Medical Fees

Other than the Aetna Student Health Plan, UHS does not bill insurance.  Charges incurred will be applied to the student's Irish Pay account.

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Item Fee
Immunizations (per dose)  
Hepatitis A  76.80
Hepatitis A/B Twinrix  115.20
Hepatitis B  64.80
HPV Gardasil 9  226.80
Influenza  19.24
Japanese Encephalitis  344.40
Meningitis Menactra  120.00
Meningitis B Trumenba  139.20
Meningitis B Bexsero  188.40
Measles mumps rubella (MMR) 78.00
Pneumococcal  103.93
Rabies  381.60
TB Skin Test, PPD -
Tetanus diphtheria (Td) 33.60
Tetanus diphtheria pertussis (Tdap)  45.60
Typhoid Injectable 108.00
Varicella  138.00
Yellow Fever  169.20
Vaccine administration, initial dose 59.45
Vaccine administration, each additional dose 35.67
   
Medications  
Acyclovir IV 11.40
Bentyl 20mg Injection 68.40
Bicillin LA 120000 Unit Injection 172.56
Bicillin LA 240000 Unit Injection 354.00
Compazine Injection 21.60
Dexamethasone 4mg Injection 15.64
Epinephrine Injection 19.68
Imitrex Injection 36.34
Kenalog 40 Injection 51.60
Marcain Injection 16.42
SoluCortef 100 Mg IV 13.20
SoluCortef 250mg IV 30.00
SoluMedrol 125 Mg IV 13.20
Zosyn IV 19.80
Injection or IV med administration, each dose 50.00
   
No Show Fee 10.00
   
Procedures  
Allergy Injection 1 Unit 51.53
Allergy Injection 2+ Units 77.29
Anoscopy 355.81
Aspiration, puncture 414.76
Audiometer 49.30
Avulsion of Nail Plate 226.00
Biopsy of Skin 190.00
Cast Removal 161.39
Casting Elbow To Fingers 300.00
Casting Leg / Ankle 484.20
Cryotherapy for Acne 213.90
Cryocuff Therapy 48.69
Debridement of Wound 251.01
Destruction of Lesion 129.00
Ear Lavage / Curettage 133.00
EKG 85.20
Evacuation of Subungual Hematoma 179.00
Excision of Lesion  315.00
Excision of Nail 566.00
Eye Irrigation 219.00
Eye Stain 228.23
Flu, Alere-I Quick Flu Test 54.00
Foreign Body Removal Ear 625.75
Foreign Body Removal Eye 219.00
Gynecological  180.00
Hand Held Nebulizer Treatment 63.00
Incision & Draining of Abscess 282.00
Incision / Removal Foreign Body 347.00
Injection of medication (not vaccine) 50.00
IV Fluid Therapy 250.14
KOH Skin Test Prep 13.44
Lab Draw Fee 20.00
Lesion Shaving 0.5cm or Less 182.00
Nail Drilling / Drainage 282.00
Nasal Cautery / Packing 588.55
Osteopathic Manipulation 1 - 10 Areas 67.00
Paring / Cutting of Lesion 75.00
Platelet Rich Plasma Procedure 300.00
Pulmonary Function Test 100.00
Puncture Aspiration 414.76
Removal of Foreign Body Superficial 219.00
Removal of Skin Tags 180.00
Splinting Short Arm (Forearm To Hand) 199.00
Strep, Quick Strep A Test 30.00
Surgical Repair 12.6cm to 20cm 965.77
Surgical Repair 2.5 or Lesson Face 384.00
Surgical Repair 2.5cm or Less 340.00
Surgical Repair 2.6cm to 7.5cm 384.00
Surgical Repair 7.6cm to 12.5cm 914.94
Suture Removal From Off Campus Providers 96.00
Trigger Point Injection / Dry Needling 228.00
Tympanography 91.30
Vaccine Administration, initial dose 59.45
Vaccine Administration, each add'l dose 35.67
Visual Acuity Test 41.00
   
Supplies  
Aerochamber 74.09
Air Cast Leg Brace 90.00
Aircast Ankle Brace 38.48
Ankle Brace Stabilizer 41.68
Arch Orthotics 3/4 Length 24.00
Arm Splint 14.40
Back Brace 42.00
Blood Pressure Monitoring Kit 44.64
Calf Sleeve 13.20
Cast Cover Shower Safe Arm 13.20
Clavicle Splint 17.94
Clavicle Support 32.40
Crutches 21.24
Dermabond 61.69
Dermabond Pen 50.40
Duoderm X-Thin 12.00
Elastic Net 10.37
Ezy-Wrap Shoulder Wrap Pad 62.00
Fiberglass Splint 14.11
Finger Splint, oval 22.50
First Aid Kit 22.80
Foam Roller 30.00
Foot Pads 18.67
Heel WonderZorb 52.67
Horseshoe Cushion 17.36
Ice Bag 6 Inches 10.36
IROM Brace 210.00
Knee Eco Hinged Brace 108.00
Knee Immobilizers 79.94
Knee Sleeve Closed 12.00
Knee Sleeve Open 13.20
Lumbar Roll 15.95
Metatarsal Pads Pair 11.63
Monsel Ferric Substrate Solution 28.94
Nasal Packing 25.80
Oxygen Mask With Oxygen Use 43.20
Peak Flow Meter 13.20
Rib Belt 12.00
Shin Sleeve 20.39
Shoulder Immobilizer 16.80
Spenco Full Arch 33.00
Taxi Ride - One Way 19.20
Thumbkeeper 75.60
Thumbspica Splint 39.97
Walker Air Brace 141.60
Walker Short Foot 40.80
Walker Tall Foot 32.40
Wrist Sleeve 13.20
Wrist Support Proflex 15.60
Wrist Wrap 24.06
   
X-Rays  
Abdomen 134.00
AC Shoulder Joint 182.00
Ankle - 2 Views 128.00
Ankle - 3 Views 194.00
Cervical Spine - 2 Or 3 View 168.00
Chest - Single View 143.00
Chest Posterior Anterior Lateral 112.00
Clavicle 168.00
C-Spine - Minimum 4 Views 236.00
C-Spine Flexion And Extension 277.00
Elbow 150.00
Facial Bones 171.84
Facial Bones Complete 216.00
Feet Both - Single View 252.59
Feet Both - Single View 252.59
Femur Anterior Lateral 212.82
Fingers 109.00
Foot - 2 Views 65.00
Foot - 3 Views 182.31
Forearm 162.00
Hand - 3 Views 163.00
Heel / Calcaneus 73.00
Hip - 2 Views 167.70
Humerus 168.00
Knee 254.00
Knee Complete 254.00
Lumbar Spine w/Oblique Views 281.23
Lumbosacral Spine -  2 or 3 Views 194.00
Mandible Complete - 3 Views 169.77
Nasal Bones 140.79
Neck 125.00
Orbits - 4 Views 200.83
Pelvis 166.00
Pelvis Bilateral - 2 Views 275.19
Ribs - 3 Views 193.00
Sacroliac Joints 144.93
Sacrum Coccyx - 2 Views 178.00
Scapula Complete 151.14
Scoliosis Study 364.81
Shoulder - 1 View 137.00
Shoulder - 2 Views Or Complete 178.00
Sinus - 4 Views 208.00
Skull - 4 Views 225.68
Skull - Less Than 4 Views 163.56
Spine Thoracic - 2 View 190.48
Spine Thoracic - 3 View 124.00
Sternum - 2 Views 149.07
Tibia / Fibula 160.00
Toes - Minimum 2 Views 116.00
Wrist - 2 View 153.75
Wrist - 3 Views 218.11

updated August 25, 2017