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Home My WebLink About20253574 Resolution Approve Revisions to Fee Schedule for Fees Collected by Weld County Department of Public Health and Environment Whereas, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and Whereas, the Board has been presented with Revisions to the Fee Schedule for Fees Collected by the Weld County Department of Public Health and Environment, and Whereas, after study and review, the Board deems it advisable to approve the proposed revisions, effective January 1, 2026, copies of which are attached hereto and incorporated herein by reference. Now, therefore, be it resolved by the Board of County Commissioners of Weld County, Colorado, that the revised fee schedule for fees collected by the Weld County Department of Public Health and Environment, as attached hereto, be, and hereby are, approved, effective January 1, 2026. The Board of County Commissioners of Weld County, Colorado, approved the above and foregoing Resolution, on motion duly made and seconded, by the following vote on the 29th day of December, A.D., 2025: Perry L. Buck, Chair: Aye Scott K. James, Pro-Tem: Excused I- \ I /a� •` Jason S. Maxey: Aye I .itf Lynette Peppier: Aye �� Kevin D. Ross: Excused Ito Approved as to Form: ®��' Bruce Barker, County Attorney Attest: Esther E. Gesick, Clerk to the Board c c'. H L( C/gF) 2025-3574 oak out \aip HL0003 1 >< , = Memorandum \ 86i TO: Perry L. Buck, Chair BOCC COUNTY CO FROM: Jason Chessher DATE: 12/22/2025 SUBJECT: 2025 Fee Schedules for Public Health Divisions For the Board's review and approval are the Public Health department proposed fee changes for 2026. Program fees are evaluated annually with cost recovery being the primary goal. Environmental Health has statutory increases in state programs to increase the food licensing fees. Lab and Household Hazardous Waste disposal fees increase directly due increase in costs and to remain competitive in the community. The sliding fee scale for Public Health Services will remain in place. this scale aims to recover cost plus 15%when possible, yet it allows for reduced fees for clients who are unable to pay the full cost of services. Grant funding generally makes up the difference for clients unable to pay full rates. We propose that the cost plus scale remain in place for 2026 with adjustments to the actual costs of Medical supplies and vaccines. Our vital records fees are set by the State of Colorado and are the same for every local county office. The last fee increase was in 2018 Public Health Department staff met with the Board in a work session on November 17th, 2025 to discuss proposed fee changes and the Board approved placing the proposed fees on an agenda for formal consideration. I recommend approval of the proposed changes to the 2026 Fee Schedule. 2025-3574 BOCC STAFF USE Date Set: Time: BOARD OF COUNTY COMMISSIONERS WORK SESSION REQUEST WORK SESSION TITLE: 2026 Health Department Fees DEPARTMENT: Public Health & Environment DATE: October 21, 2025 PERSON REQUESTING: Jason Chessher EXTENSION: 2293 Has your Commissioner Coordinator/BOCC Chair approved the work session? ® Yes, Commissioner Coordinator ❑ Yes, Commissioner Chair Does this have Financial/Procurement or Human Resources/Administration impacts? IS] Yes. Please see next question. El No. Please move forward with WS request. If yes, have you discussed the impacts with Cheryl Pattelli and Jill Scott? Yes. Please move forward with WS request. ❑ No. Please reach out to them prior to WS request. Recommended length of time needed for discussion: ❑ 15 Minutes ® 30 Minutes ❑ Other (list time): In addition to yourself and the board, please list who should attend: Bill Fritz, Shaun May, Dan Joseph, Holly Smith, Olivia Egen, Jennifer Oftelie Brief description of the issue: ❑ Informational only ® Action needed Staff will present proposed 2026 fees for services. Options for the board: Endorse 2026 proposed fees. Decline updated fees in which case 2025 fees will remain in place. Recommendation to the board: Endorse 2026 proposed fees. WELD COUNTY GOVERNMENT :ccO ' Department of Public Health and Environment Weld County Department of Public Health and Environment Fee Schedule 2026 weld.gov WELD COUNTY GOVERNMENT Department of Public Health and Environment : :Ty,c0 Overall Philosophy Mindful of areas Using previously 1 Cost recovery is that have larger approved primary driver impacts on standardized ways residents of Weld to calculate fees weld.gov WELD COUNTY GOVERNMENT Department of Public Health and Environment COUNTY CO Environmental Health Fees Business Waste Program • Fees are based on contract with additional service fee added VSQG • Increased costs are due to increased disposal costs Lab fees- suggested • Note that lab fees are influenced by private industry increase are 4-5% to sta s: (we don't want to undercut or be significantly in line with inflation s¢x;, higher) .fu weld.gov WELD COUNTY GOVERNMENT Department of Public Health and Environment Y COUNTY,CO Environmental Health Fees Continued Retail Food These are set at the state level. Establishment Fees were agreed upon with industry partners during the Triennial review process. License Fees Minor edits to bring costs in line- Remaining Fees Radon kit fee increased(Currently have grant that covers-will only be charged if that is Limited exhausted) changes Secure transportation-charging by hour more effective than flat rate(costing us less time to accomplish) weld.gov WELD COUNTY GOVERNMENT „E Department of Public Health and Environment COUNTY,CO Guiding Principles for Setting Clinic Fees ➢ Most of our patients come to us because they have Medicaid, are under-insured or have no health insurance ➢ It is our mission to be a safety net for our community members and reduce barriers to service, including costs > For those that are under-insured and uninsured, we seek grants to eliminate cost barriers weld.gov WELD COUNTY GOVERNMENT Department of Public Health and Environment OUNTY,CO Clinic Fee Schedule Patients without insurance are charged based on family income and household size. ➢We use a five-level sliding fee scale to keep services affordable. The fee scale ranges from no charge (Code 1) for eligible patients to full cost (Code 5) for higher-income households and those with health insurance coverage. For 2026, Codes 4 and 5 were adjusted slightly to better match maximum Medicaid and health insurance reimbursement amounts. weld.gov WELD COUNTY GOVERNMENT Department of Public Health and Environment COUNTY Clinic Fee Schedule ADULT IMMUNIZATIONS > When State-supplied vaccine is unavailable,we reduce the fee so adults can still access recommended immunizations. TRAVEL IMMUNIZATIONS ➢ Travel Vaccines do not qualify for sliding-scale reductions and are billed at full cost. TOTALS > We bill for 283 codes total; no new codes added or deleted. ➢Most fee changes for 2026 were small-majority are under$10 and nearly all were under$15. ➢ Larger increases were limited to specialty and travel vaccines due to national pricing trends. weld.gov WELD COUNTY GOVERNMENT Department of Public Health and Environment o„ Vital Records - - the sta - - 'el. Death and Birth Certificates are both being increased. Amount submitted to the state is also increasing. weld.9ov WELD COUNTY GOVERNMENT ' Department of Public Health and Environment Mina Co UNTY,CO Vital Records Certificate Type Current Fee New Fee(Eff. 1/1/26) $ Increase Amount Birth Cert-First Copy $20 S2 5 $5 Birth Cert-Second Copy $13 $20 $7 Death Cert-First Copy $20 $25 $5 Death Cert-Second Copy $13 $20 $7 We currently submit$3 of every certificate fee to the state. In 2026 the fee submitted will be$7. Exception is 2nd copy of death certificates- those are $4 and$10 respectively. weld.gov WELD COUNTY GOVERNMENT Department of Public Health and Environment �F E Questions? weld.gov WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT ENVIRONMENTAL HEALTH SERVICES - 2026 FEE SCHEDULE BODY ART FACILITY SERVICES Body Art Facility License $350.00 Body Art Facility-Delinquent License Surcharge $75.00 Body Art Facility-Plan Review Application Fees and Pre-opening Application fee of$100 plus$100.00/hour Body Art Facility-Real Estate Site Review $100.00/hour Body Art Facility-Temporary License $350.00 Body Art Facility-Mobile Facility License $350.00 Autoclave Sterilization Spore Test(Steam) $13.00 CHILD CARE CENTER FEES Child Care Center-Facility Inspection Fee 5-20 Children $200.00 Child Care Center-Facility Inspection Fee 21-50 Children $250.00 Child Care Center-Facility Inspection Fee 51-100 Children $300.00 Child Care Center-Facility Inspection Fee 101+Children $350.00 Group Home-Facility Inspection Fee $250.00 Residential Treatment Facility-Facility Inspection Fee $350.00 Child Care Center-Plan Review/Walk-thru/Pre-opening Inspection Fee $100.00/hour Child Care Center-Plan Review Application Fee $100.00 FOOD PROTECTION SERVICES No Fee License(K-12 schools,non-profits as defined in CRS 25-4-1607(9)(a)(III)) $0.00 Limited Food Service(convenience,other) $338.00 Restaurant(0-100 seats) $481.00 Restaurant(101-200 seats) $538.00 Restaurant(>200 seats) $581.00 Grocery Store(0-15,000 sq.ft.) $244.00 Grocery Store(>15,000 sq.ft.) $441.00 Grocery Store w/Deli(0-15,000 sq.ft.) $469.00 Grocery Store w/Deli(>15,000 sq.ft.) $894.00 Mobile Unit(prepackaged) $338.00 Mobile Unit(full food service) $481.00 Oil&Gas Temporary $1,063.00 Special/Temporary Event License-Non-Profits(as defined in CRS 25-4-1607(9)(a)(III))and Licensed Mobil< $0.00 Special/Temporary Event License-Full Service Calendar Year $385.00 Special Event License(non-TCS food) $150.00 Special/Temporary Event Vendor License-Late/Expedite Fee(up to 2 days before event) $50.00 Special/Temproary Event Coordinator Application Fee $150.00 Special/Temporary Event Coordinator Fee(plan review time and additional miscellaneous time,if applica $100.00/hour Requested Full Re-inspection $189.00 Plan Review Application Fee $155.00 Plan Review and Preopening Fees $100.00/hour(not to exceed$895) Equipment Review Application Fee $155.00 Equipment Review Fee $100.00/hour(not to exceed$775) HACCP Plan Review $100.00/hour(not to exceed$620) Real Estate Review(1st hour) $120.00 Real Estate Review of Property(Billed after 1st hour) $100.00/hour Miscellaneous Services $100.00/hour Weld Star Education Course-For-profit Establishments $30.00/pp Weld Star Education Course-Non-profit Establishments $15.00/pp Weld Star Education Course-Off-site Presentation Fee(charged for groups of<25) $50.00 Weld Star Education Course(groups>25)-For-profit Establishments $640.00 Weld Star Education Course(groups>25)-Non-profit Establishments $375.00 INSTITUTION SERVICES Secure Transportation Services License $250.00/company Secure Transportion Services Unit Inspection Fee $100.00/hour Secure Transportation Services Reciprocal Licensing/Permitting $100.00 Secure Transportation Services Reciprocal Permitting $50.00 1 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT ENVIRONMENTAL HEALTH SERVICES - 2026 FEE SCHEDULE MISCELLANEOUS SERVICES Environmental Health Specialist Field Time Charge $100.00/hour Biosolids Permit(160 Acre Parcel) $375.00($2.34 for each acre over 160 Acres) Septage Permit(160 Acre Parcel) $375.00($2.34 for each acre over 160 Acres) Cistern Usage Permit(Initial) $250.00 Cistern-Variance Request $50.00 Radon Kits $12.00 Radon Kits(mailed) $15.00 Long Term Radon Kits $20.00 Lead Investigation-Requested Inspection(actual cost based on hourly rate,1 hour min) $100.00/hour Fax Fee(up to 10 pages,$.50 per each additional page) $5.00+ File Review Fees Per Appendix 5-D,Chapter 5,of the Weld County Code Non-Sufficient Funds(Bounced Check)Return Fees $25.00 ONSITE WASTEWATER TREATMENT SYSTEM(OWTS) OWTS Permit $1,500.00 OWTS Repair/Alteration Permit $1,100.00 OWTS Permit Extension $75.00 Commercial OWTS New Permit $1,600.00 Commercial OWTS Repair Permit $1,600.00 OWTS Minor Repair Permit $250.00 OWTS Reinspection Fee $100.00 Holding Tank/Vault Permit $450.00 Weld County OWTS Regulations $5.00 Systems Contractor License-test taken in Weld $100.00 Systems Contractor License-Test taken in another location $75.00 Renewal of Systems Contractor License(Annually) $50.00 Systems Cleaners License $75.00 Renewal of System Cleaners License(Annually) $50.00 Existing OWTS Evaluation $200.00 Statement of Existing $25.00 Loan Approval Inspection without Water Sample $200.00 Loan Approval Inspection with Water Sample $248.00 Potable Water Sample(collection and analysis) $48.00 Variance Request $100.00 METHAMPHETAMINE PROGRAM SERVICES Methamphetamine Lab Decontamination Permit-Covers up to 4 hours of staff time. $400.00 (Review and inspection activities in excess of 4 hours will be billed at an hourly rate.) Methamphetamine Lab-Hourly Rate $100.00/hour WATER QUALITY-BACTERIOLOGICAL ASSESSMENT After hours Stat Fee for individual tests 3 x Stated Fee Total Coliform,E.Coli,PA $25.00 Total Coliform,E.Coll,Quantitray $27.00 Potable Water Sample(collection and analysis),PA $52.50 Potable Water Sample(collection and analysis),Quantitray $54.50 2 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT ENVIRONMENTAL HEALTH SERVICES - 2026 FEE SCHEDULE WATER QUALITY-CHEMICAL ASSESSMENT Alkalinity,Total $18.00 Alkalinity,Phenophthalein(hydroxide,carbonate,bicarbonate) $18.00 Ammonia $24.00 Arsenic $23.00 BTEX(benzene,toluene,ethyl benzene,xylene) $110.00 Biochemical Oxygen Demand(BOD) $67.00 Bromide $23.00 Calcium as CaCO3 $23.00 Chloride $23.00 Chlorine $18.00 Chromium $23.00 Copper $23.00 Dissolved Oxygen $15.50 Fluoride $23.00 Haloacetic Acids Market Rate Hardness,Total $26.00 Hexavalent Chromium Market Rate Iron $23.00 Lead,water $23.00 Magnesium(by hardness calculation) $23.00 Manganese $23.00 Nitrate $23.00 Nitrite $23.00 Oil and Grease visual $2.00 PH/Temperature $18.00 Phosphate,Ortho $23.00 Phosphate,Total $36.00 Selenium $23.00 Sodium $23.00 Solids,Total $20.00 Solids,Total Dissolved $20.00 Solids,Total Suspended $20.00 Autoclave Spore Test $14.00 Specific Conductance $18.00 Sulfate $23.00 Total Kjeldahl Nitrogen $51.00 Total Trihalometha nes $89.00 Turbidity $19.50 Uranium $23.00 Zinc $23.00 Additional Metals:Aluminum,Atimony,Barium,Beryllium,Cadmium,Cobalt,Potassium,Molybdenum, Nickel,Silver $23.00 Services not listed may be offered and pricing will be determined by market rate. Market rate services may include but are not limited to: Cholrite,Sulfide and Pseudomonas Aeruginosa. MISCELLANEOUS LABORATORY SERVICES Zoonotic Testing(rabies,tularemia,plague,WNV mosquitoe pool,etc.) Market Rate Chemical Sample/Courier Sampling Fee $27.50 Shipping Fee $16.00 OIL AND GAS-LABORATORY CHEMICAL ASSESSMENT Dissolved Gasses(methane,ethane,propane) $89.00 Total Petroleum Hydrocarbons(TPH) $89.00 VOC screen(EPA Method 524.2) $167.00 NOTE:Analyses are the rates cited above unless the amount is set by a contract approved by the Board of County Commissioners. 3 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT 2026 HHW Facility-VSQG Fees Waste Type Cost per container Cost per pound gallon $28.80 Acid, Inorganic 5 gallon $144.00 $3.20 Acid,Organic gallon $32.85 $3.65 5 gallon $164.25 Aerosol(paint,pesticide) $1.45 Antifreeze $1.00/gallon gallon $15.75 Base 5 gallon $78.75 $1.75 Battery(Ni,Li<300 Wh) $2.00 Li Battery-large 300 Wh+(e-bike/scooter) $12.50 Battery(alkaline) $0.85 Compressed Gas Cylinders(small) tank $7.00 Compressed Gas Cylinders(large,Incl.foam) tank Market Price $2.25(cyanide Cpds) Cyandie Compounds 5 gallon $170.00 Flammable Liquid(bulkable)including Cooking Oil $0.50 Flammable Liquid quart $3.00 (non PaintCare) gallon $13.50 $1.50 if<quart or loose-pack 5 gallon $67.50 Fluorescent Tubes(incl.CFLs and LEDs) $1.45 Mercury Containing Bulbs(HID,Sodium, Misc) $2.15 Filter,oil 0.25 Mercury thermometer $0.75 $7.20 Motor Oil(used) $0.10 Oily Waste Water gallon $3.00 gallon $38.80 Oxidizer 5 gallon $194.00 $4.30 quart no fee* Paint(Latex&Oil Based) PaintCare gallon no fee* $0.25 5 gallon no fee* Non-PCB/Electronic Ballast $0.75 PCB Ballast(and non PCB) $1.75 Peroxide Formers gallon Market Price 5 gallon Market Price gallon $14.40 Pesticide/Poison 5 gallon $72.00 $1.60 Vaping Devices,Nicotine Only $6.00 Miscellaneous Items To be determined,subject to market rate. *Latex and certain oil based paints are not charged due to contract with PaintCare. **If the number of individual containers of a waste type fills a 55 gallong drum,the drum cost will be the cost administered. 2026 Dept of Public Health and Environment 2025 Public Health Clinic Fee Comparision _ GROUP CPT DESCRIPTION Code 1 Code 2 Code 3 Code 4 Code 5 Medications LISINOPRIL 10 MG#30 $5.00 $5.00 $5.00 $7.00 $15.00 Medications LISINOPRIL 10 MG#30 $3.00 $3.00 $3.00 $3.00 $4.00 Difference $2.00 $2.00 $2.00 $4.00 $11.00 Labs MMR TITER $23.00 $25.00 $30.00 $34.00 $90.00 Labs MMR TITER $23.00 $25.00 $30.00 $54.00 $75.00 Difference $0.00 $0.00 $0.00 ($20.00) $15.00 Labs TreponemaPallidum-CLIA $5.00 $8.00 $10.00 $14.00 $30.00 Labs Treponema Pallidum-CLIA $5.00 $8.00 $10.00 $14.00 $18.00 Difference $0.00 $0.00 $0.00 $0.00 $12.00 Office Procedures INCISION&DRAINAGE OF ABSCESS,SINGLE OR SIMPLE $24.00 $24.00 $47.00 $93.00 $125.00 Office Procedures INCISION&DRAINAGE OF ABSCESS,SINGLE OR SIMPLE $24.00 $24.00 $47.00 $93.00 $125.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 Office Procedures BIOPSY OF SKIN,SINGLE $21.00 $21.00 $41.00 $82.00 $111.00 Office Procedures BIOPSY OF SKIN,SINGLE $21.00 $21.00 $41.00 $82.00 $111.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 SHAVING OF EPIDERMAL LESION,SINGLE ON TRUNK,ARMS OR LEGS, Office Procedures .5CM $21.00 $21.00 $42.00 $84.00 $113.00 SHAVING OF EPIDERMAL LESION,SINGLE ON TRUNK,ARMS OR LEGS, Office Procedures .5CM $21.00 $21.00 $42.00 $84.00 $113.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 Office Procedures EXCISIONS, BENIGN LESION $26.00 $26.00 $52.00 $103.00 $139.00 Office Procedures EXCISIONS, BENIGN LESION $26.00 $26.00 $52.00 $103.00 $139.00 2026 Dept of Public Health and Environment 2025 Public Health Clinic Fee Comparision GROUP CPT DESCRIPTION Code 1 Code 2 Code 3 Code 4 Code 5 Difference $0.00 $0.00 $0.00 $0.00 $0.00 Office Procedures REMOVAL,IMPLANT CONTRACEPTIVE $0.00 $90.00 $179.00 $241.00 $270.00 Office Procedures REMOVAL,IMPLANT CONTRACEPTIVE $0.00 $90.00 $179.00 $241.00 $270.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 Office Procedures IMPLANT INSERTION $0.00 $65.00 $130.00 $169.00 $227.00 Office Procedures IMPLANT INSERTION $0.00 $65.00 $130.00 $169.00 $227.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 Office Procedures REMOVAL IMPLANT,WITH REINSERTION $0.00 $100.00 $200.00 $349.00 $370.00 Office Procedures REMOVAL IMPLANT,WITH REINSERTION $0.00 $100.00 $200.00 $349.00 $370.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 Labs HEP B&HEP C SCREENING $14.00 $21.00 $28.00 $29.00 $84.00 Labs HEP B&HEP C SCREENING $14.00 $21.00 $28.00 $33.00 $38.00 Difference $0.00 $0.00 $0.00 ($4.00) $46.00 Office Procedures CRYOTHERAPY FIRST LESION $14.00 $14.00 $28.00 $56.00 $76.00 Office Procedures CRYOTHERAPY FIRST LESION $14.00 $14.00 $28.00 $56.00 $76.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 Office Procedures CRYOTHERAPY 2-14 LESIONS $7.00 $7.00 $7.00 $7.00 $10.00 Office Procedures CRYOTHERAPY 2-14 LESIONS $7.00 $7.00 $7.00 $7.00 $10.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 Office Procedures CRYOTHERAPY 15+LESIONS $38.00 $38.00 $75.00 $150.00 $202.00 Office Procedures CRYOTHERAPY 15+LESIONS $38.00 $38.00 $75.00 $150.00 $202.00 2026 Dept of Public Health and Environment 2025 Public Health Clinic Fee Comparision GROUP CPT DESCRIPTION Code 1 Code 2 Code 3 Code 4 Code 5 Difference $0.00 $0.00 $0.00 $0.00 $0.00 Labs CT,NG,TRICH VAG BY NM $29.00 $44.00 $58.00 $60.00 $174.00 Labs CT,NG,TRICH VAG BY NM $29.00 $44.00 $58.00 $68.00 $78.00 Difference $0.00 $0.00 $0.00 ($8.00) $96.00 Office Procedures VENIPUNCTURE $5.00 $5.00 $5.00 $7.00 $15.00 Office Procedures VENIPUNCTURE $4.00 $4.00 $4.00 $5.00 $7.00 Difference $1.00 $1.00 $1.00 $2.00 $8.00 Office Procedures VENIPUNCTURE-CAPILLARY BLOOD SPECIMEN $5.00 $5.00 $5.00 $7.00 $15.00 Office Procedures VENIPUNCTURE-CAPILLARY BLOOD SPECIMEN $5.00 $5.00 $5.00 $6.00 $8.00 Difference $0.00 $0.00 $0.00 $1.00 $7.00 Labs IMMUNOHISTOCHEMICAL STAIN $12.00 $18.00 $23.00 $25.00 $69.00 Labs IMMUNOHISTOCHEMICAL STAIN $12.00 $18.00 $23.00 $23.00 $23.00 Difference $0.00 $0.00 $0.00 $2.00 $46.00 Office Procedures BARTHOLIN CYST TREATMENT $29.00 $29.00 $57.00 $113.00 $152.00 Office Procedures BARTHOLIN CYST TREATMENT $29.00 $29.00 $57.00 $113.00 $152.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 Office Procedures COLPOSCOPY WITHOUT BIOSPY $53.00 $53.00 $105.00 $141.00 $161.00 Office Procedures COLPOSCOPY WITHOUT BIOSPY $53.00 $53.00 $105.00 $141.00 $161.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 Office Procedures COLPOSCOPY WITH BIOSPY $69.00 $69.00 $138.00 $187.00 $187.00 Office Procedures COLPOSCOPY WITH BIOSPY $69.00 $69.00 $138.00 $187.00 $187.00 2026 Dept of Public Health and Environment 2025 Public Health Clinic Fee Comparision GROUP CPT DESCRIPTION Code 1 Code 2 Code 3 Code 4 Code 5 Difference $0.00 $0.00 $0.00 $0.00 $0.00 Office Procedures LEEP WITH BIOSPY $116.00 $116.00 $232.00 $313.00 $333.00 Office Procedures LEEP WITH BIOSPY $116.00 $116.00 $232.00 $313.00 $333.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 Office Procedures LEEP WITH CONIZATION $140.00 $140.00 $279.00 $377.00 $400.00 Office Procedures LEEP WITH CONIZATION $140.00 $140.00 $279.00 $377.00 $400.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 Office Procedures CERVICAL LESION BIOSPY $30.00 $30.00 $60.00 $120.00 $161.00 Office Procedures CERVICAL LESION BIOSPY $30.00 $30.00 $60.00 $120.00 $161.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 Office Procedures CRYOCAUTERY CERVIX-INITIAL OR REPEAT $42.00 $42.00 $83.00 $165.00 $223.00 Office Procedures CRYOCAUTERY CERVIX-INITIAL OR REPEAT $42.00 $42.00 $83.00 $165.00 $223.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 Office Procedures ENDOMETRIAL BIOPSY WITH OR WITHOUT BIOPSY $25.00 $25.00 $50.00 $110.00 $130.00 Office Procedures ENDOMETRIAL BIOPSY WITH OR WITHOUT BIOPSY $25.00 $25.00 $50.00 $110.00 $130.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 Office Procedures ENDOMETRIAL BIOPSY WITH COLPOSCOPY $22.00 $22.00 $45.00 $55.00 $75.00 Office Procedures ENDOMETRIAL BIOPSY WITH COLPOSCOPY $22.00 $22.00 $45.00 $55.00 $75.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 Office Procedures INSERTION IUD $0.00 $30.00 $60.00 $78.00 $98.00 Office Procedures INSERTION IUD $0.00 $30.00 $60.00 $78.00 $98.00 2026 Dept of Public Health and Environment 2025 Public Health Clinic Fee Comparision GROUP CPT DESCRIPTION Code 1 Code 2 Code 3 Code 4 Code 5 Difference $0.00 $0.00 $0.00 $0.00 $0.00 Office Procedures REMOVAL IUD $0.00 $45.00 $90.00 $119.00 $130.00 Office Procedures REMOVAL IUD $0.00 $45.00 $90.00 $119.00 $130.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 Office Procedures ULTRASOUND-PELVIC NON-OBSTETRIC $51.00 $51.00 $102.00 $137.00 $160.00 Office Procedures ULTRASOUND-PELVIC NON-OBSTETRIC $51.00 $51.00 $102.00 $137.00 $160.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 Labs BASIC METABOLIC PANEL $5.00 $8.00 $10.00 $14.00 $30.00 Labs BASIC METABOLIC PANEL $3.00 $4.00 $5.00 $12.00 $20.00 Difference $2.00 $4.00 $5.00 $2.00 $10.00 Labs COMPREHENSIVE METABOLIC PANEL $5.00 $8.00 $10.00 $14.00 $30.00 Labs COMPREHENSIVE METABOLIC PANEL $3.00 $4.00 $5.00 $15.00 $24.00 Difference $2.00 $4.00 $5.00 ($1.00) $6.00 Labs LAB LIPID PANEL $5.00 $8.00 $10.00 $14.00 $30.00 Labs LAB LIPID PANEL $3.00 $4.00 $5.00 $14.00 $18.00 Difference $2.00 $4.00 $5.00 $0.00 $12.00 Labs HEPATITIS PANEL(ABC) $5.00 $8.00 $10.00 $14.00 $30.00 Labs HEPATITIS PANEL(ABC) $5.00 $8.00 $10.00 $20.00 $48.00 Difference $0.00 $0.00 $0.00 ($6.00) ($18.00) Labs LIVER PANEL $5.00 $8.00 $10.00 $14.00 $30.00 Labs LIVER PANEL $3.00 $4.00 $5.00 $9.00 $12.00 2026 Dept of Public Health and Environment 2025 Public Health Clinic Fee Comparision GROUP CPT DESCRIPTION Code 1 Code 2 Code 3 Code 4 Code 5 Difference $2.00 $4.00 $5.00 $5.00 $18.00 Labs URINALYSIS,COMPLETE w/MICROSCOPIC EXAM $5.00 $8.00 $10.00 $14.00 $30.00 Labs URINALYSIS,COMPLETE w/MICROSCOPIC EXAM $3.00 $4.00 $5.00 $5.00 $8.00 Difference $2.00 $4.00 $5.00 $9.00 $22.00 Labs URINALYSIS,W/O SCOPE(UA) $5.00 $8.00 $10.00 $14.00 $30.00 Labs URINALYSIS,W/0 SCOPE(UA) $3.00 $4.00 $5.00 $5.00 $8.00 Difference $2.00 $4.00 $5.00 $9.00 $22.00 Labs PREGNANCY TEST-URINE $5.00 $8.00 $10.00 $14.00 $30.00 Labs PREGNANCY TEST-URINE $3.00 $4.00 $5.00 $6.00 $7.00 Difference $2.00 $4.00 $5.00 $8.00 $23.00 Labs OCCULT BLOOD TEST,FECAL,IA $9.00 $14.00 $18.00 $19.00 $54.00 Labs OCCULT BLOOD TEST,FECAL,IA $9.00 $14.00 $18.00 $22.00 $36.00 Difference $0.00 $0.00 $0.00 ($3.00) $18.00 Labs VITAMIN D,25-HYDROXY,TOTAL,SERUM $6.00 $9.00 $12.00 $13.00 $36.00 Labs VITAMIN D,25-HYDROXY,TOTAL,SERUM $6.00 $9.00 $12.00 $20.00 $30.00 Difference $0.00 $0.00 $0.00 ($7.00) $6.00 Labs TOTAL CHOLESTEROL $5.00 $8.00 $10.00 $14.00 $30.00 Labs TOTAL CHOLESTEROL $3.00 $4.00 $5.00 $6.00 $10.00 Difference $2.00 $4.00 $5.00 $8.00 $20.00 Labs CREATINE $5.00 $8.00 $10.00 $14.00 $30.00 Labs CREATINE $3.00 $4.00 $5.00 $7.00 $12.00 2026 Dept of Public Health and Environment 2025 Public Health Clinic Fee Comparision GROUP CPT DESCRIPTION Code 1 Code 2 Code 3 Code 4 Code 5 Difference $2.00 $4.00 $5.00 $7.00 $18.00 Labs DHEA-SULFATE,SERUM $6.00 $9.00 $12.00 $13.00 $36.00 Labs DHEA-SULFATE,SERUM $6.00 $9.00 $12.00 $31.00 $51.00 Difference $0.00 $0.00 $0.00 ($18.00) ($15.00) Labs ESTRADIOL $5.00 $8.00 $10.00 $14.00 $30.00 Labs ESTRADIOL $4.00 $6.00 $7.00 $28.00 $38.00 Difference $1.00 $2.00 $3.00 ($14.00) ($8.00) Labs GLUCOSE RANDOM $5.00 $8.00 $10.00 $14.00 $30.00 Labs GLUCOSE RANDOM $3.00 $4.00 $6.00 $7.00 $12.00 Difference $2.00 $4.00 $4.00 $7.00 $18.00 Labs GLUCOSE TOLERANCE TEST 2 HR(GTT) $6.00 $9.00 $12.00 $13.00 $36.00 Labs GLUCOSE TOLERANCE TEST 2 HR(GTT) $6.00 $9.00 $12.00 $18.00 $29.00 Difference $0.00 $0.00 $0.00 ($5.00) $7.00 Labs FSH $5.00 $8.00 $10.00 $14.00 $30.00 Labs FSH $3.00 $5.00 $6.00 $19.00 $25.00 Difference $2.00 $3.00 $4.00 ($5.00) $5.00 Labs LH+FSH,SERUM $6.00 $9.00 $12.00 $13.00 $36.00 Labs LH+FSH,SERUM $6.00 $9.00 $12.00 $17.00 $29.00 Difference $0.00 $0.00 $0.00 ($4.00) $7.00 Labs LH $5.00 $8.00 $10.00 $14.00 $30.00 Labs LH $3.00 $5.00 $6.00 $19.00 $25.00 2026 Dept of Public Health and Environment 2025 Public Health Clinic Fee Comparision GROUP CPT DESCRIPTION Code 1 Code 2 Code 3 Code 4 Code 5 Difference $2.00 $3.00 $4.00 ($5.00) $5.00 Labs HGB A1C $5.00 $8.00 $10.00 $14.00 $30.00 Labs HGBAIC $3.00 $4.00 $5.00 $10.00 $14.00 Difference $2.00 $4.00 $5.00 $4.00 $16.00 Labs HGB A1C(FINGER STICK) $5.00 $8.00 $10.00 $14.00 $30.00 Labs HGB A1C(FINGER STICK) $3.00 $4.00 $5.00 $10.00 $14.00 Difference $2.00 $4.00 $5.00 $4.00 $16.00 Labs INSULIN,SERUM $5.00 $8.00 $10.00 $14.00 $30.00 Labs INSULIN,SERUM $3.00 $5.00 $6.00 $12.00 $16.00 Difference $2.00 $3.00 $4.00 $2.00 $14.00 Labs IRON PANEL $5.00 $8.00 $10.00 $14.00 $30.00 Labs IRON PANEL $3.00 $4.00 $5.00 $9.00 $15.00 Difference $2.00 $4.00 $5.00 $5.00 $15.00 Labs HDL CHOLESTEROL $5.00 $8.00 $10.00 $14.00 $30.00 Labs HDL CHOLESTEROL $3.00 $4.00 $5.00 $9.00 $12.00 Difference $2.00 $4.00 $5.00 $5.00 $18.00 Labs PROGESTERONE LEVEL $6.00 $9.00 $12.00 $13.00 $36.00 Labs PROGESTERONE LEVEL $6.00 $9.00 $12.00 $15.00 $20.00 Difference $0.00 $0.00 $0.00 ($2.00) $16.00 Labs PROLACTIN $5.00 $8.00 $10.00 $14.00 $30.00 Labs PROLACTIN $4.00 $6.00 $7.00 $27.00 $44.00 2026 Dept of Public Health and Environment 2025 Public Health Clinic Fee Comparision GROUP CPT DESCRIPTION Code 1 Code 2 Code 3 Code 4 Code 5 Difference $1.00 $2.00 $3.00 ($13.00) ($14.00) Labs TESTOSTERONE,FREE+TOTAL,SERUM $9.00 $13.00 $17.00 $18.00 $51.00 Labs TESTOSTERONE,FREE+TOTAL,SERUM $9.00 $13.00 $17.00 $21.00 $25.00 Difference $0.00 $0.00 $0.00 ($3.00) $26.00 Labs TESTOSTERONE,TOTAL $5.00 $8.00 $10.00 $14.00 $30.00 Labs TESTOSTERONE,TOTAL $4.00 $6.00 $7.00 $16.00 $25.00 Difference $1.00 $2.00 $3.00 ($2.00) $5.00 Labs T4THYROXINE $5.00 $8.00 $10.00 $14.00 $30.00 Labs T4THYROXINE $3.00 $4.00 $5.00 $7.00 $10.00 Difference $2.00 $4.00 $5.00 $7.00 $20.00 Labs TSH+FREE T4,SERUM $5.00 $8.00 $10.00 $14.00 $30.00 Labs TSH+FREE T4,SERUM $3.00 $4.00 $5.00 $7.00 $11.00 Difference $2.00 $4.00 $5.00 $7.00 $19.00 Labs T4(TOTAL FREE-UNBOUND) $5.00 $8.00 $10.00 $14.00 $30.00 Labs T4(TOTAL FREE-UNBOUND) $4.00 $6.00 $7.00 $10.00 $13.00 Difference $1.00 $2.00 $3.00 $4.00 $17.00 Labs TSH $5.00 $8.00 $10.00 $14.00 $30.00 Labs TSH $3.00 $4.00 $5.00 $17.00 $23.00 Difference $2.00 $4.00 $5.00 ($3.00) $7.00 Labs T3TRIIODOTHYRONINE $5.00 $8.00 $10.00 $14.00 $30.00 Labs T3 TRIIODOTHYRONINE $5.00 $8.00 $10.00 $15.00 $20.00 2026 Dept of Public Health and Environment 2025 Public Health Clinic Fee Comparision GROUP CPT DESCRIPTION Code 1 Code 2 Code 3 Code 4 Code 5 Difference $0.00 $0.00 $0.00 ($1.00) $10.00 Labs T3(FREE-UNBOUND) $6.00 $9.00 $11.00 $13.00 $33.00 Labs T3(FREE-UNBOUND) $6.00 $9.00 $11.00 $17.00 $23.00 Difference $0.00 $0.00 $0.00 ($4.00) $10.00 Labs REVERSE T3 $8.00 $12.00 $15.00 $17.00 $45.00 Labs REVERSE T3 $8.00 $12.00 $15.00 $22.00 $36.00 Difference $0.00 $0.00 $0.00 ($5.00) $9.00 Labs HCG QUANTITIVE-SERUM PREGNANCY TEST $5.00 $8.00 $10.00 $14.00 $30.00 Labs HCG QUANTITIVE-SERUM PREGNANCY TEST $3.00 $4.00 $5.00 $15.00 $21.00 Difference $2.00 $4.00 $5.00 ($1.00) $9.00 Labs HGB-FINGER STICK $0.00 $4.00 $4.00 $6.00 $12.00 Labs HGB-FINGER STICK $0.00 $4.00 $4.00 $4.00 $4.00 Difference $0.00 $0.00 $0.00 $2.00 $8.00 Labs CBC W/DIFF $5.00 $8.00 $10.00 $14.00 $30.00 Labs CBC W/DIFF $3.00 $4.00 $5.00 $11.00 $18.00 Difference $2.00 $4.00 $5.00 $3.00 $12.00 Labs CBC W/O DIFF $5.00 $8.00 $10.00 $14.00 $30.00 Labs CBC W/O DIFF $3.00 $4.00 $5.00 $9.00 $15.00 Difference $2.00 $4.00 $5.00 $5.00 $15.00 Labs HEP B SURFACE AB QUANTITATIVE $5.00 $8.00 $10.00 $14.00 $30.00 Labs HEP B SURFACE AB QUANTITATIVE $4.00 $6.00 $7.00 $15.00 $21.00 2026 Dept of Public Health and Environment 2025 Public Health Clinic Fee Comparision GROUP CPT DESCRIPTION Code 1 Code 2 Code 3 Code 4 1 Code 5 Difference $1.00 $2.00 $3.00 ($1.00) $9.00 Labs THYROID PEROXIDASE(TPO)AB,SERUM $5.00 $8.00 $10.00 $14.00 $30.00 Labs THYROID PEROXIDASE(TPO)AB,SERUM $4.00 $6.00 $7.00 $16.00 $22.00 Difference $1.00 $2.00 $3.00 ($2.00) $8.00 Labs TUBERCULOSIS TEST-QUANTIFERON(IGRA) $26.00 $39.00 $52.00 $53.00 $156.00 Labs TUBERCULOSIS TEST-QUANTIFERON(IGRA) $26.00 $39.00 $52.00 $62.00 $84.00 Difference $0.00 $0.00 $0.00 ($9.00) $72.00 Labs TUBERCULOSIS INTERDERMAL SKIN TEST(PPD) $6.00 $9.00 $11.00 $13.00 $33.00 Labs TUBERCULOSIS INTERDERMAL SKIN TEST(PPD) $6.00 $9.00 $11.00 $11.00 $11.00 Difference $0.00 $0.00 $0.00 $2.00 $22.00 Labs RPR REFLEX QN/RPR/CONFIRM TP $5.00 $8.00 $10.00 $14.00 $30.00 Labs RPR REFLEX QN/RPR/CONFIRM TP $3.00 $4.00 $5.00 $6.00 $10.00 Difference $2.00 $4.00 $5.00 $8.00 $20.00 Labs HERPES SELECT-TYPE I(89999A33) $5.00 $8.00 $10.00 $14.00 $30.00 Labs HERPES SELECT-TYPE I(89999A33) $4.00 $6.00 $7.00 $14.00 $18.00 Difference $1.00 $2.00 $3.00 $0.00 $12.00 Labs HERPES SELECT-TYPE II(89999A33) $9.00 $13.00 $17.00 $18.00 $51.00 Labs HERPES SELECT-TYPE II(89999A33) $9.00 $13.00 $17.00 $27.00 $44.00 Difference $0.00 $0.00 $0.00 ($9.00) $7.00 HERPES SIMPLEX VIRUS(HSV)TYPES 1 AND 2-SPECIFIC ANTIBODIES, Labs IGG $7.00 $11.00 $14.00 $15.00 $42.00 2026 Dept of Public Health and Environment 2025 Public Health Clinic Fee Comparision GROUP CPT DESCRIPTION Code 1 Code 2 Code 3 Code 4 Code 5 HERPES SIMPLEX VIRUS(HSV)TYPES 1 AND 2-SPECIFIC ANTIBODIES, Labs IGG $7.00 $11.00 $14.00 $19.00 $25.00 Difference $0.00 $0.00 $0.00 ($4.00) $17.00 Labs HEPATITIS B CORE ANTIBODY,TOTAL $9.00 $13.00 $17.00 $18.00 $51.00 Labs HEPATITIS B CORE ANTIBODY,TOTAL $9.00 $13.00 $17.00 $17.00 $28.00 Difference $0.00 $0.00 $0.00 $1.00 $23.00 Labs HEP B CORE AB-HEP B CORE ANTIBODY,IGM REFLEX $5.00 $8.00 $10.00 $14.00 $30.00 Labs HEP B CORE AB-HEP B CORE ANTIBODY,IGM REFLEX $4.00 $6.00 $7.00 $12.00 $16.00 Difference $1.00 $2.00 $3.00 $2.00 $14.00 Labs HEP B SURFACE ANTIBODY-QUALITATIVE $5.00 $8.00 $10.00 $14.00 $30.00 Labs HEP B SURFACE ANTIBODY-QUALITATIVE $4.00 $6.00 $7.00 $15.00 $25.00 Difference $1.00 $2.00 $3.00 ($1.00) $5.00 Labs HEPAANTIBODY $5.00 $8.00 $10.00 $14.00 $30.00 Labs HEPAANTIBODY $4.00 $6.00 $7.00 $13.00 $17.00 Difference $1.00 $2.00 $3.00 $1.00 $13.00 Labs HEP A IGM ANTIBODY $5.00 $8.00 $10.00 $14.00 $30.00 Labs HEP A IGM ANTIBODY $5.00 $7.00 $9.00 $12.00 $16.00 Difference $0.00 $1.00 $1.00 $2.00 $14.00 Labs T PALLIDUM SCREENING CASCADE $5.00 $8.00 $10.00 $14.00 $30.00 Labs T PALLIDUM SCREENING CASCADE $5.00 $8.00 $10.00 $14.00 $18.00 Difference $0.00 $0.00 $0.00 $0.00 $12.00 2026 Dept of Public Health and Environment 2025 Public Health Clinic Fee Comparision GROUP CPT DESCRIPTION Code 1 Code 2 Code 3 Code 4 Code 5 Labs TREPONEMA PALLIDUM-TPPA $5.00 $8.00 $10.00 $14.00 $30.00 Labs TREPONEMA PALLIDUM-TPPA $5.00 $8.00 $10.00 $14.00 $18.00 Difference $0.00 $0.00 $0.00 $0.00 $12.00 Labs RPR RAPID-CHEMBIO $0.00 $0.00 $0.00 $0.00 $0.00 Labs RPR RAPID-CHEMBIO $0.00 $0.00 $0.00 $0.00 $0.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 Labs THYROGLOBULIN AB $5.00 $8.00 $10.00 $14.00 $30.00 Labs THYROGLOBULIN AB $5.00 $7.00 $9.00 $16.00 $22.00 Difference $0.00 $1.00 $1.00 ($2.00) $8.00 Labs HEPATITIS C ANTIBODY $14.00 $21.00 $28.00 $29.00 $84.00 Labs HEPATITIS C ANTIBODY $14.00 $21.00 $28.00 $33.00 $38.00 Difference $0.00 $0.00 $0.00 ($4.00) $46.00 Labs URINE CULTURE,COMPREHENSIVE $5.00 $8.00 $10.00 $14.00 $30.00 Labs URINE CULTURE,COMPREHENSIVE $3.00 $4.00 $5.00 $9.00 $12.00 Difference $2.00 $4.00 $5.00 $5.00 $18.00 Labs WET PREP $7.00 $11.00 $14.00 $15.00 $42.00 Labs WET PREP $7.00 $11.00 $14.00 $14.00 $18.00 Difference $0.00 $0.00 $0.00 $1.00 $24.00 Labs INFLUENZA-VIRAL CULTURE $18.00 $27.00 $35.00 $37.00 $105.00 Labs INFLUENZA-VIRAL CULTURE $18.00 $27.00 $35.00 $35.00 $35.00 Difference $0.00 $0.00 $0.00 $2.00 $70.00 2026 Dept of Public Health and Environment 2025 Public Health Clinic Fee Comparision GROUP CPT DESCRIPTION Code 1 Code 2 Code 3 Code 4 Code 5 Labs HERPES CULTURE $10.00 $15.00 $19.00 $21.00 $57.00 Labs HERPES CULTURE $10.00 $15.00 $19.00 $34.00 $45.00 Difference $0.00 $0.00 $0.00 ($13.00) $12.00 Labs HEP B SURFACE AG(HBsAg SCREEN) $5.00 $8.00 $10.00 $14.00 $30.00 Labs HEP B SURFACE AG(HBsAg SCREEN) $3.00 $4.00 $5.00 $11.00 $14.00 Difference $2.00 $4.00 $5.00 $3.00 $16.00 Labs HIV-1 ANTIGEN W/HIV-1&HIV-2 $5.00 $8.00 $10.00 $14.00 $30.00 Labs HIV-1 ANTIGEN W/HIV-1&HIV-2 $3.00 $5.00 $6.00 $12.00 $24.00 Difference $2.00 $3.00 $4.00 $2.00 $6.00 Labs CHLAMYDIA PCR $5.00 $8.00 $10.00 $14.00 $30.00 Labs CHLAMYDIA PCR $3.00 $4.00 $5.00 $15.00 $21.00 Difference $2.00 $4.00 $5.00 ($1.00) $9.00 Labs HEPATITIS C PCR $55.00 $83.00 $110.00 $113.00 $330.00 Labs HEPATITIS C PCR $55.00 $83.00 $110.00 $110.00 $110.00 Difference $0.00 $0.00 $0.00 $3.00 $220.00 Labs HERPES SIMPLEX VIRUS(HSV)TYPES 1/2,DNA PCR $95.00 $143.00 $190.00 $194.00 $570.00 Labs HERPES SIMPLEX VIRUS(HSV)TYPES 1/2,DNA PCR $95.00 $143.00 $190.00 $190.00 $190.00 Difference $0.00 $0.00 $0.00 $4.00 $380.00 Labs HIV RNA VIRAL LOAD $29.00 $44.00 $58.00 $60.00 $174.00 Labs HIV RNA VIRAL LOAD $29.00 $44.00 $58.00 $86.00 $115.00 Difference $0.00 $0.00 $0.00 ($26.00) $59.00 2026 Dept of Public Health and Environment 2025 Public Health Clinic Fee Comparision GROUP CPT DESCRIPTION Code 1 Code 2 Code 3 Code 4 Code 5 Labs MYCOPLASMA GENITALIUM SWAB $18.00 $27.00 $35.00 $37.00 $105.00 Labs MYCOPLASMA GENITALIUM SWAB $18.00 $27.00 $35.00 $39.00 $48.00 Difference $0.00 $0.00 $0.00 ($2.00) $57.00 Labs MYCOPLASMAGENITALIUM URINE $18.00 $27.00 $35.00 $37.00 $105.00 Labs MYCOPLASMAGENITALIUM URINE $18.00 $27.00 $35.00 $39.00 $48.00 Difference $0.00 $0.00 $0.00 ($2.00) $57.00 Labs MONKEYPDX TESTING LABCORP $14.00 $21.00 $28.00 $29.00 $84.00 Labs MONKEYPDX TESTING LABCORP $14.00 $21.00 $28.00 $35.00 $38.00 Difference $0.00 $0.00 $0.00 ($6.00) $46.00 Labs HPV,HIGH RISK $5.00 $8.00 $10.00 $14.00 $30.00 Labs HPV,HIGH RISK $3.00 $4.00 $5.00 $20.00 $35.00 Difference $2.00 $4.00 $5.00 ($6.00) ($5.00) Labs HPV TYPING 16,18,45 $8.00 $12.00 $15.00 $17.00 $45.00 Labs HPV TYPING 16,18,45 $8.00 $12.00 $15.00 $25.00 $41.00 Difference $0.00 $0.00 $0.00 ($8.00) $4.00 Labs TRICHOMONAS VAGINALIS-AMPLIFIED $18.00 $27.00 $35.00 $37.00 $105.00 Labs TRICHOMONAS VAGINALIS-AMPLIFIED $18.00 $27.00 $35.00 $48.00 $79.00 Difference $0.00 $0.00 $0.00 ($11.00) $26.00 Labs PHYSICIAN READ PAP $5.00 $8.00 $10.00 $14.00 $30.00 Labs PHYSICIAN READ PAP $4.00 $6.00 $7.00 $7.00 $7.00 Difference $1.00 $2.00 $3.00 $7.00 $23.00 2026 Dept of Public Health and Environment 2025 Public Health Clinic Fee Comparision GROUP CPT DESCRIPTION Code 1 Code 2 Code 3 Code 4 Code 5 Labs PAP-THIN PREP $10.00 $15.00 $19.00 $21.00 $57.00 Labs PAP-THIN PREP $10.00 $15.00 $19.00 $21.00 $34.00 Difference $0.00 $0.00 $0.00 $0.00 $23.00 Labs PAP,THIN PREP,W HR HPV,REFLEX 16,18,45 $11.00 $16.00 $21.00 $22.00 $63.00 Labs PAP,THIN PREP,W HR HPV,REFLEX 16,18,45 $11.00 $16.00 $21.00 $27.00 $44.00 Difference $0.00 $0.00 $0.00 ($5.00) $19.00 Labs LEVEL 4-SURGICAL PATHOLOGY $19.00 $28.00 $37.00 $38.00 $111.00 Labs LEVEL4-SURGICALPATHOLOGY $19.00 $28.00 $37.00 $74.00 $112.00 Difference $0.00 $0.00 $0.00 ($36.00) ($1.00) Labs LEVEL 4-SURGICAL PATHOLOGY 2ND SITE&EACH ADDL $19.00 $28.00 $37.00 $38.00 $111.00 Labs LEVEL 4-SURGICAL PATHOLOGY 2ND SITE&EACH ADDL $19.00 $28.00 $37.00 $74.00 $112.00 Difference $0.00 $0.00 $0.00 ($36.00) ($1.00) Immunizations BEYFORTUS(UNDER 5 KGS.)0.5ML $627.00 $627.00 $627.00 $847.00 $1,881.00 Immunizations BEYFORTUS(UNDER 5 KGS.)0.5ML $598.00 $598.00 $598.00 $598.00 $598.00 Difference $29.00 $29.00 $29.00 $249.00 $1,283.00 Immunizations BEYFORTUS(OVER 5 KGS.)1.0ML $627.00 $627.00 $627.00 $847.00 $1,881.00 Immunizations BEYFORTUS(OVER 5 KGS.)1.0ML $598.00 $598.00 $598.00 $598.00 $598.00 Difference $29.00 $29.00 $29.00 $249.00 $1,283.00 IZ Admin. IMMUNIZATION-ADMIN FEE-ONE VACCINE $21.00 $21.00 $21.00 $21.00 $21.00 IZ Admin. IMMUNIZATION-ADMIN FEE-ONE VACCINE $21.00 $21.00 $21.00 $21.00 $21.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 2026 Dept of Public Health and Environment 2025 Public Health Clinic Fee Comparision GROUP CPT DESCRIPTION Code 1 Code 2 Code 3 Code 4 Code 5 IZ Admin. IMMUNIZATION-ADMIN FEE-EACH ADDITIONAL VACCINE $21.00 $21.00 $21.00 $21.00 $21.00 IZ Admin. IMMUNIZATION-ADMIN FEE-EACH ADDITIONAL VACCINE $21.00 $21.00 $21.00 $21.00 $21.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 IZ Admin. IMMUNIZATION-ADMIN FEE-INTRANASAL OR ORAL $21.00 $21.00 $21.00 $21.00 $21.00 IZ Admin. IMMUNIZATION-ADMIN FEE-INTRANASAL OR ORAL $21.00 $21.00 $21.00 $21.00 $21.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 IZ Admin. IMMUNIZATION-ADMIN FEE-INTRANASAL OR ORAL-EACH ADD'L $21.00 $21.00 $21.00 $21.00 $21.00 IZ Admin. IMMUNIZATION-ADMIN FEE-INTRANASAL OR ORAL-EACH ADD'L $21.00 $21.00 $21.00 $21.00 $21.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 IZ Admin. COVID-ADMIN FEE $21.00 $21.00 $21.00 $21.00 $21.00 IZ Admin. ADMINISTRATION INJ-COVID $21.00 $42.00 $62.00 $62.00 $62.00 Difference $0.00 ($21.00) ($41.00) ($41.00) ($41.00) Travel IXCHIQ $506.00 $506.00 $506.00 $506.00 $506.00 Travel IXCHIQ $344.00 $344.00 $344.00 $344.00 $344.00 Difference $162.00 $162.00 $162.00 $162.00 $162.00 Travel VIMKUMYA $364.00 $364.00 $364.00 $364.00 $364.00 Travel VIMKUMYA $337.00 $337.00 $337.00 $337.00 $337.00 Difference $27.00 $27.00 $27.00 $27.00 $27.00 Immunizations JYNNEOS $149.00 $224.00 $298.00 $365.00 $810.00 Immunizations JYNNEOS $153.00 $229.00 $305.00 $489.00 $672.00 2026 Dept of Public Health and Environment 2025 Public Health Clinic Fee Comparision GROUP CPT DESCRIPTION Code 1 Code 2 Code 3 Code 4 Code 5 Difference ($4.00) ($5.00) ($7.00) ($124.00) $138.00 Immunizations BEXSERO $238.00 $238.00 $238.00 $322.00 $714.00 Immunizations BEXSERO $196.00 $196.00 $196.00 $196.00 $196.00 Difference $42.00 $42.00 $42.00 $126.00 $518.00 Travel VAXCHORA-ORAL $374.00 $374.00 $374.00 $374.00 $374.00 Travel VAXCHORA-ORAL $297.00 $297.00 $297.00 $297.00 $297.00 Difference $77.00 $77.00 $77.00 $77.00 $77.00 Immunizations HAVRIX-ADULT $45.00 $68.00 $90.00 $118.00 $261.00 Immunizations HAVRIX-ADULT $42.00 $63.00 $83.00 $83.00 $83.00 Difference $3.00 $5.00 $7.00 $35.00 $178.00 Immunizations HAVRIX-CHILD $39.00 $39.00 $39.00 $53.00 $117.00 Immunizations HAVRIX-CHILD $33.00 $33.00 $33.00 $38.00 $52.00 Difference $6.00 $6.00 $6.00 $15.00 $65.00 Immunizations TWINRIX $133.00 $133.00 $133.00 $180.00 $399.00 Immunizations TWINRIX $120.00 $120.00 $120.00 $145.00 $170.00 Difference $13.00 $13.00 $13.00 $35.00 $229.00 Immunizations PEDVAX $48.00 $48.00 $48.00 $42.00 $93.00 Immunizations PEDVAX $36.00 $36.00 $36.00 $45.00 $45.00 Difference $12.00 $12.00 $12.00 ($3.00) $48.00 Immunizations GARDASIL9-ADULT $230.00 $345.00 $459.00 $416.00 $924.00 Immunizations GARDASIL9-ADULT $177.00 $266.00 $354.00 $354.00 $354.00 2026 Dept of Public Health and Environment 2025 Public Health Clinic Fee Comparision GROUP CPT DESCRIPTION Code 1 Code 2 Code 3 Code 4 Code 5 Difference $53.00 $79.00 $105.00 $62.00 $570.00 Immunizations FLUARIX $21.00 $21.00 $21.00 $27.00 $30.00 Immunizations FLUARIX $23.00 $23.00 $23.00 $23.00 $23.00 Difference ($2.00) ($2.00) ($2.00) $4.00 $7.00 Immunizations FLUBLOK-HD $99.00 $99.00 $99.00 $134.00 $297.00 Immunizations FLUBLOK $66.00 $66.00 $66.00 $66.00 $66.00 Difference $33.00 $33.00 $33.00 $68.00 $231.00 Immunizations RABAVERT(2 DOSES REQ.) $450.00 $450.00 $450.00 $468.00 $1,038.00 Immunizations RABAVERT(2 DOSES REQ.) $200.00 $300.00 $399.00 $399.00 $399.00 Difference $250.00 $150.00 $51.00 $69.00 $639.00 Travel RABAVERT-TRAVEL(2 DOSES REQ.) $529.00 $529.00 $529.00 $529.00 $529.00 Travel RABAVERT-TRAVEL(2 DOSES REQ.) $434.00 $434.00 $434.00 $434.00 $434.00 Difference $95.00 $95.00 $95.00 $95.00 $95.00 Immunizations PREVNAR 20 $188.00 $282.00 $375.00 $372.00 $825.00 Immunizations PREVNAR 20 $150.00 $225.00 $300.00 $327.00 $354.00 Difference $38.00 $57.00 $75.00 $45.00 $471.00 Immunizations AREXVY-ADULT $158.00 $237.00 $316.00 $397.00 $882.00 Immunizations AREXVY-ADULT $151.00 $226.00 $301.00 $407.00 $813.00 Difference $7.00 $11.00 $15.00 ($10.00) $69.00 Immunizations ROTARIX $148.00 $148.00 $148.00 $200.00 $444.00 Immunizations ROTARIX $124.00 $124.00 $124.00 $139.00 $187.00 2026 Dept of Public Health and Environment 2025 Public Health Clinic Fee Comparision GROUP CPT DESCRIPTION Code 1 Code 2 I Code 3 Code 4 I Code 5 Difference $24.00 $24.00 $24.00 $61.00 $257.00 Travel VIVOTIF-ORAL $140.00 $140.00 $140.00 $140.00 $140.00 Travel VIVOTIF-ORAL $125.00 $125.00 $125.00 $125.00 $125.00 Difference $15.00 $15.00 $15.00 $15.00 $15.00 Travel TYPHIM-SHOT $290.00 $290.00 $290.00 $290.00 $290.00 Travel TYPHIM-SHOT $243.00 $243.00 $243.00 $243.00 $243.00 Difference $47.00 $47.00 $47.00 $47.00 $47.00 Immunizations KINRIX $63.00 $63.00 $63.00 $86.00 $189.00 Immunizations KINRIX $53.00 $53.00 $53.00 $69.00 $84.00 Difference $10.00 $10.00 $10.00 $17.00 $105.00 Immunizations PENTACEL $132.00 $132.00 $132.00 $179.00 $396.00 Immunizations PENTACEL $132.00 $132.00 $132.00 $144.00 $155.00 Difference $0.00 $0.00 $0.00 $35.00 $241.00 Immunizations INFANRIX $30.00 $30.00 $30.00 $41.00 $90.00 Immunizations INFANRIX $24.00 $24.00 $24.00 $39.00 $65.00 Difference $6.00 $6.00 $6.00 $2.00 $25.00 Immunizations PRIORIX(MMR) $49.00 $73.00 $97.00 $129.00 $286.00 Immunizations MMR $55.00 $83.00 $110.00 $149.00 $297.00 Difference ($6.00) ($10.00) ($13.00) ($20.00) ($11.00) Immunizations PROQUAD $419.00 $419.00 $419.00 $566.00 $1,257.00 Immunizations PROQUAD $160.00 $240.00 $320.00 $365.00 $864.00 2026 Dept of Public Health and Environment 2025 Public Health Clinic Fee Comparision GROUP CPT DESCRIPTION Code 1 Code 2 Code 3 Code 4 Code 5 Difference $259.00 $179.00 $99.00 $201.00 $393.00 Immunizations IPV $26.00 $39.00 $51.00 $61.00 $135.00 Immunizations IPV $50.00 $50.00 $50.00 $58.00 $93.00 Difference ($24.00) ($11.00) $1.00 $3.00 $42.00 Immunizations TENIVAC $22.00 $33.00 $43.00 $56.00 $123.00 Immunizations TENIVAC $43.00 $43.00 $43.00 $54.00 $112.00 Difference ($21.00) ($10.00) $0.00 $2.00 $11.00 Immunizations BOOSTRIX $25.00 $38.00 $50.00 $68.00 $150.00 Immunizations BOOSTRIX $48.00 $48.00 $48.00 $48.00 $48.00 Difference ($23.00) ($10.00) $2.00 $20.00 $102.00 Immunizations VARIVAX $106.00 $159.00 $211.00 $248.00 $549.00 Immunizations VARIVAX $106.00 $159.00 $211.00 $224.00 $236.00 Difference $0.00 $0.00 $0.00 $24.00 $313.00 Travel YELLOW FEVER $306.00 $306.00 $306.00 $306.00 $306.00 Travel YELLOW FEVER $245.00 $245.00 $245.00 $245.00 $245.00 Difference $61.00 $61.00 $61.00 $61.00 $61.00 Immunizations PEDIARIX $104.00 $104.00 $104.00 $141.00 $312.00 Immunizations PEDIARIX $72.00 $72.00 $72.00 $98.00 $133.00 Difference $32.00 $32.00 $32.00 $43.00 $179.00 Immunizations PNEUMOVAX 23 $86.00 $129.00 $171.00 $160.00 $354.00 Immunizations PNEUMOVAX 23 $68.00 $102.00 $135.00 $147.00 $159.00 2026 Dept of Public Health and Environment 2025 Public Health Clinic Fee Comparision GROUP CPT DESCRIPTION Code 1 Code 2 Code 3 Code 4 Code 5 Difference $18.00 $27.00 $36.00 $13.00 $195.00 Immunizations MENVEO $84.00 $126.00 $167.00 $226.00 $501.00 Immunizations MENVEO $64.00 $96.00 $128.00 $158.00 $213.00 Difference $20.00 $30.00 $39.00 $68.00 $288.00 Travel IXIARO $506.00 $506.00 $506.00 $506.00 $506.00 Travel IXIARO $457.00 $457.00 $457.00 $457.00 $457.00 Difference $49.00 $49.00 $49.00 $49.00 $49.00 Immunizations ENGERIX B-CHILD $30.00 $30.00 $30.00 $41.00 $90.00 Immunizations ENGERIX B-CHILD $22.00 $22.00 $22.00 $28.00 $39.00 Difference $8.00 $8.00 $8.00 $13.00 $51.00 Immunizations ENGERIX B-ADULT $37.00 $55.00 $73.00 $99.00 $219.00 Immunizations ENGERIX B-ADULT $55.00 $55.00 $55.00 $55.00 $55.00 Difference ($18.00) $0.00 $18.00 $44.00 $164.00 Immunizations SHINGRIX $111.00 $166.00 $221.00 $292.00 $648.00 Immunizations SHINGRIX $111.00 $166.00 $221.00 $268.00 $268.00 Difference $0.00 $0.00 $0.00 $24.00 $380.00 Immunizations MODERNA-6 MONTHS-11 YRS. $97.00 $97.00 $97.00 $131.00 $291.00 Immunizations MODERNA-6 MONTHS-11 YRS. $169.00 $169.00 $169.00 $169.00 $169.00 Difference ($72.00) ($72.00) ($72.00) ($38.00) $122.00 Immunizations SPIKEVAX-12+ $93.00 $140.00 $186.00 $192.00 $426.00 Immunizations SPIKEVAX-12+ $93.00 $140.00 $186.00 $186.00 $201.00 2026 Dept of Public Health and Environment 2025 Public Health Clinic Fee Comparision GROUP CPT DESCRIPTION Code 1 Code 2 Code 3 Code 4 Code 5 Difference $0.00 $0.00 $0.00 $6.00 $225.00 Office Procedures ADMIN FEE DEPO/ANTIBIOTICS-IF VISIT FOR INJECTION ONLY $15.00 $15.00 $15.00 $15.00 $21.00 Office Procedures ADMIN FEE DEPO/ANTIBIOTICS-IF VISIT FOR INJECTION ONLY $15.00 $15.00 $15.00 $15.00 $21.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 IZ Admin. RSV-ADMIN FEE $21.00 $21.00 $21.00 $21.00 $21.00 IZ Admin. RSV-ADMIN FEE $21.00 $21.00 $21.00 $21.00 $21.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 Office Visit NEW CLIENT -EXPANDED(15-29 MIN) $0.00 $46.00 $91.00 $123.00 $205.00 Office Visit NEW CLIENT -EXPANDED(15-29 MIN) $0.00 $46.00 $91.00 $123.00 $205.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 Office Visit NEW CLIENT-DETAILED(30-44 MIN) $0.00 $66.00 $132.00 $178.00 $297.00 Office Visit NEW CLIENT-DETAILED(30-44 MIN) $0.00 $66.00 $132.00 $178.00 $297.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 Office Visit NEW CLIENT-COMPREHENSIVE(45-59 MIN) $0.00 $100.00 $200.00 $270.00 $450.00 Office Visit NEW CLIENT-COMPREHENSIVE(45-59 MIN) $0.00 $100.00 $200.00 $270.00 $450.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 Office Visit NEW CLIENT-COMPLEX(60-74 MIN) $0.00 $115.00 $225.00 $300.00 $475.00 Office Visit NEW CLIENT-COMPLEX(60-74 MIN) $0.00 $115.00 $225.00 $300.00 $475.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 Office Visit ESTABLISHED CLIENT-MINIMAL(5-9 MIN) $0.00 $16.00 $31.00 $42.00 $69.00 Office Visit ESTABLISHED CLIENT-MINIMAL(5-9 MIN) $0.00 $16.00 $31.00 $42.00 $69.00 2026 Dept of Public Health and Environment 2025 Public Health Clinic Fee Comparision GROUP CPT DESCRIPTION Code 1 Code 2 Code 3 Code 4 Code 5 Difference $0.00 $0.00 $0.00 $0.00 $0.00 Office Visit ESTABLISHED CLIENT-FOCUSED(10-19 MIN) $0.00 $30.00 $59.00 $80.00 $133.00 Office Visit ESTABLISHED CLIENT-FOCUSED(10-19 MIN) $0.00 $30.00 $59.00 $80.00 $133.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 Office Visit ESTABLISHED CLIENT-EXPANDED(15-29 MIN) $0.00 $45.00 $89.00 $120.00 $200.00 Office Visit ESTABLISHED CLIENT-EXPANDED(15-29 MIN) $0.00 $45.00 $89.00 $120.00 $200.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 Office Visit ESTABLISHED CLIENT-DETAILED(30-39 MIN) $0.00 $68.00 $136.00 $183.00 $305.00 Office Visit ESTABLISHED CLIENT-DETAILED(30-39 MIN) $0.00 $68.00 $136.00 $183.00 $305.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 Office Visit ESTABLISHED CLIENT-COMPREHENSIVE $0.00 $89.00 $178.00 $240.00 $400.00 Office Visit ESTABLISHED CLIENT-COMPREHENSIVE $0.00 $89.00 $178.00 $240.00 $400.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 NFP NFP-PREVENTIVE COUNSELING(8-22 MIN) $30.00 $30.00 $30.00 $30.00 $30.00 NFP NFP-PREVENTIVE COUNSELING(8-22 MIN) $30.00 $30.00 $30.00 $30.00 $30.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 Office Visit PREVENTIVE MEDICINE(8-22 MIN) $0.00 $15.00 $29.00 $40.00 $66.00 Office Visit PREVENTIVE MEDICINE(8-22 MIN) $0.00 $15.00 $29.00 $40.00 $66.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 Travel TRAVEL-RETURN OFFICE VISIT $60.00 $60.00 $60.00 $60.00 $60.00 Travel TRAVEL-RETURN OFFICE VISIT $60.00 $60.00 $60.00 $60.00 $60.00 2026 Dept of Public Health and Environment 2025 Public Health Clinic Fee Comparision GROUP CPT DESCRIPTION Code 1 Code 2 Code 3 Code 4 Code 5 Difference $0.00 $0.00 $0.00 $0.00 $0.00 NFP NFP-PREVENTIVE COUNSELING(23-37 MIN) $76.00 $76.00 $76.00 $76.00 $76.00 NFP NFP-PREVENTIVE COUNSELING(23-37 MIN) $76.00 $76.00 $76.00 $76.00 $76.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 Office Visit PREVENTIVE MEDICINE(23-37 MIN) $0.00 $28.00 $56.00 $75.00 $125.00 Office Visit PREVENTIVE MEDICINE(23-37 MIN) $0.00 $28.00 $56.00 $75.00 $125.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 NFP NFP-PREVENTATIVE COUNSELING(38-52 MIN) $77.00 $77.00 $77.00 $77.00 $77.00 NFP NFP-PREVENTATIVE COUNSELING(38-52 MIN) $77.00 $77.00 $77.00 $77.00 $77.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 Office Visit PREVENTIVE MEDICINE(38-52 MIN) $0.00 $39.00 $77.00 $103.00 $172.00 Office Visit PREVENTIVE MEDICINE(38-52 MIN) $0.00 $39.00 $77.00 $103.00 $172.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 Travel TRAVEL-OFFICE VISIT $165.00 $165.00 $165.00 $165.00 $165.00 Travel TRAVEL-OFFICE VISIT $165.00 $165.00 $165.00 $165.00 $165.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 NFP NFP-PREVENTIVE COUNSELING(53-67 MIN) $97.00 $97.00 $97.00 $97.00 $97.00 NFP NFP-PREVENTIVE COUNSELING(53-67 MIN) $97.00 $97.00 $97.00 $97.00 $97.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 Office Visit PREVENTIVE MEDICINE (53-67 MIN) $0.00 $49.00 $97.00 $131.00 $219.00 Office Visit PREVENTIVE MEDICINE (53-67 MIN) $0.00 $49.00 $97.00 $131.00 $219.00 2026 Dept of Public Health and Environment 2025 Public Health Clinic Fee Comparision GROUP CPT DESCRIPTION Code 1 Code 2 Code 3 Code 4 Code 5 Difference $0.00 $0.00 $0.00 $0.00 $0.00 Office Visit 1693-OFFICE VISIT $175.00 $175.00 $175.00 $175.00 $175.00 Office Visit 1693-OFFICE VISIT $175.00 $175.00 $175.00 $175.00 $175.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 NFP NFP-TOBACCO USE CESSATION COUNSELING(3-10 MIN) $13.00 $13.00 $13.00 $13.00 $13.00 NFP NFP-TOBACCO USE CESSATION COUNSELING(3-10 MIN) $13.00 $13.00 $13.00 $13.00 $13.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 NFP NFP-TOBACCO USE CESSATION COUNSELING(11+MIN) $27.00 $27.00 $27.00 $27.00 $27.00 NFP NFP-TOBACCO USE CESSATION COUNSELING(11+MIN) $27.00 $27.00 $27.00 $27.00 $27.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 Travel TRAVEL -GROUP INITIAL VISIT(PER PERSON) $80.00 $80.00 $80.00 $80.00 $80.00 Travel TRAVEL -GROUP INITIAL VISIT(PER PERSON) $80.00 $80.00 $80.00 $80.00 $80.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 TB TB-OV and QFT TEST $150.00 $150.00 $150.00 $150.00 $150.00 TB TB-OV and QFT TEST $150.00 $150.00 $150.00 $150.00 $150.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 Contraception CONDOMS PKG 10 $0.00 $5.00 $5.00 $7.00 $21.00 Contraception CONDOMS PKG 10 $0.00 $3.00 $3.00 $3.00 $7.00 Difference $0.00 $2.00 $2.00 $4.00 $14.00 Contraception FEMALE CONDOMS $0.00 $5.00 $5.00 $7.00 $21.00 Contraception FEMALE CONDOMS $0.00 $3.00 $3.00 $3.00 $7.00 2026 Dept of Public Health and Environment 2025 Public Health Clinic Fee Comparision GROUP CPT DESCRIPTION Code 1 Code 2 Code 3 Code 4 Code 5 Difference $0.00 $2.00 $2.00 $4.00 $14.00 Labs HIV SCREEN,RAPID TEST $6.00 $9.00 $11.00 $13.00 $33.00 Labs HIV SCREEN,RAPID TEST $6.00 $9.00 $11.00 $13.00 $17.00 Difference $0.00 $0.00 $0.00 $0.00 $16.00 NFP NFP-MATERNAL DEPRESSION SCREENING- POSITIVE $34.00 $34.00 $34.00 $34.00 $34.00 NFP NFP-MATERNAL DEPRESSION SCREENING- POSITIVE $34.00 $34.00 $34.00 $34.00 $34.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 NFP NFP-MATERNAL DEPRESSION SCREENING-NEGATIVE $12.00 $12.00 $12.00 $12.00 $12.00 NFP NFP-MATERNAL DEPRESSION SCREENING-NEGATIVE $12.00 $12.00 $12.00 $12.00 $12.00 Difference $0.00 $0.00 $0.00 $0.00 $0.00 Medications LA BICILLIN 2.4 UNITS $5.00 $5.00 $5.00 $7.00 $15.00 Medications LA BICILLIN 2.4 UNITS $3.00 $3.00 $3.00 $12.00 $24.00 Difference $2.00 $2.00 $2.00 ($5.00) ($9.00) Medications CEFTRIAXONE 500 MG $5.00 $5.00 $5.00 $7.00 $15.00 Medications CEFTRIAXONE 500 MG $3.00 $3.00 $3.00 $3.00 $4.00 Difference $2.00 $2.00 $2.00 $4.00 $11.00 Contraception MEDROXYPROGESTERONE(DEPO)1 MG=150 UNITS $0.00 $7.00 $9.00 $13.00 $27.00 Contraception MEDROXYPROGESTERONE(DEPO)1 MG=150 UNITS $0.00 $10.00 $15.00 $30.00 $83.00 Difference $0.00 ($3.00) ($6.00) ($17.00) ($56.00) Contraception NUVARING $0.00 $5.00 $5.00 $7.00 $21.00 Contraception NUVARING $0.00 $5.00 $10.00 $15.00 $20.00 2026 Dept of Public Health and Environment 2025 Public Health Clinic Fee Comparision GROUP CPT DESCRIPTION Code 1 Code 2 Code 3 Code 4 Code 5 Difference $0.00 $0.00 ($5.00) ($8.00) $1.00 Contraception IUD KYLEENA(5 years) $437.00 $656.00 $874.00 $1,180.00 $2,622.00 Contraception IUD KYLEENA(5 years) $0.00 $394.00 $787.00 $906.00 $1,157.00 Difference $437.00 $262.00 $87.00 $274.00 $1,465.00 Contraception IUD LILETTA(8 years) $0.00 $108.00 $144.00 $195.00 $432.00 Contraception IUD LILETTA(8 years) $0.00 $58.00 $115.00 $133.00 $444.00 Difference $0.00 $50.00 $29.00 $62.00 ($12.00) Contraception IUD PARAGARD(10 years) $0.00 $260.00 $346.00 $468.00 $1,038.00 Contraception IUD PARAGARD(10 years) $0.00 $170.00 $340.00 $391.00 $543.00 Difference $0.00 $90.00 $6.00 $77.00 $495.00 Contraception NEXPLANON $0.00 $468.00 $623.00 $842.00 $1,869.00 Contraception NEXPLANON $0.00 $313.00 $626.00 $720.00 $939.00 Difference $0.00 $155.00 ($3.00) $122.00 $930.00 Medications DOXYCYCLINE 100 MG#14 $5.00 $5.00 $5.00 $7.00 $15.00 Medications DOXYCYCLINE 100 MG#14 $3.00 $3.00 $3.00 $3.00 $4.00 Difference $2.00 $2.00 $2.00 $4.00 $11.00 Medications SULFATRIM SMX/TMP(SULFAMETHOXAZOLE) $5.00 $5.00 $5.00 $7.00 $15.00 Medications SULFATRIM SMX/TMP(SULFAMETHOXAZOLE) $5.00 $5.00 $5.00 $5.00 $5.00 Difference $0.00 $0.00 $0.00 $2.00 $10.00 Medications METROGEL $5.00 $5.00 $5.00 $7.00 $15.00 Medications METROGEL $8.00 $8.00 $8.00 $8.00 $13.00 2026 Dept of Public Health and Environment 2025 Public Health Clinic Fee Comparision GROUP CPT DESCRIPTION Code 1 Code 2 Code 3 Code 4 Code 5 Difference ($3.00) ($3.00) ($3.00) ($1.00) $2.00 Medications METRONIDAZOLE 500 MG-#14 $5.00 $5.00 $5.00 $7.00 $15.00 Medications METRONIDAZOLE 500 MG-#14 $3.00 $3.00 $3.00 $3.00 $4.00 Difference $2.00 $2.00 $2.00 $4.00 $11.00 Medications FLUCONAZOLE 150 MG#1(pack) $5.00 $5.00 $5.00 $7.00 $15.00 Medications FLUCONAZOLE 150 MG#1(pack) $3.00 $3.00 $3.00 $3.00 $4.00 Difference $2.00 $2.00 $2.00 $4.00 $11.00 Medications IRON $5.00 $5.00 $5.00 $7.00 $15.00 Medications IRON $4.00 $4.00 $5.00 $5.00 $5.00 Difference $1.00 $1.00 $0.00 $2.00 $10.00 Medications NITROFURANTOIN 100 MG#14 $5.00 $5.00 $5.00 $7.00 $15.00 Medications NITROFURANTOIN 100 MG#14 $3.00 $3.00 $3.00 $4.00 $4.00 Difference $2.00 $2.00 $2.00 $3.00 $11.00 Medications NITROFURANTOIN 100 MG#10 $5.00 $5.00 $5.00 $7.00 $15.00 Medications NITROFURANTOIN 100 MG#10 $3.00 $3.00 $3.00 $3.00 $4.00 Difference $2.00 $2.00 $2.00 $4.00 $11.00 Medications PODOPHYLLIN/TCA $5.00 $5.00 $5.00 $7.00 $15.00 Medications PODOPHYLLIN/TCA $3.00 $9.00 $11.00 $14.00 $20.00 Difference $2.00 ($4.00) ($6.00) ($7.00) ($5.00) Medications CEFIXIME 400 MG#2 $5.00 $6.00 $8.00 $11.00 $33.00 Medications CEFIXIME 400 MG#2 $7.00 $7.00 $12.00 $15.00 $20.00 2026 Dept of Public Health and Environment 2025 Public Health Clinic Fee Comparision GROUP CPT DESCRIPTION Code 1 Code 2 Code 3 Code 4 Code 5 Difference ($2.00) ($1.00) ($4.00) ($4.00) $13.00 Medications ACYCLOVIR 400 MG TAB#21 $6.00 $9.00 $11.00 $15.00 $45.00 Medications ACYCLOVIR 400 MG TAB#21 $3.00 $3.00 $3.00 $3.00 $4.00 Difference $3.00 $6.00 $8.00 $12.00 $41.00 Medications MOXIFLOXACIN HCL 400 MG TAB#7 $5.00 $5.00 $5.00 $7.00 $15.00 Medications MOXIFLOXACIN HCL 400 MG TAB#7 $3.00 $4.00 $7.00 $10.00 $13.00 Difference $2.00 $1.00 ($2.00) ($3.00) $2.00 Medications CONDYLOX $5.00 $5.00 $5.00 $7.00 $15.00 Medications CONDYLOX $3.00 $3.00 $3.00 $3.00 $3.00 Difference $2.00 $2.00 $2.00 $4.00 $12.00 Medications ESTRADIOL 1 MG-#100 $5.00 $5.00 $5.00 $7.00 $15.00 Medications ESTRADIOL 1 MG-#100 $5.00 $5.00 $5.00 $5.00 $5.00 Difference $0.00 $0.00 $0.00 $2.00 $10.00 Medications MEDROXYPROGESTERONE 10 MG-#5 $5.00 $5.00 $5.00 $7.00 $15.00 Medications MEDROXYPROGESTERONE 10 MG-#5 $4.00 $4.00 $4.00 $4.00 $4.00 Difference $1.00 $1.00 $1.00 $3.00 $11.00 Admin PRINT/MEDICAL RECORDS $0.50 $0.50 $0.50 $0.50 $0.50 Admin PRINT/MEDICAL RECORDS $0.50 $0.50 $0.50 $0.50 $0.50 Difference $0.00 $0.00 $0.00 $0.00 $0.00 Medications TRUVADA#3 $6.00 $6.00 $6.00 $9.00 $18.00 Medications TRUVADA#3 $3.00 $3.00 $3.00 $10.00 $15.00 2026 Dept of Public Health and Environment 2025 Public Health Clinic Fee Comparision GROUP CPT DESCRIPTION Code 1 Code 2 Code 3 Code 4 Code 5 Difference $3.00 $3.00 $3.00 ($1.00) $3.00 Labs COURT ORDERED STD TESTING $60.00 $60.00 $60.00 $81.00 $180.00 Labs COURT ORDERED STD TESTING $60.00 $60.00 $60.00 $60.00 $60.00 Difference $0.00 $0.00 $0.00 $21.00 $120.00 Medications AZITHROMYCIN 1G-PARTNER PACK#2 $5.00 $5.00 $5.00 $7.00 $15.00 Medications AZITHROMYCIN 1G-PARTNER PACK#2 $3.00 $3.00 $3.00 $3.00 $4.00 Difference $2.00 $2.00 $2.00 $4.00 $11.00 Labs VDRL/RPR,SERUM $10.00 $15.00 $19.00 $21.00 $57.00 Labs VDRL/RPR,SERUM $10.00 $15.00 $19.00 $19.00 $25.00 Difference $0.00 $0.00 $0.00 $2.00 $32.00 Medications MISOPROSTOL(CYTOTEC)200 MG#2 $5.00 $5.00 $5.00 $7.00 $15.00 Medications MISOPROSTOL(CYTOTEC)200 MG#2 $3.00 $3.00 $3.00 $3.00 $4.00 Difference $2.00 $2.00 $2.00 $4.00 $11.00 Contraception ORAL CONTRACEPTIVES $0.00 $6.00 $7.00 $10.00 $21.00 Contraception ORAL CONTRACEPTIVES $0.00 $3.00 $6.00 $8.00 $11.00 Difference $0.00 $3.00 $1.00 $2.00 $10.00 MEMO from the Office of the State Registrar of Vital Statistics To: Local and Deputy Registrars From: A. Alex Quintana, State Registrar Et Director of Vital Records Date: November 14, 2025 Re: Vital Records Local Office Billing Model Adjustment - Cost Sharing Model Update Effective January 1,2026, the Vital Records Fee Schedule will be updated. Below are the changes for each type of certificate: Vital Records Fee Schedule (Excerpt) Certificate Type Current Fee New Fee (Eff. 1/1/26) S Increase Amount Birth Cert - First Copy $20 $25 $5 Birth Cert - Second Copy $13 $20 $7 Death Cert - First Copy $20 $25 $5 Death Cert - Second Copy $13 $20 $7 Also effective January 1st, 2026, there will be an update to the Local Vital Records Cost-Sharing model. Below are the changes to the categories above: Locals Billing Model Certificate Tvoe Current Cost New Cost (Eff, 1/1/24) S Increase Amount Birth Cert - First Copy $3 $7 $4 Birth Cert - Second Copy $3 $7 $4 Death Cert - First Copy $3 $7 $4 Death Cert - Second Copy $4 $10 $6 As you can see, the margin that your office will keep as a result of the sales of these certificates starting January 1, 2026, will increase slightly. The reason for the changes to both the Fee Schedule and the Local's Billing Model is to raise revenue for the procurement of a new system when our current system contract expires. When this happens, we must go to the market to allow vendors to bid for our contracts through a formal solicitation process, but before that can happen, we must have the revenues in place to be able to pay for the contract work. To prepare for this change, please review your budgets and inform your leadership about the update to help ensure a smooth transition on January 1st. Please also be sure to update your websites, forms, etc. The new costs will show up on your reports and the bill you will receive in February. More details will be provided in the next locals broadcast (what to do with old applications, grace periods etc.) but if you have any questions or concerns, please feel free to reach me at alex.quintana®state.co.us. Regards, 4. A. Alex Quintana State Registrar and Director of Vital Records Hello