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
DP(A)T-POLIO-HIB CONJ-TET (PF) IM KIT WRAPPER
Lititz, PA
See all hospitals reporting CPT 90698 →Price type
UPMC Lititz’s median price of $48 is 71% below the median hospital's median price ($165), higher than 8% of the 1,525 hospitals reporting CPT 90698. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 15 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 | UnitedHealthcare pa medicaid facility · fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 2 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 3 | Highmark medicaid facility · fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 4 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $21 | $21 | $1 | 4% | — | $20 – $22 |
| 5 | Aetna aco facility · percent of total billed charges · inpatientfrom % of charges | $40 | $40 | $2 | 4% | — | $38 – $41 |
| 6 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $42 | $42 | $2 | 4% | — | $40 – $43 |
| 7 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $47 | $47 | $2 | 4% | — | $45 – $49 |
| 8 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $50 | $50 | $2 | 4% | — | $48 – $51 |
| 9 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $50 | $50 | $2 | 4% | — | $48 – $52 |
| 10 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $50 | $50 | $2 | 4% | — | $48 – $52 |
| 11 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $65 | $65 | $2 | 4% | — | $63 – $68 |
| 12 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $90 | $90 | $3 | 4% | — | $87 – $94 |
| 13 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $90 | $90 | $3 | 4% | — | $87 – $94 |
| 14 | Aetna medicare facility · fee schedule · outpatient | $128 | $128 | — | — | — | $128 – $128 |
| 15 | Cigna commercial facility · fee schedule · outpatient | $181 | $181 | — | — | — | $181 – $181 |
Last updated: Mar 6, 2026
See Combined DTaP, polio and Hib childhood vaccine injection pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.