Hepatitis A and B vaccine (Twinrix) cost in Ohio
In Ohio, 48 hospitals publish a cash price for hepatitis A and B combination vaccine, adult (Twinrix): from $24.30 to $712.50, with a median of $306.80. The lowest price is at Lima Memorial Health System (Lima). The highest price is 29.3× the lowest.
- The median here, $306.80, is 77% above the US median of $172.95.
- Ohio ranks 35th of 39 states by median, cheapest first.
- 2 of 48 hospitals list a cash price equal to their full list price, with no self-pay discount.
Ohio's Hospital Care Assurance Program (HCAP): Ohio residents who are not on Medicaid and whose income is at or below 100% of the federal poverty level get basic, medically necessary hospital services free at hospitals in the program; physician bills are not included. Ask the hospital's billing office for an HCAP application. Other states' laws.
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 6, 2026. See them on a map
Lowest$24.30Lima Memorial Health System
Median$306.80half of hospitals charge less
Highest$712.50in Ohio
Lowest saves$282.50vs the median
Hospitals in Ohio, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Lima Memorial Health System lowest Lima · Lima, OH Hep Ahep B Vacc Adult Im | $24.30 | $27.00 | Apr 1, 2026 source file |
| Metrohealth System Cleveland · Cleveland, OH Hep A/Hep B Vaccine Adult Im | $53.20 | $152.00 | Apr 1, 2026 source file |
| Mercy Health St Ritas Medical Center Lima · Lima, OH HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSY | $79.50 | $132.50 | Apr 1, 2026 source file |
| Adena Pike Medical Center Waverly · Waverly, OH HC Im Adult Hepa-Hepb | $87.50 | $175.00 | Aug 19, 2026 source file |
| Adena Regional Medical Center Chillicothe · Chillicothe, OH HC Im Adult Hepa-Hepb | $87.50 | $175.00 | Aug 19, 2026 source file |
| Greenfield Area Medical Center Greenfield · Greenfield, OH HC Im Adult Hepa-Hepb | $87.50 | $175.00 | Aug 19, 2026 source file |
| Trinity Medical Center East &TRINITY Medical Center West Steubenville · Weirton-Steubenville, WV-OH TWINRIX | $118.53 | $239.00 | Feb 28, 2026 source file |
| Genesis Hospital Zanesville · Zanesville, OH HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSY | $127.20 | $212.00 | Mar 27, 2026 source file |
| Barnesville Hospital Association Barnesville · Wheeling, WV-OH HEP A/HEP B VACC ADULT IM | $143.00 | $286.00 | Jul 14, 2026 source file |
| Harrison Community Hospital Cadiz · Cadiz, OH HEP A/HEP B VACC ADULT IM | $143.00 | $286.00 | Jul 17, 2026 source file |
| University of Cincinnati Medical Center Cincinnati · Cincinnati, OH-KY-IN Hc Hep B Vaccine/Hep A Vaccine 1Ml | $164.45 | $274.08 | Jul 1, 2026 source file |
| West Chester Hospital West Chester · Cincinnati, OH-KY-IN Hc Hep B Vaccine/Hep A Vaccine 1Ml | $164.45 | $274.08 | Jul 1, 2026 source file |
| Marietta Memorial Hospital Marietta · Marietta, OH Hep A/Hep B Vacc,Adult Im | $174.81 | $291.35 | Oct 1, 2026 source file |
| Selby General Hospital Marietta · Marietta, OH Hep A/Hep B Vacc,Adult Im | $174.81 | $291.35 | Oct 1, 2026 source file |
| Adena Fayette Medical Center Washington Court House · Washington Court House, OH HC Im Adult Hepa-Hepb | $175.00 | $175.00 | Aug 19, 2026 source file |
| Parkview Bryan Hospital Bryan · Bryan, OH HEPATITIS A AND B VACCINE (PF) 720 ELISA UNIT- 20 MCG/ML IM SYRG | $176.73 | $353.46 | Apr 1, 2026 source file |
| Parkview Montpelier Hospital Montpelier · Montpelier, OH HEPATITIS A AND B VACCINE (PF) 720 ELISA UNIT- 20 MCG/ML IM SYRG | $176.73 | $353.46 | Apr 1, 2026 source file |
| Mercy Health Tiffin Hospital Tiffin · Tiffin, OH HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSY | $278.16 | $463.60 | Apr 1, 2026 source file |
| Mercy Health Fairfield Hospital Fairfield · Cincinnati, OH-KY-IN HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSY | $281.34 | $468.90 | Apr 1, 2026 source file |
| Akron General Medical Center Akron · Akron, OH IM ADULT HEPA-HEPB | $306.80 | $472.00 | Jun 15, 2026 source file |
| Cleveland Clinic Avon Hospital Avon · Cleveland, OH IM ADULT HEPA-HEPB | $306.80 | $472.00 | Jun 15, 2026 source file |
| Cleveland Clinic Mercy Hospital Canton · Canton-Massillon, OH IM ADULT HEPA-HEPB | $306.80 | $472.00 | Jun 15, 2026 source file |
| Euclid Hospital Euclid · Cleveland, OH IM ADULT HEPA-HEPB | $306.80 | $472.00 | Jun 15, 2026 source file |
| Fairview Hospital Cleveland · Cleveland, OH IM ADULT HEPA-HEPB | $306.80 | $472.00 | Jun 15, 2026 source file |
| Hillcrest Hospital Mayfield Heights · Cleveland, OH IM ADULT HEPA-HEPB | $306.80 | $472.00 | Jun 15, 2026 source file |
| Lutheran Hospital Cleveland · Cleveland, OH IM ADULT HEPA-HEPB | $306.80 | $472.00 | Jun 15, 2026 source file |
| Marymount Hospital Garfield Heights · Cleveland, OH IM ADULT HEPA-HEPB | $306.80 | $472.00 | Jun 15, 2026 source file |
| Medina Hospital Medina · Cleveland, OH IM ADULT HEPA-HEPB | $306.80 | $472.00 | Jun 15, 2026 source file |
| South Pointe Hospital Warrensville Heights · Cleveland, OH IM ADULT HEPA-HEPB | $306.80 | $472.00 | Jun 15, 2026 source file |
| The Cleveland Clinic Foundation Cleveland · Cleveland, OH IM ADULT HEPA-HEPB | $306.80 | $472.00 | Jun 16, 2026 source file |
| Union Hospital Dover · New Philadelphia-Dover, OH IM ADULT HEPA-HEPB | $306.80 | $472.00 | Jun 15, 2026 source file |
| Lake West Hospital Willoughby · Cleveland, OH HC HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $327.75 | $437.00 | Jul 14, 2026 source file |
| Parma Community General Hospital Parma · Cleveland, OH HC HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $327.75 | $437.00 | Jul 14, 2026 source file |
| UH Cleveland Medical Center Cleveland · Cleveland, OH HC HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $327.75 | $437.00 | Jul 14, 2026 source file |
| UH Regional Hospitals Chardon · Cleveland, OH HC HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $327.75 | $437.00 | Jul 14, 2026 source file |
| UH St John Medical Center Westlake · Cleveland, OH HC HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $327.75 | $437.00 | Jul 14, 2026 source file |
| University Hospitals - Elyria Medical Center Elyria · Cleveland, OH HC HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $327.75 | $437.00 | Jul 14, 2026 source file |
| University Hospitals Ahuja Medical Center Beachwood · Cleveland, OH HC HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $327.75 | $437.00 | Jul 14, 2026 source file |
| University Hospitals Beachwood Medical Center Beachwood · Cleveland, OH HC HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $327.75 | $437.00 | Jul 14, 2026 source file |
| University Hospitals Portage Medical Center Ravenna · Akron, OH HC HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | $327.75 | $437.00 | Jul 14, 2026 source file |
| Cleveland Clinic Children's Hospital for Rehabilitation Cleveland · Cleveland, OH TWINRIX (PF) 720 ELISA UNIT-20 MCG/ML INTRAMUSCULAR SYRINGE | $327.83 | $504.36 | Jun 15, 2026 source file |
| Lodi Community Hospital Lodi · Cleveland, OH TWINRIX (PF) 720 ELISA UNIT-20 MCG/ML INTRAMUSCULAR SYRINGE | $327.83 | $504.36 | Jun 15, 2026 source file |
| Mh St Joseph Warren Hospital Warren · Youngstown-Warren, OH HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSY | $333.78 | $556.30 | Apr 1, 2026 source file |
| Uhhs Memorial Hospital of Geneva Geneva · Cleveland, OH HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE [166255] | $354.74 | $472.98 | Jul 14, 2026 source file |
| University Hospitals Conneaut Medical Center Conneaut · Cleveland, OH HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE [166255] | $354.74 | $472.98 | Jul 14, 2026 source file |
| University Hospitals Samaritan Medical Center Ashland · Ashland, OH HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE [166255] | $354.74 | $472.98 | Jul 14, 2026 source file |
| Nationwide Children's Hospital Columbus · Columbus, OH TWINREX VACCINE PER DOSE | $639.00 | $710.00 | Apr 1, 2026 source file |
| Summa Health System Akron · Akron, OH HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSY [166255] | $712.50 | $712.50 | 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 |
|---|---|---|---|
| Cleveland, OH | 22 | $53.20 | $327.75 |
| Akron, OH | 3 | $306.80 | $327.75 |
| Cincinnati, OH-KY-IN | 3 | $164.45 | $164.45 |
| Lima, OH | 2 | $24.30 | $51.90 |
| Marietta, OH | 2 | $174.81 | $174.81 |
| Ashland, OH | 1 | $354.74 | $354.74 |
| Bryan, OH | 1 | $176.73 | $176.73 |
| Cadiz, OH | 1 | $143.00 | $143.00 |
| Canton-Massillon, OH | 1 | $306.80 | $306.80 |
| Chillicothe, OH | 1 | $87.50 | $87.50 |
| Columbus, OH | 1 | $639.00 | $639.00 |
| Greenfield, OH | 1 | $87.50 | $87.50 |
| Montpelier, OH | 1 | $176.73 | $176.73 |
| New Philadelphia-Dover, OH | 1 | $306.80 | $306.80 |
| Tiffin, OH | 1 | $278.16 | $278.16 |
| Waverly, OH | 1 | $87.50 | $87.50 |
| Washington Court House, OH | 1 | $175.00 | $175.00 |
| Weirton-Steubenville, WV-OH | 1 | $118.53 | $118.53 |
| Wheeling, WV-OH | 1 | $143.00 | $143.00 |
| Youngstown-Warren, OH | 1 | $333.78 | $333.78 |
| Zanesville, OH | 1 | $127.20 | $127.20 |
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 Carolina$193.46
- North Dakota$173.97, 3 hospitals
- 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.