Vaccines CPT 90636 Outpatient

Hepatitis A and B vaccine (Twinrix) cost in Fargo, ND

In Fargo, ND-MN, 1 hospital lists a cash price for hepatitis A and B combination vaccine, adult (Twinrix): from $147.75 to $147.75, with a median of $147.75. Across North Dakota, the median is $160.86 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 Jan 1, 2026 and Jan 1, 2026.

Lowest$147.75Essentia Health Fargo
Median$147.75half pay less
Highest$147.75in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Essentia Health Fargo Fargo, ND HEPA/HEPB VACCINE ADULT IM $147.75 $197.00 $52.80–$167.45 25% Jan 1, 2026
source file

Outpatient: lowest $147.75, median $147.75, highest $147.75.

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.