Hepatitis A and B vaccine (Twinrix) cost in Missouri
In Missouri, 16 hospitals publish a cash price for hepatitis A and B combination vaccine, adult (Twinrix): from $48.86 to $213.89, with a median of $99.75. The lowest price is at Cox Medical Center Branson (Branson). The highest price is 4.4× the lowest.
- The median here, $99.75, is 42% below the US median of $172.95.
- Missouri ranks 5th of 39 states by median, cheapest first.
- Every hospital here lists a cash price below its full list price.
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 8, 2026. See them on a map
Lowest$48.86Cox Medical Center Branson
Median$99.75half of hospitals charge less
Highest$213.89in Missouri
Lowest saves$50.89vs the median
Hospitals in Missouri, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Cox Medical Center Branson lowest Branson · Branson, MO HEP A/HEP B VACC ADULT IM | $48.86 | $215.24 | Apr 24, 2026 source file |
| Ste. Genevieve County Memorial Hospital Ste. Genevieve · Ste. Genevieve, MO HEPATITIS A AND B VACCINE | $50.50 | $101.00 | May 19, 2026 source file |
| Lester E Cox Medical Centers Springfield · Springfield, MO HEP A/HEP B VACC ADULT IM | $54.24 | $215.24 | Apr 24, 2026 source file |
| Cox-Monett Hospital Monett · Monett, MO HEP A/HEP B VACC ADULT IM | $65.65 | $215.24 | Apr 24, 2026 source file |
| Cox Barton County Hospital Lamar · Lamar, MO HEP A/HEP B VACC ADULT IM | $68.66 | $215.24 | Apr 24, 2026 source file |
| Golden Valley Memorial Hospital Clinton · Clinton, MO HEP A/HEP B VACC ADULT IM | $85.75 | $142.92 | Jul 1, 2026 source file |
| Liberty Hospital Liberty · Kansas City, MO-KS HEP B VACC/HEP A VACC | $89.00 | $321.00 | Jul 9, 2026 source file |
| Hermann Area Hospital District Hermann · Hermann, MO Hepatitis A and hepatitis B vaccine | $89.10 | $148.50 | Oct 28, 2026 source file |
| Citizens Memorial Hospital Bolivar · Springfield, MO HEP A/HEP B VACC ADULT IM | $110.40 | $138.00 | Mar 25, 2026 source file |
| Curators of the University of Missouri Columbia · Columbia, MO TRAVEL CLINIC HEPATITIS A&B VACCINE PF (TWINRIX) SYR INJ | $112.80 | $188.00 | Dec 15, 2025 source file |
| Madison Medical Center Fredericktown · Fredericktown, MO CL - TWINRIX ADULT HEP A B VACCINE | $135.00 | $150.00 | Oct 13, 2026 source file |
| Heartland Long Term Acute Hospital St. Joseph · St. Joseph, MO-KS HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE | $167.45 | $197.00 | Jun 23, 2026 source file |
| Mosaic Life Care at St Joseph Medical Center St. Joseph · St. Joseph, MO-KS HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE | $167.45 | $197.00 | Sep 26, 2025 source file |
| Mosaic Medical Center Albany Albany · Albany, MO HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE | $167.45 | $197.00 | Sep 26, 2025 source file |
| Mosaic Medical Center Maryville Maryville · Maryville, MO HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE | $167.45 | $197.00 | Sep 26, 2025 source file |
| Poplar Bluff Regional Medical Center Poplar Bluff · Poplar Bluff, MO 58160-0815-46 - hepatitis A-hepatitis B vaccine 72 | $213.89 | $1,018.54 | 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.
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Springfield, MO | 2 | $54.24 | $82.32 |
| St. Joseph, MO-KS | 2 | $167.45 | $167.45 |
| Albany, MO | 1 | $167.45 | $167.45 |
| Branson, MO | 1 | $48.86 | $48.86 |
| Clinton, MO | 1 | $85.75 | $85.75 |
| Columbia, MO | 1 | $112.80 | $112.80 |
| Fredericktown, MO | 1 | $135.00 | $135.00 |
| Hermann, MO | 1 | $89.10 | $89.10 |
| Kansas City, MO-KS | 1 | $89.00 | $89.00 |
| Lamar, MO | 1 | $68.66 | $68.66 |
| Monett, MO | 1 | $65.65 | $65.65 |
| Maryville, MO | 1 | $167.45 | $167.45 |
| Poplar Bluff, MO | 1 | $213.89 | $213.89 |
| Ste. Genevieve, MO | 1 | $50.50 | $50.50 |
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
- Michigan$172.95
- Minnesota$145.58
- Mississippi$162.70
- 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.