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Home My WebLink About20043589.tiff RESOLUTION RE: APPROVE REVISIONS TO FEE SCHEDULE FOR FEES COLLECTED BY THE 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,a public hearing was held on the 27th day of December, 2004, at 9:00 a.m., in the Chambers of the Board for the purpose of considering an increased fee schedule for fees collected by the Weld County Department of Department of Public Health and Environment, and WHEREAS, at said hearing, and after study and review, the Board deems it advisable to approve the proposed revisions to the fee schedule, effective January 1, 2005, a copy of which is 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 Health Services, as attached be, and hereby is, approved, effective January 1, 2005. The above and foregoing Resolution was,on motion duly made and seconded,adopted by the following vote on the 27th day of December, A.D., 2004. BOARD OF COUNTY COMMISSIONERS II 114 % m , /u % W LD OUNTY, rLOnRADO 1861 Robert D. Masden, Chair frrn lerk to the Board ,N, � ®U �, EXCUSED �'�'��• oo /4�/1�2William H. rke, Pro-Tem Deputy Clerk td the Board - / - MJ. ' ee AP D AS TO David E. Long I ounty Attor ey / Glenn Vaad Date of Signature: ()//0/2/0S- 2004-3589 HL0003 • CHS 2005 Fees Page 1 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT COMMUNITY HEALTH SERVICES 2005 SLIDING FEE SCHEDULE HOUSEHOLD CODE SIZE Procedure Code Code Code Code Code Code Procedure 1 2 3 4 5 VISITS New Client 99201 Focused - nurse visit* 0.00 10.50 19.25 28.00 35.00 99202 Expanded* 0.00 23.40 42.90 62.40 78.00 99203 Detailed* 0.00 31.20 57.20 83.20 104.00 99204 Comprehensive* 0.00 46.80 85.80 124.80 156.00 Established Client 99211 Nurse Visit* 0.00 9.60 17.60 25.60 32.00 99212 Focused* 0.00 15.30 28.05 40.80 51.00 99212-PN Prenatal Visit 51.00 51.00 51.00 51.00 51.00 99213 Expanded* 0.00 20.40 37.40 54.40 68.00 99214 Detailed* 0.00 30.00 55.00 80.00 100.00 99215 Comprehensive* 0.00 42.00 77.00 112.00 140.00 Home Visits 99341 New Client- Focused 67.00 67.00 67.00 67.00 67.00 99342 New Client- Expanded 67.00 67.00 67.00 67.00 67.00 99347 Est. Client- Focused 67.00 67.00 67.00 67.00 67.00 99348 Est. Client- Expanded 67.00 67.00 67.00 67.00 67.00 Travel Visits 99401 Individual - 15 35.00 35.00 35.00 35.00 35.00 99402 Individual- 30 35.00 35.00 35.00 35.00 35.00 99403 Individual -45 35.00 35.00 35.00 35.00 35.00 99404 Individual -60 54.00 54.00 54.00 54.00 54.00 99411 Group- 30 17.00 17.00 17.00 17.00 17.00 99412 Group-60 30.00 30.00 30.00 30.00 30.00 Preventive Medicine 99382 New Client 1-4 years old 66.00 66.00 66.00 66.00 66.00 99383 New Client 5-11 years old 66.00 66.00 66.00 66.00 66.00 99384 New Client 12-17 years old 66.00 66.00 66.00 66.00 66.00 • 99385 New Client 18-39 years old 66.00 66.00 66.00 66.00 66.00 99392 Est. Client 1-4 years old 47.00 47.00 47.00 47.00 47.00 99393 Est. Client 5-11 years old 47.00 47.00 47.00 47.00 47.00 99394 Est. Client 12-17 years old 47.00 47.00 47.00 47.00 47.00 99395 Est. Client 18-39 years old 47.00 47.00 47.00 47.00 47.00 CHS 2005 Fees Page 2 Procedure Code Code Code Code Code Code Procedure 1 2 3 4 5 Miscellaneous INC Scv. Includes Follow-up Care 0.00 0.00 0.00 0.00 0.00 99212 Antepartum Care 1 visit 51.00 51.00 51.00 51.00 51.00 59425 Antepartum care 4-6 visits 515.00 515.00 515.00 515.00 515.00 59426 Antepartum care 7 or more visits 1061.00 1061.00 1061.00 1061.00 1061.00 139012 PE Establishing Medical Record 64.00 64.00 64.00 64.00 64.00 0271W PE-Medicaid Intake 0.00 0.00 0.00 0.00 0.00 0255W Phone visit 0.00 0.00 0.00 0.00 0.00 59430 Post Partum Only 94.00 94.00 94.00 94.00 94.00 H1005 Prenatal Plus (1-4 visits) 150.00 150.00 150.00 150.00 150.00 H1005 Prenatal Plus (5-9) visits) 40.00 400.00 400.00 400.00 400.00 H1005 Prenatal Plus (10 visits) 750.00 750.00 750.00 750.00 750.00 H1005 Prenatal Plus (11 or more visits) 850.00 850.00 850.00 850.00 850.00 G9006 NHV Mother-Task Care Mgmt. 64.00 64.00 64.00 64.00 64.00 T1017 NHV Child -Task Care Mgmt. 64.00 64.00 64.00 64.00 64.00 Lab 86850 Antibody Screen 26.00 26.00 26.00 26.00 26.00 82947 Blood Sugar(FBS)* 0.00 4.50 8.25 12.00 15.00 85025 CBC 16.00 16.00 16.00 16.00 16.00 87491 Chlamydia Amplified* 0.00 13.80 25.30 36.80 46.00 87621 HPV Testing 97.00 97.00 97.00 97.00 97.00 87591 Gonorrhea Amplified* 0.00 13.80 25.30 36.80 46.00 82948 Glucose Random 3.00 3.00 3.00 3.00 3.00 82950 Glucose Tolerance Test 1 hr 13.00 13.00 13.00 13.00 13.00 82951 Glucose Tolerance Test 3 hr 38.00 38.00 38.00 38.00 38.00 87205 Gram Stain 19.00 19.00 19.00 19.00 19.00 86706 Hep B Surface Antibody 16.00 16.00 16.00 16.00 16.00 87528 Herpes Culture 54.00 54.00 54.00 54.00 54.00 85018 HGB* 0.00 3.30 6.05 8.80 11.00 86701 HIV Test 16.00 16.00 16.00 16.00 16.00 80061 Lipid Profile* 0.00 11.10 20.35 29.60 37.00 80076 Liver Panel 22.00 22.00 22.00 22.00 22.00 80048 Metabolic Panel 23.00 23.00 23.00 23.00 23.00 88164 Pap Smear* 0.00 6.30 11.55 16.80 21.00 81025 Pregnancy Test- Urine* 0.00 6.60 12.10 17.60 22.00 0080W Repeat Pap 22.00 22.00 22.00 22.00 22.00 86592 RPR 16.00 16.00 16.00 16.00 16.00 88142 Thin Prep Pap 25.00 25.00 25.00 25.00 25.00 82465 Total Cholesterol 18.00 18.00 18.00 18.00 18.00 81000 UA-Dip 5.00 5.00 5.00 5.00 5.00 36415 Venipuncture 3.00 3.00 3.00 3.00 3.00 87210 Wet Prep 19.00 19.00 19.00 19.00 19.00 Medicines and Treatments J0456 Azithromycin* 0.00 7.80 14.30 20.80 26.00 0057W Cipro - 1 Tablet 10.00 10.00 10.00 10.00 10.00 0011W Diflucan 16.00 16.00 16.00 16.00 16.00 CHS 2005 Fees Page 3 Procedure Code Code Code Code Code Code Procedure 1 2 3 4 5 Medicines and Treatments (cont.) 0005W Doxycycline 14 Capsules 7.00 7.00 7.00 7.00 7.00 0009W Flagyl 4 Tablets 5.00 5.00 5.00 5.00 5.00 0010W Flagyl 14 Tablets 10.00 10.00 10.00 10.00 10.00 0013W Flagyl 28 Tablets 10.00 10.00 10.00 10.00 10.00 0012W Iron 7.00 7.00 7.00 7.00 7.00 Jo5so LA Bicillin 2.4 Units 0.00 0.00 0.00 0.00 0.00 0014W Lice Shampoo 10.00 10.00 10.00 10.00 10.00 0022W Metrogel 22.00 22.00 22.00 22.00 22.00 0034W Ofloxacin 85.00 85.00 85.00 85.00 85.00 0016W Podophyllin/TCA 10.00 10.00 10.00 10.00 10.00 0192W Prenatal Vitamins 8.00 8.00 8.00 8.00 8.00 J0696 Rocephin 27.00 27.00 27.00 27.00 27.00 0004W Sulfatrim 5.00 5.00 5.00 5.00 5.00 Procedures 57452 Colposcopy w/o Biopsy** 80.00 80.00 80.00 80.00 80.00 57454 Colposcopy with Biopsy** 80.00 80.00 80.00 80.00 80.00 56501 Colposcopy with Cryo ** 80.00 80.00 80.00 80.00 80.00 0116W Chest X-Ray Immigration 48.00 48.00 48.00 48.00 48.00 J7302 IUD Mirena 0.00 93.60 171.60 249.60 312.00 58300 IUD Insertion ** 0.00 33.60 61.60 89.60 112.00 J7300 IUD Paragard 0.00 54.60 100.10 145.60 182.00 58301 IUD Removal ** 0.00 33.60 61.60 89.60 112.00 59025 Non Stress Test Interp 0.00 0.00 0.00 0.00 0.00 11976 Norplant Removal 0.00 50.40 92.40 134.40 168.00 17000 Skin Cryo 1st lesion ** 50.00 50.00 50.00 50.00 50.00 17003 Skin Cryo 2nd-14th lesions ** 11.00 11.00 11.00 11.00 11.00 17004 Skin Cryo 15 + lesions ** 5.00 5.00 5.00 5.00 5.00 Additional Codes 0071W Community Education 1 hr. 56.00 56.00 56.00 56.00 56.00 o0ssw Travax Printout 6.00 6.00 6.00 6.00 6.00 Immunizations 90748 Comvax - Hep B & Hib 15.00 15.00 15.00 15.00 15.00 90700 DTAP 15.00 15.00 15.00 15.00 15.00 90702 DT 15.00 15.00 15.00 15.00 15.00 90633 Hepatitis A-VFC 15.00 15.00 15.00 15.00 15.00 90632 Hepatitis A-Adult 41.00 41.00 41.00 41.00 41.00 90744 Hepatitis B-VFC 15.00 15.00 15.00 15.00 15.00 90746 Hepatitis B -Adult 52.00 52.00 52.00 52.00 52.00 90647 HIB B 15.00 15.00 15.00 15.00 15.00 90281 IG Hepatitis A 37.00 37.00 37.00 37.00 37.00 90281 IG Hepatitis A-TVL 41.00 41.00 41.00 41.00 41.00 90657 Influenza -Child (36 mo. & under) 15.00 15.00 15.00 15.00 15.00 90658 Influenza -Adult 15.00 15.00 15.00 15.00 15.00 G0008 Influenza-Admin. 5.00 5.00 5.00 5.00 5.00 90713 IPV-VFC 15.00 15.00 15.00 15.00 15.00 CHS 2005 Fees Page 4 Procedure Code Code Code Code Code Code Procedure 1 2 3 4 5 Immunizations (continued) 90713 IPV-Adult 41.00 41.00 41.00 41.00 41.00 90735 Japanese Encephalitis 112.00 112.00 112.00 112.00 112.00 90733 Meningitis 91.00 91.00 91.00 91.00 91.00 90707 MMR-VFC 15.00 15.00 15.00 15.00 15.00 90707 MMR-Adult 37.00 37.00 37.00 37.00 37.00 90723 Pediarix- DTAP, Hep B & IPV 15.00 15.00 15.00 15.00 15.00 90732 Pneumovax 21.00 21.00 21.00 21.00 21.00 G0009 Pneumovax/Prevnar Admin. 5.00 5.00 5.00 5.00 5.00 86580 PPD 10.00 10.00 10.00 10.00 10.00 6580W PPD N/C 0.00 0.00 0.00 0.00 0.00 8658W PPD reading only 0.00 0.00 0.00 0.00 0.00 90669 Prevnar 15.00 15.00 15.00 15.00 15.00 90675 Rabies IM 146.00 146.00 146.00 146.00 146.00 90718 TD 15.00 15.00 15.00 15.00 15.00 90636 Twinrix- Heb A& Hep B 64.00 64.00 64.00 64.00 64.00 90691 Typhoid - 1 Shot 54.00 54.00 54.00 54.00 54.00 90690 Typhoid - Oral 45.00 45.00 45.00 45.00 45.00 90716 Varivax -VFC 15.00 15.00 15.00 15.00 15.00 90716 Varivax-Adult 62.00 62.00 62.00 62.00 62.00 90717 Yellow Fever 87.00 87.00 87.00 87.00 87.00 VFC Vaccines 15.00 15.00 15.00 15.00 15.00 FAMILY PLANNING SUPPLIES A4267 Condoms pkg. 10* 0.00 3.60 6.60 9.60 12.00 J1055 Depo Provera* 0.00 21.90 40.15 58.40 73.00 A4266 Diaphragm* 0.00 3.00 5.50 8.00 10.00 0142W Evra Patch* 0.00 6.30 11.55 16.80 21.00 A4269 Foam Contraception* 0.00 3.00 5.50 8.00 10.00 0143W Nuva Ring* 0.00 10.80 19.80 28.80 36.00 Oral Contraceptives* 0.00 5.10 9.35 13.60 17.00 • Fees only slide for the Family Planning Program. Charges for all other programs are the Code 5 fee. •* Services include surgical procedure only. EHS 2005 FEES Pagel WELD COUNTY HEALTH DEPARTMENT ENVIRONMENTAL PROTECTION SERVICES 2005 FEE SCHEDULE BODY ART FACILITY SERVICES Body Art Facility License $150.00 Body Art Facility- Delinquent License Surcharge $75.00 Body Art Facility- Plan Review $35.00/hr Body Art Facility- Real Estate Site Review $35.00/hr Body Art Facility-Temporary or Mobile Facility License $150.00 Body Art Facility-Temporary or Mobile Facility Plan Review $75.00 CHILD CARE CENTER FEES Facility Inspection Fee 5-20 Children $25.00 Facility Inspection Fee 21-50 Children $50.00 Facility Inspection Fee 51-100 Children $75.00 Facility Inspection Fee 101+ Children $100.00 FOOD PROTECTION SERVICES Retail Food Establishment- Real Estate Site Review Greater of$35/hr or$75 Retail Food Establishment- Plan Review Application fee of$75 plus hourly rate of$35/hr(total cost not to exceed $355) Retail Food Establishment- No Fee License $0.00 Restaurant 0-100 Seats $154.00 Restaurant 101 -200 Seats $175.00 Restaurant Over 200 Seats $189.00 Grocery Store 0- 3,000 Sq Ft $55.00 Grocery Store 3,001 - 10,000 Sq Ft $100.00 Grocery Store 10,001 -20,000 Sq Ft $115.00 Grocery Store 20,001 -40,000 Sq Ft $138.00 Grocery Store 40,001 -70,000 Sq Ft $175.00 Grocery Store Over 70,000 Sq Ft $250.00 Grocery/Deli 0 - 3,000 Sq Ft $138.00 Grocery/Deli 3,001 - 10,000 Sq Ft $225.00 Grocery/Deli 10,001 -20,000 Sq Ft $240.00 Grocery/Deli 20,001 -40,000 Sq Ft $263.00 Grocery/Deli 40,001 -70,000 Sq Ft $300.00 Grocery/Deli Over 70,000 Sq Ft $383.00 Special/Temporary Event Plan Reviews $35.00/hr HACCP Reviews $35.00/hr Miscellaneous Services $35.00/hr EHS 2005 FEES Page2 INSTITUTION SERVICES Board and Care Home License (1 -2 Persons) $50.00 Ambulance Inspection License $100.00/company Ambulance Unit Inspection Fee $ 25.00/ambulance MISCELLANEOUS SERVICES Environmental Health Specialist Field Time Charge $35.00/hr Beneficial Sludge Permit(160 Acre Parcel) $375.00 Cistern Usage Permit (Initial) $150.00 Cistern Usage Permit(Annual thereafter, with water sample) $50.00 Radon Kits $5.00 Radon Kits (mailed) $7.00 Fax Fee (up to 10 pages, $.50 per each additional page) $2.00 File Observation Fee $15.00/hr POOL SERVICES Swimming Pool License $200.00 Swim Pool Chemistry Inspection $48.00 Swim Pool Physical Inspection $78.00 Swim Pool Bacteriological Analysis $56.00 Complaint Response and Investigation $35.00/hr Swimming Pool Plan Review (up to 2 hours) $75.00 Swimming Pool Plan Review (each additional hour) $35.00 SEPTIC INSPECTION SERVICES Individual Sewage Disposal System Permit $400.00 Individual Sewage Disposal Repair/Alteration Permit $400.00 Individual Sewage Disposal System Permit Extension $50.00 Holding TankNault Permit $150.00 Weld County I.S.D.S. Regulations $5.00 Systems Contractor License $50.00 Renewal of Systems Contractor License (Annually) $25.00 Systems Cleaners License $50.00 Renewal of System Cleaners License (Annually) $25.00 Existing Individual Sewage Disposal System Evaluation $100.00 Statement of Existing $10.00 Loan Approval Inspection without Water Sample $100.00 Loan Approval Inspection with Water Sample $120.00 Potable Water Sample (collection and analysis) $35.00 Variance Request $50.00 EHS 2005 FEES Page3 LABORATORY SERVICES MEDICAL/ENVIRONMENTAL Chlamydia/N. Gonorrhoeae Combo, Amplified Test $92.00 Stat Fee for individual test $25.00 State Fee for multiple tests $38.00 West Nile IgM Antibody $60.00 * Anthrax Culture $35.00 * Anthrax Confirmation $90.00 * Brucella Culture $35.00 * Brucella Confirmation $90.00 * Franciscella Tularensis Culture $50.00 * Franciscella Tularensis Confirmation $100.00 * Yersinia Pestis Culture $35.00 * Yersinia Pestis Confirmation $90.00 WATER QUALITY- BACTERIOLOGICAL ASSESSMENT Total Coliform, PA $14.00 Total Coliform, Quantitray $16.00 Total Coliform, MPN $33.05 Total Coliform, Membrane Filtration $27.50 Fecal Coliform, Membrane Filtration $27.50 Staphylococcus aureus $20.00 Pseudomonas aeruginosa $20.00 Swim Pool Bacteriological Analysis $56.00 WATER QUALITY- CHEMICAL ASSESSMENT Alkalinity, Phenolphthalein $11.00 Alkalinity, Total $11.00 Ammonia $12.00 Biochemical Oxygen Demand (BOD) $28.00 Calcium $11.00 Chloride $10.00 Chlorine $9.50 Chromium Hexavalent $15.00 Copper $17.00 Dissolved Oxygen $5.00 Fluoride $13.00 Hardness, Total $10.00 Iron $11.00 Lead, water $18.00 Lead, dishes $18.00 Lead, paint chips • $18.00 Magnesium $5.00 Manganese $11.00 Nitrate $12.00 Nitrate (Qualitest) $5.00 Nitrite $11.00 Oil and Grease, Chemical $47.00 EHS 2005 FEES Page4 Oil and Grease, Visual $1.75 PH $6.00 Potassium $11.00 Sodium $11.00 Solids, Total Dissolved $11.00 Solids, Total Suspended $11.00 Specific Conductance $9.00 Sulfate $11.00 Temperature $1.50 Total Organic Carbon (reference lab) $60.00 Turbidity $5.00 Zinc $11.00 Pending certification, fees to be applied as per Colorado Department of Public Health and Environment, Bioterrorism Laboratory Specimen Triage Guidelines. NOTE: Analyses are the rates cited above unless the amount is set by a contract approved by the Board of County Commissioners. EHS 2005 Fees Page 5 Waste Stream Cost/Pound Cost/Container $1/Quart $4/Gallon Oil Based Paint and Stains $30/5 Gallon Flammable Liquids (gasoline, diesel, kerosene, lamp oil, thinner) Bulkable Material $.50/lb $210/55 Gallon Drum Flammable Material (not suitable for bulking) $1.50/lb $6/Gallon Flammable Roofing Tars and Adhesives $50/5 Gallon Latex Paint T$.30/lb $160/55 Gallon Drum $45/5 Gallon Acids $1.50/lb ;$300/55 Gallon Drum $45/5 Gallon Bases $1.50/Ib $300/55 Gallon Drum $27.00/Gallon $120.00/5 Gallon Oxidizers $3.50/lb $375/30 Gallon Pesticides Solid/Poison Solid $1.25/lb Fertilizers (Liquid/Solid) $2/lb $410/55 Gallon Drum $40/5 Gallon Poisons Liquid/Pesticide Liquidi$1.50/lb $265/55 Gallon Drum $1/standard aerosol can Aerosol Containers (standard cans, $1/lb (all other ,$7.50/small camping propane propane tanks, fire extinguishers) containers) tank or small welding tank PCB and NON-PCB Ballasts and Capacitors $2/lb $750/55 Gallon Drum $4.25/lb $1/thermostat Mercury (Liquid) (household) ,$420/5 Gallon bucket Mercury Based Chemicals $4.25/lb $420/5 Gallon Bucket Cyanide containing compounds $6/lb Filters (oil, fuel and air) $.75/Filter Antifreeze $.15/lb $1/Gallon $.20/Quart $.50/Gallon Motor Oil, PSF, ATF, brake fluid, 2 cycle oil,', $2/5 Gallon 4 cycle oil. Must not be contaminated with $25/30 Gallon water, antifreeze or gasoline $40/55 Gallon Batteries (Lead Acid) $.10/lb Alkaline$1.25/lb Ni-Cad $1.25/lb All other batteries $Button $1.25/lb Lithium $7.50/lb Other styles/shapes based on Fluorescent Bulbs $.10/Linear Foot ,disposal cost $126/5 Gallon Lead Compounds $266/30 Gallon Other $6.25/lb Oil contaminated with water, anti-freeze, gasoline, or other $.15/lb $1.00/gallon Empty drums(30 to 55 gallon capacity $10.00/drum Page 1 of 1 Judy Nero To: Carol Harding Cc: Linda Henry; Mark Wallace Subject: WCDPHE 2005 Fees Carol, As we discussed earlier today, attached are copies of the proposed fees for the Department of Public Health and Environment for 2005. Please note there are two worksheets for the EHS fees as indicated by the tabs at the bottom of the sheets in the EHS 2005 Fees file. Thanks. Judy 12/15/2004 Hello