Vaccines CPT 90636 Inpatient — admitted to hospital

Hepatitis A and B vaccine (Twinrix) cost in Raleigh, NC — inpatient

In Raleigh-Cary, NC, 1 hospital lists a cash price for hepatitis A and B combination vaccine, adult (Twinrix) as an inpatient: from $174.17 to $174.17, with a median of $174.17. Across North Carolina, the median is $87.35 at 18 hospitals.

Cash prices at 1 facility for code 90636, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.

Lowest$174.17Duke University Hospital
Median$174.17half pay less
Highest$174.17in 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 Raleigh-Cary, NC.

median
Lowest $174.17Highest $174.17

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Duke University Hospital lowest Raleigh, NC Hep a&B Adult Vacc Im Inj $174.17 $645.07 $356.72 73% —
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Duke University Hospital lowest Raleigh, NC Hep a&B Adult Vacc Im Inj $174.17 $645.07 $162.04–$645.07 73% —
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Duke University Hospital lowest Raleigh, NC HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE $174.17 $645.07 $148.37–$645.07 73% —
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Duke University Hospital lowest Raleigh, NC HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE $174.17 $645.07 $356.72 73% —
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Inpatient: lowest $174.17, median $174.17, highest $174.17.

As an outpatient, the same code is billed by 1 facility here, median $174.17 — that is the price to compare if you are not being admitted.

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 and 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.