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General Medicine Clinics and Urgent Care Clinics Common Charges

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UHS General Medicine Clinic and Urgent Care Clinic

Services
graphic indicator showing selected item Office visit for problem or illness
graphic indicator showing selected item No show/late cancellation
graphic indicator showing selected item Physical exam: new patient, ages 18 - 39
graphic indicator showing selected item Physical exam: new patient, ages 40 - 64
graphic indicator showing selected item Physical exam: established patient, ages 18 - 39
graphic indicator showing selected item Physical exam: established patient, ages 40 - 64
graphic indicator showing selected item Dietitian consultation, first visit
graphic indicator showing selected item Dietitian consultation, follow-up appointment
graphic indicator showing selected item Dietitian consultation, follow-up appt. for eating disorder care
graphic indicator showing selected item Urgent Care Clinic visit after-hours fee
graphic indicator showing selected item Ear wax removal - ear irrigation (per ear)
graphic indicator showing selected item EKG (electrocardiogram)
graphic indicator showing selected item Ingrown toenail removal
graphic indicator showing selected item IV fluid hydration, up to one hour (Urgent Care Clinic only)
graphic indicator showing selected item IV fluid hydration, each additional hour (Urgent Care Clinic only)
graphic indicator showing selected item IV insertion
graphic indicator showing selected item Laceration repair (stitches, sutures, staples), cost varies by size & location of injury
graphic indicator showing selected item Minor surgery, other than listed
graphic indicator showing selected item Nebulizer (breathing) treatment
graphic indicator showing selected item PPD skin test for TB (Tuberculosis)
graphic indicator showing selected item Removal of foreign body from eye (eye irrigation)
graphic indicator showing selected item Skin tag removal, up to 15 skin tags
graphic indicator showing selected item Spirometry
graphic indicator showing selected item Spirometry, pre- and post-bronchodilator
graphic indicator showing selected item Wart removal, non-genital, up to 14 warts
graphic indicator showing selected item Wound care

Lab Tests
graphic indicator showing selected item Chlamydia and gonorrhea
graphic indicator showing selected item Cholesterol test (lipid panel)
graphic indicator showing selected item Complete blood count (CBC)
graphic indicator showing selected item Hepatitis panel (tests for types A, B, and C)
graphic indicator showing selected item Herpes blood test
graphic indicator showing selected item HIV blood test
graphic indicator showing selected item Liver function tests (LFT)
graphic indicator showing selected item Syphilis
graphic indicator showing selected item Urinalysis

Supplies
graphic indicator showing selected item Ankle air brace with kit
graphic indicator showing selected item Arm sling
graphic indicator showing selected item Crutches
graphic indicator showing selected item Post-operative shoe
graphic indicator showing selected item Shoulder immobilizer
graphic indicator showing selected item Walking boot
graphic indicator showing selected item Wrist splint (Velcro closure)

X-Rays
graphic indicator showing selected item Ankle
graphic indicator showing selected item Chest - two views
graphic indicator showing selected item Hand
graphic indicator showing selected item Knee
graphic indicator showing selected item Wrist
Select from the list on the left to view the charge.
or
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Additional charges may apply depending on the individual patient's needs.

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Prices effective January 16, 2015
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