Hepatitis A and B vaccine (Twinrix) cost in South Dakota
In South Dakota, 10 hospitals publish a cash price for hepatitis A and B combination vaccine, adult (Twinrix): from $122.40 to $404.17, with a median of $171.14. The lowest price is at Douglas County Memorial Hospital (Armour). The highest price is 3.3× the lowest.
- The median here, $171.14, is about the same as the US median of $172.95.
- South Dakota ranks 21st of 39 states by median, cheapest first.
- 1 of 10 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 8, 2026. See them on a map
Lowest$122.40Douglas County Memorial Hospital
Median$171.14half of hospitals charge less
Highest$404.17in South Dakota
Lowest saves$48.74vs the median
Hospitals in South Dakota, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Douglas County Memorial Hospital lowest Armour · Armour, SD HEPATITIS A & HEPATITIS B VACCINE (HEPA-HEPB) ADULT DOSAGE IM USE | $122.40 | $136.00 | Jan 9, 2026 source file |
| Monument Health Custer Hospital Custer · Rapid City, SD Hepatitis A and hepatitis B vaccine | $146.40 | $183.00 | Oct 20, 2026 source file |
| Monument Health Lead-Deadwood Hospital Deadwood · Spearfish, SD Hepatitis A and hepatitis B vaccine | $146.40 | $183.00 | Oct 20, 2026 source file |
| Monument Health Spearfish Hospital Spearfish · Spearfish, SD Hepatitis A and hepatitis B vaccine | $146.40 | $183.00 | Oct 20, 2026 source file |
| Monument Health Sturgis Hospital Sturgis · Rapid City, SD Hepatitis A and hepatitis B vaccine | $146.40 | $183.00 | Oct 21, 2026 source file |
| Monument Health Rapid City Hospital Rapid City · Rapid City, SD Hepatitis A and hepatitis B vaccine | $195.87 | $244.84 | Oct 22, 2026 source file |
| Sanford Webster Hospital Webster · Webster, SD Hep A-Hep B Vaccine Susp Pref Syr 720-20 ELU-MCG/ML | $203.88 | $254.84 | Mar 4, 2026 source file |
| Mobridge Regional Hospital Mobridge · Mobridge, SD Hepatitis A and hepatitis B vaccine | $206.00 | $206.00 | Nov 4, 2026 source file |
| Sanford USD Medical Center Sioux Falls · Sioux Falls, SD-MN Hep A-Hep B Vaccine Susp Pref Syr 720-20 ELU-MCG/ML | $382.20 | $477.75 | Mar 4, 2026 source file |
| Faulkton Area Medical Center Faulkton · Faulkton, SD 90636 PED Hepatitis A-B (TWINRIX) | $404.17 | $449.08 | Jul 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 |
|---|---|---|---|
| Rapid City, SD | 3 | $146.40 | $146.40 |
| Spearfish, SD | 2 | $146.40 | $146.40 |
| Armour, SD | 1 | $122.40 | $122.40 |
| Faulkton, SD | 1 | $404.17 | $404.17 |
| Mobridge, SD | 1 | $206.00 | $206.00 |
| Sioux Falls, SD-MN | 1 | $382.20 | $382.20 |
| Webster, SD | 1 | $203.88 | $203.88 |
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$155.86
- Maryland$191.41
- Massachusetts$242.18
- Michigan$172.95
- Minnesota$145.58
- Mississippi$154.80
- 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
- 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.