Hepatitis A and B vaccine (Twinrix) cost in San Antonio, TX
In San Antonio-New Braunfels, TX, 1 hospital lists a cash price for hepatitis A and B combination vaccine, adult (Twinrix): from $20.35 to $20.35, with a median of $20.35. Across Texas, the median is $640.71 at 19 hospitals.
Cash prices at 1 facility 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 Jul 29, 2026 and Jul 29, 2026.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Medina Regional Hospital Hondo, TX · (830) 426-7700 HEPATITIS A/B VACCINE | $20.35 | $22.61 | $5.43–$409.33 | 10% | Jul 29, 2026 source file |
Outpatient: lowest $20.35, median $20.35, highest $20.35.
As an inpatient, the same code is billed by 1 facility here, median $20.35. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.
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. 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.
| University Health System San Antonio, TXHC PBB HEPA/HEPB VACCINE ADULT IM | $16.50 | file |