Hepatitis A and B vaccine (Twinrix) cost in San Francisco, CA
In San Francisco-Oakland-Fremont, CA, 18 hospitals list a cash price for hepatitis A and B combination vaccine, adult (Twinrix): from $148.96 to $975.00, with a median of $148.96. The lowest listed price is at Kaiser Foundation Hospital - Walnut Creek and 9 other hospitals. Across California, the median is $215.02 at 63 hospitals.
- The median here, $148.96, is 14% below the US median of $172.95.
- San Francisco, CA has the lowest median of 2 metro areas in California with at least 10 hospitals pricing this code.
- 5 of 18 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 18 facilities across 13 cities for code 90636, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 31, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Sep 30, 2026.
Lowest$148.96Kaiser Foundation Hospital - Walnut Creek + 9 more
Median$148.96half of hospitals charge less
Highest$975.00in this market
Difference6.5×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 San Francisco-Oakland-Fremont, CA.
median
Lowest $148.96Highest $975.00
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Kaiser Foundation Hospital - Walnut Creek lowest Walnut Creek, CA · (925) 295-4000 HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM File of Apr 1, 2026 · source file | $148.96 | $266.00 | — | 44% |
| Kaiser Foundation Hospital - Antioch lowest Antioch, CA · (925) 813-6500 HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM File of Apr 1, 2026 · source file | $148.96 | $266.00 | — | 44% |
| Kaiser Foundation Hospital - San Francisco lowest San Francisco, CA · (415) 833-2646 HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM File of Apr 1, 2026 · source file | $148.96 | $266.00 | — | 44% |
| Kaiser Foundation Hospital - Fremont lowest Fremont, CA · (510) 784-4000 HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM File of Apr 1, 2026 · source file | $148.96 | $266.00 | — | 44% |
| Kaiser Foundation Hospital - San Rafael lowest San Rafael, CA · (415) 444-2000 HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM File of Apr 1, 2026 · source file | $148.96 | $266.00 | — | 44% |
| Kaiser Fnd Hospital - Richmond Campus lowest Richmond, CA · (510) 752-1000 HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM File of Apr 1, 2026 · source file | $148.96 | $266.00 | — | 44% |
| Kaiser Foundation Hospital - Oakland/Richmond lowest Oakland, CA · (510) 752-1000 HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM File of Apr 1, 2026 · source file | $148.96 | $266.00 | — | 44% |
| Kaiser Foundation Hospital - Redwood City lowest Redwood City, CA · (650) 299-2000 HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM File of Apr 1, 2026 · source file | $148.96 | $266.00 | — | 44% |
| Kaiser Foundation Hospital - San Leandro lowest San Leandro, CA · (510) 454-1000 HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM File of Apr 1, 2026 · source file | $148.96 | $266.00 | — | 44% |
| Kaiser Foundation Hospital - South San Francisco lowest South San Francisco, CA · (650) 742-3200 HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM File of Apr 1, 2026 · source file | $148.96 | $266.00 | — | 44% |
| San Mateo Medical Center San Mateo, CA · (650) 573-2222 HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSY File of Apr 1, 2026 · source file | $193.92 | $387.84 | — | 50% |
| Chinese Hospital San Francisco, CA · (415) 677-2480 Hepatitis A and hepatitis B vaccine File of Jul 22, 2026 · source file | $217.00 | $217.00 | $88.58–$390.60 | — |
| 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 File of Apr 1, 2026 · source file | $231.56 | $413.50 | — | 44% |
| 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 File of Apr 1, 2026 · source file | $231.56 | $413.50 | — | 44% |
| 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 File of Apr 1, 2026 · source file | $231.56 | $413.50 | — | 44% |
| 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 File of Apr 1, 2026 · source file | $231.56 | $413.50 | — | 44% |
| 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 File of Apr 1, 2026 · source file | $231.56 | $413.50 | — | 44% |
| Kaiser Fnd Hospital - Richmond Campus Richmond, CA · (510) 752-1000 hepatitis A-hepatitis B vaccine (PF) 720 ELISA unit- 20 mcg/mL Syringe 1 mL SYRINGE File of Apr 1, 2026 · source file | $231.56 | $413.50 | — | 44% |
| 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 File of Apr 1, 2026 · source file | $231.56 | $413.50 | — | 44% |
| 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 File of Apr 1, 2026 · source file | $231.56 | $413.50 | — | 44% |
| 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 File of Apr 1, 2026 · source file | $231.56 | $413.50 | — | 44% |
| 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 File of Apr 1, 2026 · source file | $231.56 | $413.50 | — | 44% |
| Mills Health Center San Mateo, CA · (650) 696-5400 HCHG TS INJ TWINRIX+1 more line at this price File of Apr 1, 2026 · source file | $250.00 | $250.00 | — | — |
| Mills-Peninsula Medical Center Burlingame, CA · (650) 696-5400 HCHG TS INJ TWINRIX BSTR+1 more line at this price File of Apr 1, 2026 · source file | $250.00 | $250.00 | — | — |
| Sequoia Hospital Redwood City, CA · (650) 369-5811 HEP A-B VACC PF 20MCG INJ File of Sep 30, 2026 · source file | $458.83 | $1,345.00 | $144.56–$1,102.90 | 66% |
| Stanford Health Care Tri-Valley Pleasanton, CA · (925) 847-3000 HEPATITIS A AND B VACCINE (PF) 720 ELISA UNIT- 20 MCG/ML IM SYRG File of Apr 1, 2026 · source file | $804.71 | $2,011.78 | — | 60% |
| Alta Bates Summit Medical Center Oakland, CA · (510) 655-4000 HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSY File of Apr 1, 2026 · source file | $975.00 | $975.00 | — | — |
| Alta Bates Summit Medical Center-Summit Campus-Hawthorne Oakland, CA · (510) 655-4000 HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSY File of Apr 1, 2026 · source file | $975.00 | $975.00 | — | — |
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
Outpatient: lowest $148.96, median $148.96, highest $975.00 — a 6.5× difference within the same market.
As an inpatient, the same code is billed by 15 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 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 hepatitis A and B vaccine (Twinrix) is, what the price covers and why prices differ: Hepatitis A and B vaccine (Twinrix) explained.