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Procedure price report · Prophylactic vaccinations and inoculations

Combined hepatitis A and B vaccine, adult dose

CPT 90636the billing code this page is about

One injected dose of a single vaccine covering both hepatitis A and hepatitis B at the adult strength, given in the muscle.

Hospitals typically charge $161 cash for this outpatient procedure — the median across 1,097 hospitals that filed a usable cash price; the average of the middle 60% is $180. Most fall between $98 and $327 (20th–80th percentile).

Hospitals
1,097
States
50
Filings dated
Dec 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 1,097 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$76$111$161$287$493

The most expensive tenth of hospitals charges at least 6.5× what the cheapest tenth charges ($76 vs $493).

How the prices are spread

$57 – $74: 45 hospitals$57$74 – $95: 102 hospitals$95 – $123: 154 hospitals$95$123 – $159: 187 hospitals$159 – $205: 126 hospitals$159$205 – $265: 130 hospitals$265 – $342: 108 hospitals$265$342 – $442: 73 hospitals$442 – $571: 37 hospitals$442$571 – $737: 28 hospitals$571median $161price bands are equal on a log scale
Hospitals per price band (990 of 1,097 — the bands cover the 5th to 95th percentile)
FromToHospitals
$57$7445
$74$95102
$95$123154
$123$159187
$159$205126
$205$265130
$265$342108
$342$44273
$442$57137
$571$73728

By state

The median cash price in each state, against the national median of $161.

Alaska: median $147 across 10 hospitalsAK$147Maine: median $130 across 10 hospitalsME$130Vermont: 9 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $108 across 10 hospitalsNH$108Washington: median $122 across 23 hospitalsWA$122Idaho: median $147 across 10 hospitalsID$147Montana: 9 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $146 across 57 hospitalsMN$146Illinois: median $202 across 50 hospitalsIL$202Wisconsin: median $165 across 54 hospitalsWI$165Michigan: median $158 across 36 hospitalsMI$158New York: median $208 across 50 hospitalsNY$208Massachusetts: median $220 across 19 hospitalsMA$220Oregon: median $120 across 29 hospitalsOR$120Nevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $146 across 11 hospitalsSD$146Iowa: median $119 across 43 hospitalsIA$119Indiana: median $190 across 44 hospitalsIN$190Ohio: median $307 across 48 hospitalsOH$307Pennsylvania: median $110 across 56 hospitalsPA$110New Jersey: median $95 across 23 hospitalsNJ$95Connecticut: 5 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $183 across 67 hospitalsCA$183Utah: median $299 across 12 hospitalsUT$299Colorado: median $299 across 27 hospitalsCO$299Nebraska: 9 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $110 across 21 hospitalsMO$110Kentucky: median $99 across 11 hospitalsKY$99West Virginia: median $143 across 23 hospitalsWV$143Virginia: median $128 across 15 hospitalsVA$128Maryland: median $274 across 13 hospitalsMD$274Delaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: median $382 across 11 hospitalsNM$382Kansas: median $236 across 18 hospitalsKS$236Arkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $85 across 11 hospitalsTN$85North Carolina: median $174 across 36 hospitalsNC$174South Carolina: median $156 across 15 hospitalsSC$156Oklahoma: median $126 across 16 hospitalsOK$126Louisiana: median $117 across 17 hospitalsLA$117Mississippi: median $145 across 19 hospitalsMS$145Alabama: 8 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $501 across 29 hospitalsGA$501Hawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $286 across 28 hospitalsTX$286Florida: median $307 across 53 hospitalsFL$307
Cash price by state, most expensive first. National median $161. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA29$501+211%$256 – $562
New Mexico NM11$382+137%$248 – $382
Florida FL53$307+91%$171 – $1,680
Ohio OH48$307+91%$113 – $328
Colorado CO27$299+86%$126 – $826
Utah UT12$299+86%$186 – $408
Texas TX28$286+78%$112 – $998
Maryland MD13$274+70%$175 – $409
Kansas KS18$236+46%$137 – $412
Massachusetts MA19$220+37%$66 – $338
New York NY50$208+29%$110 – $374
Illinois IL50$202+25%$109 – $327
Indiana IN44$190+18%$120 – $239
California CA67$183+14%$149 – $427
North Carolina NC36$174+8%$87 – $478
Wisconsin WI54$165+2%$120 – $220
Michigan MI36$158−2%$94 – $173
South Carolina SC15$156−3%$125 – $299
Alaska AK10$147−8%$113 – $252
Idaho ID10$147−9%$88 – $147
South Dakota SD11$146−9%$146 – $356
Minnesota MN57$146−10%$112 – $199
Mississippi MS19$145−10%$85 – $403
West Virginia WV23$143−11%$91 – $218
Maine ME10$130−19%$45 – $416
Virginia VA15$128−20%$88 – $457
Oklahoma OK16$126−22%$126 – $166
Washington WA23$122−24%$89 – $319
Oregon OR29$120−25%$18 – $209
Iowa IA43$119−26%$119 – $221
Louisiana LA17$117−28%$48 – $156
Missouri MO21$110−31%$69 – $167
Pennsylvania PA56$110−32%$80 – $185
New Hampshire NH10$108−33%$98 – $115
Kentucky KY11$99−39%$77 – $235
New Jersey NJ23$95−41%$48 – $177
Tennessee TN11$85−47%$59 – $222
Montana MT9not enough hospitals filed a usable price
Nebraska NE9not enough hospitals filed a usable price
Vermont VT9not enough hospitals filed a usable price
Alabama AL8not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $161.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care804$161$97 – $328
Children’s16fewer than 20 hospitals
Critical access274$155$105 – $280
Ownership
For-profit75$283$119 – $617
Government175$139$87 – $248
Non-profit844$161$103 – $327
System affiliation
Part of a system919$166$103 – $328
Independent178$137$89 – $252

Cash price vs list price

Median list price (chargemaster)$266
Median cash price$161
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

805 hospitals filed a usable inpatient cash price for this code. The median is $173 and the average of the middle 60% is $189; most fall between $103 and $334.

Cash price percentiles, inpatient, across 805 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$76$114$173$306$541

The most expensive tenth of hospitals charges at least 7.1× what the cheapest tenth charges ($76 vs $541).

Of the 878 hospitals that filed this code inpatient, 805 gave a usable cash price; 16 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 57 a list price only.

How complete is this

1,097 of the 3,956 hospitals with a price file in our corpus (28%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,182 hospitals that filed this code at all gave us
Usable cash price — counted1,097
Cash price carrying a plausibility flag — shown on the compare tool, excluded here22
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded61
Hospitals that filed this code1,182

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Prophylactic vaccinations and inoculations family.

Hospitals file this code under descriptions such as Hepatitis a & B Vaccine Hepa-Hepb Adult Im.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Combined hepatitis A and B vaccine, adult dose (CPT 90636) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90636-combined-hepatitis-a-and-b-vaccine-adult-dose