Fee Schedule
UHS Pricing as of 8/23/19
| Description | Charge | Transaction Category |
|---|---|---|
| Established Patient; Brief | $51.00 | Office Visit |
| Established Patient; Comprehensive | $150.00 | Office Visit |
| Established Patient; Detailed | $113.00 | Office Visit |
| Established Patient; Expanded Problem Focused | $83.00 | Office Visit |
| Established Patient; Problem Focused | $68.00 | Office Visit |
| Nurse Procedure Only Visit | $0.00 | Office Visit |
| Office Visit – did not keep appointment | $25.00 | Office Visit |
| Office Visit – no charge | $0.00 | Office Visit |
| Preventive Medicine Est. Pt. 12-17 | $96.00 | Office Visit |
| Preventive Medicine Est. Pt. 65 or Over | $0.00 | Office Visit |
| Preventive Medicine New Pt. 12-17 | $116.00 | Office Visit |
| Preventive Medicine New Pt. 65 or Over | $0.00 | Office Visit |
| Preventive/Annual Gyn Est. 18-39 | $126.00 | Office Visit |
| Preventive/Annual Gyn Est. 40-64 | $106.00 | Office Visit |
| Preventive/Annual Gyn New 18-39 | $146.00 | Office Visit |
| Preventive/Annual Gyn New 40-64 | $137.00 | Office Visit |
| Acupuncture Consultation | $30.00 | Acupuncture |
| Acupuncture, without Elec Stim, 1st 15 min | $15.00 | Acupuncture |
| Acupuncture, without Elec Stim; each add’l 15 min | $15.00 | Acupuncture |
| Massage Therapy; each 15 min | $15.00 | Massage |
| Medical Record Copies | $10.00 | Administrative |
| Medical Record Retrieval | $50.00 | Administrative |
| Venipuncture, Routine | $10.00 | Office Procedures |
| Alcohol Edu | $100.00 | Office Procedures |
| Allergy Injection; multiple | $33.00 | Office Procedures |
| Allergy Injection; single | $31.00 | Office Procedures |
| Colposcopy with Biopsy and ECC | $175.00 | Office Procedures |
| IUD Insertion | $100.00 | Office Procedures |
| Flu Vaccine | $20.00 | Immunizations |
| Hepatitis A Vaccine
Hepatitis B Vaccine (Adult) |
$130.00
$106.00 |
Immunizations
Immunizations |
| Human Papilloma Vaccine, 3 Dose IM | $325.00 per dose | Immunizations |
| Meningococcal Vaccine (Quadrivalent) | $193.00 | Immunizations |
| Mumps-Measles-Rubella Vaccine | $109.00 | Immunizations |
| Tdap (Adacel) Tetanus | $67.00 | Immunizations |
| Drug Screen IH A | $60.00 | Laboratory IH |
| Pregnancy Test (urine) IH | $8.00 | Laboratory IH |