Hepatitis A and B vaccine (Twinrix) cost in Iowa
In Iowa, 29 hospitals publish a cash price for hepatitis A and B combination vaccine, adult (Twinrix): from $107.51 to $220.65, with a median of $119.20. The lowest price is at Gundersen Palmer Lutheran Hospital and Clinic (West Union). The highest price is 2.1× the lowest.
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 Sep 23, 2026.
Lowest$107.51Gundersen Palmer Lutheran Hospital and Clinic
Median$119.20half pay less
Highest$220.65in Iowa
Lowest saves$11.69vs the median
Hospitals in Iowa, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Gundersen Palmer Lutheran Hospital and Clinic lowest West Union · West Union, IA PR HEPITITIS A AND HEPATITIS B VACCINE (HEPA-HEPB), ADULT DOSAGE | $107.51 | $181.00 | Jun 27, 2026 source file |
| MercyOne Genesis Davenport West Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL Hepatitis A-Hepatitis B (720--20) Vaccine-PF 1 ml | $112.22 | $187.04 | Mar 31, 2026 source file |
| MercyOne Genesis Davenport Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL Hepatitis A-Hepatitis B (720--20) Vaccine-PF 1 ml | $116.72 | $194.53 | Mar 31, 2026 source file |
| MercyOne Genesis DeWitt Medical Center Dewitt · Clinton, IA Hepatitis A-Hepatitis B (720--20) Vaccine-PF 1 ml | $116.72 | $194.53 | Mar 31, 2026 source file |
| Central Community Hospital Elkader · Elkader, IA HC Vaccine Hepatitis a (Hepa) Hepatitis B (Hepb) Adult Im | $118.95 | $183.00 | Mar 31, 2026 source file |
| Mercy Medical Center - Dyersville Dyersville · Dubuque, IA HC Vaccine Hepatitis a (Hepa) Hepatitis B (Hepb) Adult Im | $118.95 | $183.00 | Mar 31, 2026 source file |
| Mercy Medical Center - New Hampton New Hampton · New Hampton, IA HC Vaccine Hepatitis a (Hepa) Hepatitis B (Hepb) Adult Im | $118.95 | $183.00 | Mar 31, 2026 source file |
| Mercy Medical Center - Newton Newton · Des Moines-West Des Moines, IA HC Vaccine Hepatitis a (Hepa) Hepatitis B (Hepb) Adult Im | $118.95 | $183.00 | Mar 31, 2026 source file |
| MercyOne Oelwein Medical Center Oelwein · Oelwein, IA HC Vaccine Hepatitis a (Hepa) Hepatitis B (Hepb) Adult Im | $118.95 | $183.00 | Mar 31, 2026 source file |
| Allen Hospital Waterloo · Waterloo-Cedar Falls, IA PR HEPA/HEPB VACCINE ADULT IM | $119.20 | $149.00 | Jan 28, 2026 source file |
| Grinnell Regional Medical Center Grinnell · Grinnell, IA PR HEPA/HEPB VACCINE ADULT IM | $119.20 | $149.00 | Jan 28, 2026 source file |
| St Luke's Methodist Hospital Cedar Rapids · Cedar Rapids, IA PR HEPA/HEPB VACCINE ADULT IM | $119.20 | $149.00 | Jan 28, 2026 source file |
| St Luke'sJones Regional Medical Center Anamosa · Cedar Rapids, IA PR HEPA/HEPB VACCINE ADULT IM | $119.20 | $149.00 | Jan 28, 2026 source file |
| St Lukes Regional Medical Center Sioux City · Sioux City, IA-NE-SD PR HEPA/HEPB VACCINE ADULT IM | $119.20 | $149.00 | Jan 28, 2026 source file |
| The Finley Hospital Dubuque · Dubuque, IA PR HEPA/HEPB VACCINE ADULT IM | $119.20 | $149.00 | Jan 28, 2026 source file |
| Trinity Medical Center Bettendorf · Davenport-Moline-Rock Island, IA-IL PR HEPA/HEPB VACCINE ADULT IM | $119.20 | $149.00 | Jan 28, 2026 source file |
| Trinity Regional Medical Center Fort Dodge · Fort Dodge, IA PR HEPA/HEPB VACCINE ADULT IM | $119.20 | $149.00 | Jan 28, 2026 source file |
| Unity Healthcare Muscatine · Muscatine, IA PR HEPA/HEPB VACCINE ADULT IM | $119.20 | $149.00 | Jan 28, 2026 source file |
| UnityPoint Health - Des Moines Iowa Methodist Medical Des Moines · Des Moines-West Des Moines, IA PR HEPA/HEPB VACCINE ADULT IM | $119.20 | $149.00 | Jan 28, 2026 source file |
| UnityPoint Health Marshalltown Marshalltown · Marshalltown, IA PR HEPA/HEPB VACCINE ADULT IM | $119.20 | $149.00 | Jan 28, 2026 source file |
| Mercy Medical Center - Dubuque Dubuque · Dubuque, IA HC Vaccine Hepatitis a (Hepa) Hepatitis B (Hepb) Adult Im | $124.80 | $192.00 | Mar 31, 2026 source file |
| MercyOne Clinton Medical Center Clinton · Clinton, IA HC Vaccine Hepatitis a (Hepa) Hepatitis B (Hepb) Adult Im | $124.80 | $192.00 | Mar 31, 2026 source file |
| MercyOne Des Moines Medical Center Des Moines · Des Moines-West Des Moines, IA HC Vaccine Hepatitis a (Hepa) Hepatitis B (Hepb) Adult Im | $124.80 | $192.00 | Mar 31, 2026 source file |
| MercyOne North Iowa Medical Center Mason City · Mason City, IA HC Vaccine Hepatitis a (Hepa) Hepatitis B (Hepb) Adult Im | $124.80 | $192.00 | Mar 31, 2026 source file |
| MercyOne Waterloo Medical Center Waterloo · Waterloo-Cedar Falls, IA HC Vaccine Hepatitis a (Hepa) Hepatitis B (Hepb) Adult Im | $124.80 | $192.00 | Mar 31, 2026 source file |
| Sartori Memorial Hospital Cedar Falls · Waterloo-Cedar Falls, IA HC Vaccine Hepatitis a (Hepa) Hepatitis B (Hepb) Adult Im | $124.80 | $192.00 | Mar 31, 2026 source file |
| St. Joseph's Mercy Hospital, Centerville Centerville · Centerville, IA HC Vaccine Hepatitis a (Hepa) Hepatitis B (Hepb) Adult Im | $183.00 | $183.00 | Mar 31, 2026 source file |
| Catholic Health Initiatives-Iowa West Des Moines · Des Moines-West Des Moines, IA HC Vaccine Hepatitis a (Hepa) Hepatitis B (Hepb) Adult Im | $192.00 | $192.00 | Mar 31, 2026 source file |
| Winneshiek Medical Center Decorah · Decorah, IA Hepatitis A and hepatitis B vaccine | $220.65 | $315.22 | Jul 17, 2026 source file |
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Des Moines-West Des Moines, IA | 4 | $118.95 | $122.00 |
| Davenport-Moline-Rock Island, IA-IL | 3 | $112.22 | $116.72 |
| Dubuque, IA | 3 | $118.95 | $119.20 |
| Waterloo-Cedar Falls, IA | 3 | $119.20 | $124.80 |
| Clinton, IA | 2 | $116.72 | $120.76 |
| Cedar Rapids, IA | 1 | $119.20 | $119.20 |
| Centerville, IA | 1 | $183.00 | $183.00 |
| Cedar Rapids, IA | 1 | $119.20 | $119.20 |
| Decorah, IA | 1 | $220.65 | $220.65 |
| Elkader, IA | 1 | $118.95 | $118.95 |
| Fort Dodge, IA | 1 | $119.20 | $119.20 |
| Grinnell, IA | 1 | $119.20 | $119.20 |
| Marshalltown, IA | 1 | $119.20 | $119.20 |
| Mason City, IA | 1 | $124.80 | $124.80 |
| Muscatine, IA | 1 | $119.20 | $119.20 |
| New Hampton, IA | 1 | $118.95 | $118.95 |
| Oelwein, IA | 1 | $118.95 | $118.95 |
| Sioux City, IA-NE-SD | 1 | $119.20 | $119.20 |
| West Union, IA | 1 | $107.51 | $107.51 |
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.
Hepatitis A and B combination vaccine, adult (Twinrix) in other states
- Alabama$116.60
- Alaska$180.70
- Arizona$118.89
- Arkansas$133.50
- California$154.79
- Colorado$2,628.56
- Connecticut$132.00
- Delaware$391.10
- Florida$348.97
- Georgia$531.59
- Hawaii$114.00
- Idaho$147.30
- Illinois$195.00
- Indiana$238.59
- Kansas$1,976.51
- Kentucky$77.00
- Louisiana$42.42
- Maine$156.75
- Maryland$186.40
- Massachusetts$242.18
- Michigan$172.95
- Minnesota$145.58
- Mississippi$84.70
- Missouri$105.90
- Montana$245.37
- Nebraska$460.34
- Nevada$108.60
- New Hampshire$108.20
- New Jersey$109.67
- New York$209.01
- North Carolina$87.35
- North Dakota$160.86
- Ohio$306.80
- Oklahoma$166.00
- Oregon$152.00
- Pennsylvania$117.60
- Rhode Island$441.24
- South Dakota$293.04
- Tennessee$84.70
- Texas$275.85
- Utah$185.50
- Vermont$136.25
- Virginia$86.69
- Washington$259.20
- West Virginia$95.50
- Wisconsin$191.75
- Wyoming$131.12
Median cash price across the state's hospitals.