Hepatitis A and B vaccine (Twinrix) cost in Washington
In Washington, 16 hospitals publish a cash price for hepatitis A and B combination vaccine, adult (Twinrix): from $57.20 to $318.71, with a median of $175.02. The lowest price is at Kittitas County Public Hospital Dist 1 (Ellensburg). The highest price is 5.6× the lowest.
- The median here, $175.02, is about the same as the US median of $172.95.
- Washington ranks 23rd of 39 states by median, cheapest first.
- Every hospital here lists a cash price below its full list price.
Washington law (RCW 70.170.060) requires hospital charity care: patients with family income up to 300% of the federal poverty level owe nothing at hospitals in large health systems (200% at other hospitals), with 75% and 50% discounts up to 400% (300% at other hospitals). It covers the part of the bill a patient owes, insured or not. Ask the hospital for its charity care 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 4, 2026. See them on a map
Lowest$57.20Kittitas County Public Hospital Dist 1
Median$175.02half of hospitals charge less
Highest$318.71in Washington
Lowest saves$117.82vs the median
Hospitals in Washington, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Kittitas County Public Hospital Dist 1 lowest Ellensburg · Ellensburg, WA Hepatitis A and hepatitis B vaccine | $57.20 | $67.29 | Oct 7, 2026 source file |
| Prov Sacred Hrt Medical Center & Childs Hospital 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 |
| Providence Holy Family Hospital Spokane · Spokane-Spokane Valley, WA HC PR RX HEPATITIS A & B VACCINE ADULT IM 1 ML | $60.20 | $86.00 | Apr 1, 2026 source file |
| Astria Sunnyside Hospital Sunnyside · Kennewick-Richland, WA 90636 Hepatitis A&B vaccine | $89.49 | $157.00 | Apr 1, 2026 source file |
| Astria Toppenish Hospital Toppenish · Yakima, WA 90636 Hepatitis A&B vaccine | $97.50 | $150.00 | 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 | Jan 1, 2026 source file |
| Pullman Regional Hospital Pullman · Pullman, WA Hepatitis A and hepatitis B vaccine | $114.75 | $135.00 | Jun 9, 2026 source file |
| Jefferson Healthcare Port Townsend · Port Townsend, WA Hepatitis A and hepatitis B vaccine | $161.68 | $202.10 | Aug 6, 2026 source file |
| Forks Community Hospital Forks · Port Townsend, WA Hepatitis A and hepatitis B vaccine | $188.35 | $235.44 | Oct 27, 2026 source file |
| Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC Hep a/Hep b Vaccine, Adult, IM | $248.00 | $310.00 | Mar 26, 2026 source file |
| Confluence Health Hospital Wenatchee · Wenatchee-East Wenatchee, WA HC Hepa/Hepb Vaccine Adult Im | $259.20 | $288.00 | Aug 10, 2026 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 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 |
| 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 |
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.
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 | 6 | $106.86 | $318.71 |
| Port Townsend, WA | 2 | $161.68 | $175.02 |
| Spokane-Spokane Valley, WA | 2 | $59.50 | $59.85 |
| Ellensburg, WA | 1 | $57.20 | $57.20 |
| Kennewick-Richland, WA | 1 | $89.49 | $89.49 |
| Mount Vernon-Anacortes, WA | 1 | $248.00 | $248.00 |
| Pullman, WA | 1 | $114.75 | $114.75 |
| Wenatchee-East Wenatchee, WA | 1 | $259.20 | $259.20 |
| Yakima, WA | 1 | $97.50 | $97.50 |
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
- Texas$640.71
- Utah$198.80, 3 hospitals
- Vermont$180.48
- Virginia$178.93
- West Virginia$143.00
- Wisconsin$191.75
- Wyoming$153.32, 4 hospitals
Median cash price across the state's hospitals.