Vaccines CPT 90636 Inpatient — admitted to hospital

Hepatitis A and B vaccine (Twinrix) cost in Richmond, VA — inpatient

In Richmond, VA, 2 hospitals list a cash price for hepatitis A and B combination vaccine, adult (Twinrix) as an inpatient: from $87.60 to $576.08, with a median of $331.84. The lowest listed price is at Bon Secours Memorial Regional Medical Center — $244.24 less than the median here. Across Virginia, the median is $86.69 at 6 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 — and —.

Lowest$87.60Bon Secours Memorial Regional Medical Center
Median$331.84half pay less
Highest$576.08in this market
Difference6.6×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 Richmond, VA.

median
Lowest $87.60Highest $576.08

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Bon Secours Memorial Regional Medical Center lowest Mechanicsville, VA · (804) 764-6000 HC Hepa/Hepb Vaccine Adult Im $87.60 $146.00 — 40% —
source file
Bon Secours St Francis Medical Center Midlothian, VA · (804) 594-7400 HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSY $576.08 $960.13 — 40% —
source file

Inpatient: lowest $87.60, median $331.84, highest $576.08 — a 6.6× difference within the same market.

As an outpatient, the same code is billed by 2 facilities here, median $331.84 — that is the price to compare if you are not being admitted.

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.