Service Fees

Procedure Amount Special Instructions
Allergy Shot $10.00 Per visit
Anascopy $15.00  
Annual Exam Gyn $30.00 Per visit
Ear Irrigation-Lavage $10.00  
Electrocardiogram $20.00  
Eye Fluro Stain $10.00  
Glucose Test $5.00  
Hemoccult/OP Stool $15.00  
HIV Oraquick $15.00  
Incision/Drainage Nail $15.00  
Incision/Drainage Wound $20.00  
Injection/Pt. Prescription $10.00 Per shot/not self-injecting
Mononucleosis Rapid Test $10.00  
Nebulizer Tx $15.00 Per treatment
Nexplanon Insertion $30.00  
Physical Exam - Sports $10.00  
Physical Exam-Routine $20.00  
Strep A Rapid Test $15.00  
Suture/Staple Removal $5.00  
Tuberculin Skin Test/PPD (Mantoux) $15.00  
UA/Urine Dip $15.00  
UHCG/Urine Pregnancy $15.00  
Venipuncture $5.00  
Wet Prep/KOH $15.00  
Wound Care/Dsg Change $5.00  

 

Equipment Amount Special Instructions
Ace Bandage $3.00 All sizes
Ankle Brace $30.00  
Arm Sling $8.00  
Crutches $20.00  
Finger Splint $5.00  
Peak Flow Meter $20.00  
Splint - Wrist $20.00  
Splint - Knee $20.00  

 

Contraceptives Amount Special Instructions
Depo-Provera $60.00 Plus procedure charge
Emergency Contraception $30.00  
Nexplanon $750.00 Plus procedure charge
Oral Contraceptives $15.00 Per pack

 

Vaccines Amount Special Instructions
Hepatitis A $40.00 Per dose
Hepatitis B $50.00 Per dose
Hep A/Hep B $70.00 Per dose
HPV $155.00 Per dose
Influenza - Student $10.00 Per dose
Influenza - Faculty/Staff $20.00 Per dose
Meningitis $130.00 Per dose
MMR $70.00 Per dose
Pneumonia $70.00 Per dose
Tetanus/Diptheria $30.00 Per dose
Tetanus/Diptheria/Pertussis $50.00 Per dose
Typhoid $80.00 Per dose

 

Medication Amount Special Instructions
Acyclovir #15 $20.00  
Acyclovir #60 $30.00  
Albuterol MDI $60.00  
Albuterol Solution $20.00  
Amoxicillin $20.00  
Amoxicillin/Clavulanate $25.00  
Azithromycin $20.00 Dose pack 20
Azithromycin 1 Gm pills $20.00  
Benzonatate $20.00  
Butalbital/APAP/Caffiene $20.00  
Ceftiaxone $20.00  
Cephalexin $20.00  
Ciprofloxacin $20.00  
Clotrimazole Cream $20.00  
Cyclobenzaprine $20.00  
Debrox $10.00  
Diphenhydramine IM Injection $10.00  
Doxycycline $20.00  
Epinephrine Injection $20.00  
Estradiol $20.00  
Fluconazole $20.00  
Fluticasone Spray $25.00  
Guafenesin Syrup $3.00  
Gentamycin Opth $20.00  
Glucophage(Merformin) $20.00  
Hydrochlorathiazide $20.00  
Isonazid $20.00  
Ketoconazole $20.00  
Loratadine – D $20.00  
Medroxyprogest $20.00  
Methlyprednisolone $25.00 Pack
Metronidazole $20.00  
Miconazole 2% cream $20.00  
Mucinex D $20.00  
Naproxen Sodium $20.00  
Nasal Crom $15.00  
Neo-Poly HC Otic $25.00  
Nitrofurantoin $35.00  
Ondansetron ODT $20.00  
Penicillin VK $20.00  
Phenazopyridine $20.00  
Poly-Trimeth Opth $20.00  
Prednisone $20.00  
Prochlorperazine $20.00  
Ranitidine $20.00  
Saline Nasal Spray $5.00  
Silver Sulfadiazone 1% $20.00  
Terconazole Cream $35.00  
Tobramycin Opth $20.00  
Traimcinolone Cr. $20.00  
Trimeth/Sulfa DS $20.00