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.

Questions about the Health Center Access Fee?  Click here

Service Type Service Fee
Immunization Hepatitis A Vaccine (per dose) 136.25
Immunization Hepatitis A/B Vaccine Twinrix (per dose) 174.65
Immunization Hepatitis B Vaccine (per dose) 124.25
Immunization HPV Vaccine Gardasil9 (per dose) 286.25
Immunization Influenza Vaccine 78.69
Immunization Japanese Encephalitis Vaccine 403.85
Immunization Menactra Vaccine 179.45
Immunization Meningitis B Vaccine Trumenba (per dose) 198.65
Immunization Meningitis Vaccine Bexsero (per dose) 247.85
Immunization MMR Vaccine (per dose) 137.45
Immunization Pneumococcal Vaccine 163.38
Immunization Rabies Vaccine 441.05
Immunization TB Skin Test, PPD 59.45
Immunization Td Vaccine 93.05
Immunization Tdap Vaccine Adult 105.05
Immunization Typhoid Vaccine Injectable 167.45
Immunization Varicella Vaccine (per dose) 197.45
Immunization Yellow Fever Vaccine 228.65
     
Injection Allergy Injection 1 Unit 51.53
Injection Allergy Injection 2+ Units 77.29
Injection Bentyl 20mg Injection 118.40
Injection Bicillin LA 120000 Unit Injection 222.56
Injection Bicillin LA 240000 Unit Injection 404.00
Injection Ceftriaxone 250 Mg 50.00
Injection Compazine Injection 71.60
Injection Depo Medrol Injection 50.00
Injection Dexamethasone 4mg Injection 65.64
Injection Epinephrine Injection 69.68
Injection Hydroxyzine HCI 100mg/2ml 50.00
Injection Imitrex Injection 86.34
Injection Immune Globulin Rabies Treatment 849.96
Injection Kenalog 40 Injection 101.60
Injection Ketorolac 60mg/2ml 50.00
Injection Marcain Injection 66.42
Injection Metoclopramide injectable 50.00
Injection Rocephin injectable 50.00
Injection Phenergan injectable 50.00
Injection Vitamin B12 50.00
Injection Xylocaine 50.00
     
Lab AlereI Quick Flu Test 54.00
Lab KOH Skin Test Prep 13.44
Lab Lab Draw Fee 20.00
Lab PPD Skin Test 59.45
Lab Quick Strep A Test 30.00
     
Medication IV Acyclovir 61.40
Medication IV SoluCortef 100 Mg 63.20
Medication IV SoluCortef 250mg 80.00
Medication IV SoluMedrol 125 Mg 63.20
Medication IV Zosyn 69.80
     
Minor Surgical Aspiration 414.76
Minor Surgical Avulsion of Nail Plate 226.00
Minor Surgical Biopsy of Skin 190.00
Minor Surgical Cast Removal 161.39
Minor Surgical Casting Elbow To Fingers 300.00
Minor Surgical Casting Leg / Ankle 484.20
Minor Surgical Cryotherapy for Acne 213.90
Minor Surgical Debridement of Wound 251.01
Minor Surgical Destruction of Lesion 129.00
Minor Surgical Ear Lavage / Curettage 133.00
Minor Surgical Evacuation of Subungual Hematoma 179.00
Minor Surgical Excision of Lesion  315.00
Minor Surgical Excision of Nail 566.00
Minor Surgical Eye Irrigation 219.00
Minor Surgical Foreign Body Removal Ear 625.75
Minor Surgical Foreign Body Removal Eye 219.00
Minor Surgical Incision & Draining of Abcess 282.00
Minor Surgical Incision / Removal Foreign Body 347.00
Minor Surgical Incision of Soft Tissue Abcess 414.76
Minor Surgical Lesion Shaving 0.5cm or Less 182.00
Minor Surgical Nail Drilling / Drainage 282.00
Minor Surgical Nasal Cautery / Packing 588.55
Minor Surgical Paring / Cutting of Lesion 75.00
Minor Surgical Puncture Aspiration 414.76
Minor Surgical Removal of Foreign Body Superficial 219.00
Minor Surgical Removal of Skin Tags 180.00
Minor Surgical Splinting Short Arm (Forearm To Hand) 199.00
Minor Surgical Surgical Repair 12.6cm to 20cm 965.77
Minor Surgical Surgical Repair 2.5 or Lesson Face 384.00
Minor Surgical Surgical Repair 2.5cm or Less 340.00
Minor Surgical Surgical Repair 2.6cm to 7.5cm 384.00
Minor Surgical Surgical Repair 7.6cm to 12.5cm 914.94
Minor Surgical Suture Removal From Off Campus Providers 96.00
Minor Surgical Trigger Point Injection / Dry Needling 228.00
     
Office Visit Athletic Physical 40.00
Office Visit No Show Fee 10.00
Office Visit Office Visit Gynecological 180.00
Office Visit Office Visit Gynecological with Pap Test 257.00
Office Visit Osteopathic Manipulation 1 - 10 Areas 67.00
     
Procedure Anoscopy 355.81
Procedure Audiometer 49.30
Procedure Cryocuff Therapy 48.69
Procedure Ear Lavage 133.00
Procedure EKG 85.20
Procedure Eye Stain 228.23
Procedure Hand Held Nebulizer Treatment 63.00
Procedure Injection Therapeutic 50.00
Procedure IV Fluid 250.14
Procedure Platelet Rich Plasma Procedure 300.00
Procedure Pulmonary Function Test 100.00
Procedure Tympanography 91.30
     
Supply Aerochamber 74.09
Supply Air Cast Leg Brace 90.00
Supply Aircast Ankle Brace 38.48
Supply Ankle Brace Stabilizer 41.68
Supply Arch Orthotics 3/4 Length 24.00
Supply Arm Splint 14.40
Supply Back Brace 42.00
Supply Blood Pressure Monitoring Kit 44.64
Supply Calf Sleeve 13.20
Supply Cast Cover Shower Safe Arm 13.20
Supply Clavicle Splint 17.94
Supply Clavicle Support 32.40
Supply Crutches 21.24
Supply Dermabond 61.69
Supply Dermabond Pen 50.40
Supply Duoderm X-Thin 12.00
Supply Elastic Net 10.37
Supply Ezy-Wrap Shoulder Wrap Pad 62.00
Supply Fiberglass Splint 14.11
Supply First Aid Kit 22.80
Supply Foam Roller 30.00
Supply Foot Pads 18.67
Supply Heel WonderZorb 52.67
Supply Horseshoe Cushion 17.36
Supply Ice Bag 6 Inches 10.36
Supply IROM Brace 210.00
Supply Knee Eco Hinged Brace 108.00
Supply Knee Immobilizers 79.94
Supply Knee Sleeve Closed 12.00
Supply Knee Sleeve Open 13.20
Supply Lumbar Roll 15.95
Supply Metatarsal Pads Pair 11.63
Supply Monsel Ferric Substrate Solution 28.94
Supply Nasal Packing 25.80
Supply Oval Finger Splint 22.50
Supply Oxygen Mask With Oxygen Use 43.20
Supply Peak Flow Meter 13.20
Supply Rib Belt 12.00
Supply Shin Sleeve 20.39
Supply Shoulder Immobilizer 16.80
Supply Spenco Full Arch 33.00
Supply Taxi Ride - One Way 19.20
Supply Thumbkeeper 75.60
Supply Thumbspica Splint 39.97
Supply Walker Air Brace 141.60
Supply Walker Short Foot 40.80
Supply Walker Tall Foot 32.40
Supply Wrist Sleeve 13.20
Supply Wrist Support Proflex 15.60
Supply Wrist Wrap 24.06
     
X-Ray X-Ray Abdomen 134.00
X-Ray X-Ray AC Shoulder Joint 182.00
X-Ray X-Ray Ankle - 2 Views 128.00
X-Ray X-Ray Ankle - 3 Views 194.00
X-Ray X-Ray Cervical Spine - 2 Or 3 View 168.00
X-Ray X-Ray Chest - Single View 143.00
X-Ray X-Ray Chest Posterior Anterior Lateral 112.00
X-Ray X-Ray Clavicle 168.00
X-Ray X-Ray C-Spine - Minimum 4 Views 236.00
X-Ray X-Ray C-Spine Flexion And Extension 277.00
X-Ray X-Ray Elbow 150.00
X-Ray X-Ray Facial Bones 171.84
X-Ray X-Ray Facial Bones Complete 216.00
X-Ray X-Ray Feet Both - Single View 252.59
X-Ray X-Ray Feet Both - Single View 252.59
X-Ray X-Ray Femur Anterior Lateral 212.82
X-Ray X-Ray Fingers 109.00
X-Ray X-Ray Foot - 2 Views 65.00
X-Ray X-Ray Foot - 3 Views 182.31
X-Ray X-Ray Forearm 162.00
X-Ray X-Ray Hand - 3 Views 163.00
X-Ray X-Ray Heel / Calcaneus 73.00
X-Ray X-Ray Hip - 2 Views 167.70
X-Ray X-Ray Humerus 168.00
X-Ray X-Ray Knee 254.00
X-Ray X-Ray Knee Complete 254.00
X-Ray X-Ray Lumbar Spine w/Oblique Views 281.23
X-Ray X-Ray Lumbosacral Spine -  2 or 3 Views 194.00
X-Ray X-Ray Mandible Complete - 3 Views 169.77
X-Ray X-Ray Nasal Bones 140.79
X-Ray X-Ray Neck 125.00
X-Ray X-Ray Orbits - 4 Views 200.83
X-Ray X-Ray Pelvis 166.00
X-Ray X-Ray Pelvis Bilateral - 2 Views 275.19
X-Ray X-Ray Ribs - 3 Views 193.00
X-Ray X-Ray Sacroliac Joints 144.93
X-Ray X-Ray Sacrum Coccyx - 2 Views 178.00
X-Ray X-Ray Scapula Complete 151.14
X-Ray X-Ray Scoliosis Study 364.81
X-Ray X-Ray Shoulder - 1 View 137.00
X-Ray X-Ray Shoulder - 2 Views Or Complete 178.00
X-Ray X-Ray Sinus - 4 Views 208.00
X-Ray X-Ray Skull - 4 Views 225.68
X-Ray X-Ray Skull - Less Than 4 Views 163.56
X-Ray X-Ray Spine Thoracic - 2 View 190.48
X-Ray X-Ray Spine Thoracic - 3 View 124.00
X-Ray X-Ray Sternum - 2 Views 149.07
X-Ray X-Ray Tibia / Fibula 160.00
X-Ray X-Ray Toes - Minimum 2 Views 116.00
X-Ray X-Ray Wrist - 2 View 153.75
X-Ray X-Ray Wrist - 3 Views 218.11

 

Updated November 21, 2017