Hepatitis A and B vaccine (Twinrix) cost in Texas
In Texas, 21 hospitals publish a cash price for hepatitis A and B combination vaccine, adult (Twinrix): from $20.03 to $2,092.00, with a median of $640.71. The lowest price is at University Medical Center El Paso (El Paso) and 1 other hospital. The highest price is 104.4× the lowest.
- The median here, $640.71, is 270% above the US median of $172.95.
- Texas ranks 39th of 39 states by median, cheapest first.
- 9 of 21 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 Oct 31, 2026. See them on a map
Lowest$20.03University Medical Center El Paso + 1 more
Median$640.71half of hospitals charge less
Highest$2,092.00in Texas
Lowest saves$620.68vs the median
Hospitals in Texas, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| University Medical Center El Paso lowest El Paso · El Paso, TX UTC HEP A/HEP B VACCINE ADULT | $20.03 | $100.17 | Mar 16, 2026 source file |
| University Medical Center Surgical Hospital lowest Dieter El Paso · El Paso, TX FAB HEP A/HEP B VACCINE ADULT | $20.03 | $100.17 | Mar 16, 2026 source file |
| Medina Regional Hospital Hondo · San Antonio-New Braunfels, TX HEPATITIS A/B VACCINE | $20.35 | $22.61 | Jul 29, 2026 source file |
| University of Texas Health Center at Tyler Tyler · Tyler, TX HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE | $43.43 | $434.30 | Mar 31, 2026 source file |
| Harris Health Taub Loop Houston · Houston-Pasadena-The Woodlands, TX HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE | $82.70 | $174.85 | Mar 24, 2026 source file |
| Harris Health Houston · Houston-Pasadena-The Woodlands, TX HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE | $82.70 | $174.85 | Mar 24, 2026 source file |
| Cerner - Medical Center Odessa Odessa · Odessa, TX AMB Hep A/B Charge - 1 mL IM Susp Once | $85.00 | $85.00 | May 4, 2026 source file |
| Texas Children's Hospital Houston · Houston-Pasadena-The Woodlands, TX hepatitis A-hepatitis B 720-20 ELU-MCG/ML Susp 1 mL Syringe | $275.85 | $411.71 | Mar 5, 2026 source file |
| Texas Children's Hospital - Austin Austin · Austin-Round Rock-San Marcos, TX hepatitis A-hepatitis B 720-20 ELU-MCG/ML Susp 1 mL Syringe | $275.85 | $411.71 | Mar 5, 2026 source file |
| CHRISTUS Health - Pine Street Texarkana · Texarkana, TX-AR 58160-0815-52 - hepatitis A-hepatitis B vaccine Su | $605.77 | $1,211.53 | Jan 14, 2026 source file |
| Texas Health Hospital Mansfield Mansfield · Dallas-Fort Worth-Arlington, TX TWINRIX 720-20 ELU-MCG/ML IM SUSY | $640.71 | $640.71 | Apr 1, 2026 source file |
| Texas Health Huguley Hospital Fort Worth South Burleson · Dallas-Fort Worth-Arlington, TX TWINRIX 720-20 ELU-MCG/ML IM SUSY | $640.71 | $640.71 | Apr 1, 2026 source file |
| Covenant Children's Hospital Lubbock · Lubbock, TX HEP A-HEP B VACCINE SUSP PREF SYR 720-20 ELU-MCG/ML | $776.33 | $1,848.40 | Apr 1, 2026 source file |
| Covenant Hospital Levelland Levelland · Lubbock, TX HEP A-HEP B VACCINE SUSP PREF SYR 720-20 ELU-MCG/ML | $776.33 | $1,848.40 | Apr 1, 2026 source file |
| AdventHealth Central Texas Killeen · Killeen-Temple, TX TWINRIX 720-20 ELU-MCG/ML IM SUSY | $812.17 | $812.17 | Apr 1, 2026 source file |
| AdventHealth Rollins Brook Lampasas · Killeen-Temple, TX TWINRIX 720-20 ELU-MCG/ML IM SUSY | $812.17 | $812.17 | Apr 1, 2026 source file |
| Childrens Medical Center of Dallas Dallas · Dallas-Fort Worth-Arlington, TX TWINRIX (hep A & B) 720 ELISA unit- 20 mcg/mL Syrg 1 mL Syringe | $1,077.88 | $1,437.17 | Aug 17, 2026 source file |
| Heart Hosp of Austin Austin · Austin-Round Rock-San Marcos, TX Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use | $2,092.00 | $2,092.00 | Sep 1, 2026 source file |
| Heart Hosp of Austin at St. David's Round Rock Round Rock · Austin-Round Rock-San Marcos, TX TWINRIX ADULT VAC IM | $2,092.00 | $2,092.00 | Sep 1, 2026 source file |
| St. David's Georgetown Hospital Georgetown · Austin-Round Rock-San Marcos, TX TWINRIX ADULT VAC IM | $2,092.00 | $2,092.00 | Sep 1, 2026 source file |
| St. David's Medical Center Manor · Austin-Round Rock-San Marcos, TX Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use | $2,092.00 | $2,092.00 | Sep 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 |
|---|---|---|---|
| Austin-Round Rock-San Marcos, TX | 5 | $275.85 | $2,092.00 |
| Dallas-Fort Worth-Arlington, TX | 3 | $640.71 | $640.71 |
| Houston-Pasadena-The Woodlands, TX | 3 | $82.70 | $82.70 |
| El Paso, TX | 2 | $20.03 | $20.03 |
| Killeen-Temple, TX | 2 | $812.17 | $812.17 |
| Lubbock, TX | 2 | $776.33 | $776.33 |
| Odessa, TX | 1 | $85.00 | $85.00 |
| San Antonio-New Braunfels, TX | 1 | $20.35 | $20.35 |
| Texarkana, TX-AR | 1 | $605.77 | $605.77 |
| Tyler, TX | 1 | $43.43 | $43.43 |
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
- 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
- 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.