Download Spring 2016 Services Fee Schedule

DREW UNIVERSITY HEALTH SERVICE
Spring 2016 – SERVICES FEE SCHEDULE
Welcome to Drew University Health Services. All services are discounted or are at no cost to students. Cash, checks, and the all-campus I.D.
card may be used for payment when fees are applied. Payments not received by the end of the 3 rd calendar day from time of service (i.e.,
charges for Monday visit are due Thursday) are forwarded to the Business Office and a_$10.00 service charge will be added. Students
enrolled in the Drew University insurance plan will not be billed for prescription medications that are marked in Red. Payment for off-campus
care is the responsibility of the patient. Health Services will provide receipts suitable for submission to private insurance for charges incurred.
PAYMENT IS EXPECTED AT THE TIME OF SERVICE.
OFFICE VISITS
FEE
IMMUNIZATIONS
FEE
Health Counseling
N/C
Gardasil (HPV) (per dose) 3 doses
$200.00
Routine Office Visit (student)
N/C
Hepatitis A (per dose): 2 doses recommended
$110.00
Travel Advisory
$20.00
Hepatitis B (per dose): 3 doses recommended
$95.00
Suture Removal
$10.00
Inactivated Polio
$65.00
Allergy Shots/Admin. of Injectable Medications
$15.00
Influenza (flu shot)
$23.00
Physical Examination
Menactra
$155.00
: Comprehensive Ordination or Peace Corps
$100.00
MMR (measles, mumps, rubella)
$110.00
Intermediate: Admission, Sports,
Typhoid
$110.00
Employment, Travel
$70.00
Tetanus Diptheria (Td)
$70.00
Well Woman Exam
$70.00
Tetanus Diptheria Acellular Pertussis (TdAp)
$75.00
Liquid Cytology (pap)GC/Chlam (#9241)
$80.00
Varivax (chicken pox)
$175.00
(<30 y.o.)
Yellow Fever
$170.00
Liquid Cytology with DNA/GC/Chlamydia
$140.00
(#9453) (>30 y.o.)
ON-SITE LABORATORY TESTS
Glucose testing by fingerstick
HIV Rapid Screen
Mono Rapid Test
Occult Blood Test (3 tests)
Ph Testing (body fluids)
Pregnancy Test (HCG-Urine)
Strep Test, Rapid
Tuberculosis Test and Read (PPD) (2 visits)
Urinalysis (in-house)
Wet Mount
Whiff Test
LABORATORY TESTS (sent out)
Chlamydia & Gonorrhea (urine only) (#2661)
Chlamydia Urine Test (#2665)
Gonorrhea Urine Test (#2666)
Hepatitis B Blood Titer
Hepatitis C Blood Titer
Herpes Culture
MMR Blood Titer ($22 individually)
Thin Prep (#1962)
Varicella Titer
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FEE
$10.00
$35.00
$25.00
$25.00
$10.00
$15.00
$25.00
$15.00
$15.00
$10.00
$10.00
FEE
$50.00
$25.00
$25.00
$40.00
$50.00
$40.00
$60.00
$50.00
$25.00
SUPPLIES/MISCELLANEOUS
Spacer (S8100)
Peak Flow Meter (for purchase)
Nebulizer Treatment (94640)
Peak Flow Reading (PFER) (S8110)
Air Cast (29540)
Ace Bandage (S8431)
Crutches (E0114)
Slings (A4565)
Splints (Finger) (Q4049)
Knee Brace (L1810)
Form Completion (99499) (For internships, pastoral care
placements, etc.)
FEE
$15.00
$18.00
$20.00
$10.00
$50.00
$10.00
$20.00
$20.00
$5.00
$45.00
$15.00
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