Hepatitis A and B vaccine (Twinrix) cost in Cleveland, OH — inpatient
In Cleveland, OH, 23 hospitals list a cash price for hepatitis A and B combination vaccine, adult (Twinrix) as an inpatient: from $53.20 to $712.50, with a median of $327.75. The lowest listed price is at Metrohealth System — $274.55 less than the median here. Across Ohio, the median is $306.80 at 38 hospitals.
Cash prices at 23 facilities across 18 cities for code 90636, as an inpatient (admitted to hospital) . Collected Sep 24, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Jul 14, 2026.
Lowest$53.20Metrohealth System
Median$327.75half pay less
Highest$712.50in this market
Difference13.4×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 Cleveland, OH.
median
Lowest $53.20Highest $712.50
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Metrohealth System lowest Cleveland, OH · (216) 778-7089 Hep A/Hep B Vaccine Adult Im | $53.20 | $152.00 | — | 65% | Apr 1, 2026 source file |
| Metrohealth System Cleveland, OH · (216) 778-7089 Twinrix: 10 Syringe In 1 Carton (50090-1645-0) / 1 Ml In 1 Syringe (50090-1645-9) | $103.60 | $296.00 | — | 65% | Apr 1, 2026 source file |
| Southwest General Health Center Middleburg Heights, OH · (440) 816-8000 HEPATITIS A & HEPATITIS B VACCINE (HEPA- | $112.50 | $150.00 | $720.00 | 25% | Jul 1, 2026 source file |
| Metrohealth System Cleveland, OH · (216) 778-7089 NDC Description Not Available | $117.16 | $334.75 | — | 65% | Apr 1, 2026 source file |
| Metrohealth System Cleveland, OH · (216) 778-7089 Twinrix: 10 Syringe In 1 Carton (58160-815-52) / 1 Ml In 1 Syringe (58160-815-43) | $117.22 | $334.90 | — | 65% | Apr 1, 2026 source file |
| Metrohealth System Cleveland, OH · (216) 778-7089 HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSY [151158] | $226.85 | $349.00 | — | 35% | Apr 1, 2026 source file |
| Fairview Hospital Cleveland, OH · (216) 476-7000 IM ADULT HEPA-HEPB | $306.80 | $472.00 | $73.35–$472.00 | 35% | Jun 15, 2026 source file |
| Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 IM ADULT HEPA-HEPB | $306.80 | $472.00 | $73.35–$472.00 | 35% | Jun 15, 2026 source file |
| Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 IM ADULT HEPA-HEPB | $306.80 | $472.00 | $73.35–$472.00 | 35% | Jun 15, 2026 source file |
| Medina Hospital Medina, OH · (330) 725-1000 IM ADULT HEPA-HEPB | $306.80 | $472.00 | $68.39–$472.00 | 35% | Jun 15, 2026 source file |
| Medina Hospital Medina, OH · (330) 725-1000 IM ADULT HEPA-HEPB | $306.80 | $472.00 | $68.39–$472.00 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Health System - East Region Euclid, OH IM ADULT HEPA-HEPB | $306.80 | $472.00 | $80.43–$472.00 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Health System - East Region Euclid, OH IM ADULT HEPA-HEPB | $306.80 | $472.00 | $80.43–$472.00 | 35% | Jun 15, 2026 source file |
| The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 IM ADULT HEPA-HEPB | $306.80 | $472.00 | $102.90–$472.00 | 35% | Jun 16, 2026 source file |
| The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 IM ADULT HEPA-HEPB | $306.80 | $472.00 | $102.90–$472.00 | 35% | Jun 16, 2026 source file |
| Fairview Hospital Cleveland, OH · (216) 476-7000 IM ADULT HEPA-HEPB | $306.80 | $472.00 | $73.35–$472.00 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 IM ADULT HEPA-HEPB | $306.80 | $472.00 | $80.43–$472.00 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 IM ADULT HEPA-HEPB | $306.80 | $472.00 | $80.43–$472.00 | 35% | Jun 15, 2026 source file |
| Lutheran Hospital Cleveland, OH · (216) 696-4300 IM ADULT HEPA-HEPB | $306.80 | $472.00 | $80.43–$472.00 | 35% | Jun 15, 2026 source file |
| Lutheran Hospital Cleveland, OH · (216) 696-4300 IM ADULT HEPA-HEPB | $306.80 | $472.00 | $80.43–$472.00 | 35% | Jun 15, 2026 source file |
| Marymount Hospital Garfield Heights, OH · (216) 587-8210 IM ADULT HEPA-HEPB | $306.80 | $472.00 | $80.43–$472.00 | 35% | Jun 15, 2026 source file |
| Marymount Hospital Garfield Heights, OH · (216) 587-8210 IM ADULT HEPA-HEPB | $306.80 | $472.00 | $80.43–$472.00 | 35% | Jun 15, 2026 source file |
| South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 IM ADULT HEPA-HEPB | $306.80 | $472.00 | $80.43–$472.00 | 35% | Jun 15, 2026 source file |
| South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 IM ADULT HEPA-HEPB | $306.80 | $472.00 | $80.43–$472.00 | 35% | Jun 15, 2026 source file |
| UH Regional Hospitals Chardon, OH · (440) 285-6246 HC HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $327.75 | $437.00 | $169.12–$900.00 | 25% | Jul 14, 2026 source file |
| University Hospitals - Elyria Medical Center Elyria, OH · (440) 329-7500 HC HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $327.75 | $437.00 | $201.02–$900.00 | 25% | Jul 14, 2026 source file |
| Parma Community General Hospital Parma, OH · (440) 743-3000 HC HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $327.75 | $437.00 | $201.02–$900.00 | 25% | Jul 14, 2026 source file |
| UH St John Medical Center Westlake, OH · (440) 835-8000 HC HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $327.75 | $437.00 | $187.04–$393.30 | 25% | Jul 14, 2026 source file |
| Lake Health Beachwood Medical Center Beachwood, OH · (216) 545-4800 HC HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $327.75 | $437.00 | $158.19–$900.00 | 25% | Jul 14, 2026 source file |
| UH Cleveland Medical Center Cleveland, OH · (216) 844-1000 HC HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $327.75 | $437.00 | $218.50–$393.30 | 25% | Jul 14, 2026 source file |
| Lake Health Beachwood Medical Center Beachwood, OH · (216) 545-4800 HC HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $327.75 | $437.00 | $201.02–$900.00 | 25% | Jul 14, 2026 source file |
| UH Cleveland Medical Center Cleveland, OH · (216) 844-1000 HC HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $327.75 | $437.00 | $169.12–$393.30 | 25% | Jul 14, 2026 source file |
| University Hospitals Health System Willoughby, OH HC HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $327.75 | $437.00 | $201.02–$900.00 | 25% | Jul 14, 2026 source file |
| Fairview Hospital Cleveland, OH · (216) 476-7000 TWINRIX (PF) 720 ELISA UNIT-20 MCG/ML INTRAMUSCULAR SYRINGE | $327.83 | $504.36 | $78.38–$504.36 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Health System - East Region Euclid, OH TWINRIX (PF) 720 ELISA UNIT-20 MCG/ML INTRAMUSCULAR SYRINGE | $327.83 | $504.36 | $85.94–$504.36 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Health System - East Region Euclid, OH TWINRIX (PF) 720 ELISA UNIT-20 MCG/ML INTRAMUSCULAR SYRINGE | $327.83 | $504.36 | $85.94–$504.36 | 35% | Jun 15, 2026 source file |
| Lodi Community Hospital Lodi, OH · (330) 948-1222 TWINRIX (PF) 720 ELISA UNIT-20 MCG/ML INTRAMUSCULAR SYRINGE | $327.83 | $504.36 | $142.63–$504.36 | 35% | Jun 15, 2026 source file |
| Lodi Community Hospital Lodi, OH · (330) 948-1222 TWINRIX (PF) 720 ELISA UNIT-20 MCG/ML INTRAMUSCULAR SYRINGE | $327.83 | $504.36 | $142.63–$504.36 | 35% | Jun 15, 2026 source file |
| South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 TWINRIX (PF) 720 ELISA UNIT-20 MCG/ML INTRAMUSCULAR SYRINGE | $327.83 | $504.36 | $85.94–$504.36 | 35% | Jun 15, 2026 source file |
| Lutheran Hospital Cleveland, OH · (216) 696-4300 TWINRIX (PF) 720 ELISA UNIT-20 MCG/ML INTRAMUSCULAR SYRINGE | $327.83 | $504.36 | $85.94–$504.36 | 35% | Jun 15, 2026 source file |
| Lutheran Hospital Cleveland, OH · (216) 696-4300 TWINRIX (PF) 720 ELISA UNIT-20 MCG/ML INTRAMUSCULAR SYRINGE | $327.83 | $504.36 | $85.94–$504.36 | 35% | Jun 15, 2026 source file |
| Marymount Hospital Garfield Heights, OH · (216) 587-8210 TWINRIX (PF) 720 ELISA UNIT-20 MCG/ML INTRAMUSCULAR SYRINGE | $327.83 | $504.36 | $85.94–$504.36 | 35% | Jun 15, 2026 source file |
| Marymount Hospital Garfield Heights, OH · (216) 587-8210 TWINRIX (PF) 720 ELISA UNIT-20 MCG/ML INTRAMUSCULAR SYRINGE | $327.83 | $504.36 | $85.94–$504.36 | 35% | Jun 15, 2026 source file |
| South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 TWINRIX (PF) 720 ELISA UNIT-20 MCG/ML INTRAMUSCULAR SYRINGE | $327.83 | $504.36 | $85.94–$504.36 | 35% | Jun 15, 2026 source file |
| Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 TWINRIX (PF) 720 ELISA UNIT-20 MCG/ML INTRAMUSCULAR SYRINGE | $327.83 | $504.36 | $78.38–$504.36 | 35% | Jun 15, 2026 source file |
| Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 TWINRIX (PF) 720 ELISA UNIT-20 MCG/ML INTRAMUSCULAR SYRINGE | $327.83 | $504.36 | $78.38–$504.36 | 35% | Jun 15, 2026 source file |
| Fairview Hospital Cleveland, OH · (216) 476-7000 TWINRIX (PF) 720 ELISA UNIT-20 MCG/ML INTRAMUSCULAR SYRINGE | $327.83 | $504.36 | $78.38–$504.36 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Children's Hospital for Rehabilitation Cleveland, OH · (216) 448-6400 TWINRIX (PF) 720 ELISA UNIT-20 MCG/ML INTRAMUSCULAR SYRINGE | $327.83 | $504.36 | $142.63–$504.36 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Children's Hospital for Rehabilitation Cleveland, OH · (216) 448-6400 TWINRIX (PF) 720 ELISA UNIT-20 MCG/ML INTRAMUSCULAR SYRINGE | $327.83 | $504.36 | $142.63–$504.36 | 35% | Jun 15, 2026 source file |
| Medina Hospital Medina, OH · (330) 725-1000 TWINRIX (PF) 720 ELISA UNIT-20 MCG/ML INTRAMUSCULAR SYRINGE | $327.83 | $504.36 | $73.08–$504.36 | 35% | Jun 15, 2026 source file |
| Medina Hospital Medina, OH · (330) 725-1000 TWINRIX (PF) 720 ELISA UNIT-20 MCG/ML INTRAMUSCULAR SYRINGE | $327.83 | $504.36 | $73.08–$504.36 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 TWINRIX (PF) 720 ELISA UNIT-20 MCG/ML INTRAMUSCULAR SYRINGE | $327.83 | $504.36 | $85.94–$504.36 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 TWINRIX (PF) 720 ELISA UNIT-20 MCG/ML INTRAMUSCULAR SYRINGE | $327.83 | $504.36 | $85.94–$504.36 | 35% | Jun 15, 2026 source file |
| UH Cleveland Medical Center Cleveland, OH · (216) 844-1000 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE [166255] | $354.74 | $472.98 | $236.49–$425.68 | 25% | Jul 14, 2026 source file |
| Uhhs Memorial Hospital of Geneva Geneva, OH · (440) 415-0151 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE [166255] | $354.74 | $472.98 | $217.57–$900.00 | 25% | Jul 14, 2026 source file |
| Lake Health Beachwood Medical Center Beachwood, OH · (216) 545-4800 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE [166255] | $354.74 | $472.98 | $171.22–$900.00 | 25% | Jul 14, 2026 source file |
| Parma Community General Hospital Parma, OH · (440) 743-3000 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE [166255] | $354.74 | $472.98 | $217.57–$900.00 | 25% | Jul 14, 2026 source file |
| Lake Health Beachwood Medical Center Beachwood, OH · (216) 545-4800 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE [166255] | $354.74 | $472.98 | $217.57–$900.00 | 25% | Jul 14, 2026 source file |
| University Hospitals - Elyria Medical Center Elyria, OH · (440) 329-7500 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE [166255] | $354.74 | $472.98 | $217.57–$900.00 | 25% | Jul 14, 2026 source file |
| University Hospitals Conneaut Medical Center Conneaut, OH · (440) 593-1131 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE [166255] | $354.74 | $472.98 | $217.57–$900.00 | 25% | Jul 14, 2026 source file |
| UH Cleveland Medical Center Cleveland, OH · (216) 844-1000 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE [166255] | $354.74 | $472.98 | $183.04–$425.68 | 25% | Jul 14, 2026 source file |
| University Hospitals Health System Willoughby, OH HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE [166255] | $354.74 | $472.98 | $217.57–$900.00 | 25% | Jul 14, 2026 source file |
| UH Regional Hospitals Chardon, OH · (440) 285-6246 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE [166255] | $354.74 | $472.98 | $183.04–$900.00 | 25% | Jul 14, 2026 source file |
| UH St John Medical Center Westlake, OH · (440) 835-8000 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE [166255] | $354.74 | $472.98 | $202.44–$425.68 | 25% | Jul 14, 2026 source file |
| Summa Health System Akron, OH · (330) 375-3000 ISOSULFAN BLUE 1 % SC SOLN [10358] | $712.50 | $712.50 | — | — | Apr 1, 2026 source file |
Inpatient: lowest $53.20, median $327.75, highest $712.50 — a 13.4× difference within the same market.
As an outpatient, the same code is billed by 22 facilities here, median $327.75 — that is the price to compare if you are not being admitted.
Cash or insurance?
At 21 of 21 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 it is below every plan's rate. 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.