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The Student Health Center
does charge fees for certain procedures and tests that can be performed in the center.
The student account will be billed according to appropriate tests/procedures that are performed and interpreted by the health care provider.
Additionally, the student's insurance may be billed for services not offered in the health center and performed at an alternate site, such as processing laboratory data (blood draws,etc).
**
IF you recieve a bill from your student account, you may request your medical records and submit the bill to your private insurance company for reimbursement**
Current fees for 2012
| Fee Schedule: |
Standard |
|
|
| 10061 |
DRAIN SKIN ABSCESS Complex |
Inhouse |
$40.00 |
| 11765 |
EXCISE NAIL FOLD, TOE |
Inhouse |
$25.00 |
| 20612 |
ASPIRATE/INJ GANGLION CYST |
Inhouse |
$0.00 |
| 29515 |
APPLY LOWER LEG SPLINT |
Inhouse |
$30.00 |
| 57410 |
PELVIC EXAMINATION |
Inhouse |
$30.00 |
| 81005 |
URINALYSIS |
Inhouse |
$7.00 |
| 81025 |
URINE PREGNANCY TEST |
Inhouse |
$7.00 |
| Acewrap |
Ace Wrap |
Inhouse |
$5.00 |
| Anklesplin |
Inhouse Ankle Splint |
Inhouse |
$30.00 |
| ASOankle |
ASO Ankle Stabilizer |
ASO Ankle |
$15.00 |
| BV |
Bacterial Vaginosis |
Inhouse |
$15.00 |
| Chlamydia |
Inhouse Chlamydia |
Inhouse |
$20.00 |
| Donjoywris |
Don Joy Wrist Splint |
Inhouse |
$0.00 |
| Ibu600 |
Ibuprofen 600mg |
Inhouse |
$10.00 |
| IJ100 |
Drain/inject Intermediate Joint/bursa |
IJ100 |
$25.00 |
| IJ110 |
Drain/inject Large Joint/bursa |
IJ110 |
$30.00 |
| IV101 |
IV Therapy Initial |
Inhouse |
$30.00 |
| IV201 |
IV Therapy Extended |
IV201 |
$45.00 |
| IV500 |
IV Compazine 2.5mg |
IV500 |
$12.00 |
| IV505 |
IV Compazine 5mg |
IV505 |
$12.00 |
| IV600 |
IV Zofran 4mg |
IV600 |
$12.00 |
| IV605 |
IV Zofran 8mg |
IV605 |
$12.00 |
| IV900 |
IV Saline |
IV900 |
$10.00 |
| J1885 |
KETOROLAC TROMETHAMINE INJ |
Inhouse |
$10.00 |
| Kinesio |
Kinesio Tape |
Inhouse |
$5.00 |
| L1070 |
TRAPEZIUS SLING |
Inhouse |
$10.00 |
| L3540 |
ORTHO SHOE ADD FULL SOLE |
L3540 |
$25.00 |
| L3909 |
PREFAB WRIST ORTHOSIS |
L3909 |
$25.00 |
| LAccucheck |
Accucheck |
Inhouse |
$5.00 |
| LRapFlu |
Rapid Flu Test |
Inhouse |
$25.00 |
| Lrapmono |
Rapid Mono |
Inhouse |
$10.00 |
| LRapStrep |
Rapid Strep Test |
Inhouse |
$10.00 |
| Orthoshoe |
Inhouse Cast Shoe |
Inhouse |
$0.00 |
| PrLongleg |
Long Leg Splint |
Inhouse |
$25.00 |
| RCeftria |
Ceftriaxone 1g/50ml Solution For Injection |
Alchemy |
$20.00 |
| Rigsbybook |
Scott Rigsby Book |
Inhouse |
$10.00 |
| RKenalog |
Kenalog-40 40mg/ml Suspension For Injection |
Alchemy |
$15.00 |
| RxAcetomin |
Acetominophen/Tylenol |
Inhouse |
$5.00 |
| RxAmox250 |
Amoxicillin 250mg/5ml Suspension |
Inhouse |
$10.00 |
| RxAmox500 |
Amoxicillin 500 Mg |
Inhouse |
$10.00 |
| Rxamox875 |
Amoxicillin 875mg |
Inhouse |
$10.00 |
| RxAzith500 |
Azithromycin 500mg |
Inhouse |
$25.00 |
| RxBactrim |
Bactrim DS 800mg-160mg Tablet |
Inhouse |
$10.00 |
| Rxbenadryl |
Diphenhydramine (Benadryl) |
Inhouse |
$10.00 |
| Rxbentyl |
Dicyclomine (Bentyl) 10mg |
Inhouse |
$10.00 |
| RxBenzoyl |
Benzoyl Peroxide Cream |
Inhouse |
$10.00 |
| RxbetaDipr |
Betamethasone Dipropionate 0.05% |
Inhouse |
$10.00 |
| RxBetameth |
Betamethasone Valerate 0.1% 15g |
Inhouse |
$10.00 |
| RxCetirizi |
Cetirizine HCI 10mg |
Inhouse |
$5.00 |
| RxCipOpth |
Cipro Ophthalmic |
Inhouse |
$15.00 |
| RxCipro |
Cipro 250mg Tablet |
Inhouse |
$10.00 |
| RxCipro500 |
Cipro 500mg Tablet |
Inhouse |
$10.00 |
| RxCompazin |
Compazine 10mg Tablet |
Inhouse |
$10.00 |
| Rxcough |
Cough Medicine |
Inhouse |
$5.00 |
| RxDebroxSu |
Debrox Suspension |
Inhouse |
$10.00 |
| RxDexameth |
Dexamethasone Sodium Phosphate Injection/Decadron |
Inhouse |
$10.00 |
| RxDonnatal |
Donnatal Tablet |
Inhouse |
$10.00 |
| RxDoxycyc |
Doxycycline 100mg Capsule |
Inhouse |
$10.00 |
| Rxduricef |
Duricef 500mg |
Inhouse |
$10.00 |
| Rxeyelube |
Eye Lubricant |
Inhouse |
$5.00 |
| RxFioricet |
Fioricet 50mg-325mg-40mg |
Inhouse |
$10.00 |
| Rxfluconaz |
Fluconazole (diflucan) 150mg |
Inhouse |
$10.00 |
| Rxfluocino |
Fluocinonide |
Inhouse |
$10.00 |
| Rxhibiclen |
Hibiclens |
Inhouse |
$5.00 |
| RxHydroxy |
Hydroxyzine Pamoate 25mg Capsule Atarax |
Inhouse |
$10.00 |
| Rxibu600 |
Ibuprofen 600mg |
Inhouse |
$10.00 |
| RxIbu800 |
Ibuprofen 800mg |
Inhouse |
$10.00 |
| Rxicepack |
Ice Pack/cold Compress |
Inhouse |
$5.00 |
| RxKeflex |
Keflex 500mg |
Inhouse |
$10.00 |
| Rxkenalog |
Kenalog-40 40mg/ml Suspension For Injection |
Inhouse |
$10.00 |
| RxLoratadi |
Loratadine |
Inhouse |
$10.00 |
| Rxmagicmou |
Magic Mouthwash |
Inhouse |
$5.00 |
| Rxmeclizin |
Meclizine 25mg |
Inhouse |
$10.00 |
| Rxmix |
Betamethansone/eucerin Mix |
Inhouse |
$10.00 |
| Rxmucinex |
Mucinex |
Inhouse |
$5.00 |
| RxNaproxen |
Naproxen 500mg |
Inhouse |
$10.00 |
| RxNasalDec |
Nasal Decongestant Spray |
Inhouse |
$10.00 |
| Rxnasalrin |
Nasal Saline Rinse Kit |
Inhouse |
$5.00 |
| RxNasalSal |
Nasal Saline Spray |
Inhouse |
$5.00 |
| Rxneomycin |
Neomycin Sulfate/Polymyxin B Sulfate/Dexamethasone Ophthalmic Ointment |
Inhouse |
$10.00 |
| RxNysta30g |
Nystatin/Triamcinolone Acetonide 30g 0.1% Topical Cream |
Inhouse |
$10.00 |
| RxNystatin |
Nystatin/Triamcinolone Acetonide 15g 0.1% Topical Cream |
Inhouse |
$10.00 |
| Rxomeprazo |
Omeprazole/Prilosec |
Inhouse |
$5.00 |
| RxOptiClr |
Opti Clear Tetrahydrozoline Hydrochloride Opthalmic Solution |
Inhouse |
$10.00 |
| Rxpepcid |
Famotidine |
Inhouse |
$5.00 |
| Rxpermethr |
Permethrin Ointment |
Inhouse |
$10.00 |
| RxPhenerga |
Phenergan 25mg Tablet |
Inhouse |
$10.00 |
| RxpolyB |
Polymyxin B Sulfate Ophthalmic Solution |
Inhouse |
$10.00 |
| Rxpred5mg |
Prednisone 5mg Inhouse |
Inhouse |
$10.00 |
| RxPredniso |
Prednisone 20mg Tablet |
Inhouse |
$10.00 |
| RxPyridium |
Pyridium 200mg Tablet |
Inhouse |
$10.00 |
| RxReglan |
Reglan |
Inhouse |
$10.00 |
| RxRobaxin |
Robaxin 750mg Tablet |
Inhouse |
$10.00 |
| RxRobitus |
Robitussin Max Strength 15mg/5ml Cough Syrup |
Inhouse |
$10.00 |
| RxRobituss |
Robitussin DM 10mg-100mg/5ml Syrup |
Inhouse |
$10.00 |
| Rxtramadol |
Trammadol 50mg |
Inhouse |
$10.00 |
| RxTriamcin |
Triamcinolone Acetonide 0.1% Lotion |
Inhouse |
$10.00 |
| Rxtums |
Tums |
Inhouse |
$0.00 |
| RxZithroma |
Zithromax 250mg |
Inhouse |
$25.00 |
| RxZofran |
Zofran ODT 8mg Orally Disintegrating Tablet |
Inhouse |
$10.00 |
| RxZofran4 |
Zofran 4mg ODT |
Inhouse |
$10.00 |
| RxZyrtek |
Zyrtec 10mg |
Inhouse |
$10.00 |
| S0630 |
REMOVE SUTURES |
Inhouse |
$5.00 |
| S100 |
Wrist Support Simple |
S100 |
$20.00 |
| S101 |
Wrist Support Complex |
S101 |
$25.00 |
| S103 |
Wrist Support Don Joy |
S103 |
$0.00 |
| Shinsuppor |
Calf And Shin Support |
Shinsuppor |
$15.00 |
| Shoe |
Inhouse Cast Shoe |
Inhouse |
$15.00 |
| Ss100 |
Excise Nail And Debridement |
Inhouse |
$25.00 |
| Steristrip |
Steri Strips |
Inhouse |
$10.00 |
| Thighsuppo |
Thigh Support |
Thigh Supp |
$15.00 |
| Trich |
Trichonmoniasis |
Inhouse |
$15.00 |
| Turftoe |
Steel Toe Insert |
Turf Toe |
$10.00 |
| Wristimmob |
Wrist Immobilizer |
Inhouse |
$25.00 |
| WwWoundLrg |
Dressing Wound Large |
Inhouse |
$10.00 |
| WwWoundSm |
Dressing Wound Small |
Inhouse |
$5.00 |
| XR900 |
X-Ray Foot/Ankle |
Inhouse |
$55.00 |
| XR901 |
X-Ray Hand |
Inhouse |
$55.00 |
| XR902 |
X-Ray Finger |
Inhouse |
$45.00 |
| XR903 |
X-ray Wrist |
Inhouse |
$55.00 |
| XR904 |
X-Ray Chest |
Inhouse |
$65.00 |
| XR905 |
X-Ray Hip |
Inhouse |
$70.00 |
| XR906 |
X-Ray AC Joints |
Inhouse |
$65.00 |
| XR907 |
X-Ray Elbow |
Inhouse |
$55.00 |
| XR908 |
X-Ray Arm |
Inhouse |
$55.00 |
| XR909 |
X-Ray Leg |
Inhouse |
$55.00 |
| XR910 |
X-Ray L-Spine |
Inhouse |
$90.00 |
| XR911 |
X-ray Of Toes |
Inhouse |
$40.00 |
| Xray |
X-ray Finger |
Xrayfinger |
$40.00 |
| Xrayfoot |
Xray Foot |
Xrayfoot |
$50.00 |
| Zz100 |
Wrist Support Short |
Inhouse |
$20.00 |
| Zz1000 |
Crutches |
Inhouse |
$25.00 |
| Zz101 |
Wrist Support Long |
Inhouse |
$25.00 |
| Zz102 |
Don Joy Wrist Support |
Don Joy |
$0.00 |
| Zz105 |
Thumb Spica |
Inhouse |
$20.00 |
| Zz106 |
Medco Thumb Splints |
Inhouse |
$15.00 |
| Zz110 |
Boxer Splint |
Inhouse |
$25.00 |
| Zz150 |
Fingersplint 29130 |
Inhouse |
$15.00 |
| Zz200 |
Steel Toe Insert |
Inhouse |
$10.00 |
| Zz210 |
Orthotics |
Inhouse |
$0.00 |
| Zz215 |
Medco Heel Supports |
Inhouse |
$10.00 |
| Zz300 |
Shin/Calf Sleeve |
Inhouse |
$15.00 |
| Zz400 |
Thigh Sleeve |
Inhouse |
$15.00 |
| Zz500 |
Cast Shoe |
Inhouse |
$15.00 |
| Zz501 |
Don Joy Short Boot |
Don Joy |
$0.00 |
| Zz502 |
Don Joy Tall Boot |
Don Joy |
$0.00 |
| Zz600 |
ASO Ankle Stabilizer |
Inhouse |
$25.00 |
| Zz605 |
Medco Ankle Sleeve |
Inhouse |
$15.00 |
| Zz650 |
Ankle Air Splint |
Inhouse |
$15.00 |
| Zz800 |
Arm/shoulder Sling |
Inhouse |
$5.00 |
| Zz805 |
Elbow Strap |
Inhouse |
$15.00 |
| Zz900 |
Short Arm Splint Intermediate 29125 |
Inhouse |
$20.00 |
| Zz901 |
Short Arm Splint Major 29126 |
Inhouse |
$30.00 |
| Zz906 |
X-Ray Shoulder |
Zz906 |
$55.00 |
| Zz907 |
X-Ray Hip |
Zz907 |
$65.00 |
| Zz908 |
X-Ray AC Joints |
Zz908 |
$60.00 |
| Zz909 |
X-Ray Elbow |
Zz909 |
$50.00 |
| Zz910 |
X-Ray Arm |
Zz910 |
$50.00 |
| Zz911 |
X-Ray Leg |
Zz911 |
$50.00 |
| Zz920 |
Don Joy Knee Immobilizer |
Don Joy |
$0.00 |
| Zz925 |
Don Joy Knee Sleeve |
Don Joy |
$0.00 |
| Zz930 |
Medco Knee Stabilizer |
Inhouse |
$25.00 |
| Zz935 |
Medco Knee Sleeve |
Inhouse |
$20.00 |
| Zz940 |
Nano Flex Knee Support |
Inhouse |
$20.00 |
| Zz950 |
Long Leg Splint 29505 |
Inhouse |
$30.00 |
| Zz955 |
Short Leg Splint 29515 |
Inhouse |
$25.00 |