Fees
AUGMENTED SERVICES (as of4/12)
| Services | Fees |
|---|---|
| Physical Exams: | |
| Complete exam including UA for job/school/sports/etc. | $35.00 |
| DMV Physical | $45.00 |
| Limited physical exam for education clearances, etc. | $20.00 |
| Pap Smear | $25.00 |
| Laboratory tests: job/school/others | |
| CBC or Hgb/Hct | $15.00 |
| Urinalysis (UA) | $10.00 |
| Urine pregnancy test | $10.00 |
| Serum pregnancy test | $10.00 |
| Handling fee for "send out" lab tests | $10.00 |
| EKG for employment or school, not for illness | $25.00 |
| HIV test - confidential | $18.00 |
| STD Testing- Chlamydia, GC, | $15.00 |
| X-ray services for employment or school: | |
| Chest X-ray | $25.00 |
| Lumbar spine | $35.00 |
|
Each x-ray study done in the SHS will have an additional fee added for off-campus reading. |
$15.00 |
| Tuberculosis (TB test) Skin test for class/job, not illness | $20.00 |
|
Pharmacy costs vary by prescription - see Pharmacist |
Varies |
| Immunizations and Other Injections: | |
| Diphtheria/Tetanus (dT. Dtap) | $50.00 |
| Measles/Mumps/Rubella (MMR) | $65.00 |
| Hepatitis A vaccine (each dose, series of 2) | $35.00 |
| Hepatitis B vaccine (each dose, series of 3) | $40.00 |
| Influenza vaccine (October/November) | $20.00 |
| Meningococcal vaccine | $105.00 |
| Varicella vaccine (Chickenpox) | $95.00 |
| Depo Provera (contraceptive) | $55.00 |
| Human Papillomavirus (HPV) (each dose, series of 3) | $135.00 |
| Rocephin (antibiotic) cost depends on dose | Varies |
| Others as ordered by physician | Varies |
|
Extended University Fee (paid in Accounting before the first visit each quarter) |
$80.00 |
|
Summer services for continuing students not |
$20.00 |
|
Miscellaneous |
|
|
Copy of TB test |
$1.00 |
|
Copy of Medical record: |
|
|
One page |
$1.00 |
|
Copy each additional page |
$0.25 |
|
Copy entire record |
$20.00 |
Updated 4/12: Fees subject to change depending on cost of medical supplies or medication.