Hepatitis A and B vaccine (Twinrix) cost in Springfield, MO
In Springfield, MO, 2 hospitals list a cash price for hepatitis A and B combination vaccine, adult (Twinrix): from $54.24 to $110.40, with a median of $82.32. The lowest listed price is at Lester E Cox Medical Centers — $28.08 less than the median here. Across Missouri, the median is $110.40 at 13 hospitals.
Cash prices at 2 facilities across 2 cities 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 — and —.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Springfield, MO.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Lester E Cox Medical Centers lowest Springfield, MO · (417) 269-6000 HEP A/HEP B VACC ADULT IM | $54.24 | $215.24 | $215.24 | 75% | — source file |
| Lester E Cox Medical Centers Springfield, MO · (417) 269-6000 Twinrix | $65.09 | $258.30 | $258.30 | 75% | — source file |
| Citizens Memorial Hospital Bolivar, MO · (417) 326-6000 HEP A/HEP B VACC ADULT IM | $110.40 | $138.00 | — | 20% | — source file |
| Citizens Memorial Hospital Bolivar, MO · (417) 326-6000 Twinrix | $423.17 | $528.96 | — | 20% | — source file |
Outpatient: lowest $54.24, median $82.32, highest $110.40 — a 2.0× difference within the same market.
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 and 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 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.