Cost & Pricing of Services

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

• $119 – 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
• $115 – Menactra Vaccine
• $12 – TB Test (Mantoux)
• $40 – Tdap (Adacel)
• $50 – Tetanus-diphtheria (Td) Vaccine
• $156 – 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

• $56 – 7+Alc-Bund (Order #795229)
• $46 – ABO Grouping and Rho(D) Typing (Order #006049)
• $226 – ACTH, Plasma (Order #004440)
• $46 – Aerobic Bacterial Culture (Order #008649)
• $60 – Alpha-1-Antitrypsin, Serum (Order #001982)
• $35 – Amylase, Serum (Order #001396)
• $69 – Antinuclear Antibodies Direct (ANA) (Order #164855)
• $32 – Antinuclear Antibodies, IFA (ANA) (Order #164947)
• $46 – Antistreptolysin O Ab (ASO Ab) (Order #006031)
• $221 – Bartonella Antibody Panal (Order #163162)
• $22 – Basic Metabolic Panel (8) (Order #322758)
• $138 – Bordetella Pertussis AB IgG (Order #161745)
• $35 – B. Pertussis Nasopharyngeal Culture (Order #180224)
• $154 – B. Pertussis B. Parapetussis PCR (Order #138677)
• $158 – C3-LC (Order #123014)
• $290 – Calcitriol (1,25 di-OH Vit D) (Order #081091)
• $10 – CBC With Differential/Platelet (Order #005009)
• $6 – Chain-of-Custody Protocol (Order #070466)
• $45 – Chlamydia/GC Amplification (Order #183194)
• $50 – Chlamydia/GC, DNA Probe w/Rflx (Order #164160)
• $24 – CMP12+8AC (Order #303560)
• $45 – CMP12+8AC+CBC/D/Plt (Order #311779)
• $27 – Comp. Metabolic Panel (14) (Order #322000)
• $99 – Cortisol (Order #004051)
• $99 – Cortisol - AM (Order #104018)
• $43 – C-Reactive Protein, Quant (Order #006627)
• $26 – Creatine Kinase,Total,Serum (Order #001362)
• $45 – Ct/GC NAA, Pharyngeal (Order #188698)
• $45 – Ct/GC NAA, Rectal (Order #188672)
• $88 – Cytomegalovirus (CMV) Ab, IgG (Order #006494)
• $86 – Cytomegalovirus (CMV) Ab, IgM (Order #096727)
• $158 – DHEA, Serum (Order #004100)
• $258 – Drug Screening (Order #700641)
• $114 – EBV Ab VCA, IgG (Order #096230)
• $93 – EBV Ab VCA, IgM (Order #096735)
• $52 – Ferritin, Serum (Order #004598)
• $165 – FSH and LH (Order #028480)
• $86 – FSH, Serum (Order #004309)
• $163 – Fungus Culture With Stain (Order #188243)
• $63 – Genital Culture, Routine (Order #008334)
• $130 – H. pylori Stool Ag, EIA (Order #180764)
• $132 – H. pylori Stool Ag, IgM, IgG, IgA (Order #163683)
• $94 – hCG,Beta Subunit, Qnt, Serum (Order #004416)
• $31 – hCG,Beta Subunit,Qual,Serum (Order #004556)
• $93 – HCV Ab w/Rflx to Verification (Order #144065)
• $88 – HCV Antibody (Order #140659)
• $58 – Hemoglobin A1c (Order #001453)
• $60 – Hep A Ab, Total (Order #006726)
• $83 – Hep B Core Ab, Tot (Order #006718)
• $76 – Hep B Surface Ab (Order #006395)
• $59 – Hep BS Ag (Order #006510)
• $24 – Hepatic Function Panel (7) (Order #322755)
• $96 – Hepatitis Panel (Order #80074)
• $67 – High Risk HPV (Order #507301)
• $82 – HSV 1 and 2-Specific Ab, IgG (Order #164905)
• $120 – HSV Culture and Typing (Order #008250)
• $48 – HSV Type 2-Specific Ab, IgG (Order #163147)
• $59 – HSV, IgM I/II Combination (Order #164806)
• $48 – Iron and TIBC (Order #001321)
• $17 – Human Immunodeficiency Virus (Order #083935)
• $27 – LDH (Order #001115)
• $35 – Lipase, Serum (Order #001404)
• $17 – Lipid Panel (Order #303756)
• $68 – Lipid Panel With LDL/HDL Ratio (Order #235010)
• $46 – Lithium (Eskalith(R)), Serum (Order #007708)
• $43 – Magnesium, Serum (Order #001537)
• $35 – Measles/Mumps/Rubella Immunity (Order #058495)
• $92 – Microalb/Creat Ratio, Randm Ur (Order #140285)
• $55 – Microalbumin, Random Urine (Order #149997)
• $32 – Mononucleosis Test, Qual (Order #006189)
• $103 – Mumps Antibodies, IgG (Order #096552)
• $84 – Mumps Antibodies, IgM (Order #160499)
• $40 – Ova + Parasite Exam (Order #008623)
• $15 – Panel 083824 (Order #083824)
• $129 – Pap IG, Ct-Ng, rfx HPV ASCU (Order #194027)
• $60 – Pap IG, rfx HPV ASCU (Order #194074)
• $81 – Parasite Examination (Order #008185)
• $23 – Potassium, Serum (Order #001180)
• $82 – Prolactin (Order #004465)
• $66 – Prot+CreatU (Random) (Order #003129)
• $69 – PT and PTT (Order #020321)
• $128 – PTH, Intact (Order #015610)
• $57 – QuantiFERON TB Gold (In Tube) (Order #182879)
• $30 – Reticulocyte Count (Order #005280)
• $14 – RPR (Order #006072)
• $22 – Rubella Antibodies, IgG (Order #006197)
• $124 – Rubeola Antibodies, IgG (Order #096560)
• $17 – Sedimentation Rate-Westergren (ESR) (Order #005215)
• $39 – Stool Culture (Order #008144)
• $30 – T pallidum Screening Cascade (Order #082345)
• $82 – Testosterone, Free, Direct (Order #144980)
• $126 – Testosterone, Total Serum (Order #004226)
• $176 – Testosterone, Total, LC/MS (Order #070001)
• $195 – Thyroid Antibodies (Order #006684)
• $24 – Thyroid Panel (Order #000455)
• $70 – Thyroid Panel With TSH (Order #000620)
• $70 – Thyroid Peroxidase (TPO) Ab (Order #006676)
• $176 – Thyroxin (T4) Free Dialysis/Mass Spectrometry (Order #501902)
• $92 – Thyroxine (T4) Free/Direct Serum (Order #001974)
• $28 – Thyroxine (T4) Total (Order #001149)
• $126 – Triiodothyronine (T3), Total (Order #002188)
• $126 – Triiodothyronine,Free,Serum (Order #010389)
• $10 – TSH (Order #004259)
• $22 – Upper Respiratory Culture (Order #008342)
• $25 – Uric Acid, Serum (Order #001057)
• $27 – Urinalysis, Complete (Order #003772)
• $15 – Urinalysis, Routine (Order #003038)
• $27 – Urine Culture Comprehensive (Order #008086)
• $10 – Urine Culture, Routine (Order #008847)
• $90 – Valproic Acid (Depakote), S (Order #007260)
• $40 – Varicella-Zoster V Ab, IgG (Order #096206)
• $70 – Vitamin B12 (Order #001503)
• $130 – Vitamin B12 and Folate (Order #000810)
• $84 – Vitamin D, 25-Hydroxy (Order #81950)
• $51 – WBC, Stool (Order #008656)

• $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)

• $10 – Acyclovir 400mg Tablet #50
• $16 – Aero Chamber
• $5 – Albuterol Sulfate Inh Solution 0.083% 2.5mg/3ml
• $25 – Allegra Allergy 180 mg Tablet #30
• $20 – Allegra D 12 hr Allergy/Congestion Tabs 60mg/120mg #10
• $8 – 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
• $9 – 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
• $14 – Allergy Injection; multiple
• $7 – Allergy Injection; single
• $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