Clinic Hours:
24-Hour Phone:
(323) 442-5631
2012 – 2013 Fee Listing:
| Summer Health Fee For Full Summer: | $216 |
| Summer Health Fee Per Session: | $126 |
| Medical Insurance Annual: | $1,109 |
| Medical Insurance Fall Premium: | $451 |
| Medical Insurance Spring and Summer Premium: | $658 |
| Dental Insurance Annual: | $136 |
| Dental Insurance Fall Premium: | $51 |
| Dental Insurance Spring and Summer Premium: | $85 |
2012 – 2013 Fee Listing:
A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z
| ABO Group | $3.50 |
| Ace Elasti Bandage | $0.00 |
| Acetaminophen 500 mg | $0.00 |
| Acne surgery | $0.00 |
| Albuterol Nebulizer treatment | $0.00 |
| ANA | $20.00 |
| Ankle Elastic Support | $7.00 |
| Arm Sling (S/M) | $5.00 |
| Arm Sling (L/XL) | $6.00 |
| AST (SGOT) | $4.00 |
| Ativan pill 1 mg | $2.00 |
| Atrovent Nebulizer treatment | $0.00 |
| Basic Metabolic Panel (BMP) | $5.00 |
| Benadryl injection 50mg | $10.00 |
| Bentyl tablet 20 mg | $7.00 |
| BUN ( blood ura nitrogen) | $0.00 |
| Burns , Dressing and/or debride,initial or sub anesthesia. | $0.00 |
| Burns, initial treatment. 1st deg burn no local treatment req | $0.00 |
| C. difficlile culture | $14.00 |
| CBC | $4.00 |
| Cefazolin inj 1 gr (Ancef) | $4.00 |
| Celestone inj 6 mg | $0.00 |
| Ceftriaxone 1 gr inj (Rocephin) | $16.00 |
| ceftriaxone 250 mg inj (Rocephin) | $4.00 |
| Chest 1V | $0.00 |
| Chest 1V Lateral only | $0.00 |
| Chest 2V | $0.00 |
| Chlamydia Sure Pap Vial | $14.00 |
| Chlamydia / GC DNA | $27.00 |
| Clavicle-support | $4.00 |
| Colposcopy with bx | $0.00 |
| Colposcopy/Vaginoscopy | $0.00 |
| Combivir 150/300 mg | $111.00 |
| Comprehensive metabolic panel | $6.00 |
| C-Peptide | $15.00 |
| C- Reactive Protein CRP | $6.00 |
| Creatinine | $16.50 |
| Crutches any size | $18.00 |
| Cryotherapy | $0.00 |
| Depo-provera 150 mg | $59.00 |
| Depo-Medrol 40 mg 1ml | $16.00 |
| Dermabond | $38.00 |
| Dexamethasone 4 mg inj | $10.00 |
| Diphenhydramine 25 mg tab | $0.00 |
| Diphenhydramine 50 mg 1 ml | $5.00 |
| Donnatal elixir | $0.00 |
| Drug Screen 10-50 with Alcohol Comfirmation #2180 | $12.00 |
| EKG (12 leads) | $0.00 |
| Epinephrine 1:1000 | $10.00 |
| Excision Ingrown Toenail | $0.00 |
| Excision Lesion <0.6cm | $0.00 |
| Excision Lesion 0.6-1.0cm | $0.00 |
| Eye Foreign Body | $0.00 |
| Eye Wash manual | $0.00 |
| Ferritin | $7.00 |
| Finger Stick Glucose | $0.00 |
| Finger Strip 1/2 x 9" | $0.00 |
| Finger Strip 3/4 x 18" | $0.00 |
| Folate | $7.00 |
| FSH Follicle Stimulating Hormone | $6.00 |
| Gardasil vaccine | $173.00 |
| GC fron sure path | $14.00 |
| GI concktail | $0.00 |
| H. Pylori Antigen , stool | $45.00 |
| H. Pylori IGA | $16.00 |
| H. Pylori IGM | $16.00 |
| H.Pylori quant IgG | $16.00 |
| Hemoglobin A1C | $6.00 |
| Hep C virus AB | $7.00 |
| Hepatic Function Panel | $2.00 |
| Hepatitis A adult Vaccine | $88.00 |
| Hepatitis A AB total | $6.00 |
| Hepatitis A IGM AB | $10.00 |
| Hepatitis B Core AB | $10.00 |
| Hepatitis B Core IGM | $10.00 |
| Hepatitis B DNA QL | $70.00 |
| Hepatitis B S Ab QL | $10.00 |
| Hepatitis B S AB QT | $6.00 |
| Hepatitis B S AG | $8.00 |
| Hepatitis B adult vaccine | $78.00 |
| Hepatitis B Be AB | $10.00 |
| Hepatitis C Virus 6 AB Panel | $48.00 |
| Heterophile,Mono | $5.00 |
| HIV 1+2 AB Screen EIA | $9.00 |
| HIV Western Blot Confirm | $16.00 |
| HPV High Risk from sure path | $41.00 |
| HPV typing | $32.00 |
| HSV 1 & 2 Real Time PCR | $86.00 |
| HSV 1 IgG | $14.00 |
| HSV 2 IgG | $14.00 |
| HSV Culture | $12.00 |
| HSV Type 1 IgG | $4.00 |
| HSV Type 2 IgG | $4.00 |
| I & D, abscess | $0.00 |
| I & D, Cyst | $0.00 |
| I & D, Finger abscess | $0.00 |
| I & D, Hematoma | $0.00 |
| IV set | $0.00 |
| IV startet kit | $0.00 |
| IV Therapy- 9ns 1000cc | $0.00 |
| IV Therapy D5-9NS 500cc | $0.00 |
| IV Therapy 9 NS 500cc | $0.00 |
| Ibuprofen (any single dose) | $0.00 |
| IM injection of antibiotic | $0.00 |
| Imitrex | $115.00 |
| Influenza vaccine | $13.00 |
| IM injection Med-other | $0.00 |
| IPV-Polio vaccine | $41.00 |
| Implanon/Nexplanon | $660.00 |
| IUD Mirena | $704.00 |
| IUD Paragard | $451.00 |
| IUD placement | $0.00 |
| IUD removal | $0.00 |
| Kenalog 10 mg 1ml | $10.00 |
| Kenalog 40 mg 1ml | $25.00 |
| Ketorolac 30 mg 1 ml (Toradol) | $15.00 |
| Ketorolac 60 mg 2 ml (Toradol) | $20.00 |
| Knee-elastic support | $6.00 |
| Lipid panel | $8.00 |
| Meclizine 25 mg tab | $0.00 |
| Menactra vaccine | $79.00 |
| MMR Vaccine | $73.00 |
| Morgan lens | $0.00 |
| Morphine Sulfate 8mg /1ml inj | $10.00 |
| mumps Virus Ant IGG | $11.00 |
| Occult Blood, Stool | $0.00 |
| Partial Thromoplastin Time (PTT) | $4.00 |
| Peak Flow device | $0.00 |
| Pelvic exam (non- Obstetric) | $0.00 |
| Platelet Count | $2.00 |
| Potassium | $4.00 |
| PPD test | $0.00 |
| Pregnancy test, urine | $0.00 |
| Pregnancy test, serum | $0.00 |
| Progesterone | $10.00 |
| Prolactin | $10.00 |
| Pulse Oximetry | $0.00 |
| T - Spot | $46.00 |
| Rapid strep test | $0.00 |
| Reglan 10 mg ( Metaclopramide ) | $10.00 |
| Removal Cervix Polyp | $0.00 |
| Removal, skin tags 1-15 lesions | $0.00 |
| Removal, sutures | $0.00 |
| Renal Function test | $8.00 |
| Rheumatoid Factor | $5.00 |
| Rubella Ant Igg | $4.00 |
| Sed Rate | $2.00 |
| Rubeola Antibody IgG | $4.00 |
| Shaving Lesion | $0.00 |
| Student Health Center Fee - 2012 - Fall Semester | $516.00 |
| Student Health Center Fee - 2013 - Spring/Summer Semester | $772.00 |
| Sodium | $2.00 |
| Solu-Medrol inj 125mg 1ml | $13.00 |
| Splint finger | $0.00 |
| Staple removal | $0.00 |
| suture removal | $0.00 |
| Sure path (pap) w/ reflex to HPV | $24.00 |
| Sure path prep (pap) & HPV DNA | $41.00 |
| Suture repair | $0.00 |
| T3 Free | $15.00 |
| T3 Total | $3.50 |
| T3 Update | $4.00 |
| T4 | $4.00 |
| T4 Free | $7.50 |
| T4 Total | $2.50 |
| Tdap vaccine | $46.00 |
| Thumb splint | $13.00 |
| Tigan inj 100mg | $12.00 |
| TSH | $6.00 |
| TSH w/reflex to free T4 | $8.00 |
| Twinrix vaccine | $123.00 |
| Urea nitrogen | $2.00 |
| Urinalysis w/reflex cult | $0.00 |
| Urinalysis w/reflex to micro | $1.00 |
| Urine chemistries | $0.00 |
| Urine Dipstick chem | $0.00 |
| Urine Pregnancy test | $0.00 |
| Varicella Zoster IgG Ab (VZV rapid) | $11.00 |
| Varicella Zoster Igm | $10.00 |
| Varivax vaccine | $121.00 |
| Vitamin A ( retinol ) | $29.00 |
| Vitamin B1 | $26.00 |
| Vitamin B12 | $15.00 |
| Vitamin D 25OH | $47.00 |
| Vitamin E | $27.00 |
| Vitamin K | $72.00 |
| Vistaril 25 mg inj | $12.00 |
| Wart removal w/ Hyfrocation | $0.00 |
| Wart removal w/ scalpel | $0.00 |
| Wrist Splint | $5.00 |
| Wound cleanse w/N saline and betadine | $0.00 |
| list update 3/27/13.jh |
Note: Not all lab test and procedures are represented on this table. For further information contact the Eric Cohen Student Health Center at 323-442-5631. Fee listing is subject to change without notice.
*Combivir has no charge if given as a result of a Blood Born Pathogen Exposure.
