Hepatitis A and B vaccine (Twinrix) cost in Nashville, TN — inpatient
In Nashville-Davidson--Murfreesboro--Franklin, TN, 2 hospitals list a cash price for hepatitis A and B combination vaccine, adult (Twinrix) as an inpatient: from $58.87 to $109.62, with a median of $84.25. The lowest listed price is at Vanderbilt Wilson County Hospital — $25.38 less than the median here. Across Tennessee, the median is $84.70 at 10 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 Oct 1, 2025 and Oct 1, 2025.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Nashville-Davidson--Murfreesboro--Franklin, TN.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Vanderbilt Wilson County Hospital lowest Lebanon, TN · (615) 444-2250 TWINRIX (PF) 720 ELISA UNIT-20 MCG/ML INTRAMUSCULAR SYRINGE | $58.87 | $203.00 | $60.90–$203.00 | 71% | Oct 1, 2025 source file |
| Vanderbilt Wilson County Hospital Lebanon, TN · (615) 444-2250 HEPA/HEPB VACCINE ADULT IM | $69.60 | $240.00 | $60.00–$240.00 | 71% | Oct 1, 2025 source file |
| Vanderbilt University Medical Center Nashville, TN · (615) 322-3454 TWINRIX (PF) 720 ELISA UNIT-20 MCG/ML INTRAMUSCULAR SYRINGE | $109.62 | $203.00 | $60.90–$203.00 | 46% | Oct 1, 2025 source file |
| Vanderbilt University Medical Center Nashville, TN · (615) 322-3454 HEPA/HEPB VACCINE ADULT IM | $129.60 | $240.00 | $60.00–$240.00 | 46% | Oct 1, 2025 source file |
Inpatient: lowest $58.87, median $84.25, highest $109.62 — a 1.9× difference within the same market.
As an outpatient, the same code is billed by 2 facilities here, median $84.25 — that is the price to compare if you are not being admitted.
Cash or insurance?
At 2 of 2 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 it is 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.