Vaccines CPT 90636 Outpatient

Hepatitis A and B vaccine (Twinrix) cost in Cape Girardeau, MO

In Cape Girardeau, MO-IL, 1 hospital lists a cash price for hepatitis A and B combination vaccine, adult (Twinrix): from $99.00 to $99.00, with a median of $99.00. Across Missouri, the median is $105.90 at 2 hospitals.

Cash prices at 1 facility for code 90636, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Jun 12, 2026 and Jun 12, 2026.

Lowest$99.00Mercy Hospital Southeast
Median$99.00half pay less
Highest$99.00in this market
Difference1.0×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Cape Girardeau, MO-IL.

median
Lowest $99.00Highest $99.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Mercy Hospital Southeast lowest Cape Girardeau, MO Hepatitis a & B Vaccine Hepa-Hepb Adult Im $99.00 $132.00 $52.80–$118.80 25% Jun 12, 2026
source file
Mercy Hospital Southeast lowest Cape Girardeau, MO Hepatitis a & B Vaccine Hepa-Hepb Adult Im $99.00 $132.00 $52.80–$118.80 25% Jun 12, 2026
source file

Outpatient: lowest $99.00, median $99.00, highest $99.00.

As an inpatient, the same code is billed by 1 facility here, median $99.00. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

Twinrix combines the hepatitis A and hepatitis B vaccines in one shot for adults. The usual schedule is three doses at 0, 1 and 6 months, with a faster schedule for travelers.

What the price covers

The price is for one dose. , and the series takes three doses.