Hepatitis A and B vaccine (Twinrix) cost in Iowa
In Iowa, 32 hospitals publish a cash price for hepatitis A and B combination vaccine, adult (Twinrix): from $82.80 to $243.77, with a median of $124.80. The lowest price is at Jefferson County Hospital (Fairfield). The highest price is 2.9× the lowest.
- The median here, $124.80, is 28% below the US median of $172.95.
- Iowa ranks 8th of 39 states by median, cheapest first.
- 3 of 32 hospitals list a cash price equal to their full list price, with no self-pay discount.
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 7, 2026. See them on a map
Lowest$82.80Jefferson County Hospital
Median$124.80half of hospitals charge less
Highest$243.77in Iowa
Lowest saves$42.00vs the median
Hospitals in Iowa, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Jefferson County Hospital lowest Fairfield · Fairfield, IA Hepatitis A and hepatitis B vaccine | $82.80 | $138.00 | Aug 20, 2026 source file |
| Cass County Memorial Hospital Atlantic · Atlantic, IA Hepatitis A and hepatitis B vaccine | $84.29 | $120.41 | Jun 1, 2026 source file |
| Washington County Hospital Washington · Iowa City, IA Hepatitis A and hepatitis B vaccine | $107.25 | $143.00 | Oct 20, 2026 source file |
| Gundersen Palmer Lutheran Hospital and Clinic 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 |
| Floyd County Memorial Hospital Commission Charles City · Charles City, IA Hepatitis A and hepatitis B vaccine | $114.00 | $285.00 | Sep 30, 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 |
| 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 |
| MercyOne Dyersville Medical Center Dyersville · Dubuque, IA HC Vaccine Hepatitis a (Hepa) Hepatitis B (Hepb) Adult Im | $118.95 | $183.00 | Mar 31, 2026 source file |
| MercyOne Elkader Medical Center Elkader · Elkader, IA HC Vaccine Hepatitis a (Hepa) Hepatitis B (Hepb) Adult Im | $118.95 | $183.00 | Mar 31, 2026 source file |
| MercyOne Newton Medical Center 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 |
| Boone County Hospital Boone · Ames, IA Hepatitis A and hepatitis B vaccine | $121.60 | $152.00 | Jul 27, 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 Dubuque Medical Center Dubuque · Dubuque, 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 |
| Regional Medical Center Manchester · Manchester, IA HEP A/HEP B VACC ADULT IM | $125.60 | $157.00 | Feb 20, 2026 source file |
| WinnMed Decorah · Decorah, IA Hepatitis A and hepatitis B vaccine | $135.00 | $192.85 | Oct 13, 2026 source file |
| Palo Alto County Hospital Emmetsburg · Emmetsburg, IA Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use | $153.00 | $204.00 | Mar 31, 2026 source file |
| Spencer Municipal Hospital Spencer · Spencer, IA HepA-HepB Adult IM | $169.50 | $226.00 | Jan 1, 2026 source file |
| MercyOne Centerville Medical Center Centerville · Centerville, IA HC Vaccine Hepatitis a (Hepa) Hepatitis B (Hepb) Adult Im | $183.00 | $183.00 | Mar 31, 2026 source file |
| MercyOne West Des Moines Medical Center 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 |
| Jackson County Regional Health Center Maquoketa · Maquoketa, IA HEPATITIS A-HEPATITIS B 720--20 VACCINE-PF 1 ML | $192.65 | $192.65 | Aug 11, 2026 source file |
| Clarinda Regional Health Center Clarinda · Clarinda, IA Hepatitis A and hepatitis B vaccine | $219.75 | $293.00 | Oct 23, 2026 source file |
| Story County Hospital Nevada · Ames, IA HC IM ADULT HEPA-HEPB | $224.00 | $280.00 | Mar 30, 2026 source file |
| Belmond Community Hospital Belmond · Belmond, IA Hepatitis A and hepatitis B vaccine | $235.67 | $392.79 | Apr 22, 2026 source file |
| Iowa Specialty Hospital-Clarion Clarion · Clarion, IA Hepatitis A and hepatitis B vaccine | $235.67 | $392.79 | Jun 11, 2026 source file |
| Shelby County Chris A Myrtue Memorial Hospital Harlan · Harlan, IA Hepatitis A and hepatitis B vaccine | $243.77 | $420.29 | Apr 21, 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 |
|---|---|---|---|
| Des Moines-West Des Moines, IA | 3 | $118.95 | $124.80 |
| Ames, IA | 2 | $121.60 | $172.80 |
| Clinton, IA | 2 | $116.72 | $120.76 |
| Davenport-Moline-Rock Island, IA-IL | 2 | $112.22 | $114.47 |
| Dubuque, IA | 2 | $118.95 | $121.88 |
| Waterloo-Cedar Falls, IA | 2 | $124.80 | $124.80 |
| Atlantic, IA | 1 | $84.29 | $84.29 |
| Belmond, IA | 1 | $235.67 | $235.67 |
| Centerville, IA | 1 | $183.00 | $183.00 |
| Charles City, IA | 1 | $114.00 | $114.00 |
| Clarinda, IA | 1 | $219.75 | $219.75 |
| Clarion, IA | 1 | $235.67 | $235.67 |
| Decorah, IA | 1 | $135.00 | $135.00 |
| Elkader, IA | 1 | $118.95 | $118.95 |
| Emmetsburg, IA | 1 | $153.00 | $153.00 |
| Fairfield, IA | 1 | $82.80 | $82.80 |
| Harlan, IA | 1 | $243.77 | $243.77 |
| Iowa City, IA | 1 | $107.25 | $107.25 |
| Manchester, IA | 1 | $125.60 | $125.60 |
| Maquoketa, IA | 1 | $192.65 | $192.65 |
| Mason City, IA | 1 | $124.80 | $124.80 |
| New Hampton, IA | 1 | $118.95 | $118.95 |
| Oelwein, IA | 1 | $118.95 | $118.95 |
| Spencer, IA | 1 | $169.50 | $169.50 |
| West Union, IA | 1 | $107.51 | $107.51 |
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
- 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
- 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.