Hepatitis A and B vaccine (Twinrix) cost in Rapid City, SD
In Rapid City, SD, 3 hospitals list a cash price for hepatitis A and B combination vaccine, adult (Twinrix): from $146.40 to $195.87, with a median of $146.40. The lowest listed price is at Monument Health Custer Hospital and 1 other hospital. Across South Dakota, the median is $146.40 at 9 hospitals.
Cash prices at 3 facilities across 3 cities for code 90636, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Sep 1, 2026 and Sep 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 Rapid City, SD.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Monument Health Custer Hospital lowest Custer, SD · (605) 673-9400 Hepatitis A and hepatitis B vaccine | $146.40 | $183.00 | $45.75–$183.00 | 20% | Sep 1, 2026 source file |
| Monument Health Sturgis Hospital lowest Sturgis, SD · (605) 720-2400 Hepatitis A and hepatitis B vaccine | $146.40 | $183.00 | $43.92–$183.00 | 20% | Sep 1, 2026 source file |
| Monument Health Rapid City Hospital Rapid City, SD · (605) 755-1000 Hepatitis A and hepatitis B vaccine | $195.87 | $244.84 | $60.23–$261.72 | 20% | Sep 1, 2026 source file |
Outpatient: lowest $146.40, median $146.40, highest $195.87 — a 1.3× difference within the same market.
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.