Vaccines CPT 90636 Outpatient

Hepatitis A and B vaccine (Twinrix) cost in Salem, OR

In Salem, OR, 1 hospital lists a cash price for hepatitis A and B combination vaccine, adult (Twinrix): from $357.32 to $357.32, with a median of $357.32. Across Oregon, the median is $152.00 at 14 hospitals.

Cash prices at 1 facility for code 90636, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 22, 2026; the hospital files themselves were last updated between Aug 6, 2026 and Aug 6, 2026.

Lowest$357.32Santiam Memorial Hospital
Median$357.32half pay less
Highest$357.32in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Santiam Memorial Hospital Stayton, OR · (503) 769-2175 Hepatitis A and hepatitis B vaccine $357.32 $357.32 $114.34–$339.45 — Aug 6, 2026
source file

Outpatient: lowest $357.32, median $357.32, highest $357.32.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is not below the highest rate a health plan has negotiated. 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.

1 row held back from this comparison

It is 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 Silverton Medical Center Silverton, ORPR HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM $14.27 file