Hepatitis A and B vaccine (Twinrix) cost in Houston, TX
In Houston-Pasadena-The Woodlands, TX, 3 hospitals list a cash price for hepatitis A and B combination vaccine, adult (Twinrix): from $82.70 to $275.85, with a median of $82.70. The lowest listed price is at Harris Health and 1 other hospital. Across Texas, the median is $275.85 at 13 hospitals.
Cash prices at 3 facilities across 2 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 Mar 5, 2026 and Mar 5, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Houston-Pasadena-The Woodlands, TX.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Harris Health lowest Houston, TX HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE | $82.70 | $174.85 | $44.06–$154.94 | 53% | — source file |
| Harris Health lowest Taub Loop Houston, TX · (713) 873-2000 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE | $82.70 | $174.85 | $44.06–$154.94 | 53% | — source file |
| Harris Health Houston, TX CHG ADULT HEPA A&B COMB (TWINRIX) IN CLINIC | $84.67 | $179.00 | $45.11–$154.94 | 53% | — source file |
| Harris Health Taub Loop Houston, TX · (713) 873-2000 CHG ADULT HEPA A&B COMB (TWINRIX) IN CLINIC | $84.67 | $179.00 | $45.11–$154.94 | 53% | — source file |
| Texas Children's Hospital Houston, TX · (832) 824-1000 hepatitis A-hepatitis B 720-20 ELU-MCG/ML Susp 1 mL Syringe | $275.85 | $411.71 | $111.16–$391.12 | 33% | Mar 5, 2026 source file |
| Texas Children's Hospital Houston, TX · (832) 824-1000 hepatitis A-hepatitis B 720-20 ELU-MCG/ML Susp 1 mL Syringe | $275.85 | $411.71 | $111.16–$391.12 | 33% | Mar 5, 2026 source file |
| Texas Children's Hospital Houston, TX · (832) 824-1000 hepatitis A-hepatitis B 720-20 ELU-MCG/ML Susp 1 mL Syringe | $275.85 | $411.71 | $111.16–$391.12 | 33% | Mar 5, 2026 source file |
Outpatient: lowest $82.70, median $82.70, highest $275.85 — a 3.3× difference within the same market.
As an inpatient, the same code is billed by 3 facilities here, median $82.70. 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 3 of 3 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it 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.