Price List

Contraceptives students w/ SHIP  students w/out SHIP
Plan B $20.00 $20.00
Condoms $3.00/dozen or
$7.00/3 dozen
$3.00/dozen or
$7.00/3 dozen

 

Miscellaneous Fees students w/ SHIP  students w/out SHIP
No-Show Fee $15.00 $15.00
No-Show Fee - IUD Placements $30.00 $30.00
Waiver Application Fee $20.00 $20.00
Late Waiver Application Fee $76.00 $76.00
Travel Visit Fee $0.00 $63.00
Wrist/Ankle Braces  $0.00 $22.00
Crutches  $0.00 $40.00
Thermometers $4.00 $4.00
Incomplete Immunization Form (new students only) $85.00 $85.00
Unsigned Immunization Form (new students only) $150.00 $150.00

 

Vaccines students w/ SHIP  students w/out SHIP
TB $0.00 $47.00
MMR $0.00 $101.00
Hep A (2 series) $0.00 $69.00 each
Hep B (3 series) $0.00 $85.00 each
Varicella (2 series) $0.00 $138.00 each
TDAP $0.00 $82.00
HPV (3 series) $0.00 $179.00 each
Pneumococcal $0.00 $104.00
Meningitis (Menveo) $0.00 $157.00
Polio (injectable) $0.00 $70.00
Japanese Encephalitis $25.00 $273.00
Rabies $23.00 $294.00
Typhoid Oral $8.00 $84.00
Typhoid VI (injectable) $10.00 $99.00
Yellow Fever $14.00 $152.00

 

Titers students w/ SHIP  students w/out SHIP
Quantiferon TB $0.00 $71.00
Varicella $0.00 $31.00
Hep A  $0.00 $38.00
Hep B  $0.00 $20.00
Hep B (SAB Quant) $0.00 $37.00 
Measles (Rubeola) $0.00 $33.00
Mumps $0.00 $56.00
Rubella $0.00 $21.00

 

MyHealthRecord.ucsf.edu

Use the MyHealthRecord student portal to:

  • Schedule appointments
  • Cancel appointments
  • Secure messaging
  • Immunization Summary
  • Health Holds info

Click here for a video tutorial.

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