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Fee Schedule

Select health care services are provided at no charge for Northwestern students currently enrolled in an eligible degree-seeking program as negotiated as part of the service agreement between Northwestern University and Northwestern Medical Group for operation of the Health Service for the Chicago campus. These services may be access by scheduling an appointment with General Internal Medicine at Northwestern Medicine (NM), 675 N. St. Clair Street on the 18th floor of Galter Pavilion.  Please mention that you are a current Northwestern student when scheduling your appointment and at check-in for your patient visit.  Your Northwestern Wildcard will be required for verification of your student status and eligibility for services. 

For all other health care services provided at a patient visit, you will be charged NM's current rate for each of the services received.  Your health insurance may cover some or all of this expense, and you will be responsible for the balance of these charges. 

The Student Health Insurance Office is available to students with questions and inquiries may be sent to Additionally, there are resources for Financial Assistance  and information that compares lab fees for Health Service Chicago with Health Service Evanston.


No-charge Services
CPT Code Description Fee
85045 Automated reticulocyte count 0
85027 Complete cbc automated 0
85025 Complete cbc w/ auto diff wbc 0
87077 Culture aerobic identify 0
87070 Culture bacteria other 0
87081 Culture screen only 0
90471 Immunization admin (Note: this charge is strictly for the procedure for administering the immunization and does not include the cost of the medication)  0
90472 Immunization admin each add (Note: this charge is strictly for the procedure for administering the immunization and does not include the cost of the medication)  0
87186 Microbe susceptible mic 0
99241 Office consultation 0
99242 Office consultation 0
99243 Office consultation 0
99244 Office consultation 0
99245 Office consultation 0
99211 Office/outpatient visit est 0
99212 Office/outpatient visit est 0
99213 Office/outpatient visit est 0
99214 Office/outpatient visit est 0
99215 Office/outpatient visit est 0
99201 Office/outpatient visit new 0
99202 Office/outpatient visit new 0
99203 Office/outpatient visit new 0
99204 Office/outpatient visit new 0
99205 Office/outpatient visit new 0
99385 Prev visit new age 18-39 0
85651 Rbc sed rate nonautomated 0
36415 Routine venipunture 0
87205 Smear gram stain 0
87207 Smear special stain 0
87210 Smear wet mount saline/ink 0
86580 TB Intradermal test 0
96372 Ther/proph/diag Inj sc/lm 0
87220 Tissue exam for fungi 0
81001 Urinalysis auto w/ scope 0
81003 Urinalysis auto w/o scope 0
81000 Urinalysis nonauto w/scope 0
87088 Urine bacteria culture 0
87086 Urine culture/colony count 0