CHARGES NOT COVERED BY HEALTH FEE TESTS PERFORMED AT HEALTH SERVICES AND SENT TO OUTSIDE LAB: Pap Only $56.00 HPV $50.00 Chlamydia Only $90.00 R.P.R. (blood test) $29.00 Chlamydia and G.C. $155.00 HIV (blood test) $80.00 Gonorrhea Only $80.00 Herpes Culture $70.00 Vaginal Culture $39.00 Culture and Sensitivity $45.00 Urine Chlamydia $135.00 Through the generosity of PSU funds available to assist you with the cost of sexually transmitted infection testing. If you decide not to use insurance, you will be billed for 20% of the cost per test. The rest will be covered by the fund for as long as it is available. The billing process is as follows: a. This is billed to you through inter-campus mail to your suite box. The bill reads "lab test", everything is confidential. b. Payment is then made at the Bursars office, as with other PSU bills. c. In the event that you fail to pay the bill within 30 days, it will be rebilled to your home address. The bill still only reads, "lab test". No one can get any personal information as to what test, or any other information about you, without your written consent. d. As with any tests obtained here at Health Services, or from Speare Hospital, you may request an itemized bill. We only need your suite box number to do this. Pap Only $56.00 HPV $10.00 Chlamydia Only $18.00 R.P.R. (blood test) $5.80 Chlamydia and G.C. $31.00 HIV (blood test) $16.00 Gonorrhea Only $16.00 Herpes Culture $14.00 Vaginal Culture $7.8 Culture and Sensitivity $9.00 Urine Chlamydia $27.00 Listed prices are for Fall semester 200 and Spring semester 2008. All above price list may be used per student for a "one time use". ITEMIZED BILL WILL BE GIVEN ON REQUEST, OTHER CHARGES AVAILABLE UPON PATIENT REQUEST ITEMS AND MATERIALS CHARGED FOR FROM HEALTH SERVICE: Medication, splints, inhalation treatment, cervical collars, multiple dressing changes, minor surgical procedures, knee or joint aspirations, and immobilizers obtained from Speare Memorial Hospital. NOTE: 1. All prices are subject to change. 2. All tests and results are confidential, the same as all other student information. 3. All tests are billed through the Bursar. The bills will only have "test" printed on them, not the actual type of test. 4. All tests may be billed on a "special confidential account"; if not paid within two weeks, they will then go onto the regular account and a bill will be sent home to parents. 5. An itemized bill will be gladly submitted, free of charge, on request. This may be needed for your Insurance coverage.
