Summary of Common Fees
Out of pocket charges at the Cowell Student Health Center
Prices are subject to change without notice | revised on 10-9-2025
| Services | UC SHIP* 20% Coinsurance | CruzCare | No SHIP |
| Biofire GI Panel (PCR | $48.00 | $240.00 | $240.00 |
| Biofire Respiratory Panel (PCR) | $45.00 | $225.00 | $225.00 |
| Contraception Initiation or Continuation visit with a Clinician | New: $175.00 | New: $175.00 | New: $394.00 |
| Estab: $175.00 | Estab: $175.00 | Estab: $251.00 | |
| COVID Vaccine | $0.00 | $135.00 | $135.00 |
| EAP On-line Assesment ** | $40.00 | $40.00 | $40.00 |
| Ear Lavage | $12.80 | $64.00 | $64.00 |
| EKG | Asymptomatic: $17.80 | Asymptomatic: $89.00 | Asymptomatic: $89.00 |
| Diagnostic: $0.00 | Diagnostic: $0.00 | Diagnostic: $89.00 | |
| Emergency Contraception | $25.00 ($0 w/RX) | $25.00 | $25.00 |
| Flu Shot | $0.00 | $25.00 | $25.00 |
| Immunization administration fee | $0.00 | $30.00 | $30.00 |
| In-House COVID/Flu PCR | $0.00 | $0.00 | $173.00 |
| In-House Strep Test | $0.00 | $0.00 | $86.00 |
| In-House Vaginitis Panel | $22.00 | $110.00 | $110.00 |
| IUD Kyleena & Insertion | $0.00 | $1,633.00 | $1,633.00 |
| IUD Mirena & Insertion | $0.00 | $1,633.00 | $1,633.00 |
| IUD Paragard & Insertion | $0.00 | $1,630.00 | $1,630.00 |
| Lab Test/DME: Call Biller at 831-459-4480 | 20% Coinsurance | Not Covered | Not Covered |
| Missed Appointment Fee ** | $25.00 | $25.00 | $25.00 |
| Nebulizer Treatment | $0.00 | $0.00 | $68.00 |
| Nurse Visit for Medication Injection (e.g., Testosterone, B-12, etc) | Visit: $0.00 | Visit: $0.00 | $61.00 |
| Injection Admin & Teaching : $12.20 | Injection Admin & Teaching : $61.00 | ||
| Nurse Visit for Urinary Tract Infection | $0.00 | $0.00 | $100.00 |
| Office Visit w/ a Clinician – illness/injury (Based on complexity) | $0.00 | $0.00 | New: $266 – $787 |
| $0.00 | $0.00 | Estab: $163 – $531 | |
| Online Birth Control Visit | $0.00 | $40.00 | $40.00 |
| Optometrist Eye Exam | $10.00 | $129.00 | $129.00 |
| PAP | $0.00 | $49.75 | $49.75 |
| Paperwork Fee ONE Page (if PX done within a year) ** | $20.00 | $20.00 | $20.00 |
| Paperwork Fee TWO or More Pages(if PX done within a year) ** | $40.00 | $40.00 | $40.00 |
| Physical Exams (DOT & Civil Service Physicals only covered at the SHC) (Based on Age) | $0.00 | New: $456 – $576 | New: $456 – $576 |
| Estab: $395 – $483 | Estab: $395 – $483 | ||
| Pregnancy Test | $0.00 | $0.00 | $81.00 |
| Quantiferon Titer | Asymptomatic: $0.00 | $81.00 | $81.00 |
| Diagnostic: $16.20 | |||
| Quest Chlamydia & Gonorrhea Test | Asymptomatic: $0.00 | $29.00 | $29.00 |
| Diagnostic: $5.80 | |||
| Quest RPR Blood Test | Asymptomatic: $0.00 | $4.00 | $4.00 |
| Diagnostic: $0.80 | |||
| Reference Lab Handling Fee (Fee Charged once per day.) | Asymptomatic: $0.00 | $31.00 | $31.00 |
| Diagnostic: $6.20 | |||
| Sickle Cell Blood Test | $5.11 | $36.05 | $36.05 |
| Simple I&D | $20.00 | $100.00 | $100.00 |
| Suture Removel (placed off campus) | $0.00 | $0.00 | $25.00 |
| Tele-Health Video/Audio Visits w/ a Clinician (Based on complexity) | $0.00 | New: $100 – $175 | New: $168 – $483 |
| Estab: $75 – $150 | Estab: $108 – $347 | ||
| Travel visit with a nurse | $0.00 | $100.00 | $100.00 |
| Wart Treatment 1-14 lesions | $30.00 | $150.00 | $279.00 |
| Wellness Panel | $0.00 | $106.25 | $106.25 |
| X-Ray Chest (PA) (fee charged SCUBA & other clearences) | $16.20 | $81.00 | $81.00 |
| X-Rays In-House | $0.00 | Illness & Injury: $0.00 | $74.00 – $308.00 |
| Self-ordered STI Testing | UC SHIP | CruzCare | No SHIP |
| In-House Gonorrhea & Chlamydia Urine Test | $0.00 | $50.00 | $50.00 |
| In-House Gonorrhea & Chlamydia Throat Swab | $0.00 | $50.00 | $50.00 |
| In-House Gonorrhea & Chlamydia Rectal Swab | $0.00 | $50.00 | $50.00 |
| In-House Gonorrhea & Chlamydia Vaginal Swab | $0.00 | $50.00 | $50.00 |
| Quest HIV Blood Test *** | $0.00 | $0.00 | $0.00 |
| Quest Syphilis/RPR Blood Test | $0.00 | $4.00 | $4.00 |
| Quest Hepatitis C Blood Test | $0.00 | $6.33 | $6.33 |
| Reference Lab Handling Fee (Diagnostic) Fee Charged once per day. | $0.00 | $31.00 | $31.00 |