Medical Fees

Other than the Aetna Student Health Plan, UHS does not bill insurance.  Charges incurred at UHS will be applied to the student's Irish Pay account.  Other payment options are available at time of service. 

Lab tests performed by Lab Corp, located in Saint Liam Hall, will be billed to the patient by Lab Corp.  Prescriptions dispensed by the Saint Liam Hall Walgreens will be billed to the patient by Walgreens.  Patients are encouraged to contact their insurance carrier to see if SBMF and Walgreens are in-network before services are rendered.

Questions about the Health Center Access Fee?  Click here. Fees updated on 8/28/19

Service Type Service Fee
Vaccine Cholera  308.96
Vaccine Hepatitis A 120.76
Vaccine Hepatitis A/B Twinrix  159.29
Vaccine Hepatitis B Energix 108.90
Vaccine Hepatitis B Heplisav 156.94
Vaccine HPV Gardasil 9 285.57
Vaccine Japanese Encephalitis  341.26
Vaccine Meningitis ACYW Menactra  179.79
Vaccine Meningitis B Trumenba 182.60
Vaccine Meningitis B Bexsero 233.79
Vaccine Measles Mumps Rubella 127.04
Vaccine Rabies  419.42
Vaccine TB Skin Test, PPD 60.84
Vaccine Tetanus diphtheria  80.97
Vaccine Tetanus diphtheria pertussis 89.20
Vaccine Typhoid Injectable 155.63
Vaccine Typhoid Oral 130.40
Vaccine Varicella  195.84
     
Injection Allergy Injection 1 unit 36.00
Injection Allergy Injection 2+ units 42.00
Medication Bentyl 20mg  155.80
Medication Bicillin LA 120000 units 244.00
Medication Bicillin LA 240000 units 442.00
Medication Ceftriaxone 250mg 55.00
Medication Compazine  76.60
Medication DepoMedrol  71.20
Medication Dexamethasone 4mg  55.00
Medication Epinephrine  65.50
Medication Hydroxyzine HCI 100mg/2ml 74.20
Medication Imitrex  71.80
Medication Kenalog 40mg 112.00
Medication Ketorolac 60mg/2ml 55.00
Medication Marcain  55.00
Medication Metoclopramide  55.00
Medication Rocephin  55.00
Medication Phenergan  55.00
Medication Vitamin B12 55.00
Medication Xylocaine 55.00
     
Lab KOH Skin Test Prep 50.04
Lab Lab Draw Fee 24.00
Lab Quick Strep A Test 30.00
Lab TB Skin Test, PPD 60.84
     
Office Visit No Show Fee 10.00
     
Procedure Anoscopy 355.81
Procedure Aspiration $340.00
Procedure Audiometer $42.00
Procedure Avulsion of Nail Plate $228.00
Procedure Biopsy of Skin $238.00
Procedure Cast Removal 161.39
Procedure Casting Elbow To Fingers 454.23
Procedure Casting Leg / Ankle 484.20
Procedure Cryocuff Therapy 48.69
Procedure Debridement of Wound 251.01
Procedure Destruction of Lesion 352.28
Procedure Ear Lavage / Curettage $145.00
Procedure EKG $95.00
Procedure Evacuation of Subungual Hematoma $106.00
Procedure Excision of Lesion  502.84
Procedure Excision of Nail $520.00
Procedure Eye Stain 228.23
Procedure Foreign Body Removal Ear 625.75
Procedure Hand Held Nebulizer Treatment $63.00
Procedure Incision & Draining of Abcess $282.00
Procedure Incision / Removal Foreign Body $317.00
Procedure Injection Therapeutic $55.00
Procedure IV Fluid 250.14
Procedure Lesion Shaving 0.5cm or Less 247.71
Procedure Nasal Cautery / Packing 588.55
Procedure Osteopathic Manipulation 1 - 10 Areas $69.00
Procedure Pap Procedure 203.00
Procedure Paring / Cutting of Lesion 102.16
Procedure Platelet Rich Plasma Procedure 300.00
Procedure Pulmonary Function Test $96.00
Procedure Removal of Foreign Body Superficial 286.62
Procedure Removal of Skin Tags $180.00
Procedure Splinting Short Arm (Forearm To Hand) 320.63
Procedure Surgical Repair 12.6cm to 20cm 965.77
Procedure Surgical Repair 2.5 or Lesson Face 737.03
Procedure Surgical Repair 2.5cm or Less 609.95
Procedure Surgical Repair 2.6cm to 7.5cm 737.03
Procedure Surgical Repair 7.6cm to 12.5cm 914.94
Procedure Suture Removal From Off Campus Provider 96.00
Procedure Trigger Point Injection / Dry Needling 331.70
Procedure Tympanography 91.30
     
Supply Air Cast Leg Brace 166.99
Supply Aircast Ankle Brace 54.20
Supply Ankle Brace Stabilizer 49.20
Supply Arch Orthotics 3/4 Length 24.73
Supply Back Brace 42.17
Supply Calf Sleeve 15.20
Supply Crutches 21.25
Supply Dermabond 56.39
Supply Dermabond Pen 71.41
Supply First Aid Kit 27.84
Supply IROM Brace 245.65
Supply Knee Eco Hinged Brace 114.50
Supply Knee Immobilizers 57.40
Supply Knee Sleeve Closed 17.06
Supply Knee Sleeve Open 17.06
Supply Oval Finger Splint 14.26
Supply Peak Flow Meter 12.90
Supply Rib Belt 10.19
Supply Taxi Ride - One Way 19.00
Supply Thumbkeeper 49.10
Supply Thumbspica Splint 47.14
Supply Walker Air Brace 141.60
Supply Walker Short Foot 40.90
Supply Walker Tall Foot 40.90
Supply Wrist Support Proflex 15.83
     
X-Ray Abdomen $130.91
X-Ray AC Shoulder Joint $120.00
X-Ray Ankle - 2 Views $107.00
X-Ray Ankle - 3 Views $189.00
X-Ray Cervical Spine - 2 3r 3 View $175.00
X-Ray Chest - Single View $91.43
X-Ray Chest Posterior Anterior Lateral $147.53
X-Ray Clavicle $150.00
X-Ray C-Spine - Minimum 4 Views $242.00
X-Ray C-Spine Flexion And Extension $280.00
X-Ray Elbow $160.00
X-Ray Facial Bones $172.47
X-Ray Facial Bones Complete $207.79
X-Ray Feet Both - Single View $253.51
X-Ray Femur Anterior Lateral 212.82
X-Ray Fingers $116.00
X-Ray Foot - 2 Views $66.00
X-Ray Foot - 3 Views $185.00
X-Ray Forearm $142.00
X-Ray Hand - 3 Views $157.00
X-Ray Heel / Calcaneus $76.00
X-Ray Hip - 2 Views 227.49
X-Ray Humerus $168.00
X-Ray Knee $190.00
X-Ray Knee Complete $190.00
X-Ray Lumbar Spine w/Oblique Views $255.00
X-Ray Lumbosacral Spine -  2 or 3 Views $178.00
X-Ray Mandible Complete - 3 Views $170.39
X-Ray Nasal Bones $153.00
X-Ray Neck $95.00
X-Ray Orbits - 4 Views $201.56
X-Ray Pelvis $172.00
X-Ray Pelvis Bilateral - 2 Views 275.19
X-Ray Ribs - 3 Views $197.00
X-Ray Sacroliac Joints $145.45
X-Ray Sacrum Coccyx - 2 Views $178.00
X-Ray Scapula Complete $151.69
X-Ray Scoliosis Study 364.81
X-Ray Shoulder - 1 View $137.00
X-Ray Shoulder - 2 Views Or Complete $183.00
X-Ray Sinus - 4 Views $172.47
X-Ray Skull - 4 Views $226.49
X-Ray Skull - Less Than 4 Views $164.16
X-Ray Spine Thoracic - 2 View $187.00
X-Ray Spine Thoracic - 3 View $124.00
X-Ray Sternum - 2 Views $149.61
X-Ray Tibia / Fibula $150.00
X-Ray Toes - Minimum 2 Views $125.00
X-Ray Wrist - 2 View $138.00
X-Ray Wrist - 3 Views $160.00