Hepatitis A and B vaccine (Twinrix) cost in Massachusetts
In Massachusetts, 14 hospitals publish a cash price for hepatitis A and B combination vaccine, adult (Twinrix): from $55.35 to $548.02, with a median of $242.18. The lowest price is at Boston Medical Center (Boston). The highest price is 9.9× the lowest.
- The median here, $242.18, is 40% above the US median of $172.95.
- Massachusetts ranks 33rd of 39 states by median, cheapest first.
- 6 of 14 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 Oct 17, 2026. See them on a map
Lowest$55.35Boston Medical Center
Median$242.18half of hospitals charge less
Highest$548.02in Massachusetts
Lowest saves$186.83vs the median
Hospitals in Massachusetts, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Boston Medical Center lowest Boston · Boston-Cambridge-Newton, MA-NH HC Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use | $55.35 | $123.00 | Mar 13, 2026 source file |
| Cambridge Health Alliance Cambridge · Boston-Cambridge-Newton, MA-NH HC Hep a and B Vaccine | $110.00 | $110.00 | Mar 20, 2026 source file |
| UMass Memorial Health - Harrington Hospital Southbridge · Worcester, MA HC Hepa/Hepb Vaccine Adult Im | $117.00 | $117.00 | Apr 3, 2026 source file |
| Holyoke Medical Center Holyoke · Springfield, MA Hep A vacc adult im | $150.00 | $150.00 | May 1, 2026 source file |
| Fairview Hospital Great Barrington · Pittsfield, MA Hepatitis A B Vacc Adult | $220.40 | $232.00 | Oct 7, 2026 source file |
| Lahey Hospital & Medical Center, Burlington Burlington · Boston-Cambridge-Newton, MA-NH HC RX HEP AB COMB TWIN 20MCG ADLT | $236.00 | $236.00 | Apr 1, 2026 source file |
| Lowell General Hospital Lowell · Boston-Cambridge-Newton, MA-NH HC Pbb Hepa/Hepb Vaccine Adult Im | $242.18 | $345.97 | Apr 1, 2026 source file |
| Melrosewakefield Healthcare Melrose · Boston-Cambridge-Newton, MA-NH HC Pbb Hepa/Hepb Vaccine Adult Im | $242.18 | $345.97 | Apr 1, 2026 source file |
| Tufts Medical Center Boston · Boston-Cambridge-Newton, MA-NH HC Pbb Hepa/Hepb Vaccine Adult Im | $242.18 | $345.97 | Apr 1, 2026 source file |
| HealthAlliance - Clinton Hospital Leominster · Worcester, MA HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE | $337.64 | $337.64 | Mar 26, 2026 source file |
| UMass Memorial Medical Center Worcester · Worcester, MA HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE | $337.64 | $337.64 | Mar 26, 2026 source file |
| Signature Healthcare Brockton Hospital Brockton · Boston-Cambridge-Newton, MA-NH VACC; HEP A/HEP B 1ml (PRCHSD) | $378.90 | $541.28 | Jan 28, 2026 source file |
| Berkshire Medical Center Pittsfield · Pittsfield, MA Hepatitis A B Vacc 1ml syr | $548.02 | $576.86 | Oct 9, 2026 source file |
| North Adams Regional Hospital North Adams · Pittsfield, MA Hepatitis A B Vacc 1ml syr | $548.02 | $576.86 | Oct 9, 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 |
|---|---|---|---|
| Boston-Cambridge-Newton, MA-NH | 7 | $55.35 | $242.18 |
| Pittsfield, MA | 3 | $220.40 | $548.02 |
| Worcester, MA | 3 | $117.00 | $337.64 |
| Springfield, MA | 1 | $150.00 | $150.00 |
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
- 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$168.81
- Maryland$191.41
- 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.