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FEE SCHEDULE -
Effective June 1, 2006
First Trimester Abortion (6-14 weeks) -
350.00
Includes pregnancy test, blood work, ultrasound, Counseling, medications before during and after Procedure and follow-up exam
WELL WOMAN SERVICES
Pap smear and pelvic exam - 75.00
includes HCT, UCG, and urinalysis
Emergency Contraception - 40.00
Quarterly Depo-Provera injection - 60.00
Initial visit includes pap & pelvic, UCG,
HCT
Birth control pills - 60.00
includes
pelvic, UCG, HCT
Pap extra - 20.00
Urinary Tract Infection - 70.00
includes pap & pelvic, UCG, urinalysis &
Rx
Ultrasound (for gestational age ONLY) - 80.00
by appointment only; includes printout
Consultation with doctor without examination - 30.00
COPY OF CHART - 10.00
Herpes Simplex II culture (must have an active outbreak) - 70.00
includes UCG & pelvic exam
with pap smear - 95.00
Condyloma wart treatment - 70.00
includes pelvic exam, UCG, & first treatment
with pap smear - 85.00
subsequent treatments - 20.00
Syphilis, Gonorrhea, and Chlamydia culture - 80.00
includes pelvic exam & UCG
with pap smear - 95.00
LAB WORK
Pregnancy test
no charge
Early chembio pregnancy test - 10.00
blood pregnancy test - 50.00
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