Hepatitis A and B vaccine (Twinrix) cost without insurance
The median hospital cash price for hepatitis A and B combination vaccine, adult (Twinrix) is $172.95 across 903 US hospitals; most list between $81.89 and $500.58. The lowest outpatient cash price in any of 457 markets is $20.03. Prices come from each hospital's own price file; pick your area below to compare hospitals side by side.
Collected Nov 11, 2026 Each price links to its source file All Vaccine costs
Lowest$20.03any market
Median market$161.60middle of market medians
Most below$500.589 in 10 hospitals
Listings900hospital prices
Compared with the vaccine's list price
$141.60 (Twinrix) per dose is the manufacturer's private-sector price in the CDC vaccine price list: what a clinic or pharmacy pays for the vaccine itself. The median hospital cash price, $172.95 across 903 hospitals, is 1.2× that.
Giving the shot is billed separately (CPT 90471), and anyone who gives it adds a markup, so treat this as a floor: a concrete number to mention when you ask for a cash discount. Source: CDC.
Cash or insurance?
If you have insurance but have not met your deductible, you pay the rate your plan negotiated with the hospital, not the cash price. Hospital price files list those rates too: for hepatitis A and B vaccine (Twinrix), the highest negotiated rate in a hospital's file has a median of $298.23 and the lowest a median of $81.53. At 555 of 640 hospitals that publish both, the cash price is below the highest negotiated rate.
With a high deductible, cash can cost less. But a cash payment may not count toward your deductible or out-of-pocket maximum: ask your plan for its rate at that hospital (most have a cost estimator) and whether it will credit a cash payment.
Plan's rate starts at the median highest negotiated rate and cash at the national median; put in your own numbers. Nothing you type leaves your device. To price a whole year with premiums, use the insurance or cash calculator.
What is CPT 90636?
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.
Why prices differ
Travel clinics and pharmacies also stock it. Compare the price of the full series with separate hepatitis A and B vaccines.
What to ask
Ask whether the self-pay price for CPT 90636 is per dose and whether it includes giving the shot (90471).
Prices by state
Among 39 states with at least 5 hospitals listing a cash price, the median is lowest in Tennessee ($84.70), Pennsylvania ($90.00) and Louisiana ($92.73), and highest in Texas ($640.71), Georgia ($500.58) and Alabama ($360.06).
Median outpatient cash price, one line per hospital. Pick a state to see every hospital, cheapest first.
- Alabama$360.06
- Alaska$147.40
- Arizona$157.48, 4 hospitals
- Arkansas$170.00
- California$215.02
- Colorado$134.32
- Connecticut$132.00, 3 hospitals
- Delaware$391.10, 1 hospital
- District of Columbia$268.16, 2 hospitals
- Florida$327.83
- Georgia$500.58
- Hawaii$212.07, 2 hospitals
- Idaho$147.30
- Illinois$203.54
- Indiana$238.59
- Iowa$124.80
- Kansas$260.79
- Kentucky$118.64
- Louisiana$92.73
- Maine$155.86
- Maryland$191.41
- Massachusetts$242.18
- Michigan$172.95
- Minnesota$145.58
- Mississippi$154.80
- Missouri$99.75
- Montana$145.60
- Nebraska$409.18, 4 hospitals
- Nevada$194.18, 2 hospitals
- New Hampshire$109.60
- New Jersey$94.97
- New Mexico$214.06, 4 hospitals
- New York$227.07
- North Carolina$193.46
- North Dakota$173.97, 3 hospitals
- Ohio$306.80
- Oklahoma$166.00
- Oregon$152.00
- Pennsylvania$90.00
- Rhode Island$441.24, 3 hospitals
- South Carolina$156.00
- South Dakota$171.14
- Tennessee$84.70
- Texas$640.71
- Utah$198.80, 3 hospitals
- Vermont$180.48
- Virginia$178.93
- Washington$175.02
- West Virginia$143.00
- Wisconsin$191.75
- Wyoming$153.32, 4 hospitals
Prices by market
Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.
| Market | Hospitals | Lowest | Median | Highest | × |
|---|---|---|---|---|---|
| Ada, MN single city | 1 | $145.58 | $145.58 | $145.58 | 1.0× |
| Akron, OH | 3 | $306.80 | $327.75 | $712.50 | 2.3× |
| Albany, KY single city | 1 | $164.76 | $164.76 | $164.76 | 1.0× |
| Albany, MO single city | 1 | $167.45 | $167.45 | $167.45 | 1.0× |
| Albany, OR | 1 | $152.00 | $152.00 | $152.00 | 1.0× |
| Albemarle, NC | 1 | $87.50 | $87.50 | $87.50 | 1.0× |
| Albuquerque, NM | 1 | $180.32 | $180.32 | $180.32 | 1.0× |
| Alexandria, LA | 1 | $37.44 | $37.44 | $37.44 | 1.0× |
| Allentown-Bethlehem-Easton, PA-NJ | 9 | $83.00 | $83.00 | $109.67 | 1.3× |
| Altoona, PA | 2 | $23.14 | $70.37 | $117.60 | 5.1× |
| Ames, IA | 2 | $121.60 | $172.80 | $224.00 | 1.8× |
| Amory, MS single city | 1 | $402.91 | $402.91 | $402.91 | 1.0× |
| Anaconda, MT single city | 1 | $329.55 | $329.55 | $329.55 | 1.0× |
| Anchorage, AK | 2 | $147.40 | $180.70 | $214.00 | 1.5× |
| Ann Arbor, MI | 1 | $77.52 | $77.52 | $77.52 | 1.0× |
| Antigo, WI single city | 1 | $191.75 | $191.75 | $191.75 | 1.0× |
| Appleton, WI | 3 | $119.70 | $142.86 | $142.86 | 1.2× |
| Armour, SD single city | 1 | $122.40 | $122.40 | $122.40 | 1.0× |
| Asheville, NC | 2 | $366.53 | $551.73 | $736.92 | 2.0× |
| Ashland, OH | 1 | $354.74 | $354.74 | $354.74 | 1.0× |
| Astoria, OR | 1 | $112.50 | $112.50 | $112.50 | 1.0× |
| Athens-Clarke County, GA | 1 | $62.70 | $62.70 | $62.70 | 1.0× |
| Atlanta-Sandy Springs-Roswell, GA | 8 | $255.95 | $500.58 | $500.58 | 2.0× |
| Atlantic City-Hammonton, NJ | 1 | $101.46 | $101.46 | $101.46 | 1.0× |
| Atlantic, IA single city | 1 | $84.29 | $84.29 | $84.29 | 1.0× |
| Auburn, IN | 1 | $238.59 | $238.59 | $238.59 | 1.0× |
| Auburn-Opelika, AL | 1 | $116.60 | $116.60 | $116.60 | 1.0× |
| Augusta-Richmond County, GA-SC | 2 | $62.70 | $180.99 | $299.27 | 4.8× |
| Austin-Round Rock-San Marcos, TX | 5 | $275.85 | $2,092.00 | $2,092.00 | 7.6× |
| Bad Axe, MI single city | 1 | $105.14 | $105.14 | $105.14 | 1.0× |
| Baker City, OR | 1 | $87.75 | $87.75 | $87.75 | 1.0× |
| Bakersfield-Delano, CA | 1 | $260.76 | $260.76 | $260.76 | 1.0× |
| Baltimore-Columbia-Towson, MD | 5 | $146.25 | $341.59 | $422.01 | 2.9× |
| Bangor, ME | 3 | $45.32 | $168.81 | $415.80 | 9.2× |
| Barre, VT | 1 | $220.53 | $220.53 | $220.53 | 1.0× |
| Bartlesville, OK | 1 | $166.00 | $166.00 | $166.00 | 1.0× |
| Batavia, NY | 1 | $208.36 | $208.36 | $208.36 | 1.0× |
| Baton Rouge, LA | 2 | $143.65 | $144.73 | $145.80 | 1.0× |
| Bay City, MI | 1 | $172.95 | $172.95 | $172.95 | 1.0× |
| Beaver Dam, WI | 1 | $219.95 | $219.95 | $219.95 | 1.0× |
| Belmond, IA single city | 1 | $235.67 | $235.67 | $235.67 | 1.0× |
| Bemidji, MN | 1 | $135.40 | $135.40 | $135.40 | 1.0× |
| Bend, OR | 1 | $208.80 | $208.80 | $208.80 | 1.0× |
| Bennington, VT | 1 | $136.50 | $136.50 | $136.50 | 1.0× |
| Berlin, WI single city | 1 | $142.86 | $142.86 | $142.86 | 1.0× |
| Birmingham, AL | 1 | $67.50 | $67.50 | $67.50 | 1.0× |
| Bismarck, ND | 1 | $173.97 | $173.97 | $173.97 | 1.0× |
| Black River Falls, WI single city | 1 | $213.19 | $213.19 | $213.19 | 1.0× |
| Bloomington, IL | 1 | $203.54 | $203.54 | $203.54 | 1.0× |
| Bluefield, WV-VA | 2 | $95.50 | $137.22 | $178.93 | 1.9× |
| Boise City, ID | 4 | $87.75 | $117.53 | $147.30 | 1.7× |
| Boston-Cambridge-Newton, MA-NH | 8 | $55.35 | $242.18 | $1,508.00 | 27.2× |
| Boulder, CO | 1 | $2,628.56 | $2,628.56 | $2,628.56 | 1.0× |
| Bowling Green, KY | 2 | $164.76 | $164.76 | $164.76 | 1.0× |
| Bozeman, MT | 2 | $145.60 | $145.60 | $145.60 | 1.0× |
| Bradford, PA | 1 | $265.20 | $265.20 | $265.20 | 1.0× |
| Brainerd, MN | 2 | $85.68 | $109.13 | $132.58 | 1.5× |
| Branson, MO | 1 | $48.86 | $48.86 | $48.86 | 1.0× |
| Brookville, PA single city | 1 | $23.14 | $23.14 | $23.14 | 1.0× |
| Bryan, OH single city | 1 | $176.73 | $176.73 | $176.73 | 1.0× |
| Buckhannon, WV single city | 1 | $143.00 | $143.00 | $143.00 | 1.0× |
| Buffalo-Cheektowaga, NY | 6 | $110.00 | $110.00 | $400.00 | 3.6× |
| Burlington-South Burlington, VT | 2 | $148.43 | $266.74 | $385.05 | 2.6× |
| Burns, OR single city | 1 | $190.89 | $190.89 | $190.89 | 1.0× |
| Cadiz, OH single city | 1 | $143.00 | $143.00 | $143.00 | 1.0× |
| Calhoun, GA | 1 | $2,478.60 | $2,478.60 | $2,478.60 | 1.0× |
| Cambridge, NE single city | 1 | $164.70 | $164.70 | $164.70 | 1.0× |
| Cando, ND single city | 1 | $246.00 | $246.00 | $246.00 | 1.0× |
| Canton-Massillon, OH | 1 | $306.80 | $306.80 | $306.80 | 1.0× |
| Cape Coral-Fort Myers, FL | 2 | $176.68 | $176.68 | $176.68 | 1.0× |
| Carlsbad-Artesia, NM | 1 | $247.80 | $247.80 | $247.80 | 1.0× |
| Caro, MI single city | 1 | $105.14 | $105.14 | $105.14 | 1.0× |
| Casper, WY | 1 | $109.44 | $109.44 | $109.44 | 1.0× |
| Cedartown, GA | 1 | $485.05 | $485.05 | $485.05 | 1.0× |
| Centerville, IA single city | 1 | $183.00 | $183.00 | $183.00 | 1.0× |
| Centre, AL single city | 1 | $485.05 | $485.05 | $485.05 | 1.0× |
| Champaign-Urbana, IL | 2 | $203.54 | $508.27 | $813.00 | 4.0× |
| Charles City, IA single city | 1 | $114.00 | $114.00 | $114.00 | 1.0× |
| Charleston, WV | 2 | $91.00 | $154.54 | $218.07 | 2.4× |
| Charleston-Mattoon, IL | 1 | $222.00 | $222.00 | $222.00 | 1.0× |
| Charlotte-Concord-Gastonia, NC-SC | 8 | $87.50 | $87.50 | $87.50 | 1.0× |
| Cheraw, SC single city | 1 | $124.96 | $124.96 | $124.96 | 1.0× |
| Chicago-Naperville-Elgin, IL-IN | 26 | $53.74 | $211.64 | $628.34 | 11.7× |
| Chico, CA | 1 | $68.75 | $68.75 | $68.75 | 1.0× |
| Chillicothe, OH | 1 | $87.50 | $87.50 | $87.50 | 1.0× |
| Cincinnati, OH-KY-IN | 3 | $164.45 | $164.45 | $281.34 | 1.7× |
| Clarinda, IA single city | 1 | $219.75 | $219.75 | $219.75 | 1.0× |
| Clarion, IA single city | 1 | $235.67 | $235.67 | $235.67 | 1.0× |
| Clarksburg, WV | 1 | $95.50 | $95.50 | $95.50 | 1.0× |
| Cleveland, OH | 22 | $53.20 | $327.75 | $354.74 | 6.7× |
| Clinton, IA | 2 | $116.72 | $120.76 | $124.80 | 1.1× |
| Clinton, MO single city | 1 | $85.75 | $85.75 | $85.75 | 1.0× |
| Cody, WY | 2 | $197.20 | $210.23 | $223.25 | 1.1× |
| Coeur d'Alene, ID | 1 | $75.94 | $75.94 | $75.94 | 1.0× |
| Columbia, MO | 1 | $112.80 | $112.80 | $112.80 | 1.0× |
| Columbus, GA-AL | 1 | $62.70 | $62.70 | $62.70 | 1.0× |
| Columbus, NC single city | 1 | $748.26 | $748.26 | $748.26 | 1.0× |
| Columbus, OH | 1 | $639.00 | $639.00 | $639.00 | 1.0× |
| Coos Bay-North Bend, OR | 2 | $96.63 | $161.32 | $226.01 | 2.3× |
| Corbin, KY | 1 | $793.25 | $793.25 | $793.25 | 1.0× |
| Cordova, AK single city | 1 | $112.50 | $112.50 | $112.50 | 1.0× |
| Corning, NY | 1 | $142.80 | $142.80 | $142.80 | 1.0× |
| Cortland, NY | 1 | $142.80 | $142.80 | $142.80 | 1.0× |
| Cumberland, MD-WV | 1 | $143.00 | $143.00 | $143.00 | 1.0× |
| Dallas-Fort Worth-Arlington, TX | 3 | $640.71 | $640.71 | $1,077.88 | 1.7× |
| Dalton, GA | 1 | $2,478.60 | $2,478.60 | $2,478.60 | 1.0× |
| Danville, IL | 1 | $203.54 | $203.54 | $203.54 | 1.0× |
| Danville, VA | 1 | $456.80 | $456.80 | $456.80 | 1.0× |
| Davenport-Moline-Rock Island, IA-IL | 4 | $112.22 | $116.72 | $116.72 | 1.0× |
| Decorah, IA single city | 1 | $135.00 | $135.00 | $135.00 | 1.0× |
| DeKalb, MS single city | 1 | $93.15 | $93.15 | $93.15 | 1.0× |
| Deltona-Daytona Beach-Ormond Beach, FL | 6 | $391.14 | $542.43 | $685.20 | 1.8× |
| Denver-Aurora-Centennial, CO | 8 | $131.02 | $1,665.16 | $2,628.56 | 20.1× |
| Des Moines-West Des Moines, IA | 3 | $118.95 | $124.80 | $192.00 | 1.6× |
| Detroit Lakes, MN | 1 | $126.47 | $126.47 | $126.47 | 1.0× |
| Detroit-Warren-Dearborn, MI | 14 | $127.57 | $250.00 | $250.00 | 2.0× |
| Dillon, MT single city | 1 | $422.25 | $422.25 | $422.25 | 1.0× |
| Dillon, SC single city | 1 | $124.96 | $124.96 | $124.96 | 1.0× |
| Douglas, WY single city | 1 | $109.44 | $109.44 | $109.44 | 1.0× |
| Dover Foxcroft, ME single city | 1 | $41.58 | $41.58 | $41.58 | 1.0× |
| DuBois, PA | 2 | $23.14 | $23.14 | $23.14 | 1.0× |
| Dubuque, IA | 2 | $118.95 | $121.88 | $124.80 | 1.0× |
| Duluth, MN-WI | 10 | $111.78 | $137.80 | $263.84 | 2.4× |
| Durand, WI single city | 1 | $446.01 | $446.01 | $446.01 | 1.0× |
| Durant, OK | 1 | $202.59 | $202.59 | $202.59 | 1.0× |
| Durham, NC single city | 1 | $174.17 | $174.17 | $174.17 | 1.0× |
| Eagle River, WI single city | 1 | $191.75 | $191.75 | $191.75 | 1.0× |
| East Amery, WI single city | 1 | $96.46 | $96.46 | $96.46 | 1.0× |
| East Stroudsburg, PA | 1 | $83.00 | $83.00 | $83.00 | 1.0× |
| Eau Claire, WI | 2 | $191.75 | $205.85 | $219.95 | 1.1× |
| Edwards, CO | 1 | $87.00 | $87.00 | $87.00 | 1.0× |
| El Paso, TX | 2 | $20.03 | $20.03 | $20.03 | 1.0× |
| Elkader, IA single city | 1 | $118.95 | $118.95 | $118.95 | 1.0× |
| Ellensburg, WA | 1 | $57.20 | $57.20 | $57.20 | 1.0× |
| Emmetsburg, IA single city | 1 | $153.00 | $153.00 | $153.00 | 1.0× |
| Erie, PA | 2 | $117.60 | $151.38 | $185.15 | 1.6× |
| Eureka-Arcata, CA | 2 | $113.18 | $133.99 | $154.79 | 1.4× |
| Evansville, IN | 2 | $108.57 | $155.19 | $201.80 | 1.9× |
| Everett, PA single city | 1 | $117.60 | $117.60 | $117.60 | 1.0× |
| Fairbanks-College, AK | 1 | $414.25 | $414.25 | $414.25 | 1.0× |
| Fairfield, IA single city | 1 | $82.80 | $82.80 | $82.80 | 1.0× |
| Fairmont, WV | 1 | $157.33 | $157.33 | $157.33 | 1.0× |
| Fargo, ND-MN | 1 | $147.75 | $147.75 | $147.75 | 1.0× |
| Faribault-Northfield, MN | 1 | $232.51 | $232.51 | $232.51 | 1.0× |
| Farmington, ME single city | 1 | $645.98 | $645.98 | $645.98 | 1.0× |
| Faulkton, SD single city | 1 | $404.17 | $404.17 | $404.17 | 1.0× |
| Fayette, AL single city | 1 | $360.06 | $360.06 | $360.06 | 1.0× |
| Fayetteville-Springdale-Rogers, AR | 1 | $170.00 | $170.00 | $170.00 | 1.0× |
| Fergus Falls, MN | 1 | $198.25 | $198.25 | $198.25 | 1.0× |
| Flint, MI | 1 | $172.95 | $172.95 | $172.95 | 1.0× |
| Florence, SC | 1 | $124.96 | $124.96 | $124.96 | 1.0× |
| Fond du Lac, WI | 1 | $142.86 | $142.86 | $142.86 | 1.0× |
| Fort Wayne, IN | 8 | $238.59 | $317.06 | $485.78 | 2.0× |
| Franklin, NC single city | 1 | $736.92 | $736.92 | $736.92 | 1.0× |
| Fraser, CO single city | 1 | $99.76 | $99.76 | $99.76 | 1.0× |
| Fredericktown, MO single city | 1 | $135.00 | $135.00 | $135.00 | 1.0× |
| Fresno, CA | 4 | $148.96 | $586.00 | $586.00 | 3.9× |
| Friendship, WI single city | 1 | $102.62 | $102.62 | $102.62 | 1.0× |
| Gaffney, SC | 1 | $156.00 | $156.00 | $156.00 | 1.0× |
| Gassaway, WV single city | 1 | $143.00 | $143.00 | $143.00 | 1.0× |
| Glenwood, MN single city | 1 | $433.00 | $433.00 | $433.00 | 1.0× |
| Gloversville, NY | 1 | $106.40 | $106.40 | $106.40 | 1.0× |
| Graceville, MN single city | 1 | $145.58 | $145.58 | $145.58 | 1.0× |
| Granby, CO single city | 1 | $99.76 | $99.76 | $99.76 | 1.0× |
| Grand Forks, ND-MN | 1 | $145.58 | $145.58 | $145.58 | 1.0× |
| Grand Rapids, MN | 2 | $111.78 | $128.68 | $145.58 | 1.3× |
| Grand Rapids-Wyoming-Kentwood, MI | 5 | $81.50 | $247.22 | $247.22 | 3.0× |
| Grants, NM single city | 1 | $300.00 | $300.00 | $300.00 | 1.0× |
| Grantsburg, WI single city | 1 | $156.80 | $156.80 | $156.80 | 1.0× |
| Green Bay, WI | 1 | $103.71 | $103.71 | $103.71 | 1.0× |
| Greenfield, OH single city | 1 | $87.50 | $87.50 | $87.50 | 1.0× |
| Greensburg, IN | 1 | $167.25 | $167.25 | $167.25 | 1.0× |
| Greenville-Anderson-Greer, SC | 1 | $156.00 | $156.00 | $156.00 | 1.0× |
| Greenwood, SC | 2 | $299.27 | $324.21 | $349.15 | 1.2× |
| Gulfport-Biloxi, MS | 4 | $103.20 | $154.80 | $170.59 | 1.7× |
| Hagerstown-Martinsburg, MD-WV | 1 | $91.00 | $91.00 | $91.00 | 1.0× |
| Hailey, ID | 1 | $147.30 | $147.30 | $147.30 | 1.0× |
| Hamilton, AL single city | 1 | $402.91 | $402.91 | $402.91 | 1.0× |
| Hammond, LA | 1 | $152.10 | $152.10 | $152.10 | 1.0× |
| Harlan, IA single city | 1 | $243.77 | $243.77 | $243.77 | 1.0× |
| Harrisburg-Carlisle, PA | 1 | $65.07 | $65.07 | $65.07 | 1.0× |
| Hartford, CT single city | 1 | $132.00 | $132.00 | $132.00 | 1.0× |
| Hastings, NE | 1 | $358.02 | $358.02 | $358.02 | 1.0× |
| Helena, MT | 1 | $161.19 | $161.19 | $161.19 | 1.0× |
| Henderson, KY | 1 | $98.70 | $98.70 | $98.70 | 1.0× |
| Hermann, MO single city | 1 | $89.10 | $89.10 | $89.10 | 1.0× |
| Highlands, NC single city | 1 | $736.92 | $736.92 | $736.92 | 1.0× |
| Holland, MI | 1 | $84.00 | $84.00 | $84.00 | 1.0× |
| Homer, AK single city | 1 | $169.16 | $169.16 | $169.16 | 1.0× |
| Hood River, OR | 1 | $126.00 | $126.00 | $126.00 | 1.0× |
| Horse Cave, KY single city | 1 | $164.76 | $164.76 | $164.76 | 1.0× |
| Houghton, MI | 1 | $191.75 | $191.75 | $191.75 | 1.0× |
| Houma-Bayou Cane-Thibodaux, LA | 1 | $175.82 | $175.82 | $175.82 | 1.0× |
| Houston-Pasadena-The Woodlands, TX | 3 | $82.70 | $82.70 | $275.85 | 3.3× |
| Hugoton, KS single city | 1 | $175.00 | $175.00 | $175.00 | 1.0× |
| Huntingdon, PA | 1 | $23.14 | $23.14 | $23.14 | 1.0× |
| Huntington, IN | 1 | $238.59 | $238.59 | $238.59 | 1.0× |
| Huntington-Ashland, WV-KY-OH | 2 | $441.80 | $526.68 | $611.55 | 1.4× |
| Idaho Falls, ID | 1 | $161.60 | $161.60 | $161.60 | 1.0× |
| Indiana, PA | 1 | $129.40 | $129.40 | $129.40 | 1.0× |
| Indianapolis-Carmel-Greenwood, IN | 6 | $108.78 | $201.80 | $201.80 | 1.9× |
| Iowa City, IA | 1 | $107.25 | $107.25 | $107.25 | 1.0× |
| Iron River, MI single city | 1 | $191.75 | $191.75 | $191.75 | 1.0× |
| Ironwood, MI single city | 1 | $191.75 | $191.75 | $191.75 | 1.0× |
| Iuka, MS single city | 1 | $402.91 | $402.91 | $402.91 | 1.0× |
| Jackson, MS | 2 | $46.00 | $46.00 | $46.00 | 1.0× |
| Jacksonville, FL | 2 | $108.78 | $108.78 | $108.78 | 1.0× |
| Janesville-Beloit, WI | 2 | $35.43 | $59.87 | $84.30 | 2.4× |
| Jena, LA single city | 1 | $82.20 | $82.20 | $82.20 | 1.0× |
| Johnson, KS single city | 1 | $179.00 | $179.00 | $179.00 | 1.0× |
| Kalispell, MT | 1 | $99.45 | $99.45 | $99.45 | 1.0× |
| Kankakee, IL | 1 | $180.87 | $180.87 | $180.87 | 1.0× |
| Kansas City, MO-KS | 3 | $89.00 | $1,976.51 | $1,976.51 | 22.2× |
| Kendallville, IN | 1 | $238.59 | $238.59 | $238.59 | 1.0× |
| Kennewick-Richland, WA | 1 | $89.49 | $89.49 | $89.49 | 1.0× |
| Key West-Key Largo, FL | 2 | $218.40 | $218.40 | $218.40 | 1.0× |
| Killeen-Temple, TX | 2 | $812.17 | $812.17 | $812.17 | 1.0× |
| Klamath Falls, OR | 1 | $154.97 | $154.97 | $154.97 | 1.0× |
| Knox, IN single city | 1 | $423.36 | $423.36 | $423.36 | 1.0× |
| Kotzebue, AK single city | 1 | $69.00 | $69.00 | $69.00 | 1.0× |
| Kremmling, CO single city | 1 | $99.76 | $99.76 | $99.76 | 1.0× |
| La Crosse-Onalaska, WI-MN | 1 | $151.49 | $151.49 | $151.49 | 1.0× |
| La Grande, OR | 1 | $121.32 | $121.32 | $121.32 | 1.0× |
| Ladysmith, WI single city | 1 | $219.95 | $219.95 | $219.95 | 1.0× |
| Lafayette, LA | 1 | $116.50 | $116.50 | $116.50 | 1.0× |
| LaGrange, IN single city | 1 | $238.59 | $238.59 | $238.59 | 1.0× |
| Lakeland-Winter Haven, FL | 2 | $3,402.84 | $4,219.26 | $5,035.68 | 1.5× |
| Lamar, MO single city | 1 | $68.66 | $68.66 | $68.66 | 1.0× |
| Lanse, MI single city | 1 | $158.00 | $158.00 | $158.00 | 1.0× |
| Lansing-East Lansing, MI | 3 | $81.50 | $81.50 | $172.95 | 2.1× |
| Las Vegas-Henderson-North Las Vegas, NV | 1 | $108.60 | $108.60 | $108.60 | 1.0× |
| Lawrence, KS | 1 | $252.18 | $252.18 | $252.18 | 1.0× |
| Lebanon-Claremont, NH-VT | 4 | $102.92 | $123.40 | $212.52 | 2.1× |
| Lewiston-Auburn, ME | 1 | $70.68 | $70.68 | $70.68 | 1.0× |
| Lexington Park, MD | 1 | $154.07 | $154.07 | $154.07 | 1.0× |
| Lexington-Fayette, KY | 3 | $23.72 | $147.04 | $167.31 | 7.1× |
| Liberty, KY single city | 1 | $138.57 | $138.57 | $138.57 | 1.0× |
| Lima, OH | 2 | $24.30 | $51.90 | $79.50 | 3.3× |
| Little Rock-North Little Rock-Conway, AR | 2 | $215.96 | $215.96 | $215.96 | 1.0× |
| Livingston, MT single city | 1 | $39.33 | $39.33 | $39.33 | 1.0× |
| Logan, UT-ID | 1 | $440.90 | $440.90 | $440.90 | 1.0× |
| Logansport, IN | 1 | $238.59 | $238.59 | $238.59 | 1.0× |
| Los Angeles-Long Beach-Anaheim, CA | 11 | $215.02 | $215.02 | $480.30 | 2.2× |
| Louisville, KY single city | 1 | $20.71 | $20.71 | $20.71 | 1.0× |
| Louisville/Jefferson County, KY-IN | 7 | $20.71 | $20.71 | $189.97 | 9.2× |
| Lovelock, NV single city | 1 | $279.75 | $279.75 | $279.75 | 1.0× |
| Lubbock, TX | 2 | $776.33 | $776.33 | $776.33 | 1.0× |
| Lyons, KS single city | 1 | $176.96 | $176.96 | $176.96 | 1.0× |
| Macon-Bibb County, GA | 1 | $599.93 | $599.93 | $599.93 | 1.0× |
| Madison, IN | 1 | $298.53 | $298.53 | $298.53 | 1.0× |
| Madison, WI | 1 | $191.75 | $191.75 | $191.75 | 1.0× |
| Malone, NY single city | 1 | $385.05 | $385.05 | $385.05 | 1.0× |
| Manchester, IA single city | 1 | $125.60 | $125.60 | $125.60 | 1.0× |
| Manchester-Nashua, NH | 1 | $72.15 | $72.15 | $72.15 | 1.0× |
| Manning, SC single city | 1 | $124.96 | $124.96 | $124.96 | 1.0× |
| Maquoketa, IA single city | 1 | $192.65 | $192.65 | $192.65 | 1.0× |
| Marietta, OH | 2 | $174.81 | $174.81 | $174.81 | 1.0× |
| Marion, NC | 1 | $736.92 | $736.92 | $736.92 | 1.0× |
| Martinsville, VA | 1 | $47.20 | $47.20 | $47.20 | 1.0× |
| Maryville, MO | 1 | $167.45 | $167.45 | $167.45 | 1.0× |
| Mason City, IA | 1 | $124.80 | $124.80 | $124.80 | 1.0× |
| Massena-Ogdensburg, NY | 3 | $368.60 | $368.60 | $368.60 | 1.0× |
| McCall, ID single city | 1 | $147.30 | $147.30 | $147.30 | 1.0× |
| McComb, MS | 1 | $356.37 | $356.37 | $356.37 | 1.0× |
| Medford, WI single city | 1 | $191.75 | $191.75 | $191.75 | 1.0× |
| Memphis, TN-MS-AR | 5 | $84.70 | $84.70 | $241.45 | 2.9× |
| Meridian, MS | 2 | $41.85 | $66.15 | $90.45 | 2.2× |
| Merrill, WI single city | 1 | $191.75 | $191.75 | $191.75 | 1.0× |
| Miami-Fort Lauderdale-West Palm Beach, FL | 15 | $78.65 | $279.05 | $8,731.00 | 111.0× |
| Michigan City-La Porte, IN | 1 | $517.44 | $517.44 | $517.44 | 1.0× |
| Milledgeville, GA | 1 | $599.93 | $599.93 | $599.93 | 1.0× |
| Milwaukee-Waukesha, WI | 3 | $133.56 | $140.82 | $207.08 | 1.6× |
| Minneapolis-St. Paul-Bloomington, MN-WI | 18 | $64.17 | $107.21 | $232.51 | 3.6× |
| Minocqua, WI single city | 1 | $219.95 | $219.95 | $219.95 | 1.0× |
| Moab, UT single city | 1 | $112.85 | $112.85 | $112.85 | 1.0× |
| Mobridge, SD single city | 1 | $206.00 | $206.00 | $206.00 | 1.0× |
| Modesto, CA | 1 | $148.96 | $148.96 | $148.96 | 1.0× |
| Monett, MO single city | 1 | $65.65 | $65.65 | $65.65 | 1.0× |
| Monroe, LA | 2 | $103.25 | $105.63 | $108.00 | 1.0× |
| Montpelier, OH single city | 1 | $176.73 | $176.73 | $176.73 | 1.0× |
| Mora, MN single city | 1 | $222.06 | $222.06 | $222.06 | 1.0× |
| Morgantown, WV | 1 | $91.00 | $91.00 | $91.00 | 1.0× |
| Moscow, ID | 1 | $141.00 | $141.00 | $141.00 | 1.0× |
| Moultrie, GA | 1 | $133.00 | $133.00 | $133.00 | 1.0× |
| Mount Pleasant, MI | 1 | $172.95 | $172.95 | $172.95 | 1.0× |
| Mount Vernon-Anacortes, WA | 1 | $248.00 | $248.00 | $248.00 | 1.0× |
| Mountain Home, AR | 1 | $97.03 | $97.03 | $97.03 | 1.0× |
| Mt Shasta, CA single city | 1 | $895.41 | $895.41 | $895.41 | 1.0× |
| Muskegon-Norton Shores, MI | 1 | $87.10 | $87.10 | $87.10 | 1.0× |
| Myrtle Beach-Conway-North Myrtle Beach, SC | 3 | $124.96 | $124.96 | $124.96 | 1.0× |
| Nashville-Davidson--Murfreesboro--Franklin, TN | 3 | $58.87 | $109.62 | $147.00 | 2.5× |
| Neillsville, WI single city | 1 | $219.95 | $219.95 | $219.95 | 1.0× |
| New Britain, CT single city | 1 | $132.00 | $132.00 | $132.00 | 1.0× |
| New Hampton, IA single city | 1 | $118.95 | $118.95 | $118.95 | 1.0× |
| New London, WI single city | 1 | $142.86 | $142.86 | $142.86 | 1.0× |
| New Martinsville, WV single city | 1 | $91.00 | $91.00 | $91.00 | 1.0× |
| New Orleans-Metairie, LA | 6 | $42.42 | $42.42 | $81.81 | 1.9× |
| New Philadelphia-Dover, OH | 1 | $306.80 | $306.80 | $306.80 | 1.0× |
| New York-Newark-Jersey City, NY-NJ | 38 | $45.23 | $218.04 | $679.00 | 15.0× |
| Newport, OR | 2 | $152.00 | $152.00 | $152.00 | 1.0× |
| Nome, AK single city | 1 | $142.50 | $142.50 | $142.50 | 1.0× |
| North Port-Bradenton-Sarasota, FL | 1 | $120.00 | $120.00 | $120.00 | 1.0× |
| Norwich, CT single city | 1 | $132.00 | $132.00 | $132.00 | 1.0× |
| Nowata, OK single city | 1 | $166.00 | $166.00 | $166.00 | 1.0× |
| Oberlin, KS single city | 1 | $269.39 | $269.39 | $269.39 | 1.0× |
| Ocala, FL | 1 | $3,326.20 | $3,326.20 | $3,326.20 | 1.0× |
| Ocean Pines, MD | 1 | $175.00 | $175.00 | $175.00 | 1.0× |
| Odessa, TX | 1 | $85.00 | $85.00 | $85.00 | 1.0× |
| Oelwein, IA single city | 1 | $118.95 | $118.95 | $118.95 | 1.0× |
| Oklahoma City, OK | 1 | $38.80 | $38.80 | $38.80 | 1.0× |
| Olney, IL single city | 1 | $203.54 | $203.54 | $203.54 | 1.0× |
| Omaha, NE-IA | 2 | $460.34 | $460.34 | $460.34 | 1.0× |
| Ontario, OR-ID | 1 | $87.75 | $87.75 | $87.75 | 1.0× |
| Orlando-Kissimmee-Sanford, FL | 2 | $1,214.28 | $1,529.16 | $1,844.03 | 1.5× |
| Oshkosh-Neenah, WI | 2 | $142.86 | $142.86 | $142.86 | 1.0× |
| Ottawa, KS | 1 | $1,976.51 | $1,976.51 | $1,976.51 | 1.0× |
| Owatonna, MN | 1 | $232.51 | $232.51 | $232.51 | 1.0× |
| Owosso, MI | 1 | $93.60 | $93.60 | $93.60 | 1.0× |
| Park Falls, WI single city | 1 | $219.95 | $219.95 | $219.95 | 1.0× |
| Parkersburg-Vienna, WV | 1 | $95.50 | $95.50 | $95.50 | 1.0× |
| Pensacola-Ferry Pass-Brent, FL | 1 | $96.41 | $96.41 | $96.41 | 1.0× |
| Peoria, IL | 4 | $203.54 | $203.54 | $203.54 | 1.0× |
| Peru, IN | 1 | $605.77 | $605.77 | $605.77 | 1.0× |
| Petersburg, WV single city | 1 | $228.80 | $228.80 | $228.80 | 1.0× |
| Petoskey, MI | 1 | $172.95 | $172.95 | $172.95 | 1.0× |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 7 | $90.00 | $356.00 | $391.10 | 4.3× |
| Phoenix-Mesa-Chandler, AZ | 1 | $473.48 | $473.48 | $473.48 | 1.0× |
| Pine Bluff, AR | 1 | $143.00 | $143.00 | $143.00 | 1.0× |
| Pittsburgh, PA | 9 | $75.19 | $117.60 | $132.00 | 1.8× |
| Pittsfield, MA | 3 | $220.40 | $548.02 | $548.02 | 2.5× |
| Platteville, WI | 2 | $72.75 | $88.91 | $105.06 | 1.4× |
| Plattsburgh, NY | 1 | $385.05 | $385.05 | $385.05 | 1.0× |
| Pontotoc, MS single city | 1 | $402.91 | $402.91 | $402.91 | 1.0× |
| Poplar Bluff, MO | 1 | $213.89 | $213.89 | $213.89 | 1.0× |
| Port St. Lucie, FL | 1 | $306.80 | $306.80 | $306.80 | 1.0× |
| Port Townsend, WA | 2 | $161.68 | $175.02 | $188.35 | 1.2× |
| Portland-South Portland, ME | 1 | $183.60 | $183.60 | $183.60 | 1.0× |
| Portland-Vancouver-Hillsboro, OR-WA | 5 | $142.06 | $368.49 | $544.43 | 3.8× |
| Pottsville, PA | 2 | $90.00 | $90.00 | $90.00 | 1.0× |
| Prescott Valley-Prescott, AZ | 1 | $196.06 | $196.06 | $196.06 | 1.0× |
| Providence-Warwick, RI-MA | 3 | $209.44 | $441.24 | $441.24 | 2.1× |
| Pullman, WA | 1 | $114.75 | $114.75 | $114.75 | 1.0× |
| Punta Gorda, FL | 1 | $1,996.89 | $1,996.89 | $1,996.89 | 1.0× |
| Raleigh-Cary, NC | 3 | $174.17 | $193.46 | $193.46 | 1.1× |
| Rangely, CO single city | 1 | $100.11 | $100.11 | $100.11 | 1.0× |
| Rapid City, SD | 3 | $146.40 | $146.40 | $195.87 | 1.3× |
| Rhinelander, WI single city | 1 | $191.75 | $191.75 | $191.75 | 1.0× |
| Rice Lake, WI | 1 | $219.95 | $219.95 | $219.95 | 1.0× |
| Richmond, VA | 5 | $87.60 | $2,048.00 | $2,048.00 | 23.4× |
| Rifle, CO | 1 | $132.50 | $132.50 | $132.50 | 1.0× |
| Ripley, WV single city | 1 | $143.00 | $143.00 | $143.00 | 1.0× |
| Riverside-San Bernardino-Ontario, CA | 8 | $75.65 | $215.02 | $528.41 | 7.0× |
| Rochester, NY | 6 | $185.30 | $208.36 | $256.45 | 1.4× |
| Rockport, ME single city | 1 | $1,381.95 | $1,381.95 | $1,381.95 | 1.0× |
| Rome, GA | 2 | $485.05 | $1,469.05 | $2,453.05 | 5.1× |
| Roswell, NM | 1 | $171.15 | $171.15 | $171.15 | 1.0× |
| Russellville, KY single city | 1 | $164.76 | $164.76 | $164.76 | 1.0× |
| Sacramento-Roseville-Folsom, CA | 3 | $148.96 | $148.96 | $148.96 | 1.0× |
| Salem, OR | 1 | $357.32 | $357.32 | $357.32 | 1.0× |
| Salmon, ID single city | 1 | $190.50 | $190.50 | $190.50 | 1.0× |
| Salt Lake City-Murray, UT | 1 | $198.80 | $198.80 | $198.80 | 1.0× |
| San Andreas, CA single city | 1 | $464.04 | $464.04 | $464.04 | 1.0× |
| San Antonio-New Braunfels, TX | 1 | $20.35 | $20.35 | $20.35 | 1.0× |
| San Diego-Chula Vista-Carlsbad, CA | 4 | $215.02 | $215.02 | $310.56 | 1.4× |
| San Francisco-Oakland-Fremont, CA | 18 | $148.96 | $148.96 | $975.00 | 6.5× |
| San Jose-Sunnyvale-Santa Clara, CA | 3 | $148.96 | $148.96 | $524.40 | 3.5× |
| Sandstone, MN single city | 1 | $145.58 | $145.58 | $145.58 | 1.0× |
| Santa Rosa-Petaluma, CA | 1 | $148.96 | $148.96 | $148.96 | 1.0× |
| Sayre, PA | 3 | $142.80 | $142.80 | $142.80 | 1.0× |
| Scottsburg, IN single city | 1 | $271.39 | $271.39 | $271.39 | 1.0× |
| Scranton--Wilkes-Barre, PA | 1 | $80.00 | $80.00 | $80.00 | 1.0× |
| Seattle-Tacoma-Bellevue, WA | 6 | $106.86 | $318.71 | $318.71 | 3.0× |
| Sebastian-Vero Beach-West Vero Corridor, FL | 1 | $327.83 | $327.83 | $327.83 | 1.0× |
| Sebring, FL | 1 | $1,679.61 | $1,679.61 | $1,679.61 | 1.0× |
| Shawano, WI | 1 | $142.86 | $142.86 | $142.86 | 1.0× |
| Shelby-Kings Mountain, NC | 1 | $87.50 | $87.50 | $87.50 | 1.0× |
| Shelbyville, TN | 1 | $69.60 | $69.60 | $69.60 | 1.0× |
| Shreveport-Bossier City, LA | 2 | $116.72 | $121.21 | $125.69 | 1.1× |
| Sierra Vista-Douglas, AZ | 1 | $60.00 | $60.00 | $60.00 | 1.0× |
| Sioux Falls, SD-MN | 1 | $382.20 | $382.20 | $382.20 | 1.0× |
| Skowhegan, ME single city | 1 | $128.12 | $128.12 | $128.12 | 1.0× |
| Slidell-Mandeville-Covington, LA | 1 | $42.42 | $42.42 | $42.42 | 1.0× |
| Soldotna, AK single city | 1 | $257.00 | $257.00 | $257.00 | 1.0× |
| Sparta, NC single city | 1 | $855.93 | $855.93 | $855.93 | 1.0× |
| Spartanburg, SC | 3 | $156.00 | $156.00 | $156.00 | 1.0× |
| Spearfish, SD | 2 | $146.40 | $146.40 | $146.40 | 1.0× |
| Spencer, IA | 1 | $169.50 | $169.50 | $169.50 | 1.0× |
| Spokane-Spokane Valley, WA | 2 | $59.50 | $59.85 | $60.20 | 1.0× |
| Springfield, MA | 1 | $150.00 | $150.00 | $150.00 | 1.0× |
| Springfield, MO | 2 | $54.24 | $82.32 | $110.40 | 2.0× |
| Spruce Pine, NC single city | 1 | $736.92 | $736.92 | $736.92 | 1.0× |
| St. Johnsbury, VT single city | 1 | $117.00 | $117.00 | $117.00 | 1.0× |
| St. Joseph, MO-KS | 2 | $167.45 | $167.45 | $167.45 | 1.0× |
| St. Marys, PA | 1 | $23.14 | $23.14 | $23.14 | 1.0× |
| Starkville, MS | 1 | $402.91 | $402.91 | $402.91 | 1.0× |
| Staunton-Stuarts Draft, VA | 1 | $85.78 | $85.78 | $85.78 | 1.0× |
| Ste. Genevieve, MO single city | 1 | $50.50 | $50.50 | $50.50 | 1.0× |
| Stevens Point-Plover, WI | 3 | $191.75 | $191.75 | $219.95 | 1.1× |
| Stockton-Lodi, CA | 1 | $148.96 | $148.96 | $148.96 | 1.0× |
| Summersville, WV single city | 1 | $143.00 | $143.00 | $143.00 | 1.0× |
| Sweetwater, TN single city | 1 | $222.08 | $222.08 | $222.08 | 1.0× |
| Tampa-St. Petersburg-Clearwater, FL | 16 | $99.75 | $972.34 | $2,694.72 | 27.0× |
| Tell City, IN single city | 1 | $150.50 | $150.50 | $150.50 | 1.0× |
| Texarkana, TX-AR | 1 | $605.77 | $605.77 | $605.77 | 1.0× |
| Thief River Falls, MN single city | 1 | $190.85 | $190.85 | $190.85 | 1.0× |
| Tiffin, OH | 1 | $278.16 | $278.16 | $278.16 | 1.0× |
| Tomahawk, WI single city | 1 | $191.75 | $191.75 | $191.75 | 1.0× |
| Traverse City, MI | 2 | $211.93 | $242.82 | $273.70 | 1.3× |
| Tullahoma-Manchester, TN | 1 | $58.87 | $58.87 | $58.87 | 1.0× |
| Tulsa, OK | 3 | $166.00 | $166.00 | $166.00 | 1.0× |
| Tupelo, MS | 1 | $402.91 | $402.91 | $402.91 | 1.0× |
| Tuscaloosa, AL | 1 | $31.50 | $31.50 | $31.50 | 1.0× |
| Twin Falls, ID | 1 | $147.30 | $147.30 | $147.30 | 1.0× |
| Two Harbors, MN single city | 1 | $242.78 | $242.78 | $242.78 | 1.0× |
| Tyler, TX | 1 | $43.43 | $43.43 | $43.43 | 1.0× |
| Urban Honolulu, HI | 2 | $114.00 | $212.07 | $310.13 | 2.7× |
| Utica-Rome, NY | 1 | $84.60 | $84.60 | $84.60 | 1.0× |
| Valdez, AK single city | 1 | $118.37 | $118.37 | $118.37 | 1.0× |
| Vallejo, CA | 2 | $148.96 | $148.96 | $148.96 | 1.0× |
| Vicksburg, MS | 1 | $503.46 | $503.46 | $503.46 | 1.0× |
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 2 | $75.00 | $120.29 | $165.58 | 2.2× |
| Wabash, IN | 1 | $238.59 | $238.59 | $238.59 | 1.0× |
| Wadena, MN single city | 1 | $138.62 | $138.62 | $138.62 | 1.0× |
| Warner Robins, GA | 3 | $555.17 | $555.17 | $599.93 | 1.1× |
| Warren, PA | 1 | $369.00 | $369.00 | $369.00 | 1.0× |
| Warsaw, IN | 1 | $298.45 | $298.45 | $298.45 | 1.0× |
| Warsaw, NY single city | 1 | $128.18 | $128.18 | $128.18 | 1.0× |
| Washington Court House, OH | 1 | $175.00 | $175.00 | $175.00 | 1.0× |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 5 | $143.00 | $255.55 | $280.77 | 2.0× |
| Waterloo-Cedar Falls, IA | 2 | $124.80 | $124.80 | $124.80 | 1.0× |
| Watertown-Fort Drum, NY | 1 | $258.80 | $258.80 | $258.80 | 1.0× |
| Wauchula, FL single city | 1 | $1,679.61 | $1,679.61 | $1,679.61 | 1.0× |
| Waupaca, WI single city | 1 | $142.86 | $142.86 | $142.86 | 1.0× |
| Wausau, WI | 2 | $191.75 | $205.85 | $219.95 | 1.1× |
| Waverly, OH single city | 1 | $87.50 | $87.50 | $87.50 | 1.0× |
| Waynesburg, PA single city | 1 | $76.44 | $76.44 | $76.44 | 1.0× |
| Webster, SD single city | 1 | $203.88 | $203.88 | $203.88 | 1.0× |
| Weirton-Steubenville, WV-OH | 2 | $95.50 | $107.02 | $118.53 | 1.2× |
| Wenatchee-East Wenatchee, WA | 1 | $259.20 | $259.20 | $259.20 | 1.0× |
| West Point, MS single city | 1 | $402.91 | $402.91 | $402.91 | 1.0× |
| West Union, IA single city | 1 | $107.51 | $107.51 | $107.51 | 1.0× |
| Wheeling, WV-OH | 3 | $91.00 | $91.00 | $143.00 | 1.6× |
| Whitehall, WI single city | 1 | $135.68 | $135.68 | $135.68 | 1.0× |
| Whiteville, NC single city | 1 | $351.89 | $351.89 | $351.89 | 1.0× |
| Wild Rose, WI single city | 1 | $142.86 | $142.86 | $142.86 | 1.0× |
| Winfield, AL single city | 1 | $402.91 | $402.91 | $402.91 | 1.0× |
| Winston-Salem, NC | 3 | $274.00 | $274.00 | $477.50 | 1.7× |
| Wisconsin Rapids-Marshfield, WI | 2 | $191.75 | $205.85 | $219.95 | 1.1× |
| Wolfeboro, NH single city | 1 | $111.00 | $111.00 | $111.00 | 1.0× |
| Woodruff, WI single city | 1 | $191.75 | $191.75 | $191.75 | 1.0× |
| Worcester, MA | 3 | $117.00 | $337.64 | $337.64 | 2.9× |
| Worthington, MN | 1 | $245.62 | $245.62 | $245.62 | 1.0× |
| Yakima, WA | 1 | $97.50 | $97.50 | $97.50 | 1.0× |
| Youngstown-Warren, OH | 1 | $333.78 | $333.78 | $333.78 | 1.0× |
| Yreka, CA single city | 1 | $143.00 | $143.00 | $143.00 | 1.0× |
| Yuma, AZ | 1 | $118.89 | $118.89 | $118.89 | 1.0× |
| Zanesville, OH | 1 | $127.20 | $127.20 | $127.20 | 1.0× |
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
Highest The highest cash price among those hospitals. A single very high price can be an error in the file; check the median too.
Highest ÷ lowest How many times the highest cash price is above the lowest in the same market.
Common questions
What is CPT code 90636?
CPT 90636 is the billing code for hepatitis A and B combination vaccine, adult (Twinrix). 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.
Is Twinrix cheaper than separate shots?
It can be, because it takes three injections instead of five. Compare the whole-series price at the same place.
Is there a faster schedule?
Yes: doses on day 0, day 7 and between days 21 and 30, then a booster at 12 months.
What does a dose of the hepatitis A and B vaccine (Twinrix) cost a clinic or pharmacy?
$141.60 (Twinrix) per dose is the manufacturer's private-sector price in the CDC vaccine price list: what a clinic or pharmacy pays for the vaccine itself. The median hospital cash price, $172.95 across 903 hospitals, is 1.2× that. Giving the shot is billed separately (CPT 90471).
Is it cheaper to pay cash or use insurance for hepatitis A and B vaccine (Twinrix)?
It depends on your deductible. Until you meet it, you pay your plan's negotiated rate, not the cash price. In hospital price files the highest negotiated rate for hepatitis A and B vaccine (Twinrix) has a median of $298.23 and the lowest a median of $81.53; at 555 of 640 hospitals the cash price is below the highest negotiated rate. A cash payment may not count toward your deductible, so ask your plan for its rate at that hospital first.
Which states have the cheapest hepatitis A and B vaccine (Twinrix)?
Among 39 states with at least 5 hospitals listing a cash price, the median is lowest in Tennessee ($84.70), Pennsylvania ($90.00) and Louisiana ($92.73), and highest in Texas ($640.71), Georgia ($500.58) and Alabama ($360.06). Prices vary as much between hospitals in the same state, so compare hospitals near you.
Other vaccine prices
Median hospital cash price, one per hospital.