Smith College Health Services
Ancillary Fee Guidelines 2008-2009 Academic Year

  Student Medical
Insurance Plan
Optional
On Campus
Health
Care Plan
Private
Insurance
Laboratory tests:

Chemistry Screen

Covered Covered $30.00
Chlamydia Test Covered Covered $35.00
Complete Blood Counts (CBC) Covered Covered $30.00
Erythrocyte Sedimentation Rate Covered Covered $15.00
Gonorrhea Culture Covered Covered $35.00
Hemoccult Stool Test Covered Covered $10.00
Herpes Culture Covered Covered $90.00
Mononucleosis Test (Monospot) Covered Covered $40.00
Pap Smear Covered Covered $45.00
Phlebotomy fee (alone) No charge No charge $10
Pregnancy Test (Urine) No charge No charge No charge
Rapid Strep Test Covered Covered $20.00
Stool Culture Covered Covered $100.00
Syphilis Test (RPR) Covered Covered $45.00
Throat Culture Covered Covered $35.00
Thyroid Test (TSH) Covered Covered $50.00
Urinalysis Covered Covered $25.00
Urine Culture With Sensitivity Covered Covered $45.00
Vaginal Wet Prep Analysis Covered Covered $15.00
All Other Laboratory Tests Covered Billed Per Test Per Test
Procedures:
Allergy Injection (1) Covered Covered $l0.00
AllergyInjections (2 or more) Covered Covered $20.00
Air Cast $50.00 $50.00 $50.00
Crutches $25.00 on unreturned crutches (For all students)
Dressings Covered Covered $30.00
Nebulizer Treatment Covered Covered $20.00
PPD No charge No charge No charge
Splinter Removal No charge No charge No charge
Suture Removal No charge No charge No charge
Wart Treatment (skin) Covered Covered $50.00
Prices are subject to change without notice if warranted by circumstances beyond our control.
Vaccinations are not covered by any of the plans.
The cost of vaccinations, subject to change, is:
Hepatitis A $65.00 each
Hepatitis B $50.00 each
Meningitis $105.00
MMR $50.00
Polio (IPV) $45.00
Tetanus $10.00 administration fee
Tdap (tetanus/pertussis) $35.00
HPV $125.00 each
Typhoid $50.00
HIV Testing is covered by either plan. For those with private insurance, the cost is $56.

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