Hepatitis A and B vaccine (Twinrix) cost in San Jose, CA
In San Jose-Sunnyvale-Santa Clara, CA, 3 hospitals list a cash price for hepatitis A and B combination vaccine, adult (Twinrix): from $148.96 to $301.50, with a median of $148.96. The lowest listed price is at Kaiser Foundation Hospital - San Jose and 1 other hospital. Across California, the median is $154.79 at 51 hospitals.
Cash prices at 3 facilities across 3 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 Apr 1, 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 Jose-Sunnyvale-Santa Clara, CA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Kaiser Foundation Hospital - San Jose lowest San Jose, CA · (408) 972-7000 HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $148.96 | $266.00 | — | 44% | — source file |
| Kaiser Foundation Hospital - Santa Clara lowest Santa Clara, CA · (408) 236-6400 HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $148.96 | $266.00 | — | 44% | — source file |
| Kaiser Foundation Hospital - Santa Clara Santa Clara, CA · (408) 236-6400 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 Jose San Jose, CA · (408) 972-7000 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 Stanford, CA · (650) 723-4000 Hepatitis a & B Vaccine Hepa-Hepb Adult Im | $301.50 | $603.00 | $114.61–$574.13 | 50% | Apr 1, 2026 source file |
| Stanford Health Care Stanford, CA · (650) 723-4000 Hepatitis a&B Adult Vacc Im | $524.40 | $1,311.00 | — | 60% | Apr 1, 2026 source file |
| Stanford Health Care Stanford, CA · (650) 723-4000 HEPATITIS A AND B VACCINE (PF) 720 ELISA UNIT- 20 MCG/ML IM SYRG | $610.82 | $1,527.05 | — | 60% | Apr 1, 2026 source file |
| Stanford Health Care Stanford, CA · (650) 723-4000 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML IM SYRG | $610.82 | $1,527.05 | — | 60% | Apr 1, 2026 source file |
Outpatient: lowest $148.96, median $148.96, highest $301.50 — a 2.0× difference within the same market.
As an inpatient, the same code is billed by 3 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.