ABCD
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Prices for Common Services 2025-2026
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Last updated: 4/17/2026
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Prices are subject to change without notice.
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*Additional charges may apply
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Note: All appointments are subject to Late Cancellation / Missed Appointment fees (see Miscellaneous section)
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ServiceUC Student Health Insurance Plan
(UCSHIP)*		GAP*Waived without GAP*
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OFFICE VISITS
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Primary CareUCSHIP Pays 100%No Charge$96
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GynecologistUCSHIP Pays 100%No Charge$96
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Fast Track – Nurse/ProviderUCSHIP Pays 100%No Charge$67/$96
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Nurse ConsultNo ChargeNo ChargeNo Charge
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Nurse VisitUCSHIP Pays 100%No Charge$67
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Online Evaluation (Asynchronous Care)/ Online Health ClearanceUCSHIP Pays 100%No Charge$67
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E-Visit (Portal Consultation/Messaging w/ Provider)UCSHIP Pays 100%No Charge$67
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Annual Preventative PhysicalUCSHIP Pays 100%Charge Varies
(starts at $259)
Charge Varies
(starts at $259)
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BEHAVIORAL HEALTH VISITS
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Psychiatrist Initial EvaluationUCSHIP Pays 100%No Charge$240
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Psychiatrist Follow-upUCSHIP Pays 100%No Charge$96
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Social Work ServicesNo ChargeNo ChargeNo Charge
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SPECIALTY VISITS
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Dietitian Initial EvaluationUCSHIP Pays 100%No Charge$96
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Dietitian Follow-upUCSHIP Pays 100%No Charge$96
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LAB TEST / STI SCREENING
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Additional Fee (per visit, NOT per lab):
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Draw Fee – Blood tests only
(per visit-not per test)		UCSHIP Pays 100%No Charge$19
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Complete Blood Count (CBC)UCSHIP Pays 100%No Charge$48 + Draw Fee
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COVID PCRUCSHIP Pays 100%No Charge$125
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Chlamydia/Gonorrhea (per test site – in house)UCSHIP Pays 100%No Charge$30
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Chlamydia/Gonorrhea self-collected, rectal - QuestUCSHIP Pays 100%$31.20$31.20
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Chlamydia/Gonorrhea self-collected, throat - QuestUCSHIP Pays 100%$31.20$31.20
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Heterophile Mononucleosis test (Mono Test)UCSHIP Pays 100%No Charge$25 + Draw Fee
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Human Immunodeficiency Virus Test (HIV) - QuestUCSHIP Pays 100%$18.51$18.51 + Draw Fee
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Influenza A & BUCSHIP Pays 100%No Charge$46
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Measles, Mumps, and Rubella (MMR) Antibodies - QuestUCSHIP Pays 100%$42.63$42.63 + Draw Fee
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Papanicolaou w/ Age Based Screening (Pap Test) - QuestUCSHIP Pays 100%$26 - $31.20$26 - $31.20
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Papanicolaou ThinPrep & HPV mRNA (Pap Test) - QuestUCSHIP Pays 100%$59.28$59.28
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Pregnancy Test (Urine)UCSHIP Pays 100%No Charge$27
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Rapid Plasma Reagin Syphilis Test (RPR) - QuestUCSHIP Pays 100%$4.74$4.74 + Draw Fee
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Syphilis Antibodies (Treponema pallidum) - QuestUCSHIP Pays 100%$35.35$35.35 + Draw Fee
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Rapid Streptococcal Throat TestUCSHIP Pays 100%No Charge$42
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Strep Throat CultureUCSHIP Pays 100%No Charge$49
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Strep A PCRUCSHIP Pays 100%No Charge$74
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Tuberculosis Blood Test - QuestUCSHIP Pays 100%$55.56$55.56 + Draw Fee
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Tuberculosis – Skin TestUCSHIP Pays 100%No Charge$31
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Urinalysis CultureUCSHIP Pays 100%No Charge$74
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Urinalysis DipstickUCSHIP Pays 100%No ChargeTBD
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Urinalysis MicroscopyUCSHIP Pays 100%No Charge$31
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Vaginitis PanelUCSHIP Pays 100%$218$218
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Varicella-Zoster Virus Antibody - QuestUCSHIP Pays 100%$6.35$6.35 + Draw Fee
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PROCEDURES - prices do NOT factor in Office Visit fee
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Additional Fee (per each injection administered):
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Injection Fee (per SC/IM injection)UCSHIP Pays 100%No Charge$56
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Abscess Drainage (simple I&D)$62.80$314$314
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Colposcopy$80.40$402$402
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Ear Wax Removal/Curettage$9.80/$28$48/$120$48/$120
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EKGUCSHIP Pays 100%$60$60
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Hearing Test$12.40$62$62
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I.V. FluidsUCSHIP Pays 100%Charge Varies
(starts at $181)		Charge Varies
(starts at $181)
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LacerationCharge Varies
(starts at $84)		Charge Varies
(starts at $420)		Charge Varies
(starts at $420)
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Suture/Staple Removal$12.60$63$63
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Wart Treatment (Cryotherapy)$51.40 - $61.20$90 - $96$90 - $96
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X-RAYS
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X-RaysUCSHIP Pays 100%No ChargeCharge Varies
(starts at $77)
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PHARMACY
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Prescription Birth Control & Emergency Contraception PillsUCSHIP Pays 100%NOT COVERED – Full PriceFull Price
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Prescription (generic) – Tier 1$5 (30-day)NOT COVERED – Full PriceFull Price
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Prescription formulary (brand)- Tier 2$25 (30-day)NOT COVERED – Full PriceFull Price
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Prescription (brand)- Tier 3$40 (30-day)NOT COVERED – Full PriceFull Price
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GYNECOLOGY
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Nexplanon / Insertion / Removal / Removal w/ ReinsertionUCSHIP Pays 100%$1,913 / $380 / $401 / $604$1,913 / $380 / $401 / $604
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Kyleena / Insertion / RemovalUCSHIP Pays 100%$1,392 / $310 / $308$1,392 / $310 / $308
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Mirena / Insertion / RemovalUCSHIP Pays 100%$1,392 / $310 / $308$1,392 / $310 / $308
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Paragard / Insertion / RemovalUCSHIP Pays 100%$1,203 / $258 / $257$1,203 / $258 / $257
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Medication Abortion$5 - $10.50$660 - $762.23$660 - $762.23
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IMMUNIZATIONS
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Additional Fees (per each immunization administered):
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Immunization Administration Fee - 1st SC/IM vaccineUCSHIP Pays 100%No Charge$54
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Immunization Administration Fee - Each add’l SC/IM vaccineUCSHIP Pays 100%No Charge$32
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Chicken Pox/Varicella Vaccine
Varivax		UCSHIP Pays 100%$244$244 + Immunization Administration Fee
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COVID -19 Vaccine
Spikevax		UCSHIP Pays 100%$196$196 + Immunization Administration Fee
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Hepatitis A Vaccine
Havrix – pediatric (12 mos to 18 yrs)		UCSHIP Pays 100%$83$83 + Immunization Administration Fee
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Hepatitis A Vaccine
Havrix – adult (19 yrs & older)		UCSHIP Pays 100%$146$146 + Immunization Administration Fee
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Hepatitis B
Engerix B – pediatric (birth to 17 yrs)		UCSHIP Pays 100%$74$74 + Immunization Administration Fee
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Hepatitis B
Heplisav-B (18 yrs & older)		UCSHIP Pays 100%$166$166 + Immunization Administration Fee
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Hepatitis A & B
Twinrix		UCSHIP Pays 100%$208$208 + Immunization Administration Fee
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HPV
Gardasil 9		UCSHIP Pays 100%$419$419 + Immunization Administration Fee
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Influenza Vaccine
Product Varies (egg-free / preservative- free)		UCSHIP Pays 100%$25$25
(no Immunization Administration Fee)
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Japanese Encephalitis
Ixiaro		UCSHIP Pays 100%$526$526 + Immunization Administration Fee
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MenACWY
Menveo		UCSHIP Pays 100%$224$224 + Immunization Administration Fee
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Meningococcal A,B,C,W,Y
Penbraya		UCSHIP Pays 100%$450.00$450 + Immunization Administration Fee
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Meningococcal B
Trumenba		UCSHIP Pays 100%$302$302 + Immunization Administration Fee
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Meningococcal B
Bexsero		UCSHIP Pays 100%$335$335 + Immunization Administration Fee
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MMR (Measles-Mumps-Rubella)
M-M-R II		UCSHIP Pays 100%$149$149 + Immunization Administration Fee
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MPox
Jynneos		UCSHIP Pays 100%$373$373 + Immunization Administration Fee
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Pneumococcal
Prevnar 20		UCSHIP Pays 100%$503$503 + Immunization Administration Fee
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Pneumococcal
Pneumovax 23		UCSHIP Pays 100%$215$215 + Immunization Administration Fee
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Polio Injectable
IPOL		UCSHIP Pays 100%$73$73 + Immunization Administration Fee
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Rabies
Ravavert		UCSHIP Pays 100%$552$552 + Immunization Administration Fee