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Home My WebLink About20033452.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 22nd day of December, 2003, 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, the Board deemed it advisable to continue this matter to December 29, 2003, at 9:00 a.m., to allow staff time to prepare a report of the changes being recommended for fees in 2004, 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, 2004, 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, 2004. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 29th day of December, A.D., 2003. BOARD OF COUNTY COMMISSIONERS A �J �,�� WELD COUNTY, COLORADO ATTEST: fi�j„�/��'�" EXCUSED """�7 Da 'd E. Long Chair Weld County Clerk to the Board 4O1 Robert D. sden, Pro-Tem BY: Deputy Clerk to the Board M J. eile O D AS M: "In 7-1,12 William H. Jer e ounty Attorney 1/4 V l Date of Signature: //6/i20051 2003-3452 HL0003 1 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT COMMUNITY HEALTH SERVICES 2004 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 10.00 18.00 26.00 32.00 99202 Expanded* 0.00 23.00 41.00 60.00 75.00 99203 Detailed* 0.00 30.00 55.00 80.00 100.00 99204 Comprehensive* 0.00 45.00 83.00 121.00 151.00 Established Client 99211 Nurse Visit* 0.00 10.00 18.00 26.00 32.00 99212 Focused* 0.00 15.00 27.00 39.00 49.00 99212-PN Prenatal Visit 49.00 49.00 49.00 49.00 49.00 99213 Expanded* 0.00 20.00 36.00 53.00 66.00 99214 Detailed* 0.00 29.00 53.00 78.00 97.00 99215 Comprehensive* 0.00 41.00 74,00 108.00 135.00 Home Visits 99341 New Client- Focused 65.00 65.00 65.00 65.00 65.00 99342 New Client- Expanded 65.00 65.00 65.00 65.00 65.00 99347 Est. Client- Focused 65.00 65.00 65.00 65.00 65.00 99348 Est. Client- Expanded 65.00 65.00 65.00 65.00 65.00 Travel Visits 99401 Individual - 15 22.00 22.00 22.00 22.00 22.00 99402 Individual -30 29.00 29.00 29.00 29.00 29.00 99403 Individual -45 34.00 34.00 34.00 34.00 34.00 99404 Individual - 60 52.00 52.00 52.00 52.00 52.00 99411 Group - 30 16.00 16.00 16.00 16.00 16.00 99412 Group - 60 29.00 29.00 29.00 29.00 29.00 Preventive Medicine 99382 New Client 1-4 years old 64.00 64.00 64.00 64.00 64.00 99383 New Client 5-11 years old 64.00 64.00 64.00 64.00 64.00 99384 New Client 12-17 years old 64.00 64.00 64.00 64.00 64.00 99385 New Client 18-39 years old 64.00 64.00 64.00 64.00 64.00 99392 Est. Client 1-4 years old 45.00 45.00 45.00 45.00 45.00 99393 Est. Client 5-11 years old 45.00 45.00 45.00 45.00 45.00 99394 Est. Client 12-17 years old 45.00 45.00 45.00 45.00 45.00 99395 Est. Client 18-39 years old 45.00 45.00 45.00 45.00 45.00 x1410 EPSDT Partial 26.00 26.00 26.00 26.00 26.00 2003-3452 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 49.00 49.00 49.00 49.00 49.00 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 G9012 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 91.00 91.00 91.00 91.00 91.00 H1005 Prenatal Plus Full Pkg. 579.00 579.00 579.00 579.00 579.00 H1005 Prenatal Plus-Partial Pkg. 300.00 300.00 300.00 300.00 300.00 0072W Swift & Co. Annual Visit 249.00 249.00 249.00 249.00 249.00 Lab 86850 Antibody Screen 26.00 26.00 26.00 26.00 26.00 87430 Beta Strep 36.00 36.00 36.00 36.00 36.00 82947 Blood Sugar (FBS)* 0.00 5.00 8.00 12.00 15.00 85025 CBC 16.00 16.00 16.00 16.00 16.00 87491 Chlamydia Amplified* 0.00 14.00 25.00 37.00 46.00 87621 DNA/HPV Testing 97.00 97.00 97.00 97.00 97.00 87591 Gonorrhea Amplified* 0.00 14.00 25.00 37.00 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 3.00 6.00 9.00 11.00 86701 HIV Test 16.00 16.00 16.00 16.00 16.00 80061 Lipid Profile* 0.00 11.00 20.00 30.00 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 6.00 12.00 17.00 21.00 81025 Pregnancy Test- Urine* 0.00 7.00 12.00 18.00 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 32.00 32.00 32.00 32.00 32.00 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 8.00 14.00 21.00 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 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 3 Procedure Code Code Code Code Code Code Procedure 1 2 3 4 5 Medicines and Treatments (cont.) 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 J0580 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 94.00 172.00 250.00 312.00 58300 IUD Insertion ** 0.00 32.00 59.00 86.00 108.00 J7300 IUD Paragard 0.00 55.00 100.00 146.00 182.00 58301 IUD Removal ** 0.00 32.00 59.00 86.00 108.00 59025 Non Stress Test Interp 0.00 0.00 0.00 0.00 0.00 11976 Norplant Removal 0.00 49.00 89.00 130.00 162.00 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. 54.00 54.00 54.00 54.00 54.00 0069W 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 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 60008 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 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 4 Procedure Code Code Code Code Code Code Procedure 1 2 3 4 5 Immunizations (continued) 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 4.00 7.00 10.00 12.00 J1055 Depo Provera* 0.00 22.00 40.00 58.00 73.00 A4266 Diaphragm* 0.00 3.00 6.00 8.00 10.00 0142W Evra Patch* 0.00 6.00 12.00 17.00 21.00 A4269 Foam Contraception* 0.00 3.00 6.00 8.00 10.00 0143W Nuva Ring* 0.00 11.00 20.00 29.00 36.00 Oral Contraceptives* 0.00 5.00 9.00 14.00 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. Page 5 WELD COUNTY HEALTH DEPARTMENT ENVIRONMENTAL PROTECTION SERVICES 2004 FEE SCHEDULE 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 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 Page 6 POOL SERVICES Swimming Pool License $200.00 Swim Pool Chemistry Inspection $48.00 Swim Pool Physical Inspection $78.00 Swim Pool Bacteriological Analysis $54.40 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 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 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 $13.00 Total Coliform, Quantitray $15.00 Total Coliform, MPN $33.05 Total Coliform, Membrane Filtration $27.50 Fecal Coliform, Membrane Filtration $27.50 Fecal Streptococci $25.90 Staphylococcus aureus $19.70 Pseudomonas aeruginosa $19.70 Swim Pool Bacteriological Analysis $54.40 Page 7 WATER QUALITY -CHEMICAL ASSESSMENT Alkalinity, Phenolphthalein $10.00 Alkalinity, Total $10.00 Ammonia $11.60 Biochemical Oxygen Demand (BOD) $28.00 Calcium $10.50 Chloride $9.50 Chlorine $9.50 Chromium Hexavalent $12.00 Copper $15.00 Dissolved Oxygen $5.00 Fluoride $12.00 Hardness, Total $8.00 Iron $10.00 Lead, water $15.00 Lead, dishes $15.00 Lead, paint chips $15.00 Magnesium $5.00 Manganese $10.00 Nitrate $11.00 Nitrate (Qualitest) $2.00 Nitrite $10.00 Oil and Grease, Chemical $47.00 Oil and Grease, Visual $1.75 PH $6.00 Potassium $10.00 Sodium $10.00 Solids, Total Dissolved $10.00 Solids, Total Suspended $10.00 Specific Conductance $9.00 Sulfate $10.00 Temperature $1.50 Total Organic Carbon (reference lab) $60.00 Turbidity $3.50 Zinc $10.00 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 Page 7 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 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 ELISA Panel $8.50 " 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. Page 8 Waste Stream Cost/Pound Cost/Container Oil based paint and Stains $1.00/quart $4.00/ gallon $30.00/ 5 gallon Flammable Liquids (gasoline, diesel, $.50/ lb $210.00 / 55 Gallon Drum kerosene, lamp oil,thinner) Bulkable Material Flammable material (not suitable for $1.50/ lbs bulking) Flammable Roofing Tars and $6.00/ Gallon Adhesives $50.00/ 5 Gallon Latex Paint $.30/lb $160.00/ 55ga1 Drum Acids $1.50/lb $45/ 5 gal $300/55 gal Bases $1.50/ lb $45/ 5 gal $300/ 55 gal Oxidizers $3.50/ lb $27.00 / gallon $120.00/ 5 gallon $375/30 gallon Pesticides solid/Poison Solid $1.25/1b Fertilizers (liquid/solid) $2.00/lb $410.00/ 55 gallon drum Poisons liquid/Pesticide Liquid $1.50/ lb $40/ 5 gal $265.00/ 55 gallon drum Aerosol Containers (standard cans, $1.00/ lb $1.00/ standard aerosol can propane tanks, fire extinguishers) (all other containers) $7.50/ small camping propane tank or small welding tank PCB and NON- PCB Ballasts and $2.00/ lb $750.00 / 55 gallon drum Capacitors Mercury (liquid) $4.25/lb $420.00/ 5 gallon bucket $1.00/thermostat (household) Mercury based chemicals $4.25/lb $420.00/ 5 gallon bucket Cyanide containing compounds $6.00/ lb Filters (oil, fuel and air) $.75/ Filter Antifreeze .15/ lb $1.00/ gallon Motor oil, PSF, ATF, brake fluid, $.20 /quart 2 cycle oil, 4 cycle oil. Must not be $.50/ gallon contaminated with water,antifreeze $2.00/ 5 gallon or gasoline. $25.00/ 30 gallon $40.00/55 gallon Batteries (Lead Acid) .10/ lb All other batteries Alkaline $1.25/ lb Ni-Cad $1.25/ lb Button $1.25/ lb Lithium $7.50/lb Fluorescent Bulbs $.10/ linear foot Other style/shapes based on disposal cost Lead Compounds $126/ 5 gal, $266/ 30 gal Other $6.25/lb Memorandum TO: Office of Clerk to the Board ' FROM: Judy Nero, Department of Public HeaJtb and Environment C DATE: December 24,2003 • COLORADO SUBJECT: Comparison of 2003 Approved Fees to Proposed Fees for 2004 I understand the decision regarding the approval of the Department of Public Health and Environment's proposed fees for the year 2004 has been deferred until the Board of County Commissioners meeting on Monday, December 29`n Enclosed is a schedule listing only the fees with proposed changes from 2003. The schedule identifies the amount of the increase/decrease and percentage of change. Please distribute this information to the members of the Board of County Commissioners prior to the meeting on December 29th. Thank you for your assistance. Enc. EHS Comparison Fees Page 1 WELD COUNTY HEALTH DEPARTMENT ENVIRONMENTAL PROTECTION SERVICES Comparison of Proposed Changes in Fees 2003-2004 2003 2004 % Comments Fees Fees Dlff. Diff. SEPTIC INSPECTION SERVICES Septic system fee's are Individual Sewage Disposal System Permit $375.00 $400.00 $25.00 6.7% established to recover costs. Individual Sewage Disposal Repair/Alteration Septic system fee's are Permit $375.00 $400.00 $25.00 6.7% established to recover costs. FOOD PROTECTION SERVICES Retail Food Establishment Restaurant 0-100 Seats $110.00 $154.00 $44.00 40.0%fee's set by Statute. Restaurant 101 -200 Seats $125.00 $175.00 $50.00 40.0% Restaurant Over 200 Seats $135.00 $189.00 $54.00 40.0% Grocery Store 0-3,000 Sq Ft $44.00 $55.00 $11.00 25.0% Grocery Store 3,001 -10,000 Sq Ft $80.00 $100.00 $20.00 25.0% Grocery Store 10,001 -20,000 Sq Ft $92.00 $115.00 $23.00 25.0% Grocery Store 20,001 -40,000 Sq Ft $110.00 $138.00 $28.00 25.5% Grocery Store 40,001 -70,000 Sq Ft $140.00 $175.00 $35.00 25.0% Grocery Store Over 70,000 Sq Ft $200.00 $250.00 $50.00 25.0% Grocery/Deli 0-3,000 Sq Ft $110.00 $138.00 $28.00 25.5% Grocery/Deli 3,001 -10,000 Sq Ft $180.00 $225.00 $45.00 25.0% Grocery/Deli 10,001 -20,000 Sq Ft $192.00 $240.00 $48.00 25.0% Grocery/Deli 20,001 -40,000 Sq Ft $210.00 $263.00 $53.00 25.2% Grocery/Deli 40,001 -70,000 Sq Ft $240.00 $300.00 $60.00 25.0% Grocery/Deli Over 70,000 Sq Ft $310.00 $383.00 $73.00 23.5% POOL SERVICES Swim Pool Bacteriological Analysis $65.301 $54.401 -$10.901 -16.7% Reduced to correct error. LABORATORY SERVICES MEDICAUENVIRONMENTAL Fee increased to allow for Chlamydia/N.Gonorrhoeae Combo,Amplified billing at approved Medicaid Test - $25.00 $92.00 $67.00 268.0% rate. New Fee established to ' Anthrax Culture $35.00 recover costs of bioagents. New Fee established to ' Anthrax Confirmation $90.00 recover costs of bioagents. New Fee established to ' Brucella Culture $35.00 recover costs of bioagents. New Fee established to • Brucella Confirmation $90.00 recover costs of bioagents. New Fee established to " Franciscella Tularensis Culture $50.00 recover costs of bioagents. New Fee established to ' Franciscella Tularensis Confirmation $100.00 recover costs of bioagents. New Fee established to ' Yersinia Pestis Culture $35.00 recover costs of bioagents. New Fee established to • Yersinia Pestis Confirmation $90.00 recover costs of bioagents. EHS Comparison Fees Page 2 WATER QUALITY-BACTERIOLOGICAL ASSESSMENT Fee increased to recover costs in response to increase in Total Coliform, PA $12.00 $13.00 $1.00 8.3% supply costs. Fee increased to recover costs in response to increase in Total Coliform,Quantitray $14.00 $15.00 $1.00 7.1% supply costs. HOUSEHOLD HAZARDOUS WASTE New Fee established for specific waste stream for Lead Compounds $126/5 gal.,$266/30 gal. CESQG's. New Fee established for specific waste stream for Other $6.25/lb. CESQG's. WATER QUALITY-CHEMICAL ASSESSMENT All water quality fees assessed annually. Fees adjusted only after comparison with local Alkalinity, Phenolphthalein $9.00 $10.00 $1.00 11.1% labs and COPHE lab.L86 Alkalinity,Total $7.70 $10.00 $2.30 29.9% Biochemical Oxygen Demand(BOD) $27.50 $28.00 $0.50 1.8% Chromium Hexavalent $11.60 $12.00 $0.40 3.4% _ Dissolved Oxygen $3.25 $5.00 $1.75 53.8% Iron $9.00 $10.00 $1.00 11.1% Lead,water $12.50 $15.00 $2.50 20.0% Lead,dishes $12.80 $15.00 $2.20 17.2% Manganese $9.00 $10.00 $1.00 11.1% _Nitrate(Qualitest) $2.00 $2.00 Potassium $9.00 $10.00 $1.00 11.1% Sulfate $9.20 $10.00 $0.80 8.7% Total Organic Carbon(reference lab) $57.75 $60.00 $2.25 3.9% Zinc $9 $10.00 $1.00 11.1% MISCELLANEOUS SERVICES Fee raised to more closely cover costs. Has been no Beneficial Sludge Permit •r Acre Parcel) $315 $375.00 $60.00 19.0% increase for at least 5 years. Fee raised to more closely cover costs. Very few permits Cistern Usage Permit(Initial) $50 $150.00 $100.00 200.0% issued. Cistern Usage Permit(Annual thereafter,with water sample) $30 $50.00 $20.00 66.7% Same as above. New fee. Only will be charged in event CDC grant does not ELISA Panel $8.50 $8.50 pay for analysis. "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 contact approved by the Board of County Comissioners. CHS Comparison Fees Page 1 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT NURSING DIVISION Comparison of Proposed Changes in Fees 2003-2004 2003 2004 Procedure Code Code Code Procedure 5 5 Diff. % Diff. Comment Fees reflect approx. 2-5% increase to recover costs. VISITS New Client 99201 Focused-nurse visit* 31.00 32.00 1.00 3.2% 99202 Expanded* 73.00 75.00 2.00 2.7% 99203 Detailed* 97.00 100.00 3.00 3.1% 99204 Comprehensive* 145.00 151.00 6.00 4.1% Established Client 99211 Nurse Visit* 31.00 32.00 1.00 3.2% 99212 Focused* 47.00 49.00 2.00 4.3% 99212-PN Prenatal Visit 47.00 49.00 2.00 4.3% 99213 Expanded* 63.00 66.00 3.00 4.8% 99214 Detailed* 94.00 97.00 3.00 3.2% 99215 Comprehensive* 130.00 135.00 5.00 3.8% Home Visits 99341 New Client-Focused 63.00 65.00 2.00 3.2% _ 99342 New Client-Expanded 63.00 65.00 2.00 3.2% 99347 Est. Client-Focused 63.00 65.00 2.00 3.2% -- 99348 Est. Client-Expanded 63.00 65.00 2.00 3.2% Travel Visits 99401 Individual-15 21.00 22.00 1.00 4.8% 99402 Individual-30 28.00 29.00 1.00 3.6% 99403 Individual-45 33.00 34.00 1.00 3.0% 99404 Individual-60 50.00 52.00 2.00 4.0% 99412 Group-60 28.00 29.00 1.00 3.6% Preventive Medicine 99382 New Client 1-4 years old 62.00 64.00 2.00 3.2% . 99383 New Client 5-11 years old 62.00 64.00 2.00 3.2% 99384 New Client 12-17 years old 62.00 64.00 2.00 3.2% 99385 New Client 18-39 years old 62.00 64.00 2.00 3.2% 99392 Est. Client 1-4 years old 44.00 45.00 1.00 2.3% 99393 Est. Client 5-11 years old 44.00 45.00 1.00 2.3% 99394 Est. Client 12-17 years old 44.00 45.00 1.00 2.3% 99395 Est. Client 18-39 years old 44.00 45.00 1.00 2.3% X1410 EPSDT Partial 25.00 26.00 1.00 4.0% Miscellaneous x5565 Antepartum Care 1 visit 47.00 49.00 2.00 4.3% 59425 Antepartum care 4-6 visits 500.00 515.00 15.00 3.0% 59426 Antepartum care 7 or more visits 1030.00 1061.00 31.00 3.0% X5578 PE Establishing Medical Record 62.00 64.00 2.00 3.2% 59430 Post Partum Only 88.00 91.00 3.00 3.4% _ X5572 Prenatal Plus Full Pkg. 562.00 579.00 17.00 3.0% X5571 Prenatal Plus-Partial Pkg. 291.00 300.00 9.00 3.1% CHS Comparison Fees Page 2 Procedure Code Code Code Procedure 5 5 DIfl. %Dil. Comment 0072W Swift&Co.Annual Visit 242.00 249.00 7.00 2.9% Lab 86850 Antibody Screen 25.00 26.00 1.00 4.0% __ 87430 Beta Strep 35.00 36.00 1.00 2.9% 87621 DNA/HPV Testing 94.00 97.00 3.00 3.2% 82948 Glucose Random 2.00 3.00 1.00 50.0% 82951 Glucose Tolerance Test 3 hr 37.00 38.00 1.00 2.7% 87205 Gram Stain 18.00 19.00 1.00 5.6% 87528 Herpes Culture 52.00 54.00 2.00 3.8% Fee increased to cover cost of 80061 Lipid Profile* 20.00 37.00 17.00 85.0%,providing test 80076 Liver Panel 21.00 22.00 1.00 4.8% 80048 Metabolic Panel 22.00 23.00 1.00 4.5% miaow Repeat Pap 21.00 22.00 1.00 4.8% 88142 Thin Prep Pap 31.00 32.00 1.00 3.2% 82465 Total Cholesterol 17.00 18.00 1.00 5.9% 87210 Wet Prep 18.00 19.00 1.00 5.6% Medicines and Treatments _ _ oo57w Cipro- 1 Tablet 10.00 New Medicines and Treatments(cont.) 0013W Flagyl 28 Tablets 10.00 New 0022W Metrogel . 21.00 22.00 1.00 4.8% 0034W Ofloxacin 83.00 85.00 2.00 2.4% J0696 Rocephin 26.00 27.00 1.00 3.8% Procedures 57452 Colposcopy w/o Biopsy** 78.00 80.00 2.00 2.6% 57454 Colposcopy with Biopsy*" 78.00 80.00 2.00 2.6% 56501 Colposcopy with Cryo"" 78.00 80.00 2.00 2.6% o116w Chest X-Ray Immigration 47.00 48.00 1.00 2.1% J7302 IUD Mirena 300.00 312.00 12.00 4.0% 58300 IUD Insertion"* 104.00 108.00 4.00 3.8% J7300 IUD Paragard 175.00 182.00 7.00 4.0% 58301 IUD Removal"" 104.00 108.00 4.00 3.8% 11976 Norplant Removal 156.00 162.00 6.00 3.8% 17000 Skin Cryo 1st lesion** 49.00 50.00 1.00 2.0% Additional Codes 0071W Community Education 1 hr. 52.00 54.00 2.00 3.8% Immunizations 90632 HepatitisA-Adult 40.00 41.00 1.00 2.5% 90746 Hepatitis B-Adult 50.00 52.00 2.00 4.0% Immunizations(continued) 90281 IG Hepatitis A 36.00 37.00 1.00 2.8% 90281 IG Hepatitis A-TVL 40.00 41.00 1.00 2.5% 90713 IPV-Adult 40.00 41.00 1.00 2.5% 90735 Japanese Encephalitis 109.00 112.00 3.00 2.8% 90733 Meningitis 88.00 91.00 3.00 3.4% 90707 MMR-Adult 36.00 37.00 1.00 2.8% CHS Comparison Fees Page 3 Procedure Code Code Code Procedure 5 5 Diff. % Diff. Comment 90723 Pediarix-DTAP, Hep B& IPV 15.00 15.00 New 90732 Pneumovax 20.00 21.00 1.00 5.0% 90675 Rabies IM 142.00 146.00 4.00 2.8% 90636 Twinrix-Heb A&Hep B 62.00 64.00 2.00 3.2% 90691 Typhoid-1 Shot 52.00 54.00 2.00 3.8% 90690 Typhoid-Oral 44.00 45.00 1.00 2.3% 90716 Varivax-Adult 60.00 62.00 2.00 3.3% 90717 Yellow Fever 84.00 87.00 3.00 3.6% VFC Vaccines 15.00 New FAMILY PLANNING SUPPLIES J1055 Depo Provera* 70.00 73.00 3.00 4.3% 0142W Evra Patch* 20.00 21.00 1.00 5.0% 0143W Nuva Ring* 35.00 36.00 1.00 2.9% Fees only slide for the Family Planning Program. Charges for all * other programs are the Code 5 fee. Services include surgical procedure only. Hello