Vaccines CPT 90636 Inpatient — admitted to hospital

Hepatitis A and B vaccine (Twinrix) cost in Duluth, MN — inpatient

In Duluth, MN-WI, 2 hospitals list a cash price for hepatitis A and B combination vaccine, adult (Twinrix) as an inpatient: from $111.78 to $160.48, with a median of $136.13. The lowest listed price is at Range Regional Health Services — $24.35 less than the median here. Across Minnesota, the median is $145.58 at 39 hospitals.

Cash prices at 2 facilities across 2 cities for code 90636, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Jan 29, 2026 and Apr 1, 2026.

Lowest$111.78Range Regional Health Services
Median$136.13half pay less
Highest$160.48in this market
Difference1.4×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 Duluth, MN-WI.

median
Lowest $111.78Highest $160.48

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Range Regional Health Services lowest Hibbing, MN · (218) 362-6730 HC RX IP 250 OP 636 $111.78 $263.00 $119.67–$261.71 57% Jan 29, 2026
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Range Regional Health Services lowest Hibbing, MN · (218) 362-6730 HC HEPA/HEPB VACCINE ADULT IM $111.78 $263.00 $119.67–$261.71 57% Jan 29, 2026
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Range Regional Health Services Hibbing, MN · (218) 362-6730 HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSY $115.46 $271.67 $123.61–$270.34 57% Jan 29, 2026
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Aspirus St. Luke’s Hospital Duluth, MN · (218) 249-2449 HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM $160.48 $295.00 — 46% Apr 1, 2026
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Aspirus St. Luke’s Hospital Duluth, MN · (218) 249-2449 Fac Hep a/Hep B Vacc, Adult Im $160.48 $295.00 — 46% Apr 1, 2026
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Inpatient: lowest $111.78, median $136.13, highest $160.48 — a 1.4× difference within the same market.

As an outpatient, the same code is billed by 9 facilities here, median $130.02 — that is the price to compare if you are not being admitted.

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 and 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.