SERVICE COST SHEET
(Subject to change)
PHYSICIAN EXAM
Regular
$30.00
GYN
$37.00
GYN Record Review
$12.00
Recheck
$11.00
IMMUNIZATIONS (examples)
Influenza
$15.00
Hepatitis A
$30.00/dose
Hepatitis B
FREE (18 and under) $37.00/dose (19 and over)
Human Papilloma Virus
Special order approximately $145.00/dose
Meningitis
Special order approximately $125.00/dose
MMR
FREE
Tdap (tetanus, diphtheria, pertusis)
FREE
Typhoid Injection
$60.00/dose
LAB TESTS (a few examples)*
Rapid Strep test
$15.00
Urinalysis
Free
Pregnancy Test (urine)
$10.00
Cholesterol Panel
$31.00
Mono Test
$ 7.00
Pap Smear
$35.00
Urine culture
$31.00
STI Testing
$8-$34 /test
Wet Prep (to detect vaginal infection)
$5.00
*A
$5 charge is added when a specimen is sent to a lab for
processing
MEDICATIONS (a few examples)
Over-the-counter
No charge
(includes Ibuprofen, Acetminophen,
Hydrocortisone, Antibiotic Ointment,
Cough/Cold Medicine and more)
Antibiotics range in price from:
$7-$12.00
(includes Sulfa,
Penicillin,
Z-pack, and
more)
Oral Contraceptives
$10-15/cycle
Depo Provera Injection
$50.00
Plan B
$20.00
PROCEDURES (a few examples)
Allergy injection
$10.00/injection
Dressing Change
$ 5.00
Ear Wax Removal
$ 5.00
Staple/Suture (stitches) Removal
$ 5.00
TB
Skin Test
$10.00
Wart Treatment
$ 5.00
Counseling & Health Center, University of Wisconsin-Green Bay,
Student Services, Room 1400
(920) 465-2380
www.uwgb.edu/counselinghealth
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