Optum node united optum va ccn facility · per diem · outpatient | $96 | $68 | $41 | 61% | — | $15 – $105 |
| 8 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $96 | $68 | $41 | 61% | — | $15 – $105 |
| 9 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $96 | $68 | $41 | 61% | — | $15 – $105 |
| 10 | Anthem node anthem essentials marketplace facility · fee schedule · outpatient | $144 | $101 | $62 | 61% | — | $23 – $158 |
| 11 | Anthem anthem in work comp facility · other · outpatient | $154 | $108 | $66 | 61% | — | $25 – $168 |
| 12 | Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges | $173 | $122 | $74 | 61% | — | $28 – $189 |
| 13 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $173 | $122 | $74 | 61% | — | $28 – $189 |
| 14 | Aetna aetna pssd jj facility · percent of total billed charges · inpatientfrom % of charges | $173 | $122 | $74 | 61% | — | $28 – $189 |
| 15 | Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges | $173 | $122 | $74 | 61% | — | $28 – $189 |
| 16 | Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges | $204 | $143 | $87 | 61% | — | $33 – $223 |
| 17 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $229 | $161 | $98 | 61% | — | $37 – $250 |
| 18 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $236 | $166 | $101 | 61% | — | $38 – $258 |
| 19 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $93 | $189 | $185 | 98% | — | $0 – $420 |
| 20 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $93 | $189 | $185 | 98% | — | $0 – $420 |
| 21 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $94 | $192 | $187 | 98% | — | $0 – $425 |
| 22 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $94 | $192 | $187 | 98% | — | $0 – $425 |
| 23 | MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges | $94 | $192 | $187 | 98% | — | $0 – $425 |
| 24 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $94 | $192 | $187 | 98% | — | $0 – $425 |
| 25 | Cigna cigna indemnity facility · percent of total billed charges · outpatientfrom % of charges | $116 | $236 | $231 | 98% | — | $0 – $525 |
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.