Hepatitis A and B vaccine (Twinrix) cost in San Francisco, CA
In San Francisco-Oakland-Fremont, CA, 11 hospitals list a cash price for hepatitis A and B combination vaccine, adult (Twinrix): from $148.96 to $804.71, with a median of $148.96. The lowest listed price is at Kaiser Foundation Hospital - Fremont and 8 other hospitals. Across California, the median is $154.79 at 51 hospitals.
Cash prices at 11 facilities across 10 cities for code 90636, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Jul 22, 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 San Francisco-Oakland-Fremont, CA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Kaiser Foundation Hospital - Fremont lowest Fremont, CA · (510) 784-4000 HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $148.96 | $266.00 | — | 44% | — source file |
| Kaiser Foundation Hospital - San Leandro lowest San Leandro, CA · (510) 454-1000 HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $148.96 | $266.00 | — | 44% | — source file |
| Kaiser Foundation Hospital - San Francisco lowest San Francisco, CA · (415) 833-2646 HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $148.96 | $266.00 | — | 44% | — source file |
| Kaiser Foundation Hospital - Antioch lowest Antioch, CA · (925) 813-6500 HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $148.96 | $266.00 | — | 44% | — source file |
| Kaiser Foundation Hospital - Oakland/Richmond lowest Oakland, CA · (510) 752-1000 HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $148.96 | $266.00 | — | 44% | — source file |
| Kaiser Foundation Hospital - San Rafael lowest San Rafael, CA · (415) 444-2000 HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $148.96 | $266.00 | — | 44% | — source file |
| Kaiser Foundation Hospital - South San Francisco lowest South San Francisco, CA · (650) 742-3200 HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $148.96 | $266.00 | — | 44% | — source file |
| Kaiser Foundation Hospital - Redwood City lowest Redwood City, CA · (650) 299-2000 HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $148.96 | $266.00 | — | 44% | — source file |
| Kaiser Foundation Hospital - Walnut Creek lowest Walnut Creek, CA · (925) 295-4000 HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $148.96 | $266.00 | — | 44% | — source file |
| Chinese Hospital Association San Francisco, CA · (415) 677-2480 Hepatitis A and hepatitis B vaccine | $217.00 | $217.00 | $88.58–$390.60 | — | Jul 22, 2026 source file |
| Kaiser Foundation Hospital - San Leandro San Leandro, CA · (510) 454-1000 hepatitis A-hepatitis B vaccine (PF) 720 ELISA unit- 20 mcg/mL Syringe 1 mL SYRINGE | $231.56 | $413.50 | — | 44% | — source file |
| Kaiser Foundation Hospital - Fremont Fremont, CA · (510) 784-4000 hepatitis A-hepatitis B vaccine (PF) 720 ELISA unit- 20 mcg/mL Syringe 1 mL SYRINGE | $231.56 | $413.50 | — | 44% | — source file |
| Kaiser Foundation Hospital - South San Francisco South San Francisco, CA · (650) 742-3200 hepatitis A-hepatitis B vaccine (PF) 720 ELISA unit- 20 mcg/mL Syringe 1 mL SYRINGE | $231.56 | $413.50 | — | 44% | — source file |
| Kaiser Foundation Hospital - Redwood City Redwood City, CA · (650) 299-2000 hepatitis A-hepatitis B vaccine (PF) 720 ELISA unit- 20 mcg/mL Syringe 1 mL SYRINGE | $231.56 | $413.50 | — | 44% | — source file |
| Kaiser Foundation Hospital - Oakland/Richmond Oakland, CA · (510) 752-1000 hepatitis A-hepatitis B vaccine (PF) 720 ELISA unit- 20 mcg/mL Syringe 1 mL SYRINGE | $231.56 | $413.50 | — | 44% | — source file |
| Kaiser Foundation Hospital - San Rafael San Rafael, CA · (415) 444-2000 hepatitis A-hepatitis B vaccine (PF) 720 ELISA unit- 20 mcg/mL Syringe 1 mL SYRINGE | $231.56 | $413.50 | — | 44% | — source file |
| Kaiser Foundation Hospital - San Francisco San Francisco, CA · (415) 833-2646 hepatitis A-hepatitis B vaccine (PF) 720 ELISA unit- 20 mcg/mL Syringe 1 mL SYRINGE | $231.56 | $413.50 | — | 44% | — source file |
| Kaiser Foundation Hospital - Antioch Antioch, CA · (925) 813-6500 hepatitis A-hepatitis B vaccine (PF) 720 ELISA unit- 20 mcg/mL Syringe 1 mL SYRINGE | $231.56 | $413.50 | — | 44% | — source file |
| Kaiser Foundation Hospital - Walnut Creek Walnut Creek, CA · (925) 295-4000 hepatitis A-hepatitis B vaccine (PF) 720 ELISA unit- 20 mcg/mL Syringe 1 mL SYRINGE | $231.56 | $413.50 | — | 44% | — source file |
| Stanford Health Care Tri-Valley Pleasanton, CA · (925) 847-3000 HEPATITIS A AND B VACCINE (PF) 720 ELISA UNIT- 20 MCG/ML IM SYRG | $804.71 | $2,011.78 | — | 60% | Apr 1, 2026 source file |
Outpatient: lowest $148.96, median $148.96, highest $804.71 — a 5.4× difference within the same market.
As an inpatient, the same code is billed by 10 facilities here, median $148.96. 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.