Hepatitis A and B vaccine (Twinrix) cost in Portland, OR
In Portland-Vancouver-Hillsboro, OR-WA, 5 hospitals list a cash price for hepatitis A and B combination vaccine, adult (Twinrix): from $142.06 to $544.43, with a median of $368.49. The lowest listed price is at Kaiser Sunnyside Medical Center and 1 other hospital — $226.43 less than the median here. Across Oregon, the median is $152.00 at 14 hospitals.
Cash prices at 5 facilities across 3 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 23, 2026 and Apr 1, 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 Portland-Vancouver-Hillsboro, OR-WA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Kaiser Sunnyside Medical Center lowest Clackamas, OR · (503) 652-2880 hepatitis A-hepatitis B vaccine (PF) 720 ELISA unit- 20 mcg/mL Syringe 1 mL SYRINGE | $142.06 | $167.12 | — | 15% | — source file |
| Kaiser Foundation Hospital - Westside lowest Hillsboro, OR · (971) 310-0100 hepatitis A-hepatitis B vaccine (PF) 720 ELISA unit- 20 mcg/mL Syringe 1 mL SYRINGE | $142.06 | $167.12 | — | 15% | — source file |
| Oregon Health & Science University Portland, OR · (503) 494-9000 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE | $368.49 | $566.91 | $108.85–$566.91 | 35% | Mar 23, 2026 source file |
| Tuality Healthcare Hillsboro, OR · (503) 681-1111 HB Hep a / Hep B Adult | $368.50 | $566.92 | $256.94–$566.92 | 35% | — source file |
| Oregon Health & Science University Portland, OR · (503) 494-9000 HB Hep a / Hep B Adult | $368.50 | $566.92 | $108.85–$566.92 | 35% | Mar 23, 2026 source file |
| Providence Portland Medical Center Portland, OR · (503) 215-1111 HEP A-HEP B VACCINE SUSP PREF SYR 720-20 ELU-MCG/ML | $544.43 | $725.91 | — | 25% | Apr 1, 2026 source file |
Outpatient: lowest $142.06, median $368.49, highest $544.43 — a 3.8× difference within the same market.
As an inpatient, the same code is billed by 3 facilities here, median $142.06. 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 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 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.
8 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.
| Legacy Salmon Creek Medical Center Vancouver, WAPR HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $14.27 | file |
| Legacy Good Samaritan Medical Center Portland, ORPR HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $14.27 | file |
| Legacy Good Samaritan Medical Center Portland, ORPR HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $14.27 | file |
| Legacy Emanuel Medical Center Portland, ORPR HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $14.27 | file |
| Legacy Emanuel Medical Center Portland, ORPR HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $14.27 | file |
| Legacy Emanuel Medical Center Portland, ORPR HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $14.27 | file |
| Legacy Mount Hood Medical Center Gresham, ORPR HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $14.27 | file |
| Legacy Meridian Park Medical Center Tualatin, ORPR HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $14.27 | file |