FORMS AND FEES
Find essential health documents and a transparent list of service costs below. Most visits are covered, but this page provides a clear breakdown of nominal charges for specific labs, medications, and procedures to help students plan their care.
On the My UHCS portal prior to coming to campus:
- Submit immunization information (Polio, DPT, Tetanus, MMR, Hep B, Varicella; optional: Pneumovax, Meningococcal)
- Submit Insurance information (not needed for UHCS services, but helpful if referred off campus)
- Complete Health History form
Bring with you to campus:
- List of medications, allergies
- First Aid Kit, Insurance card
- Keep a record of medications
UW-Whitewater prides itself on being accessible and affordable for all students. UHCS strives to give UWW students the best health care services possible for the segregated fees they already pay.
Prices below are subject to change.
| PROCEDURES/SERVICES | COST |
|---|---|
| Allergy Shots (single) | $10.00 |
| Allergy Shots (multiple) | $15.00 |
| Courtesy Injection | $10.00 |
| Crutches | $20.00 (refundable) |
| Dressing Change | $10.00 |
| Wart Treatment/removal | $10.00 |
| Ear wax removal per ear | $10.00 |
| Nebulizer Treatment | $12.00 |
| Laceration repair (includes and not limited to sutures) | starts at $30.00 |
| Removal of ingrown toenail | $30.00 |
| Splinting of sprain/strain | Varies |
| Wound care | $4.00 |
| Physical exams (athletic, employment, routine) | $20.00 |
| Orthopedic Supplies (slings,splints, supports, etc) | $2.00 - $52.00 |
| Travel Visit | $20.00 |
Note: Any lab tests or medications provided are listed separately and are charged separately. See below for lab and medication costs.
| IMMUNIZATIONS | COST |
|---|---|
| Adacel (tetanus, diphtheria, pertusis)6 | $60.00 |
| Flu vaccine | $0.00 student/$30.00 staff |
| TB Test | $20.00 |
| LAB TESTS | COST |
|---|---|
| Most commonly ordered, other tests available as needed. | |
| Rapid strep | $10.00 |
| Blood count | $15.00 |
| Mono test | $10.00 |
| Pregnancy test* | $10.00 |
| Routine urine test | $10.00 |
| Test for yeast, bacterial vaginosis, trichomonas* | $15.00 |
| Basic blood chemistry | $15.00 |
| Cholesterol | $14.00 |
| Stool culture | $31.00 |
| Urine culture* | $19.00 |
| Wound culture | $31.00 |
| Blood sugar | $10.00 |
| TSH (Thyroid function) | $15.00 |
| Pap test (thin prep)* | $37.00 |
| STI TESTING (most students are eligible for free STI testing) | COST |
|---|---|
| Herpes (PCR)*+ | $47.00 |
| Gonorrhea*+ | $49.00 |
| Chlamydia*+ | $49.00 |
| Syphillis*+ | $20.00 |
| HIV*+ | $23.00 |
| HPV (persons with a vagina)* | $37.00 |
| CONTRACEPTIVES* (unless student has Wisconsin Family Planning Waiver) | COST |
|---|---|
| Emergency Contraceptive (E-Contra) | $11.00 |
| Sprintec | $15.00 |
| Junel | $15.00 |
| Medroxyprogesterone (Depo) | $40.00 |
| FREQUENTLY DISPENSED MEDICATIONS | COST |
|---|---|
| Amoxicillin | $8.00 - $10.00 |
| Augmentin (Amoxicillin potassium/clav) | $8.00 - $11.00 |
| Zithromax (Azithromycin) | $7.00 - $8.00 |
| Keflex (cephalexin) | $8.00 |
| Ciprofloxacin 250/500mg | $6.00 - $10.00 |
| Diflucan (fluconazole) | $6.00 - $7.00 |
| Prozac (fluoxetine) | $7.00 - $8.00 |
| Hydrocortisone 1% cream | $7.00 |
| Cough Syrup (Guaifenesin) | $7.00 |
| Claritin (loratadine) | $7.00 |
| Flagyl (metronidazole) | $14.00 |
| Penicillin | $7.00 |
| Prednisone | $7.00 - $8.00 |
| TMP Sulfa (Bactrim) | $6.00 - $7.00 |
| Sertraline | $7.00/$9.00 |
| Escitalopram | $7.00 - $10.00 |
| Valacyclovir | $7.00 - $17.00 |
| Fluticasone Nasal Spray | $8.00 |
Any fees can be paid with cash, credit/debit card, or check at the clinic, or billed to your student account. Anything billed to your student account will be identified as “Misc Health Service fees” only. For those that need a receipt, please inquire at the Health Clinic front desk.
Medications can be filled at our in-clinic dispensary at very low costs or sent to a pharmacy to be filled if desired. Controlled substances are only available through a pharmacy, such as those for ADHD management.
Students enrolled in both spring and fall can use services over the summer for a one-time $40 fee covering health and counseling. If you’re enrolled in summer classes, the fee is waived.
When students do not keep their appointments, this delays other students from being seen. To ensure timely services at the lowest cost to students, late cancellations and no-show appointments will result in a fee. This is explained at the time of making the appointment as well as reminders are sent out. UHCS allows cancellation of an appointment up to 2 hours BEFORE that appointment. Fees charged are $15 for Health and Counseling appointments and $40 for Psychiatry appointments.
UHCS does not bill or accept health insurance. Most UHCS visits are provided at no cost because services are supported by student segregated fees. While insurance is not required for UHCS services, students may choose to carry health insurance for care received outside of UHCS, including specialty care, emergency services, or off-campus providers.
- There is no cost for counseling services, wellness programs, or healthcare provider visits.
- Fees apply for lab tests, medications, some procedures, and physicals (available at a reasonable cost).
- Off-campus referrals (e.g. x-ray, ER visits, hospitalization) may be charged by external providers.
- Fees are charged to the student bill: UHCS does not bill insurance but provides receipts for reimbursement upon request.
- Marketplace Open Enrollment: November 1 - January 31 (exemptions for qualifying life events).
- Consider coverage needs, including out-of-area benefits, deductibles and coinsurance costs before selecting a plan.
- Visit Healthcare.gov for plan options, tax credit eligibility and enrollment details.
For more information, contact UHCS at 262-472-1300.
The purpose of this program is to provide contraceptive (birth control) services to eligible residents, and related reproductive health care that is part of regular birth control services.
Thanks to the Wisconsin Medicaid Family Planning Only Services (FPOS), you might qualify to receive these services at no cost.
Check out this video for an overview of the program and our application process.
For more information on the Family Planning Only Services, call UHCS at 262-472-1300, and press option 4.