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 May 18, 2017)
( All prices subject to change,pending market price and availability )
Oral Medications
| ORAL MEDICATIONS |
PRICE |
|---|
| Albuterol/Ventolin Inhaler |
$65.00 per inhaler |
| Amoxicillin 250mg |
$12.00/Btl |
| Azithromycin (4 tabs for Chl tx only) |
$12.00 |
| Cephalexin 250mg |
$12.00/Btl |
| Ciprofloxacin Hydrochloride |
$12.00/Btl |
| Diflucan |
$5.00 |
| Doxycycline 100mg |
$12.00/Btl |
| Methylprednisolone |
$20.00/Pack |
| Metronidazole 500 mg |
$12.00/Btl |
| Nitrofurantoin 100mg |
$30.00/Btl |
| PCN VK 250mg |
$12.00/Btl |
| Trimethoprimsulfa |
$12.00/Btl |
| Vantin 200mg |
$12.00/Tab |
| Z-Pack |
$12.00 |
Derm
| Derm |
PRICE |
|---|
| Triamcinolone cream (steroid cream) |
$10.00/tube |
| Hydrocortisone 1% |
$3.00/tube |
Ophthalmic
| Ophthalmic |
PRICE |
|---|
| Gentamycin 0.3% Soln |
$12.00/Btl |
Misc
| Type of Service |
PRICE |
|---|
| Ace Wrap |
$2.00 |
| Clinic Laboratory Services: Blood, Glucose, Hct., Hemoccult, Microscopy, Spun Urine, Urine Dip, Wet Mount, etc. |
$4.00 |
| Procedures: Ear Irrigation, Fluorescein, Injections, Peak Flow, Podophyllin, etc. |
$2.00 |
| Basic & Comp Metabolic panell |
$10.00/$12.00 |
| Blood typing/RH |
$10.00 |
| Complete Blood Count (CBC) |
$12.00 |
| Chlamydia, Gonorrhea ($14 each) |
$28.00 |
| Suture removal |
$2.00 |
| HbA1C |
$12.00 |
| Hepatic (liver) function panel |
$10.00 |
| Visit |
$5.00 if no insurance |
Tests
| TESTS |
PRICE |
|---|
| Herpes select |
$30.00 |
| Vitamin D level |
$28.00 |
| Cholesterol panel(12hr Fast) |
$15.00 |
| Pap Test: regular |
$22.00 |
| Pap Test: Thin-prep |
$32.00 |
| Thyroid test |
$12.00 |
| Pap test-slide/thin prep |
$22.00/32.00 |
| Physical Exam |
$30.00 |
| Diabetes testing |
$12.00 |
| Sickle Cell Screen |
$10.00 |
| Throat Culture/Rapid Strep |
$14.00/$5 |
| Thyroid tests (TSH) |
$12.00 |
| Tuberculosis (Tb) Test |
$10.00 |
| Urine Pregnancy Test |
$5.00 |
| Urine Culture |
$14.00 |
| Gonorrhea & Chlamydia ($14.00 each) |
$28.00 |
Titers
| titers |
PRICE |
|---|
| Chicken Pox (Varicella) |
$12.00 |
| Hepatitis B titer |
$22.00 |
| Mumps titer |
$12.00 |
| Rubella titer |
$12.00 |
| Measles titer |
$12.00 |
Gyn/Contraceptives
| Gyn/contraceptives |
Price |
|---|
| Birth Control Pills (Cyred,, Aubra, Tri Sprintec) |
$15.00/Pk generic |
| Depo Provera 150mg |
$110.00/Inj. |
| Emergency Contraception (Plan B) |
$16.00 |
| Miconazole 2% Vag Cream |
$10.00 |
Injectables/Vaccines
| Injectables/Vaccines |
Price |
|---|
| Allergy Shot(Each w/your own serum and MD agreement) |
$2.00/each |
| Hepatitis A (2 shots over 6 months) |
$60.00/each |
| Hepatitis B (3 shots over 6 months) |
$42.00/each |
| Flu vaccine (injection) regular/high dose |
$25.00/$40.00 |
| Meningococcal (Menevo) |
$113.00 |
| MMR |
$70.00 |
| Pneumovax |
$115.00 |
| Twinrix (3 Shots Over 6 Months) |
$70.00/each |
| Typhoid IM/Oral |
$98.00/$80 |
| Tdap |
$40.00 |
| Gardasil (3 shots 6 mos apart) |
$205/each |
| Prevnar |
$225 |
