Hepatitis A and B vaccine (Twinrix) cost in Kentucky
In Kentucky, 18 hospitals publish a cash price for hepatitis A and B combination vaccine, adult (Twinrix): from $20.71 to $793.25, with a median of $118.64. The lowest price is at Norton Audubon Hospital (Louisville) and 5 other hospitals. The highest price is 38.3× the lowest.
- The median here, $118.64, is 31% below the US median of $172.95.
- Kentucky ranks 7th of 39 states by median, cheapest first.
- 1 of 18 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 11, 2026. See them on a map
Lowest$20.71Norton Audubon Hospital + 5 more
Median$118.64half of hospitals charge less
Highest$793.25in Kentucky
Lowest saves$97.93vs the median
Hospitals in Kentucky, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Norton Audubon Hospital lowest Louisville · Louisville, KY HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSP PRESYRG | $20.71 | $103.55 | Feb 11, 2026 source file |
| Norton Brownsboro Hospital lowest Louisville · Louisville/Jefferson County, KY-IN HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSP PRESYRG | $20.71 | $103.55 | Feb 11, 2026 source file |
| Norton Children's Hospital lowest Louisville · Louisville/Jefferson County, KY-IN HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSP PRESYRG | $20.71 | $103.55 | Feb 11, 2026 source file |
| Norton Hospital lowest Louisville · Louisville/Jefferson County, KY-IN HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSP PRESYRG | $20.71 | $103.55 | Feb 11, 2026 source file |
| Norton West Louisville Hospital lowest Louisville · Louisville/Jefferson County, KY-IN HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSP PRESYRG | $20.71 | $103.55 | Feb 11, 2026 source file |
| Norton Women's and Kosair Children's Hospital lowest Louisville · Louisville/Jefferson County, KY-IN HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSP PRESYRG | $20.71 | $103.55 | Feb 13, 2026 source file |
| Clark Regional Medical Center Winchester · Lexington-Fayette, KY Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use | $23.72 | $59.29 | Jul 10, 2026 source file |
| University of Louisville Hospital Louisville · Louisville/Jefferson County, KY-IN TWINRIX | $85.52 | $356.33 | Jan 1, 2026 source file |
| Deaconess Henderson Hospital Henderson · Henderson, KY HC HEP A HEP B VACC ADULT IM | $98.70 | $329.00 | Feb 9, 2026 source file |
| Casey County Hospital Liberty · Liberty, KY HEPATITIS B VACCINE | $138.57 | $173.21 | Mar 31, 2026 source file |
| Georgetown Community Hospital Georgetown · Lexington-Fayette, KY Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use | $147.04 | $367.61 | Jul 10, 2026 source file |
| The Medical Center at Albany Albany · Albany, KY HEP B RECOMB/HEP A INACT 1ML | $164.76 | $274.60 | Jul 1, 2024 source file |
| The Medical Center at Bowling Green Bowling Green · Bowling Green, KY HEP B RECOMB/HEP A INACT 1ML | $164.76 | $274.60 | Apr 1, 2026 source file |
| The Medical Center at Caverna Horse Cave · Horse Cave, KY HEP B RECOMB/HEP A INACT 1ML | $164.76 | $274.60 | Apr 1, 2026 source file |
| The Medical Center at Russellville Russellville · Russellville, KY HEP B RECOMB/HEP A INACT 1ML | $164.76 | $274.60 | Apr 1, 2026 source file |
| The Medical Center at Scottsville Scottsville · Bowling Green, KY HEP B RECOMB/HEP A INACT 1ML | $164.76 | $274.60 | Apr 1, 2026 source file |
| University of Kentucky Hospital Lexington · Lexington-Fayette, KY Twinrix: 10 Syringe In 1 Carton (58160-815-52) / 1 Ml In 1 Syringe (58160-815-43) | $167.31 | $418.27 | Apr 1, 2026 source file |
| AdventHealth Manchester Manchester · Corbin, KY TWINRIX 720-20 ELU-MCG/ML IM SUSY | $793.25 | $793.25 | 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 |
|---|---|---|---|
| Louisville/Jefferson County, KY-IN | 6 | $20.71 | $20.71 |
| Lexington-Fayette, KY | 3 | $23.72 | $147.04 |
| Bowling Green, KY | 2 | $164.76 | $164.76 |
| Albany, KY | 1 | $164.76 | $164.76 |
| Corbin, KY | 1 | $793.25 | $793.25 |
| Horse Cave, KY | 1 | $164.76 | $164.76 |
| Henderson, KY | 1 | $98.70 | $98.70 |
| Liberty, KY | 1 | $138.57 | $138.57 |
| Louisville, KY | 1 | $20.71 | $20.71 |
| Russellville, KY | 1 | $164.76 | $164.76 |
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
- Iowa$124.80
- Kansas$260.79
- 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.