Cleveland State University

Health and Wellness Services

Self-Pay Fee Schedule

Fees for clinical visits,laboratory testing services, immunizations, medications and  vaccines by CSU students, faculty and staff are the sole responsibility of the patient, and are payable at the time the service is rendered unless other arrangements have been made. CSU IDs are required for IOUs.
Health Insurance will be billed for those patients who are covered by the major health insurance carriers we bill.

HEALTH SERVICES PRICE LIST
( Effective July 1, 2012 )
( All prices subject to change,pending market price and availability )

Oral Medications

Price
Tests
Price
Albuterol/Ventolin Inhaler
$42.00per
Chlamydia,Gonorrhea pcr/dna/sda
$24.00
Amoxicillin 250mg
$12.00/Btl
Cephalexin 250mg
$12.00/Btl
Ciprofloxacin Hydrochloride
$12.00/Btl
Herpeselect
$30.00
Lipid Profile(14hr Fast)
$15.00
Doxycycline 100mg
$12.00/Btl
Pap Test : regular
$22.00
Thin-prep
$32.00
Methylprednisolone
$12.00/Pack
Physical Exam
$30.00
Nitrofurantoin 50mg
$24.00
Rapid Strep
$5.00
PCN VK 250mg
$12.00/Btl
Throat Culture
$14.00
Tetracycline 500mg
$0.10/Tab
Thyroid
$12.00
Trimethoprimsulfa
$12.00/Btl
Tuberculosis (Tb) Test
$10.00
Vantin 200mg
$12.00/Tab
UGC (Pregnancy Test)
$5.00
Zithromax 1Gm.
$12.00
Urine Culture
$14.00
Z-Pack
$12.00
Reflex HPV
$60.00
Hi/Lo Risk HPV (test #9662-N w/thin prep)
$36.00
Gyn/Contraceptives
Injectables/Vaccines
Depo Provera 150mg
$60.00/Inj.
Allergy Shot(Ea)(your own serum)
$2.00
Emergency Contraception (Plan B)
$16.00
Metronidazole 500mg
$12.00/Btl
Hepatitis A (2 Shots 6 Months Apart)
$40.00(Each)
Miconazole 2% Vag Cream
$10.00
Hepatitis B  (3 Shots Over 6 Months)
$42.00(Each)
Oral Contraceptive Pills(Alesse, Desogen Lo Ovral, On:777, Ortho Tricyclen-Lo, Triphasil)Generics
$15.00/Pk
Flu Vaccine Injection
$20.00
Typhoid(oral)
$40.00
Diflucan
$5.00
Gardasil
$145.00(Each)
Derm
Menveo
$85.00
MMR
$50.00
Triamcinalone Cream
$5.00/Tube
Pneumovax
$70.00
Ophthalmic
Tetanus
$24.00
Sulfaceta 10% Soln
$15.00/Btl
Twinrix (3 shots over 6 months)
$60.00(Each)
Toboramycin 0.3% Soln
$12.00/Btl
Typhoid Injection
$62.00
Tdap
$40.00
Misc
Titers
Ace Wrap
$2.00
Chicken Pox(Varicella) 54031 10g titer
$10.00 or $96.00

(Depending on disease or Immunation status)

Laboratory Services: Blood, Glucose,Hct.,Hemoccult,Microscopy, Spun Urine, Urine Dip, Wet Mount
$4.00
Hep B Surf Ab
$22.00

Procedures: Ear Irrigation, Fluorescein, Injections, Peak Flow, Podophyllin,etc

$2.00
Mumps Ab Eli
$10.00
Rubella
$10.00
CBC
$12.00
Rubeola(Measles)
$10.00
BMP/CMP
$8.00/$10.00
 
Blood typing/RH
$10.00
 

 

 

 

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