Hepatitis A and B vaccine (Twinrix) cost in St. Joseph, MO — inpatient
In St. Joseph, MO-KS, 2 hospitals list a cash price for hepatitis A and B combination vaccine, adult (Twinrix) as an inpatient: from $167.45 to $167.45, with a median of $167.45. The lowest listed price is at Heartland Long Term Acute Hospital and 1 other hospital. Across Missouri, the median is $110.40 at 13 hospitals.
Cash prices at 2 facilities for code 90636, as an inpatient (admitted to hospital) . Collected Sep 27, 2026; the hospital files themselves were last updated between Sep 26, 2025 and Jun 23, 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 St. Joseph, MO-KS.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Heartland Long Term Acute Hospital lowest St. Joseph, MO · (816) 271-6000 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE | $167.45 | $197.00 | $78.80–$177.30 | 15% | Jun 23, 2026 source file |
| Heartland Regional Medical Center lowest St. Joseph, MO · (816) 271-6000 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE | $167.45 | $197.00 | $78.80–$177.30 | 15% | Sep 26, 2025 source file |
| Heartland Long Term Acute Hospital St. Joseph, MO · (816) 271-6000 HC HEPA/HEPB VACCINE ADULT IM | $182.75 | $215.00 | $86.00–$193.50 | 15% | Jun 23, 2026 source file |
| Heartland Regional Medical Center St. Joseph, MO · (816) 271-6000 HC HEPA/HEPB VACCINE ADULT IM | $182.75 | $215.00 | $86.00–$193.50 | 15% | Sep 26, 2025 source file |
Inpatient: lowest $167.45, median $167.45, highest $167.45.
As an outpatient, the same code is billed by 2 facilities here, median $167.45 — 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 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.