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 student.insurance@northwestern.edu. Additionally, there are resources for Financial Assistance and information that compares lab fees for Health Service Chicago with Health Service Evanston.
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 |