Cost & Pricing of Services

• $50 – Grad/Law School SHS Access Fee
• $10 – Medical Records - Note: first paper copy free
• $25 – No Show Fee

• $282 – Bexsero
• $20 – Flu Vaccine
• $210 – Gardadsil HPV9- Human Papillomavirus 9 Vaccine
• $70 – Hepatitis A Vaccine (Adult)
• $116 - Hepatitis B Vaccine (Adult)
• $5 – Ketorolac Injection 30 mg
• $10 – Ketorolac Injection 60 mg
• $73 – Measles-Mumps-Rubella Vaccine
• $155 – Menactra Vaccine
• $12 – TB Test (Mantoux)
• $40 – Tdap (Adacel)
• $50 – Tetanus-diphtheria (Td) Vaccine
• $233 – Trumenba - Meningococcal Group B Vaccine
• $110 – Varicella (Chickenpox) Vaccine

In-House Labs

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

Outside Labs

• $8.00 - ABO GROUP AND RH TYPE
• $14.00 - ACTH, PLASMA
• $6.00 - ANA SCREEN, IFA, W/REFL TITER AND PATTERN
• $6.00 - BASIC METABOLIC PANEL
• $6.00 - CBC (INCLUDES DIFF/PLT)
• $20.00 - CELIAC DISEASE COMPREHENSIVE PANEL
• $40.00 - CHLAMYDIA/N. GONORRHOEAE RNA, TMA
• $24.00 - CMP12+ eGFR+Lipid Panel +CBC/D/PLT+GGT,Fe,PO4, Ur Acid
• $6.00 - COMPREHENSIVE METABOLIC PANEL
• $16.00 - CORTISOL
• $7.00 - C-REACTIVE PROTEIN
• $12.00 - CULTURE, AEROBIC BACTERIA
• $8.00 - CULTURE, THROAT
• $8.00 - CULTURE, URINE, ROUTINE
• $8.00 - DHEA SULFATE
• $34.00 - EPSTEIN BARR VIRUS ANTIBODY PANEL
• $8.00 - ESTRADIOL
• $6.00 - FERRITIN
• $10.00 - FSH
• $20.00 - FSH AND LH
• $8.00 - HCG, TOTAL, QL
• $6.00 - HEMOGLOBIN A1c
• $6.00 - HEP B SURFACE AB IMMUNITY, QN
• $10.00 - HEP C AB W/RFXTO HCV RNA, QN, PCR
• $5.00 - HEPATIC FUNCTION PANEL
• $30.00 - HEPATITIS PANEL, ACUTE W/REFLEX TO CONFIRMATION
• $10.00 - HIV 1/2 ANTIGEN/ANTIBODY,FOURTH GENERATION W/RFL
• $6.00 - HSV 1/2 IGG,TYPE SPECIFIC AB
• $8.00 - IRON AND TOTAL IRON BINDING CAPACITY
• $18.00 - IRON, TIBC AND FERRITIN PANEL
• $6.00 - LIPID PANEL, STANDARD
• $22.00 - MEASLES, MUMPS, AND RUBELLA (MMR) AB (IGG) PANEL, IMMUNE STATUS
• $18.00 - MYCOPLASMA HOMINIS/ UREAPLASMA CULTURE
• $16.00 - OVA AND PARASITES, CONC AND PERM SMEAR
• $8.00 - PROLACTIN
• $56.00 - QUANTIFERON(R)-TB GOLD PLUS, 1 TUBE
• $6.00 - RPR (DX) W/REFL TITER AND T. PALLIDUM AB, IA
• $5.00 - SED RATE BY MODIFIED WESTERGREN
• $10.00 - T3, FREE
• $10.00 - T4, FREE
• $16.00 - TESTOSTERONE, TOTAL, MS
• $20.00 - THINPREP TIS PAP
• $12.00 - THYROID PANEL WITH TSH
• $6.00 - TSH
• $5.00 - URINALYSIS, COMPLETE
• $20.00 - VARICELLA ZOSTER VIRUS AB (IMMUNITY SCR),ACIF (S)
• $9.00 - VITAMIN B12/FOLATE, SERUM PANEL
• $15.00 - VITAMIN D,25-OH,TOTAL,IA

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

• $12 – Acyclovir 400mg Tablet #50
• $4 – Albuterol Sulfate Inh Solution 0.083% 2.5mg/3ml
• $28 – Allegra Allergy 180 mg Tablet #30
• $20 – Allegra D 12 hr Allergy/Congestion Tabs 60mg/120mg #10
• $10 – Amoxicillin 500mg Capsule #30
• $12 – Amoxicillin/Clavulanate Potassium 500/125mg Tabs #20
• $15 – Antipyrine and Benzocaine 5.4-1.4 Otic Solution 15 ml
• $5 – Atrovent (Ipratropium Bromide) Inh Soln 0.02%
• $8 – Ayr 0.65% Nasal Solution 50 ml
• $7 – Azithromycin 250mg Tablet #6
• $18 – Bacitracin Opthalmic Ointment 3gm
• $108 – Benzathine Penicillin G 1.2 million units IM
• $13 – Betamethazone Dipropionate 0.05% Topical Cream 15gm
• $61 – Betamethazone Dipropionate 0.05% Topical Cream 45gm
• $6 – Carbamide Peroxide (Ear Drops) 6.5% Otic Solution 15ml
• $25 – Ceftriaxone 250 mg IM
• $12 – Cephalexin 500mg Capsule #40
• $8 – Ciprofloxin 250mg Tablet #6
• $10 – Ciprofloxin 500mg Tablet #14
• $15 – Clindamycin HCL 300mg Capsule #30
• $12 – Clotrimazole/Betamethazone Diprop 1%/0.05% Cream 15gm
• $5 – Cyclobenzaprene HCL 10mg Tablet #20
• $5 – Docusate Sodium 100mg Capsule #20
• $18 – Doxycycline Hyclate 100mg Tablet #14
• $8 – Econazole Nitrate 1% Topical Cream 30gm
• $10 – Epinephrine Injection 0.3 mg (Ampule)
• $7 – Fleet Rectal Enema 133ml
• $6 – Fluconazole 150mg Tablet #1
• $22 – Fluticasone Propionate Nasal Spray 50mcg/spray 16gm
• $15 – Gentamycin Sulfate Ophthalmic Soln 3mg/ml 5ml
• $7 – Guaifenesin/Dextromethorphan 100mg/10mg Syrup 120ml
• $8 – Hydrocortisone Topical Cream 2.5 % Topical Cream 30gm
• $26 – Hydrocortisone/Neomycin/Polymixin B Otic Susp 10ml
• $7 – Ibuprofen 600mg Tablet #24
• $20 – Isoniazid 300mg Tablet #100
• $10 – Levofloxacin 500mg Tablet #7
• $10 – Lidocaine 1%
• $14 – Lidocaine Viscous 2% Mouth Solution 100ml
• $33 – Lidocaine/Prilocaine 2.5%/2.5% 30gm
• $8 – Loperamide HCL 2mg Capsule #15
• $3 – Loratadine 10mg Tablet #10
• $10 – Meclizine 25mg Tablet #10
• $17 – Methylpred Sod Succ (Solumedrol) up to 125mg(125mg/2ml)
• $20 – Methylprednisolone 4mg Tablet #21
• $7 – Metronidazole 500mg Tablet #14
• $13 – Mucinex D 600-60mg Tablet #18
• $9 – Mupirocin 2% Topical Ointment 22gm
• $13 – Naphcon A Ophthalmic Solution 15ml
• $6 – Naproxen 500 mg Tablet #20
• $36 – Nitrofurantoin Monohyd Macrocrystal 100mg Capsule #14
• $17 – Ofloxacin Otic Solution 0.3%
• $10 – Omeprazole 20mg Capsule #15
• $10 – Ondansetron 2mg/ml
• $8 – Ondansetron 4mg #10
• $21 – Oseltamivir Phosphate 75 mg capsule #10
• $6 – Penicillin V Potassium #20 500 mg
• $7 – Penicillin V Potassium #40 250 mg
• $20 – Phenazopyridine 200mg Tablet #6
• $38 – Prednisone 10mg Tablet #48
• $11 – Prenisone 20 mg tablets #30
• $22 – ProAir HFA 108mcg/act Inhaler 8gm
• $10 – Promethazine - 25mg/ml
• $4 – Pseudoephedrine HCL 60mg Tablet #30
• $6 – Ranitidine 150mg Tablet #20
• $16 – Silvadene 1% Topical Cream 20gm
• $48 – Sulfacetamide Sodium 10% Ophthalmic Solutiohn 15ml
• $6 – Sulfamethoxazole/Trimethoprim 800/160mg Tablet #20
• $5 – Sulfamethoxazole/Trimethoprim 800/160mg Tablet #6
• $13 – Valacyclovir HCL 500mg Tablet #14
• $8 – Vitamin B-6 50mg Tablet #100
• $19 – Zaditor 0.025% Ophtalmic

• $12 – Airway Inhalation Treatment
• $21 – Airway Inhalation Treatment w/ Albuterol and Atrovent
• $5 – Cast Removal
• $12 – Destruction (Chem) Penile Lesion - Podophylliam
• $14 – Destruction (Cryo) Penile Lesion - Liquid Nitrogen
• $14 – Destruction- Molluscum/Warts;
• $14 – Destruction of Vulva Lesions; simple
• $15 – EKG
• $12 – Evacuation of Subungual Hematoma
• $26 – 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
• $8 – Injection- IV Push
• $8 – Injection- SQ/IM
• $61 – IV Fluid Hydration
• $40 – Laceration Repair
• $90 – Nebulizer
• $12 – Paring/Cutting of Benign Lesions
• $12 – Removal of Impacted Cerumen- One Or Both
• $20 – Removal of Skin Tags
• $8 – Suture Removal
• $14 – Ultrasound Treatment
• $7 – Wash Basin/Emesis Basin