Vaccines CPT 90636 Outpatient

Hepatitis A and B vaccine (Twinrix) cost in Kansas City, MO

In Kansas City, MO-KS, 2 hospitals list a cash price for hepatitis A and B combination vaccine, adult (Twinrix): from $1,976.51 to $1,976.51, with a median of $1,976.51. The lowest listed price is at AdventHealth Shawnee Mission and 1 other hospital. Across Missouri, the median is $105.90 at 2 hospitals.

Cash prices at 2 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 Apr 1, 2026 and Apr 1, 2026.

Lowest$1,976.51AdventHealth Shawnee Mission + 1 more
Median$1,976.51half pay less
Highest$1,976.51in this market
Difference1.0×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 Kansas City, MO-KS.

median
Lowest $1,976.51Highest $1,976.51

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
AdventHealth Shawnee Mission lowest Shawnee Mission, KS · (913) 676-2152 TWINRIX 720-20 ELU-MCG/ML IM SUSY $1,976.51 $1,976.51 — — Apr 1, 2026
source file
AdventHealth South Overland Park lowest Overland Park, KS · (913) 373-2000 TWINRIX 720-20 ELU-MCG/ML IM SUSY $1,976.51 $1,976.51 — — Apr 1, 2026
source file

Outpatient: lowest $1,976.51, median $1,976.51, highest $1,976.51.

As an inpatient, the same code is billed by 2 facilities here, median $1,976.51. 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.

2 rows held back from this comparison

They are priced below $1 or below a tenth of the national median for code 90636 ($191.75). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

Children's Mercy Hospital Kansas Overland Park, KSHep B/Hep A 1 mL $13.15 file
Children's Mercy Hospital Kansas City, MOHep B/Hep A 1 mL $13.15 file