Hepatitis A and B vaccine (Twinrix) cost in Michigan
In Michigan, 38 hospitals publish a cash price for hepatitis A and B combination vaccine, adult (Twinrix): from $77.52 to $273.70, with a median of $172.95. The lowest price is at University of Michigan Health (Ann Arbor). The highest price is 3.5× the lowest.
- The median here, $172.95, is about the same as the US median of $172.95.
- Michigan ranks 22nd of 39 states by median, cheapest first.
- 12 of 38 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 5, 2026. See them on a map
Lowest$77.52University of Michigan Health
Median$172.95half of hospitals charge less
Highest$273.70in Michigan
Lowest saves$95.43vs the median
Hospitals in Michigan, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| University of Michigan Health lowest Ann Arbor · Ann Arbor, MI HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE | $77.52 | $193.79 | Mar 31, 2026 source file |
| University of Michigan Health-Sparrow Clinton St. Johns · Lansing-East Lansing, MI PR HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $81.50 | $163.00 | Apr 1, 2026 source file |
| University of Michigan Health-Sparrow Eaton Charlotte · Lansing-East Lansing, MI PR HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $81.50 | $163.00 | Apr 1, 2026 source file |
| University of Michigan Health-Sparrow Ionia Ionia · Grand Rapids-Wyoming-Kentwood, MI PR HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $81.50 | $163.00 | Apr 1, 2026 source file |
| Holland Community Hospital Holland · Holland, MI Hepatitis A and hepatitis B vaccine | $84.00 | $140.00 | Sep 21, 2026 source file |
| Mercy Health Partners, Mercy Campus Muskogen · Muskegon-Norton Shores, MI HC Vaccine Hepatitis a (Hepa) Hepatitis B (Hepb) Adult Im | $87.10 | $134.00 | Mar 31, 2026 source file |
| Mercy Health Saint Marys Grand Rapids · Grand Rapids-Wyoming-Kentwood, MI HC Vaccine Hepatitis a (Hepa) Hepatitis B (Hepb) Adult Im | $87.10 | $134.00 | Mar 31, 2026 source file |
| Memorial Healthcare Owosso · Owosso, MI HEP A/HEP B VAC ADULT IM-MMA | $93.60 | $117.00 | Apr 1, 2026 source file |
| McLaren Caro Region Caro · Caro, MI hepatitis A-hepatitis B vaccine 720 units-20 mcg/mL PF IM Susp 1 mL | $105.14 | $210.27 | Dec 31, 2025 source file |
| McLaren Thumb Region Bad Axe · Bad Axe, MI hepatitis A-hepatitis B vaccine 720 units-20 mcg/mL PF IM Susp 1 mL | $105.14 | $210.27 | Dec 31, 2025 source file |
| McLaren Oakland Pontiac · Detroit-Warren-Dearborn, MI hepatitis A-hepatitis B vaccine 720 units-20 mcg/mL PF IM Susp 1 mL | $127.57 | $255.13 | Dec 31, 2025 source file |
| Baraga County Memorial Hospital Lanse · Lanse, MI HEPATITIS B VACCINE RECOM 1 ML | $158.00 | $158.00 | Jun 23, 2026 source file |
| Henry Ford Health Hospital Detroit · Detroit-Warren-Dearborn, MI HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE | $166.00 | $425.29 | Jun 28, 2026 source file |
| Henry Ford Health West Bloomfield Hospital West Bloomfield · Detroit-Warren-Dearborn, MI HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE | $166.00 | $425.29 | Jun 28, 2026 source file |
| McLaren Bay Region Bay City · Bay City, MI Hepatitis A Hepatitis B Adult Vial -> Hepatitis A-Hepatitis B Adult 90636 | $172.95 | $345.90 | Dec 31, 2025 source file |
| McLaren Central Michigan Mount Pleasant · Mount Pleasant, MI Hepatitis A Hepatitis B Adult Vial -> Hepatitis A-Hepatitis B Adult 90636 | $172.95 | $345.90 | Dec 31, 2025 source file |
| McLaren Flint Flint · Flint, MI Hepatitis A Hepatitis B Adult Vial -> Hepatitis A-Hepatitis B Adult 90636 | $172.95 | $345.90 | Dec 31, 2025 source file |
| McLaren Greater Lansing Lansing · Lansing-East Lansing, MI Hepatitis A Hepatitis B Adult Vial -> Hepatitis A-Hepatitis B Adult 90636 | $172.95 | $345.90 | Dec 31, 2025 source file |
| McLaren Lapeer Region Lapeer · Detroit-Warren-Dearborn, MI Hepatitis A Hepatitis B Adult Vial -> Hepatitis A-Hepatitis B Adult 90636 | $172.95 | $345.90 | Dec 31, 2025 source file |
| McLaren Macomb Mount Clemens · Detroit-Warren-Dearborn, MI Hepatitis A Hepatitis B Adult Vial -> Hepatitis A-Hepatitis B Adult 90636 | $172.95 | $345.90 | Dec 31, 2025 source file |
| McLaren Northern Michigan Petoskey · Petoskey, MI Hepatitis A Hepatitis B Adult Vial -> Hepatitis A-Hepatitis B Adult 90636 | $172.95 | $345.90 | Dec 31, 2025 source file |
| McLaren Port Huron Port Huron · Detroit-Warren-Dearborn, MI Hepatitis A Hepatitis B Adult Vial -> Hepatitis A-Hepatitis B Adult 90636 | $172.95 | $345.90 | Dec 31, 2025 source file |
| Aspirus Iron River Hospital Iron River · Iron River, MI Fac Hep a/Hep B Vacc, Adult Im | $191.75 | $295.00 | Apr 1, 2026 source file |
| Aspirus Ironwood Hospital Ironwood · Ironwood, MI Fac Hep a/Hep B Vacc, Adult Im | $191.75 | $295.00 | Apr 1, 2026 source file |
| Aspirus Keweenaw Hospital Laurium · Houghton, MI Fac Hep a/Hep B Vacc, Adult Im | $191.75 | $295.00 | Apr 1, 2026 source file |
| Kalkaska Memorial Health Center Kalkaska · Traverse City, MI Twinrix Vaccine 1 mL Syringe | $211.93 | $249.33 | Apr 17, 2026 source file |
| Corewell Health Blodgett Hospital Grand Rapids · Grand Rapids-Wyoming-Kentwood, MI HC HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $247.22 | $247.22 | May 1, 2026 source file |
| Corewell Health Butterworth Hospital Grand Rapids · Grand Rapids-Wyoming-Kentwood, MI HC HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $247.22 | $247.22 | May 1, 2026 source file |
| Corewell Helen Devos Childrens Hospital Grand Rapids · Grand Rapids-Wyoming-Kentwood, MI HC HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $247.22 | $247.22 | May 1, 2026 source file |
| Beaumont Hospital - Dearborn Dearborn · Detroit-Warren-Dearborn, MI HC HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $250.00 | $250.00 | May 1, 2026 source file |
| Beaumont Hospital - Grosse Pointe Grosse Pointe · Detroit-Warren-Dearborn, MI HC HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $250.00 | $250.00 | May 1, 2026 source file |
| Beaumont Hospital - Taylor Taylor · Detroit-Warren-Dearborn, MI HC HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $250.00 | $250.00 | May 1, 2026 source file |
| Beaumont Hospital Royal Oak Royal Oak · Detroit-Warren-Dearborn, MI HC HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $250.00 | $250.00 | May 1, 2026 source file |
| Beaumont Hospital, Troy Troy · Detroit-Warren-Dearborn, MI HC HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $250.00 | $250.00 | May 1, 2026 source file |
| Corewell Health Farmington Hills Hospital Farmington Hills · Detroit-Warren-Dearborn, MI HC HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $250.00 | $250.00 | May 1, 2026 source file |
| Corewell Health Trenton Hospital Trenton · Detroit-Warren-Dearborn, MI HC HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $250.00 | $250.00 | May 1, 2026 source file |
| Corewell Health Wayne Hospital Wayne · Detroit-Warren-Dearborn, MI HC HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $250.00 | $250.00 | May 1, 2026 source file |
| Munson Medical Center Traverse City · Traverse City, MI hep A hep B Charge | $273.70 | $322.00 | Apr 17, 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 |
|---|---|---|---|
| Detroit-Warren-Dearborn, MI | 14 | $127.57 | $250.00 |
| Grand Rapids-Wyoming-Kentwood, MI | 5 | $81.50 | $247.22 |
| Lansing-East Lansing, MI | 3 | $81.50 | $81.50 |
| Traverse City, MI | 2 | $211.93 | $242.82 |
| Ann Arbor, MI | 1 | $77.52 | $77.52 |
| Bad Axe, MI | 1 | $105.14 | $105.14 |
| Bay City, MI | 1 | $172.95 | $172.95 |
| Caro, MI | 1 | $105.14 | $105.14 |
| Flint, MI | 1 | $172.95 | $172.95 |
| Holland, MI | 1 | $84.00 | $84.00 |
| Houghton, MI | 1 | $191.75 | $191.75 |
| Iron River, MI | 1 | $191.75 | $191.75 |
| Ironwood, MI | 1 | $191.75 | $191.75 |
| Lanse, MI | 1 | $158.00 | $158.00 |
| Mount Pleasant, MI | 1 | $172.95 | $172.95 |
| Muskegon-Norton Shores, MI | 1 | $87.10 | $87.10 |
| Owosso, MI | 1 | $93.60 | $93.60 |
| Petoskey, MI | 1 | $172.95 | $172.95 |
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
- Massachusetts$242.18
- 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.