University of Southern California
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Student Health Fees

2013 – 2014 Partial Fee Listing:

Summer Health Fee Per Session:$262
Medical Insurance Annual:$1,519
Medical Insurance Fall Premium:$605
Medical Insurance Spring and Summer Premium:$914

Fees For Service

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.