Vaccines CPT 90636 Outpatient

Hepatitis A and B vaccine (Twinrix) cost in Deltona, FL

In Deltona-Daytona Beach-Ormond Beach, FL, 6 hospitals list a cash price for hepatitis A and B combination vaccine, adult (Twinrix): from $391.14 to $685.20, with a median of $542.43. The lowest listed price is at AdventHealth Fish Memorial — $151.29 less than the median here. Across Florida, the median is $348.97 at 46 hospitals.

Cash prices at 6 facilities across 5 cities 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 Apr 1, 2026 and Apr 1, 2026.

Lowest$391.14AdventHealth Fish Memorial
Median$542.43half pay less
Highest$685.20in this market
Difference1.8×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 Deltona-Daytona Beach-Ormond Beach, FL.

median
Lowest $391.14Highest $685.20

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
AdventHealth Fish Memorial lowest Orange City, FL · (386) 917-5000 TWINRIX 720-20 ELU-MCG/ML IM SUSY $391.14 $391.14 — — Apr 1, 2026
source file
AdventHealth Daytona Beach Daytona Beach, FL · (386) 231-6000 TWINRIX 720-20 ELU-MCG/ML IM SUSY $418.58 $418.58 — — Apr 1, 2026
source file
AdventHealth Deland Deland, FL · (386) 943-4522 TWINRIX 720-20 ELU-MCG/ML IM SUSY $504.40 $504.40 — — Apr 1, 2026
source file
AdventHealth Palm Coast Parkway Palm Coast, FL · (386) 302-1800 TWINRIX 720-20 ELU-MCG/ML IM SUSY $580.46 $580.46 — — Apr 1, 2026
source file
AdventHealth Palm Coast Palm Coast, FL · (386) 586-2000 TWINRIX 720-20 ELU-MCG/ML IM SUSY $580.46 $580.46 — — Apr 1, 2026
source file
AdventHealth New Smyrna Beach New Smyrna Beach, FL · (386) 424-5100 TWINRIX 720-20 ELU-MCG/ML IM SUSY $685.20 $685.20 — — Apr 1, 2026
source file

Outpatient: lowest $391.14, median $542.43, highest $685.20 — a 1.8× difference within the same market.

As an inpatient, the same code is billed by 6 facilities here, median $542.43. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

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.