Nursing Fee Schedule
Fee Schedule as of 07/17/2023
Please note: not all services may be currently available; please speak to staff for questions.
Tuberculosis Program
|
TB Skin Test |
$36.00 |
Reproductive Health Program
|
Pregnancy Test |
$24.00 |
|
Condoms |
$1.00 |
|
Vaginitis Treatment* |
$5.88 |
|
UTI Screening/Treatment* |
$63.00 |
|
Reproductive Health Services-Income above 150% FPL* |
$128.00 |
|
Repeat PAP* |
$85.00 |
|
Depo Provera Injection* |
$111.00 |
|
Oral Contraceptives* |
$3.30 |
|
Nuvaring* |
$80.00 |
|
IUD (Procedure only)* |
$135.00 |
|
IUD-Liletta* |
$245.00 |
|
IUD-Mirena* |
$1,567.00 |
|
IUD-Paragard* |
$1,259.00 |
|
Treatment Medications* |
$240.00 |
|
Thin Prep* |
$30.00 |
|
Cycle Beads* |
$43.00 |
|
Plan B* |
$78.00 |
|
Wet Mount* |
$26.00 |
|
HPV Treatment* |
$56.00 |
|
HPV Testing* |
$37.00 |
|
HSV Testing (Herpes)* |
$87.00 |
Sexually Transmitted Diseases
|
STD Evaluation* |
$172.00 |
|
STD Treatment- Add on to RH* |
$115.00 |
|
STD Treatment- Bicillin* |
$53.00 |
|
STD Treatment- Other* |
$4.00 |
|
Wet Mount* |
$26.00 |
|
HPV Treatment* |
$56.00 |
|
HPV Testing* |
$37.00 |
|
HSV Testing (Herpes)* |
$87.00 |
HIV Prevention
|
Counseling and Testing- 1 Day* |
$86.00 |
Adult Immunizations. Prices listed are per dose.
|
TD |
$65.00 |
|
Hepatitis A |
$101.00 |
|
Hepatitis B |
$86.00 |
|
MMR |
$125.00 |
|
Varicella |
$195.00 |
|
Menactra (Meningococcal Vaccine) |
$184.00 |
|
Menomune (Meningococcal Vaccine) |
$184.00 |
|
Twinrix (Hepatitis A and B combination) |
$136.00 |
|
Rabies (Imovax) |
$449.00 |
|
Adacel (Adult Tdap) |
$71.00 |
|
Influenza |
$44.00 |
|
Pneumonia |
$157.00 |
|
Hepatitis B Titer |
$92.00 |
|
Varicella Titer |
$99.00 |
|
Measles/Mumps/Rubella Titer |
$170.00 |
|
HPV |
$388.00 |
|
Shingles |
$233.00 |
|
Immunization Administration Fee |
$29.00 |
*These services offered on a sliding scale based upon patient income.