Hepatitis A and B vaccine (Twinrix) cost in Washington
In Washington, 9 hospitals publish a cash price for hepatitis A and B combination vaccine, adult (Twinrix): from $59.50 to $318.71, with a median of $259.20. The lowest price is at Providence Holy Family Hospital (Spokane). The highest price is 5.4× the lowest.
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 Sep 23, 2026.
Hospitals in Washington, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Providence Holy Family Hospital lowest Spokane · Spokane-Spokane Valley, WA HC PR RX HEPATITIS A & B VACCINE ADULT IM 1 ML | $59.50 | $85.00 | Apr 1, 2026 source file |
| Virginia Mason Medical Center Seattle · Seattle-Tacoma-Bellevue, WA INJ, HEP A & B VACCINE ADULT DOSE IM, PER VAC NO.1 | $106.86 | $209.53 | — source file |
| Jefferson Healthcare Port Townsend · Port Townsend, WA Hepatitis A and hepatitis B vaccine | $161.68 | $202.10 | Aug 6, 2026 source file |
| Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC Hep a/Hep b Vaccine, Adult, IM | $248.00 | $310.00 | — source file |
| Confluence Health Hospital Wenatchee · Wenatchee-East Wenatchee, WA HC Hepa/Hepb Vaccine Adult Im | $259.20 | $288.00 | — source file |
| Providence Regional Medical Center Everett Everett · Seattle-Tacoma-Bellevue, WA HEP A-HEP B VACCINE SUSP PREF SYR 720-20 ELU-MCG/ML | $285.20 | $548.47 | Apr 1, 2026 source file |
| Swedish Edmonds Edmonds · Seattle-Tacoma-Bellevue, WA HEP A-HEP B VACCINE SUSP PREF SYR 720-20 ELU-MCG/ML | $318.71 | $663.98 | Apr 1, 2026 source file |
| Swedish Issaquah Issaquah · Seattle-Tacoma-Bellevue, WA HEP A-HEP B VACCINE SUSP PREF SYR 720-20 ELU-MCG/ML | $318.71 | $663.98 | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle · Seattle-Tacoma-Bellevue, WA HEP A-HEP B VACCINE SUSP PREF SYR 720-20 ELU-MCG/ML | $318.71 | $663.98 | Apr 1, 2026 source file |
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Seattle-Tacoma-Bellevue, WA | 5 | $106.86 | $318.71 |
| Mount Vernon-Anacortes, WA | 1 | $248.00 | $248.00 |
| Port Townsend, WA | 1 | $161.68 | $161.68 |
| Spokane-Spokane Valley, WA | 1 | $59.50 | $59.50 |
| Wenatchee-East Wenatchee, WA | 1 | $259.20 | $259.20 |
What it is
Twinrix combines the hepatitis A and hepatitis B vaccines in one shot for adults. The usual schedule is three doses at 0, 1 and 6 months, with a faster schedule for travelers.
What the price covers
The price is for one dose. , and the series takes three doses.
Hepatitis A and B combination vaccine, adult (Twinrix) in other states
- Alabama$116.60
- Alaska$180.70
- Arizona$118.89
- Arkansas$133.50
- California$154.79
- Colorado$2,628.56
- Connecticut$132.00
- Delaware$391.10
- Florida$348.97
- Georgia$531.59
- Hawaii$114.00
- Idaho$147.30
- Illinois$195.00
- Indiana$238.59
- Iowa$119.20
- Kansas$1,976.51
- Kentucky$77.00
- Louisiana$42.42
- Maine$156.75
- Maryland$186.40
- Massachusetts$242.18
- Michigan$172.95
- Minnesota$145.58
- Mississippi$84.70
- Missouri$105.90
- Montana$245.37
- Nebraska$460.34
- Nevada$108.60
- New Hampshire$108.20
- New Jersey$109.67
- New York$209.01
- North Carolina$87.35
- North Dakota$160.86
- Ohio$306.80
- Oklahoma$166.00
- Oregon$152.00
- Pennsylvania$117.60
- Rhode Island$441.24
- South Dakota$293.04
- Tennessee$84.70
- Texas$275.85
- Utah$185.50
- Vermont$136.25
- Virginia$86.69
- West Virginia$95.50
- Wisconsin$191.75
- Wyoming$131.12
Median cash price across the state's hospitals.