Price List

Contraceptives Students w/ SHIP Students w/out SHIP
Condoms $2.00/dozen or
$5.00/3 dozen
$2.00/dozen or
$5.00/3 dozen

 

Miscellaneous Fees Students w/ SHIP

Students w/out SHIP

No-Show Fee (counseling, primary care appointments) $15.00 $15.00
No-Show Fee (IUD Placements) $32.00 $32.00
Waiver Application Fee $78.00 $78.00
Late Waiver Application Fee $88.00 $88.00
Travel Visit Fee $0.00 $98.00
Wrist/Ankle Braces  $0.00 $0.00
Crutches  $0.00 $0.00
Thermometers $4.00 $4.00
Inhaler Spacers $8.00 $8.00
Medical Records (individuals) $0.00 $0.00
Medical Records (3rd party) $50.00 $50.00

 

Vaccines Students w/ SHIP

Pre-entrance Requirements

& Students w/out SHIP

TB (pre-entry only) $0.00 $58.00 each
MMR $0.00 $158.00
Hep A (2 series) $0.00 $90.00 each
Hep B (3 series) $0.00 $101.00 each
Hib $0.00 $74.00
TDAP $0.00 $86.00
HPV (3 series) $0.00 $289.00 each
Pneumococcal $0.00 $193.00
Meningitis (Menveo) $0.00 $164.00
Polio (injectable) $0.00 $80.00
Shingrix $0.00 $212.00
Japanese Encephalitis $0.00 $369.00
Rabies $0.00 $384.00
Typhoid Oral $0.00

$131.00

Typhoid VI (injectable) $0.00 $167.00
Yellow Fever (currently not available) $0.00 $201.00

 

Titers Students w/ SHIP

Pre-entrance Requirements

& Students w/out SHIP

Quantiferon TB $0.00 $71.00
Varicella $0.00 $18.00
Hep A  $0.00 $21.00
Hep B  (SAB Qual) $0.00 $18.00
Hep B (SAB Quant) $0.00 $19.00 
Measles (Rubeola) $0.00 $19.00
Mumps $0.00 $26.00
Rubella $0.00 $17.00
Venipuncture Charge $0.00 $  3.68

 

IUD Placements Students w/ SHIP Students w/out SHIP
Kyleena $0.00 $1,275.00
Mirena $0.00 $1,275.00
Paragard $0.00 $1,444.00
Skyla $0.00 $1,264.00

 

Contraceptive Implants Students w/ SHIP Students w/out SHIP
Nexplanon $0.00 $1,473.00

 

Drug Screenings Students w/ SHIP Students w/out SHIP
Panel 1 $0.00 $0.00

*Fee amount will be increased automatically if there is an increase in the included cost of supplies