Fees

There is no charge to be seen by one of our healthcare providers. There are nominal fees for lab work, medications, treatments, procedures, or supplies.

All fees are subject to change. This is not a complete list of all possible fees, however these are some of the most common fees.

Payment is due at time of service. We accept cash, check, VISA, MasterCard and Mason Money.

 

Fees updated on November 5, 2012

PROCEDURES & SUPPLIES

• Crutches
• EKG
• Physical Exam
• Injections: Depo-Provera, Testostorone

CLINICS:

• Allergy

• Travel

• Women's Health

LAB WORK:

• STI Testing

• In-house Tests

• Sent to Quest Lab: Tests, Titers

IMMUNIZATIONS

MEDICATIONS

ADMINISTRATIVE FEES

BILLING POLICY

 

PROCEDURES & SUPPLIES

Crutches: $30

EKG: $40

Physical Exam: $60
Available for:

• Mason Athletes
• Mason Nursing Students
• Mason ROTC
• Please call SHS for more information

Lab tests incur additional fees.

Injections: $20
Depo-Provera, Testostorone

GYN Exam $20

 

CLINICS

Allergy Clinic, details

Shots $15 per visit, or $150 per semester

($120 for the summer semester)

Employees $30 per visit

 

Travel Clinic $15 (for students), details

Employees $50 (office visit fee), additionally will incur the cost of vaccines

 

Annual Women’s Health Exam, details

 

Office visit $20

Additional fees may include:

Pap $65

HPV/DNA $65

Gonorrhea/Chlamydia/HIV/Syphilis $20 at Fairfax Clinic. Price WILL vary at Prince William and Arlington Clinics

HIV/Syphilis only $10 at Fairfax Clinic. Price WILL vary at Prince William and Arlington Clinics

Failure to keep a Women's Health appointment, or give a 24-hour cancellation notice, will result in a $10 missed-appointment fee.

 

LAB WORK

LAB WORK: STI Testing

HIV and/or VDRL Male or Female: $10

• Includes: HIV and/or Syphilis tests.
• It takes one to two weeks to get the results.
• You must schedule a follow-up visit to obtain your HIV results.

 

STI Female: total price starting at $40, at Fairfax Clinic, may be higher; talk with your provider.
Price will vary at Prince William and Arlington Clinics

• GYN exam is required, fee incurred
• Includes: Gonorrhea, Chlamydia, Syphilis, and/or HIV tests
• A Wet-Prep/KOH to test for: Bacterial Vaginosis, Trichomonas, and yeast
• It takes one to two weeks to get the results.
• You must schedule a follow-up visit to obtain your HIV results.

 

STI Male: $20, at Fairfax Clinic
Price will vary at Prince William and Arlington Clinics

• Includes: Gonorrhea, Chlamydia, Syphilis, and/or HIV tests
• It takes two weeks to get the results.
• You must schedule a follow-up visit to obtain your HIV results.

 

OraQuick HIV: $0 Free
Oral swab/specimen for HIV

 

 

LAB WORK: In-house

These are charges for lab tests performed in the Student Health Services lab.

All fees are subject to change. This is not a complete list of all lab fees.

Glucose: $5
Blood test measuring glucose (sugar) levels

H&H: $5
Blood test for anemia measuring hemoglobin & hematocrit levels

Influenza: $20
Swab/specimen test for the flu virus

KOH Derm: $10
Swab/specimen test for skin fungal infections

Mono: $10
Blood test for mononucleosis virus

Occult Blood: $5
Fecal test for presence of blood

OraQuick HIV: $0 Free
Oral swab/specimen for HIV

Pregnancy Test: $10
Urine test for pregnancy

Strep Test: $10
Swab/specimen test for strep throat

Urine Analysis Test: $10
Urine test for urinary tract infection (UTI)

 

LAB WORK: Sent to Quest Lab, Tests & Titers

 

Fees for Lab Tests performed at Quest Lab but paid to SHS.

When you pay for your Quest Lab tests at SHS, Quest offers “whole sale” prices to students.

If you choose to bill your insurance for lab work completed at Quest Lab, the fees charged will be higher.

You are responsible for any unpaid balance or claim denied by your insurance company.

SHS cannot guarantee payment by your insurance company.

 

Lab Processing Fee: $20 added to all TESTS sent to Quest.
For handling and processing lab specimens, not testing. This fee is not covered by insurance.

TESTS sent to Quest Lab

CBC, Complete Blood Count: $10

CMP, Complete Metabolic Panel: $10

Executive Profile: $35

Hepatic function panel + GGT: $18

HepBAb Quantitative: $15

Iron Deficiency Profile: $20

Lipid Panel: $15

Respiratory Culture: $30

Stool Culture: $40

Throat Culture: $15

Thyroid Stimulating Hormone, TSH: $8

TSH with free T4: $30

Urine Culture: $40

Lab Processing Fee: $20 added to all TITERS sent to Quest.
For handling and processing lab specimens, not testing. This fee is not covered by insurance.

TITERS sent to Quest Lab

Hepatitis B Titer: $15

MMR Titer: $40

Mumps Titer: $15

Rubella Titer: $10

Rubeola Titer: $15

Varicella Titer: $20

Depending upon test results, additional testing may be required therefore additional fees incurred.

 

IMMUNIZATIONS

 

MMR, 2 doses @ $65 each

Td $35 (Tetanus & Diphtheria)

Tdap $50 (Tetanus, Diphtheria & Pertussis) *Recommended*

Tuberculin skin test $20 each

T Spot $65

Hepatitis A, 2 doses @ $35 each

Hepatitis B, 3 doses @ $45 each

Twinrix (Hep. A & Hep. B), 3 doses @ $65 each

Flu (In season) $15 for students, $20 for staff

Meningococcal $120 (meningitis)

Gardasil (HPV) 3 doses @ $150 each (for males or females)

Varicella (chicken pox) 2 doses @ $100 each

 

Faculty/Staff: additional $20 fee

Immunization Record Late Fee: $25

 

 

MEDICATIONS

Prescriptions:
We have a limited pharmacy.

The cost of medications in the Pharmacy ranges from $5 - $25.  Prices are usually less expensive than outside pharmacies.

 

Emergency Contraception $25, morning after pill

Pregnancy test required $10 with morning after pill

 

Oral Contraception
Velivet: 3 mos. $45; 6 mos. $90; 12 mos. $180

Apri: 3 mos. $36; 6 mos. $72; 12 mos. $144

Gildess FE: 3 mos. $45; 6 mos. $90; 12 mos. $180

Orsythia: 3 mos. $36; 6 mos. $72; 12 mos. $144

 

ADMINISTRATIVE FEES

Medical Records

• Current Students: $10, please allow 24-48 hours
• Graduated students (archived charts): $15, please allow about 5 business days
• Copy of immunizations: free and available immediately

Immunization Record Late Fee: $25

 

 

BILLING POLICY

 

Student Fees: There is no charge to be seen by a healthcare provider at SHS for all current Mason students. However, some services at SHS do cost money. For example, lab tests, medications, immunizations, and medical procedures will incur a fee.

It is the responsibility of the patient to ask about all fees.

Payment: Payment is due on the date of service (DOS). SHS accepts cash, check, VISA, MasterCard and Mason Money.

Check-out: All patients are instructed to check-out at the front desk after care is received. If applicable, fees incurred and/or outstanding balances are presented to the patient on a Walk-out Statement, payment is expected.

Unpaid Balance: If a patient leaves SHS without paying their account balance, or without receiving a Walk-out Statement, an email will be sent from SHSbill@gmu to the patient’s Mason email account usually within one week of the DOS. The email will include the Billing Policy, the account balance, and payment instructions.  All payments must be made to SHS. It is the student’s responsibility to check their Mason email account regularly and maintain sufficient space for incoming mail.

Hold: If an account remains unpaid after 15 business days from the date the email reminder is sent, the SHS bookkeeper sends a list of students with unpaid balances to the Cash Office. A Student Health Debt hold (SF hold) will be placed on the student’s Mason account. A list of faculty, staff, and campus visitors with unpaid accounts will be sent to the Administrative Director, who will follow-up accordingly.

Removing Holds: Once payments are received at SHS, the Cash Office will be contacted by the bookkeeper or front desk staff, and the hold removed by the end of the business day, when possible.

Returned Checks: If SHS receives a check that is returned by the bank because of insufficient funds, the student will be responsible for the original bill amount plus a $50 returned check fee (University Policy number 2105, Procedures).

Insurance: SHS submits bills to the Mason student health insurance plan for repayment for limited items only. Information about these items and services are outlined in the current insurance brochure and available at http://shs.gmu.edu/insurance/. Otherwise, SHS does not accept, nor bill, insurance.  If there is any problem with the student’s insurance coverage (for example if coverage is terminated or eligibility is compromised) the student will be responsible for these fees.

University Policy 2107: Refer to this policy for University collection procedures.