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
58160-0812-52 - diphtheria/pertussis,acel/tetanus/
Durant, OK
See all hospitals reporting CPT 90696 →Price type
Durant HMA LLC’s median price of $1.0k is 889% above the median hospital's median price ($103), higher than 99% 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: 8 payers, 19 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna aetna betterhealth medicaid ok facility · fee schedule · outpatient | $68 | $68 | — | — | — | $68 – $68 |
| 2 | Humana humana healthy horizons medicaid ok facility · fee schedule · outpatient | $68 | $68 | — | — | — | $68 – $68 |
| 3 | Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges | $390 | $390 | — | — | — | $390 – $390 |
| 4 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $422 | $422 | — | — | — | $422 – $422 |
| 5 | Cigna cigna all facility · percent of total billed charges · inpatientfrom % of charges | $442 | $442 | — | — | — | $442 – $442 |
| 6 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $454 | $454 | — | — | — | $454 – $454 |
| 7 | Healthcare Highways healthcare highways facility · percent of total billed charges · inpatientfrom % of charges | $483 | $483 | — | — | — | $483 – $483 |
| 8 | Healthcare Highways healthcare highways facility · percent of total billed charges · outpatientfrom % of charges | $483 | $483 | — | — | — | $483 – $483 |
| 9 | Phcs phcs savility facility · percent of total billed charges · inpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 10 | Phcs phcs savility facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 11 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 12 | First Health coventry facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 13 | First Health first health ccn facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 14 | First Health first health ccn facility · percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 15 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 16 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 17 | MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 18 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 19 | Aetna aetna facility · percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
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.