Hepatitis A and B vaccine (Twinrix) cost in North Carolina
In North Carolina, 26 hospitals publish a cash price for hepatitis A and B combination vaccine, adult (Twinrix): from $87.50 to $855.93, with a median of $193.46. The lowest price is at Atrium Health Anson (Wadesboro) and 9 other hospitals. The highest price is 9.8× the lowest.
- The median here, $193.46, is 12% above the US median of $172.95.
- North Carolina ranks 28th of 39 states by median, cheapest first.
- 7 of 26 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$87.50Atrium Health Anson + 9 more
Median$193.46half of hospitals charge less
Highest$855.93in North Carolina
Lowest saves$105.96vs the median
Hospitals in North Carolina, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Atrium Health Anson lowest Wadesboro · Charlotte-Concord-Gastonia, NC-SC HC HEP A-HEP B VACCINE PF INJ | $87.50 | $175.00 | Oct 28, 2026 source file |
| Atrium Health Cleveland lowest Shelby · Shelby-Kings Mountain, NC HC HEP A-HEP B VACCINE PF INJ | $87.50 | $175.00 | Oct 28, 2026 source file |
| Atrium Health Lincoln lowest Lincolnton · Charlotte-Concord-Gastonia, NC-SC HC HEP A-HEP B VACCINE PF INJ | $87.50 | $175.00 | Oct 29, 2026 source file |
| Atrium Health Mercy, a facility of Carolinas Medical Center lowest Charlotte · Charlotte-Concord-Gastonia, NC-SC HC HEP A-HEP B VACCINE PF INJ | $87.50 | $175.00 | Oct 29, 2026 source file |
| Atrium Health Pineville lowest Charlotte · Charlotte-Concord-Gastonia, NC-SC HC HEP A-HEP B VACCINE PF INJ | $87.50 | $175.00 | Oct 29, 2026 source file |
| Atrium Health Union lowest Monroe · Charlotte-Concord-Gastonia, NC-SC HC HEP A-HEP B VACCINE PF INJ | $87.50 | $175.00 | Oct 29, 2026 source file |
| Atrium Health University City lowest Charlotte · Charlotte-Concord-Gastonia, NC-SC HC HEP A-HEP B VACCINE PF INJ | $87.50 | $175.00 | Oct 29, 2026 source file |
| Carolinas Medical Center lowest Charlotte · Charlotte-Concord-Gastonia, NC-SC HC HEP A-HEP B VACCINE PF INJ | $87.50 | $175.00 | Oct 29, 2026 source file |
| Carolinas Medical Center-Northeast lowest Concord · Charlotte-Concord-Gastonia, NC-SC HC HEP A-HEP B VACCINE PF INJ | $87.50 | $175.00 | Nov 4, 2026 source file |
| Stanly Regional Medical Center lowest Albermarle · Albemarle, NC HC HEP A-HEP B VACCINE PF INJ | $87.50 | $175.00 | Oct 29, 2026 source file |
| Duke University Hospital Durham · Durham, NC Hep a&B Adult Vacc Im Inj | $174.17 | $645.07 | Apr 1, 2026 source file |
| Duke Health Raleigh Hospital Raleigh · Raleigh-Cary, NC HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE | $174.17 | $645.07 | Apr 1, 2026 source file |
| WakeMed Cary Hospital Cary · Raleigh-Cary, NC HC Hep a/Hep B Vacc Adult Im | $193.46 | $509.11 | Feb 11, 2026 source file |
| WakeMed Raleigh Campus Raleigh · Raleigh-Cary, NC HC Hep a/Hep B Vacc Adult Im | $193.46 | $509.11 | Feb 11, 2026 source file |
| North Carolina Baptist Hospital Winston Salem · Winston-Salem, NC HC HEP A-HEP B VACCINE PF INJ | $274.00 | $548.00 | Oct 8, 2025 source file |
| North Carolina Baptist Hospital Bermuda Run · Winston-Salem, NC HC HEP A-HEP B VACCINE PF INJ | $274.00 | $548.00 | Oct 30, 2026 source file |
| Columbus Regional Healthcare System Whiteville · Whiteville, NC hepatitis A-hepatitis B vaccine 720 units-20 mcg/mL preservative free Sus UD (Twinrix) [CRHS] | $351.89 | $502.69 | Sep 1, 2025 source file |
| AdventHealth Hendersonville Hendersonville · Asheville, NC TWINRIX 720-20 ELU-MCG/ML IM SUSY | $366.53 | $366.53 | Apr 1, 2026 source file |
| Lexington Medical Center Lexington · Winston-Salem, NC HC HEP A-HEP B VACCINE PF INJ | $477.50 | $955.00 | Oct 30, 2026 source file |
| Angel Medical Center Franklin · Franklin, NC TWINRIX ADULT VAC IM | $736.92 | $736.92 | Sep 1, 2026 source file |
| Blue Ridge Regional Hospital Spruce Pine · Spruce Pine, NC TWINRIX ADULT VAC IM | $736.92 | $736.92 | Sep 1, 2026 source file |
| Highlands-Cashiers Hospital Highlands · Highlands, NC TWINRIX ADULT VAC IM | $736.92 | $736.92 | Sep 1, 2026 source file |
| Mission Hospital Asheville · Asheville, NC Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use | $736.92 | $736.92 | Sep 1, 2026 source file |
| Mission Hospital McDowell Marion · Marion, NC TWINRIX ADULT VAC IM | $736.92 | $736.92 | Sep 1, 2026 source file |
| AdventHealth Polk Columbus · Columbus, NC TWINRIX 720-20 ELU-MCG/ML IM SUSY | $748.26 | $748.26 | Apr 1, 2026 source file |
| Alleghany County Memorial Hospital Sparta · Sparta, NC HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE | $855.93 | $1,711.85 | Aug 12, 2025 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 |
|---|---|---|---|
| Charlotte-Concord-Gastonia, NC-SC | 8 | $87.50 | $87.50 |
| Raleigh-Cary, NC | 3 | $174.17 | $193.46 |
| Winston-Salem, NC | 3 | $274.00 | $274.00 |
| Asheville, NC | 2 | $366.53 | $551.72 |
| Albemarle, NC | 1 | $87.50 | $87.50 |
| Columbus, NC | 1 | $748.26 | $748.26 |
| Durham, NC | 1 | $174.17 | $174.17 |
| Franklin, NC | 1 | $736.92 | $736.92 |
| Highlands, NC | 1 | $736.92 | $736.92 |
| Marion, NC | 1 | $736.92 | $736.92 |
| Sparta, NC | 1 | $855.93 | $855.93 |
| Spruce Pine, NC | 1 | $736.92 | $736.92 |
| Shelby-Kings Mountain, NC | 1 | $87.50 | $87.50 |
| Whiteville, NC | 1 | $351.89 | $351.89 |
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
- 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 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.