Hepatitis A and B vaccine (Twinrix) cost in California
In California, 63 hospitals publish a cash price for hepatitis A and B combination vaccine, adult (Twinrix): from $68.75 to $975.00, with a median of $215.02. The lowest price is at Orchard Hospital (Gridley). The highest price is 14.2× the lowest.
- The median here, $215.02, is 24% above the US median of $172.95.
- California ranks 30th of 39 states by median, cheapest first.
- 9 of 63 hospitals list a cash price equal to their full list price, with no self-pay discount.
California law (Health and Safety Code §127405): if you are uninsured or have high medical costs and your family income is at or below 400% of the federal poverty level, a hospital may not expect you to pay more than it would expect from Medicare or Medi-Cal, whichever is greater. That can be less than the cash prices below; ask the hospital for its discount payment policy. A separate physician fee may still apply. Other states' laws.
Outpatient cash prices, one line per hospital — its lowest listed price for code 90636. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 8, 2026. See them on a map
Lowest$68.75Orchard Hospital
Median$215.02half of hospitals charge less
Highest$975.00in California
Lowest saves$146.27vs the median
Hospitals in California, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Orchard Hospital lowest Gridley · Chico, CA Hepatitis A and hepatitis B vaccine | $68.75 | $114.58 | Oct 23, 2026 source file |
| Loma Linda University Childrens Hospital Loma Linda · Riverside-San Bernardino-Ontario, CA HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE [118915] | $75.65 | $168.12 | Sep 2, 2026 source file |
| Loma Linda University Medical Center Loma Linda · Riverside-San Bernardino-Ontario, CA HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE [118915] | $75.65 | $168.12 | Sep 2, 2026 source file |
| Loma Linda University Medical Center - Murrieta Murrieta · Riverside-San Bernardino-Ontario, CA HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE [118915] | $75.65 | $168.12 | Sep 2, 2026 source file |
| Mad River Community Hospital Arcata · Eureka-Arcata, CA HEP A&B TWINRIX IM SUSPENSION 1ML | $113.18 | $113.18 | Jul 22, 2025 source file |
| Fairchild Medical Center Yreka · Yreka, CA Hepatitis A and hepatitis B vaccine | $143.00 | $143.00 | Sep 24, 2026 source file |
| Kaiser Foundation Hospital & Rehab Center - Vallejo Vallejo · Vallejo, CA HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $148.96 | $266.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Antioch Antioch · San Francisco-Oakland-Fremont, CA HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $148.96 | $266.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Fremont Fremont · San Francisco-Oakland-Fremont, CA HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $148.96 | $266.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Fresno Fresno · Fresno, CA HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $148.96 | $266.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Manteca Manteca · Stockton-Lodi, CA HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $148.96 | $266.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Modesto Modesto · Modesto, CA HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $148.96 | $266.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Oakland/Richmond Oakland · San Francisco-Oakland-Fremont, CA HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $148.96 | $266.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Redwood City Redwood City · San Francisco-Oakland-Fremont, CA HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $148.96 | $266.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Roseville Roseville · Sacramento-Roseville-Folsom, CA HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $148.96 | $266.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Sacramento Sacramento · Sacramento-Roseville-Folsom, CA HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $148.96 | $266.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - San Francisco San Francisco · San Francisco-Oakland-Fremont, CA HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $148.96 | $266.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - San Jose San Jose · San Jose-Sunnyvale-Santa Clara, CA HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $148.96 | $266.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - San Leandro San Leandro · San Francisco-Oakland-Fremont, CA HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $148.96 | $266.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - San Rafael San Rafael · San Francisco-Oakland-Fremont, CA HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $148.96 | $266.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Santa Clara Santa Clara · San Jose-Sunnyvale-Santa Clara, CA HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $148.96 | $266.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Santa Rosa Santa Rosa · Santa Rosa-Petaluma, CA HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $148.96 | $266.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - South Sacramento Sacramento · Sacramento-Roseville-Folsom, CA HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $148.96 | $266.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - South San Francisco South San Francisco · San Francisco-Oakland-Fremont, CA HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $148.96 | $266.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Vacaville Vacaville · Vallejo, CA HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $148.96 | $266.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Walnut Creek Walnut Creek · San Francisco-Oakland-Fremont, CA HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $148.96 | $266.00 | Apr 1, 2026 source file |
| Kaiser Fnd Hospital - Richmond Campus Richmond · San Francisco-Oakland-Fremont, CA HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $148.96 | $266.00 | Apr 1, 2026 source file |
| Providence Redwood Memorial Hospital Fortuna · Eureka-Arcata, CA HC PR RX HEPATITIS A & B VACCINE ADULT IM 1 ML | $154.79 | $303.50 | Apr 1, 2026 source file |
| San Mateo Medical Center San Mateo · San Francisco-Oakland-Fremont, CA HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSY | $193.92 | $387.84 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Baldwin Park Baldwin Park · Los Angeles-Long Beach-Anaheim, CA hepatitis A-hepatitis B vaccine (PF) 720 ELISA unit- 20 mcg/mL Syringe 1 mL SYRINGE | $215.02 | $413.50 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Downey Downey · Los Angeles-Long Beach-Anaheim, CA hepatitis A-hepatitis B vaccine (PF) 720 ELISA unit- 20 mcg/mL Syringe 1 mL SYRINGE | $215.02 | $413.50 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Fontana Fontana · Riverside-San Bernardino-Ontario, CA hepatitis A-hepatitis B vaccine (PF) 720 ELISA unit- 20 mcg/mL Syringe 1 mL SYRINGE | $215.02 | $413.50 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Los Angeles Los Angeles · Los Angeles-Long Beach-Anaheim, CA hepatitis A-hepatitis B vaccine (PF) 720 ELISA unit- 20 mcg/mL Syringe 1 mL SYRINGE | $215.02 | $413.50 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Moreno Valley Moreno Valley · Riverside-San Bernardino-Ontario, CA hepatitis A-hepatitis B vaccine (PF) 720 ELISA unit- 20 mcg/mL Syringe 1 mL SYRINGE | $215.02 | $413.50 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Orange County - Anaheim Anaheim · Los Angeles-Long Beach-Anaheim, CA hepatitis A-hepatitis B vaccine (PF) 720 ELISA unit- 20 mcg/mL Syringe 1 mL SYRINGE | $215.02 | $413.50 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Panorama City Panorama City · Los Angeles-Long Beach-Anaheim, CA hepatitis A-hepatitis B vaccine (PF) 720 ELISA unit- 20 mcg/mL Syringe 1 mL SYRINGE | $215.02 | $413.50 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Riverside Riverside · Riverside-San Bernardino-Ontario, CA hepatitis A-hepatitis B vaccine (PF) 720 ELISA unit- 20 mcg/mL Syringe 1 mL SYRINGE | $215.02 | $413.50 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - San Diego - Clairemont Mesa San Diego · San Diego-Chula Vista-Carlsbad, CA hepatitis A-hepatitis B vaccine (PF) 720 ELISA unit- 20 mcg/mL Syringe 1 mL SYRINGE | $215.02 | $413.50 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - San Diego - Zion San Diego · San Diego-Chula Vista-Carlsbad, CA hepatitis A-hepatitis B vaccine (PF) 720 ELISA unit- 20 mcg/mL Syringe 1 mL SYRINGE | $215.02 | $413.50 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - San Marcos San Marcos · San Diego-Chula Vista-Carlsbad, CA hepatitis A-hepatitis B vaccine (PF) 720 ELISA unit- 20 mcg/mL Syringe 1 mL SYRINGE | $215.02 | $413.50 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - South Bay Harbor City · Los Angeles-Long Beach-Anaheim, CA hepatitis A-hepatitis B vaccine (PF) 720 ELISA unit- 20 mcg/mL Syringe 1 mL SYRINGE | $215.02 | $413.50 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - West LA Los Angeles · Los Angeles-Long Beach-Anaheim, CA hepatitis A-hepatitis B vaccine (PF) 720 ELISA unit- 20 mcg/mL Syringe 1 mL SYRINGE | $215.02 | $413.50 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Woodland Hills Woodland Hills · Los Angeles-Long Beach-Anaheim, CA hepatitis A-hepatitis B vaccine (PF) 720 ELISA unit- 20 mcg/mL Syringe 1 mL SYRINGE | $215.02 | $413.50 | Apr 1, 2026 source file |
| Kaiser Fnd Hospital - Irvine Irvine · Los Angeles-Long Beach-Anaheim, CA hepatitis A-hepatitis B vaccine (PF) 720 ELISA unit- 20 mcg/mL Syringe 1 mL SYRINGE | $215.02 | $413.50 | Apr 1, 2026 source file |
| Kaiser Ontario Medical Center Campus Ontario · Riverside-San Bernardino-Ontario, CA hepatitis A-hepatitis B vaccine (PF) 720 ELISA unit- 20 mcg/mL Syringe 1 mL SYRINGE | $215.02 | $413.50 | Apr 1, 2026 source file |
| Chinese Hospital San Francisco · San Francisco-Oakland-Fremont, CA Hepatitis A and hepatitis B vaccine | $217.00 | $217.00 | Jul 22, 2026 source file |
| Mills Health Center San Mateo · San Francisco-Oakland-Fremont, CA HCHG TS INJ TWINRIX | $250.00 | $250.00 | Apr 1, 2026 source file |
| Mills-Peninsula Medical Center Burlingame · San Francisco-Oakland-Fremont, CA HCHG TS INJ TWINRIX BSTR | $250.00 | $250.00 | Apr 1, 2026 source file |
| Ridgecrest Regional Hospital Ridgecrest · Bakersfield-Delano, CA Hep a-b twinrix vacc | $260.76 | $492.00 | Nov 6, 2026 source file |
| UC San Diego Medical Center San Diego · San Diego-Chula Vista-Carlsbad, CA Vaccine Hepatitis a and Hepatitis B Adult Dosage | $310.56 | $564.66 | Apr 1, 2026 source file |
| USC Kenneth Norris Jr Cancer Hospital Los Angeles · Los Angeles-Long Beach-Anaheim, CA Hepatitis A And B Vaccine 720 Units-20 Mcg/Ml Pf Injection | $457.43 | $457.43 | Apr 1, 2026 source file |
| Sequoia Hospital Redwood City · San Francisco-Oakland-Fremont, CA HEP A-B VACC PF 20MCG INJ | $458.83 | $1,345.00 | Sep 30, 2026 source file |
| Mark Twain Medical Center San Andreas · San Andreas, CA HEP A-B VACC PF 20MCG INJ | $464.04 | $686.49 | Sep 30, 2026 source file |
| Keck Hospital of USC Los Angeles · Los Angeles-Long Beach-Anaheim, CA Hep Ab Vac | $480.30 | $480.30 | Apr 1, 2026 source file |
| Stanford Health Care Stanford · San Jose-Sunnyvale-Santa Clara, CA Hepatitis a&B Adult Vacc Im | $524.40 | $1,311.00 | Apr 1, 2026 source file |
| Eisenhower Medical Center Rancho Mirage · Riverside-San Bernardino-Ontario, CA HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE | $528.41 | $1,601.25 | Apr 2, 2026 source file |
| Clovis Community Medical Center Clovis · Fresno, CA HEP B RECOMB/HEP A VIR VACC 1M | $586.00 | $732.50 | Jun 15, 2026 source file |
| Community Regional Medical Center Fresno · Fresno, CA HEP B RECOMB/HEP A VIR VACC 1M | $586.00 | $732.50 | Jun 18, 2026 source file |
| Fresno Heart and Surgical Hospital Fresno · Fresno, CA HEP B RECOMB/HEP A VIR VACC 1M | $586.00 | $732.50 | Jun 16, 2026 source file |
| Stanford Health Care Tri-Valley Pleasanton · San Francisco-Oakland-Fremont, CA HEPATITIS A AND B VACCINE (PF) 720 ELISA UNIT- 20 MCG/ML IM SYRG | $804.71 | $2,011.78 | Apr 1, 2026 source file |
| Mercy Medical Center of Mt Shasta Mt Shasta · Mt Shasta, CA HEP A-B VACC PF 20MCG INJ | $895.41 | $1,177.00 | Sep 30, 2026 source file |
| Alta Bates Summit Medical Center Oakland · San Francisco-Oakland-Fremont, CA HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSY | $975.00 | $975.00 | Apr 1, 2026 source file |
| Alta Bates Summit Medical Center-Summit Campus-Hawthorne Oakland · San Francisco-Oakland-Fremont, CA HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSY | $975.00 | $975.00 | Apr 1, 2026 source file |
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
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
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
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| San Francisco-Oakland-Fremont, CA | 18 | $148.96 | $148.96 |
| Los Angeles-Long Beach-Anaheim, CA | 11 | $215.02 | $215.02 |
| Riverside-San Bernardino-Ontario, CA | 8 | $75.65 | $215.02 |
| Fresno, CA | 4 | $148.96 | $586.00 |
| San Diego-Chula Vista-Carlsbad, CA | 4 | $215.02 | $215.02 |
| Sacramento-Roseville-Folsom, CA | 3 | $148.96 | $148.96 |
| San Jose-Sunnyvale-Santa Clara, CA | 3 | $148.96 | $148.96 |
| Eureka-Arcata, CA | 2 | $113.18 | $133.98 |
| Vallejo, CA | 2 | $148.96 | $148.96 |
| Bakersfield-Delano, CA | 1 | $260.76 | $260.76 |
| Chico, CA | 1 | $68.75 | $68.75 |
| Mt Shasta, CA | 1 | $895.41 | $895.41 |
| Modesto, CA | 1 | $148.96 | $148.96 |
| San Andreas, CA | 1 | $464.04 | $464.04 |
| Santa Rosa-Petaluma, CA | 1 | $148.96 | $148.96 |
| Stockton-Lodi, CA | 1 | $148.96 | $148.96 |
| Yreka, CA | 1 | $143.00 | $143.00 |
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
What hepatitis A and B vaccine (Twinrix) is, what the price covers and why prices differ: Hepatitis A and B vaccine (Twinrix) explained.
Hepatitis A and B combination vaccine, adult (Twinrix) in other states
- Alabama$360.06
- Alaska$147.40
- Arizona$157.48, 4 hospitals
- Arkansas$170.00
- 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$168.81
- Maryland$191.41
- Massachusetts$242.18
- Michigan$172.95
- Minnesota$145.58
- Mississippi$162.70
- 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
Median cash price across the state's hospitals.