Student Health Services Prices

lmu shs prices

Note: Prices for all Student Health Services procedures are subject to change without notices.

Transaction Description (Administrative) 
Grad/Law School SHS Access Fee $50
Medical Records - Note: first paper copy free $10
No Show Fee $25

Vaccinations and Injectables

Procedure DescriptionCost per Dose
Allergy Immunotherapy Therapy (Antigens Brought In By Patient) Multi-Injections $14
Allergy Immunotherapy Therapy (Antigens Brought In By Patient) One Injection $7
Flu Vaccine $25
Gardadsil HPV9- Human Papillomavirus 9 Vaccine $190
Hepatitis A Vaccine (Adult) $31
Human Papilloma Vaccine $155
Ketorolac Injection 30 mg $5
Ketorolac Injection 60 mg $10
Measles-Mumps-Rubella Vaccine $65
Menactra Vaccine $115
TB Test (Mantoux) $12
Tdap (Adacel) $40
Tetanus-diphtheria (Td) Vaccine $26
Trumenba - Meningococcal Group B Vaccine $175
Varicella (Chickenpox) Vaccine $110

Laboratory Procedures

In-House Labs

Order #Test DescriptionCost
IH-12 Glucose, Whole Blood (Fasting) $5
IH-3 Glucose, Whole Blood (Random) $5
IH-10 Hemocue $10
IH-4 Mono Test $8
IH-6 Occult Blood x 1 $10
IH-7 Occult Blood x 3 $20
IH-1 Pregnancy Test Urine, Qualitative $8
IH-8 Rapid Influenza A/B $30
IH-5 Rapid Strep $8
IH-2 Urinalysis, Dipstick $10

 

Outside Labs

Order #Test DescriptionCost
795229 795229 7+Alc-Bund $49
006049 ABO Grouping and Rho(D) Typing $46
004440 ACTH, Plasma $226
008649 Aerobic Bacterial Culture $64
001982 Alpha-1-Antitrypsin, Serum $60
001396 Amylase, Serum $35
164855 Antinuclear Antibodies Direct (ANA) $32
164947 Antinuclear Antibodies, IFA (ANA) $32
006031 Antistreptolysin O Ab (ASO Ab) $40
163162 Bartonella Antibody Panal $221
322758 Basic Metabolic Panel (8) $22
161745 Bordetella Pertussis AB IgG $138
123014 C3-LC $158
081091 Calcitriol(1,25 di-OH Vit D) $290
005009 CBC With Differential/Platelet $13
334971 Celiac Disease Antibody Screen $105
070466 Chain-of-Custody Protocol $6
183194 Chlamydia/GC Amplification $50
164160 Chlamydia/GC, DNA Probe w/Rflx $50
303560 CMP12+8AC $20
311779 CMP12+8AC+CBC/D/Plt $48
322000 Comp. Metabolic Panel (14) $27
004051 Cortisol $99
104018 Cortisol - AM $99
006627 C-Reactive Protein, Quant $43
001362 Creatine Kinase,Total,Serum $26
188698 Ct/GC NAA, Pharyngeal $50
188672 Ct/GC NAA, Rectal $50
006494 Cytomegalovirus (CMV) Ab, IgG $88
096727 Cytomegalovirus (CMV) Ab, IgM $86
004100 DHEA, Serum $158
700641 Drug Screening $258
096230 EBV Ab VCA, IgG $114
096735 EBV Ab VCA, IgM $88
004598 Ferritin, Serum $44
028480 FSH and LH $162
004309 FSH, Serum $86
188243 Fungus Culture With Stain $163
008334 Genital Culture, Routine $70
180764 H. pylori Stool Ag, EIA $200
163683 H. pylori Stool Ag, IgM, IgG, IgA $320
004416 hCG,Beta Subunit, Qnt, Serum $81
004556 hCG,Beta Subunit,Qual,Serum $29
144065 HCV Ab w/Rflx to Verification $70
140659 HCV Antibody $88
001453 Hemoglobin A1c $51
006726 Hep A Ab, Total $60
006718 Hep B Core Ab, Tot $72
006395 Hep B Surface Ab $60
006510 Hep BS Ag $59
322755 Hepatic Function Panel (7) $24
80074 Hepatitis Panel $74
507301 High Risk HPV $84
164905 HSV 1 and 2-Specific Ab, IgG $71
008250 HSV Culture and Typing $139
163147 HSV Type 2-Specific Ab, IgG $42
164806 HSV, IgM I/II Combination $52
001321 Iron and TIBC $36
001115 LDH $27
001404 Lipase, Serum $35
303756 Lipid Panel $17
235010 Lipid Panel With LDL/HDL Ratio $68
007708 Lithium (Eskalith(R)), Serum $43
001537 Magnesium, Serum $43
058495 Measles/Mumps/Rubella Immunity $65
140285 Microalb/Creat Ratio, Randm Ur $92
149997 Microalbumin, Random Urine $55
006189 Mononucleosis Test, Qual $32
096552 Mumps Antibodies, IgG $103
160499 Mumps Antibodies, IgM $78
008623 Ova + Parasite Exam $34
083824 Panel 083824 $15
194027 Pap IG, Ct-Ng, rfx HPV ASCU $110
194074 Pap IG, rfx HPV ASCU $60
008185 Parasite Examination $81
001180 Potassium, Serum $26
004465 Prolactin $82
003129 Prot+CreatU (Random) $66
020321 PT and PTT $69
015610 PTH, Intact $128
182873 QuantiFERON TB Gold (In Tube) $65
005280 Reticulocyte Count $25
006072 RPR $12
006197 Rubella Antibodies, IgG $45
096560 Rubeola Antibodies, IgG $124
005215 Sedimentation Rate-Westergren (ESR) $17
008144 Stool Culture $39
082345 T pallidum Screening Cascade $66
144980 Testosterone, Free, Direct $82
004226 Testosterone, Total Serum $114
070001 Testosterone, Total, LC/MS $176
006684 Thyroid Antibodies $195
000455 Thyroid Panel $24
000620 Thyroid Panel With TSH $60
006676 Thyroid Peroxidase (TPO) Ab $70
501902 Thyroxin (T4) Free Dialysis/Mass Spectrometry $176
001974 Thyroxine (T4) Free/Direct Serum $92
001149 Thyroxine (T4) Total $28
002188 Triiodothyronine (T3), Total $74
010389 Triiodothyronine,Free,Serum $140
004259 TSH $41
008342 Upper Respiratory Culture $22
001057 Uric Acid, Serum $25
003772 Urinalysis, Complete $26
003038 Urinalysis, Routine $15
008086 Urine Culture Comprehensive $27
008847 Urine Culture, Routine $24
007260 Valproic Acid (Depakote),S $90
096206 Varicella-Zoster V Ab, IgG $40
001503 Vitamin B12 $65
000810 Vitamin B12 and Folate $130
81950 Vitamin D, 25-Hydroxy $69
008656 WBC, Stool $51

Student Health Services Medical Supplies

SupplyCost
Ace Bandage $5
Ankle Brace (Air Cast) $36
Ankle Stabilizer (Futuro) $18
Ankle Suport (Futuro) $9
Ankle Support (Futuro) Adjustable $11
Arm Sling $10
Arm Sling, Triangular $5
Blanket $18
Cervical Collar, Foam $11
Cervical Collar, Futura $11
Clavicle Splint $15
Coban, roll $8
Crutches $38
Doughnut, Inflation $8
Heel Cup $9
Hot/Cold Pack $3
Knee brace, Neoprene Patellar $20
Knee Immobilizer $30
Knee Stabilizater, Adjustable (Futuro) $18
Knee Support Adjustable (Futuro) $15
Nourishment/Gatorade $3
Peak Flow Meter $21
Rib Belt $12
Sharps Container $6
Shoulder Immobilizer $27
Splint, Aluminum Finger $5
Splint, Baseball Finger Padded $6
Splint, Baseball Padded $5
Splint, Burnham Thumb $18
Splint, Metacarpal $9
Steri Strips $12
Surgical Shoe $12
Theraband Exercise Band $5
Thermacare Heat Pad $7
Thermometer, Digital $7
Thumb Spica $35
Ultradex Sponge $3
Wound Care Complex $15
Wound Care Minor $5
Wound Care Moderate $10
Wrist Stabilizer (Futuro) $23

Student Health Services Medications

MedicationCost
Acyclovir 400mg Tablet #50 $10
Aero Chamber $16
Albuterol Sulfate Inh Solution 0.083% 2.5mg/3ml $5
Allegra Allergy 180 mg Tablet #30 $25
Allegra D 12 hr Allergy/Congestion Tabs 60mg/120mg #10 $20
Amoxicillin 500mg Capsule #30 $8
Amoxicillin/Clavulanate Potassium 500/125mg Tabs #20 $28
Antipyrine and Benzocaine 5.4-1.4 Otic Solution 15 ml $15
Atrovent (Ipratropium Bromide) Inh Soln 0.02% $5
Ayr 0.65% Nasal Solution 50 ml $8
Azithromycin 250mg Tablet #6 $9
Bacitracin Opthalmic Ointment 3gm $18
Benzathine Penicillin G 1.2 million units IM $108
Betamethazone Dipropionate 0.05% Topical Cream 15gm $35
Betamethazone Dipropionate 0.05% Topical Cream 45gm $68
Carbamide Peroxide (Ear Drops) 6.5% Otic Solution 15ml $6
Ceftriaxone 250 mg IM $20
Cephalexin 500mg Capsule #40 $10
Ciprofloxin 250mg Tablet #6 $5
Ciprofloxin 500mg Tablet #20 $10
Citalopram HBr 10mg Tablet #30 $7
Citalopram HBr 20mg Tablet #30 $7
Clindamycin HCL 300mg Capsule #30 $15
Clotrimazole/Betamethazone Diprop 1%/0.05% Cream 15gm $30
Cyclobenzaprene HCL 10mg Tablet #20 $7
Dicloxacillin Sodium 250mg Capsule #40 $22
Docusate Sodium 100mg Capsule #20 $5
Doxycycline Hyclate 100mg Tablet #14 $42
Econazole Nitrate 1% Topical Cream 30gm $17
Epinephrine Injection 0.3 mg (Ampule) $10
EpiPen AutoInjectable $354
Erythromycin Ophthalmic Ointment 3gm $13
Fleet Rectal Enema 133ml $7
Fluconazole 150mg Tablet #1 $6
Fluoxetine 10 mg Capsules #30 $7
Fluoxetine 20 mg Capsule #30 $6
Fluticasone Propionate Nasal Spray 50mcg/spray 16gm $22
Gentamycin Sulfate Ophthalmic Soln 3mg/ml 5ml $23
Guaifenesin/Dextromethorphan 100mg/10mg Syrup 120ml $7
Hydrocortisone Acetate 25mg Rectal Suppository #12 $140
Hydrocortisone Topical Cream 2.5 % Topical Cream 30gm $8
Hydrocortisone/Neomycin/Polymixin B Otic Susp 10ml $26
Ibuprofen 600mg Tablet #24 $7
Isoniazid 300mg Tablet #100 $20
Levofloxacin 500mg Tablet #7 $10
Lidocaine 1% $10
Lidocaine Viscous 2% Mouth Solution 100ml $8
Lidocaine/Prilocaine 2.5%/2.5% 30gm $48
Loperamide HCL 2mg Capsule #15 $8
Loratadine 10mg Tablet #10 $6
Meclizine 25mg Tablet #10 $10
Methylpred Sod Succ (Solumedrol) up to 125mg(125mg/2ml) $14
Methylprednisolone 4mg Tablet #21 $21
Metronidazole 500mg Tablet #14 $12
Minocycline 100 mg # 60 $23
Mucinex D 600-60mg Tablet #18 $11
Mupirocin 2% Topical Ointment 22gm $15
Naphcon A Ophthalmic Solution 15ml $13
Naproxen 500 mg Tablet #20 $6
Nitrofurantoin Monohyd Macrocrystal 100mg Capsule #14 $36
Omeprazole 20mg Capsule #15 $10
Ondansetron 2mg/ml $10
Ondansetron 4mg #10 $8
Penicillin V Potassium #20 500 mg $6
Penicillin V Potassium #40 250 mg $7
Permethrin 5% Topical Cream 60 mg $108
Phenazopyridine 200mg Tablet #6 $20
Prednisone 10mg Tablet #48 $44
Prenisone 20 mg tablets #30 $11
ProAir HFA 108mcg/act Inhaler 8gm $72
Prochlorperazine 25mg Rectal Suppository #3 $27
Promethazine - 25mg/ml $10
Pseudoephedrine HCL 60mg Tablet #30 $4
Ranitidine 150mg Tablet #20 $6
Silvadene 1% Topical Cream 20gm $16
Sulfacetamide Sodium 10% Ophthalmic Solutiohn 15ml $48
Sulfamethoxazole/Trimethoprim 800/160mg Tablet #20 $6
Sulfamethoxazole/Trimethoprim 800/160mg Tablet #6 $5
Tamiflu 75mg Capsule #10 $167
Tears Naturale II Ophthalmic Solution 15ml $17
Trimethobenzamide HCL 300mg Capsule #12 $18
Valacyclovir HCL 500mg Tablet #14 $13
Vitamin B-6 50mg Tablet #100 $6
Zaditor 0.025% Ophtalmic $19

Office Procedures

ProcedureCost
Airway Inhalation Treatment $12
Airway Inhalation Treatment w/ Albuterol and Atrovent $21
Allergy Injection; multiple $14
Allergy Injection; single $7
Cast Removal $5
Destruction (Chem) Penile Lesion - Podophylliam $12
Destruction (Cryo) Penile Lesion - Liquid Nitrogen $14
Destruction- Molluscum/Warts; $14
Destruction of Vulva Lesions; simple $14
EKG $15
Evacuation of Subungual Hematoma $12
Incision and Drainage, Hematoma/Seroma/Fluid $26
Incision and Drainage, Pilonidal Cyst $26
Incision and Drainage, Skin Abscess $26
Incision And Drainage, Vulvar or Perineal Abscess $26
Injection- IV Push $8
Injection- SQ/IM $8
IV Fluid Hydration $41
Laceration Repair $40
Nebulizer $90
Paring/Cutting of Benign Lesions $12
Removal of Impacted Cerumen- One Or Both $12
Removal of Skin Tags $20
Suture Removal $8
Ultrasound Treatment $14
Wash Basin/Emesis Basin $7

Radiology

ProcedureCost
X-Ray Copy $10
XRAY VIEW 1 $41
XRAY VIEW 2 $46
XRAY VIEW 3 $57
XRAY VIEW 4 $62
XRAY VIEW 5 $67

Notes

  • These prices are an approximation and do not reflect an exhaustive list of Student Health Services prices.
  • Please discuss prices with your healthcare provider at the time of your visit and prior to any procedure.
  • All outside labs are performed by LabCorp and reflect their price structure.