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Home My WebLink About830585.tiff AR1949791 ORDINANCE NO. 82-C IN THE MATTER OF REPEALING ORDINANCE NO. 82-A AND 82-B AND RE-ENACTING THE SETTING OF FEES FOR SERVICES PROVIDED BY THE WELD COUNTY HEALTH DEPARTMENT. BE IT ORDAINED BY THE BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO: WHEREAS, the Board of County Commissioners of Weld County, Colorado has NO HU authority under state statute and the Weld County Home Rule Charter to rQ U establish certain fees for services provided by the various departments of 3 Weld County Government, and 0 W WHEREAS, the Board of County Commissioners of Weld County desires, ❑ pthrough this Ordinance, to set fees and charges for services provided by the U c a Weld County Health Department. x NOW, THEREFORE, BE IT ORDAINED by the Board of County Commissioners of ria Weld County, Colorado that Ordinance Nos. 82-A and 82-B are hereby repealed co U cn z and that the fee schedule set forth in Exhibits A through C, copies of which .--1 H \W are attached hereto and incorporated herein by reference, shall be the fees charged by the Weld County Health Department for the described services. of W a2 BE IT FURTHER ORDAINED by the Board of County Commissioners of Weld rnz RC County, Colorado that the effective date of said fee schedule shall be January U Z 1, 1984 and such fees shall remain in full force and effect until this Board W L1 LC) ordains to change such fees. co 0 N BE IT FURTHER ORDAINED by the Board of County Commissioners of Weld [A W County, Colorado that this ordinance shall supercede all prior ordinances and resolutions concerning fees for the services enumerated in this ordinance. The above and foregoing Ordinance No. 82-C was, on motion duly made and seconded, adopted by the following vote on the 12 th day of December, A.D. , 1983. BOARD OF COUNTY COMMISSIONERS 4eWELD OUNTY, COLORAD ATTEST: Chuc Carlson, Chairman Weld County Clerk and _Recorder and Clerk to the Board / ,��ff /2 J Martin, Pro-Tem Bye: / Cs :7—/k, ✓(e./Lrr Deputy County Clerk e azza.,,,t ene Brantner APPROVED AS TO FORM: Norman Carlson iS Coun Attorney J cqu 'ne J n on First Reading - Nov. 14, 1983 Published - Nov. 17, 1983 aJosBS Second Reading Nov. 30, 1983 Published - December 1, 1983 e Final Reading - December 12, 1983 /= f `` Published - December 15, 1983 EXHIBIT "A" NURSING CLINICS ADJUSTED TOTAL GROSS INCOME AND FAMILY SIZE CODES Annual Monthly Weekly Number in Family Income Income Income 1 2 3 4 5 6 7 NO Below $4,860 Below $405 Below $93 1 1 1 1 1 1 1 r-I U $4,860-F5,700 $405-$475 $93-.`7110 2 1 1 1 1 1 1 0 NO $5,701- $6,540 $476-$545 $111-$126 3 1 1 1 1 1 1 U $6,541-$7,800 $546-$650 $127-$150 4 2 1 1 1 1 1 0 a 00 3 $7,801-$8,640 $651-$720 $151-$166 5 3 1 1 1 1 1 $8,641-$9,480 $721-$790 $167-$182 6 4 2 1 1 1 1 o M yr W a $9,481-$10,320 $791-$860 $183-$198 7 4 3 1 1 1 1 O $10,321-$11,580 $861-$965 $199-$223 7 5 4 2 1 1 1 W `T M $11,581-$13,260 $966-$1,105 $224-$255 7 6 4 3 2 1 1 r-I •• w $13,261-$14,940 $1,106-$1,245 $256-$287 7 7 5 4 3 2 1 0 t-ix a $14,941-$17,460 $1,246-$1,455 $288-$336 7 7 6 5 4 3 2 W <n ,.q $17,461-$19,980 $1,456-$1,665 $337-$384 7 7 7 6 5 4 3 co U m 2 $19,981—$23,340 $1,666—$1,945 $385—$449 7 7 7 7 6 5 4 ri H W $23,341-$25,860 $2,946-$2,155 $450-$497 7 7 7 7 7 6 5 N E ri u) % $25,861-$26,700 $2,156-$2,225 $498-$513 7 7 7 7 7 6 6 W r-1 O $26,701-$29,880 $2,226-$2,490 $514-$575 7 7 7 7 7 7 6 m W N 44 c Z Above $29,880 Above $2,490 Above $575 7 7 7 7 7 7 7 m ri K4 o Use codes 1 to 7 with Sliding Fee Scale prices to determine amount patients ›'' pay for services and supplies. U C4 W FC a £ CODES: 1 - Below100% poverty as defined by 1983 guidelines. 2 - Between 101% and 150% poverty as defined by 1983 guidelines, o N lower income group. ~ 3 - Between 101% and 150% poverty as defined by 1983 guidelines, M W middle income group. 4 - Between 101% and 150% poverty as defined by 1983 guidelines, higher income group. 5. - Between 151% and 200% poverty as defined by 1983 guidelines, lower income group. 6 - Between 151% and 200% poverty as defined by 1983 guidelines, higher income group. 7 - Above 200% poverty as defined by 1983 guidelines. FP/GYN Use 1 - 7 CHC. . . .Use 1 - 7 MAT Use 1 - 5 WOC. . . .Use 1 - 7 V.D Use 1 - 7 Revised 8/83 FAMILY PLANNING PATIENT CHARGES SLIDING FEE SCALE N O Adjusted Total Gros Income/ ri U Household Size Codes O - Item 1 2 3 4 5 6 7 m0 V q VISITS: 0% 10% 20% 40% 600 800 100% W Initial medical 0 6.00 13.00 25.00 38.00 50.00 63.00 o o g Annual medical 0 5.00 9.00 19.00 28.00 38.00 47.00 o a Diaphragm fitting 0 v} W (initial, with teaching) 4.00 8.00 17.00 25.00 34.00 42.00 Ca a IUD insertion 0 3.00 5.00 10.00 16.00 21.00 26.00 O IUD removal 0 2.00 3.00 6.00 10.00 13.00 16. 00 U W Medical Revisit 0 2.00 4.00 8.00 13.00 17.00 21.00 W ,-i (problem) Contraceptive revisit 0 2.00 3.00 6.00 10.00 13.00 16.00 O r--iz Repeat pap 0 2.00 3.00 6.00 10.00 13.00 16.00 W Brief visit 0 1.00 2.00 4.00 7.00 9.00 11.00 m V Pregnancy test only 0 1.00 2.00 3.00 4.00 5.00 6.00 Rubella titer (drawn 0 1.00 1.00 2.00 3.00 4.00 5.00 M 7 H H & sent) W Counseling: 0-15 min. 0 2.00 3.00 6.00 10.00 13.00 16.00 N H H CO 16-30 min. 0 3.00 6.00 13.00 19.00 26.00 32.00 IX W 31-45 min. 0 5.00 9.00 19.00 28.00 38.00 47.00 W ri D 46-60 min. 0 6.00 13.00 25.00 38.00 50.00 63.00 rn w r` 54 GC cultures 0 1.00 1.00 2.00 3.00 4.00 5.00 m it O1 Z CONTRACEPTIVES: i '-I a o Condoms - each 0 .05 .05 .10 .15 .20 .25 0 a Diaphragm & jelly 0 1.00 2.00 5.00 7.00 10.00 12.00 Wa Jelly or cream 0 .35 . 70 1.40 2.10 3.00 3.50 Applicator (jelly/cream) 0 .10 .20 .40 .60 .80 1.00 ul r- H co Foam 0 .50 1.00 1.50 2.00 3.00 3.50 O NI Encare ovals 0 .50 1.00 1.50 2.00 3.00 3.50 ti ti IUD Cu7 or Tatum T 0 4.00 7.00 14.00 21.00 28.00 35.00 C=4 IUD Loop or Saf-T-Coil 0 4.00 7.00 14.00 21.00 28.00 35.00 Pills, per cycle 0 1.00 2.00 3.00 4.00 5.00 6.00 SUPPLIES: Ampicil1in ea. 250 mg 0 .02 .04 .08 .12 .16 .20 500 mg 0 .03 .06 .12 .18 .24 .30 AVC cream 0 2.00 3.00 4.00 5.00 6.00 7.00 Benemid ea. 0 .05 .10 .20 .30 .40 .50 Flagyl ea. 0 .08 .15 .30 .45 .60 .75 Koro-sulf 0 .50 1.00 2.00 3.00 4.00 5.00 Kwell shampoo 0 .50 1.00 2.00 3.00 4.00 5.00 Monistat 0 1.00 2.00 3.00 5.00 6.00 8.00 Mycostatin 0 .50 1.00 2.00 3.00 4.00 5.00 Provera ea. 10 mg 0 .03 .05 .10 .15 .20 .25 Sultrin 0 1.00 2.00 3.00 5.00 6.00 8.00 Tetracycline ea. 250 mg 0 .01 .02 .04 .06 .08 .10 500 mg 0 .02 .03 .06 .09 .12 .15 Effective 2-1-83 WELL OLDSTER CLINIC PATIENT CHARGES NO SLIDING FEE SCALE 0 0 \ - Household Size Codes c O U Item 1 2 3 4 5 6 7 C4 0 W Visits: 0 10% 200 40% 60% 800 1000 03 o a Physical Exam 1.00 1.00 6.00 12.00 18.00 24.00 30.00 4.0.140 Routine with Lab tests 1.00 1.00 5.00 10.00 15.00 20.00 25.00 0 Repeat 0 0 1.00 2.00 3.00 4.00 5.00 U W Services: M H Pap 0 0 3.00 5.00 8.00 10.00 13.00 0 H x Hearing 0 0 5.00 10.00 15.00 20.00 25.00 a W Ma co \ M 2 H H \ W N E H Cr) w H al ill r- 44 •crz ti CHILD HEALTH CONFERENCE o - PATIENT CHARGES W r4 SLIDING FEE SCALE a X N Household Size Codes oo H m Item 1 2 3 4 5 6 7 O N H H Ga Visits: 0% 10% 20% 40% 60% 80% 100° Physical Exam 0 5.00 10.00 20.00 30.00 40.00 50.00 Repeat visit 0 1.00 2.00 4.00 6.00 8.00 10.06 Services/Tests: Hearing 0 3.00 5.00 10.00 20.00 26.00 32.00 Injections 0 1.00 1.00 1.00 1.00 1.00 1.00 8/83 VENEREAL DISEASE PATIENT CHARGES SLIDING FEE SCALE (N O riU Household Size Codes o Item 1 2 3 4 5 6 7 u) O U Visits: 00 10% 20% 400 60% 800 100% Ca Initial Exam 0 2.00 4.00 8.00 12.00 16.00 20.00 O 41 Repeat Exam 0 1.00 2.00 3.00 4.00 5.00 6.00 o o a G.C. 0 2.00 3.00 6.00 9.00 12.00 15.00 In- 14.1 O Wet prep/whiff/Gram 0 1.00 2.00 4.00 6.00 8.00 10.00 O stain U Syphillis Serology 0 1.00 2. 00 4.00 6.00 8.00 10.00 W c f Y+ ri ,. ,b Supplies: oo x AVC Cream 0 1.00 2.00 3.00 4.00 6.00 7.00 W Monistat 0 1.00 2.00 3.00 5.00 6.00 8.00 M ,.a Kwell 0 1.00 1.00 2.00 3.00 4.00 5.00 C° U Flagyl ea. 0 .10 .15 .30 .50 .60 .75 mZ Podophyllum 0 1.00 1.00 1.00 1.00 1.00 1.00 ,--I H W N H r1 CO W .--1 � M W r- w 0 MATERNITY PATIENT CHARGES 4 SLIDING FEE SCALE 0 1 U P4 W � PAYMENT SCALE Ls.) m ,--I 00 o N Code 1--$1.00 per visit ri '4 Code 2--25%--$ 75.00 W W Code 3--50%--$150.00 Code 4--75%--$225.00 Code 5-100%--$300.00 The client will be charged in installments according to the number of visits she is expected to have. 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CO ON 0 _ -a. >a L IV ..a n WALK-IN CLINIC PATIENT CHARGES SET FEE SCALE NO tiU 0 \ Item coO Fee U Ca Immunizations $1.00 oW O 3 Blood Pressure Check $1.00 • oW W Travel Injections $7.50 % !z Flu Immunizations $2.00 c [� Head Lice Check $1.00 w Ma m M H \W N H rH CO NO CHARGE CLINICS a) 14 Z Neurology z Orthodontia UC4 g W Genetics lf1 i m T.B. O N 0.l W EXHIBIT "B" WELD COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH SERVICES 8 ADMINISTRATION OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS Individual Sewage Disposal System Permit $150.00 o Individual Sewage Disposal Repair/alteration Permit 35.00 o W Holding Tank/Vault Permit 35.00 0 0 Systems Contractor License 25.00•tra Renewal of Systems Contractor License (Annually) 10.00 x System Cleaners License 25.00 r V Renewal of System Cleaners License (Annually) 10.00 M z Percolation retest for original application H at Applicant's Request 60.00 ro H � m a Loan Approval Inspection without water sample 30.00 W � D °r' W Loan Approval Inspection with water sample 35.00 N •crz o, z r" MEAT INSPECTION Cattle Carcass $ 4.00* m M All Other Animal Carcass $ 2.00* H 01 O N H H M W * Slaughter house collecting fee shall be entitled to retain $.20 per carcass for collection of fee. EXHIBIT "C" WELL, COUNTY HEALTH DEPARTMENT FEES • For the Cal ender Year 1981 for Routine Tests. FEE Type of Water Analyses ADOPTED N O - H V _ Total Coliform Count--MF ( including Verification) $ :8.'00 0 o Fecal Coliform Count--MF 8.00 .riu ca Fecal Streptococci--MF 8.00 0 a Pseudomonas aeroginosa 10.00 41 0 3 Staphlococci aureus 12.00 17, •o a ` Plate Count tia 14.00 X "'Q Enteric. Culture for Salmonella & Shigel1a - - 38.00 _ `;. x General Microscopic Examination 4.00 0 V rH o x Turbidity 8.00 a Flouride 15.00 _- pil M a Nitrate 52.00 m V Color 1.00 rn Z Total Hardness as CaCO3 4.00 N F Calcium as CaCO3 4.00 a 2.00 Magnesium Hardness--Calculated i4 Chloride 15. 00 w Sulfate--Potable Water 30.00 o, Sulfate--Waste Water 49. 00 rn z Phenolphthalein Alkalinity 2.00. o gc Total Alkalinity 5. 00 a Specific Conductance 2. 00 a Iron--Screen 15.00 Iron--Quantitative 45.00 1.11 H rn Manganese 45.00 o Ammonia as N--Potable Water 15.00 w Ammonia as N--Waste Water 30.00 Detergent--Methylene Blue Active Substances 34.00 Chlorine Amperometric - 10.00 Oil & Grease--Visual 1.00 Oil & Grease--Chemical 59. 00 Suspended Solids 8. 00 Settable Solids 2.00 Dissolved Oxygen--Winkler 5. 00 Dissolved Oxygen--Probe 10. 00 Nitrite 39.00 pH 2. 00 Biochemical Oxygen Demand 23.00 Temperature 1. 00 Total Dissolved Solids--Chemical 10. 00 Total Dissolved Solids--Calculated 2. 00 Environmental Health - Pick up for potable 4. 00 - Pick up for waste water 20.00 Complete Potable water chemical test package including: Turbidity, Flouride, Nitrate , Total Hardness as CaCO3, Calcium as CaCO3 , Magnesium Hardness--Calcu- lated, Chloride, Sulfate, Phenolphthalein Alkalinity, Total Alkalinity, Ammonia as N, pH, Total Dissolved o Solids--Chemical $164 . 00 o Com_plete chemical Pollution series including: 'I v Nitrate, Chloride, Specific Conductance, Ammonia as N. Detergent--Methlene Blue Active Substances , Oil o and Grease Screen, Nitrite, pH. $174 . 00 Private citizens shall not be charged fees for any o a of the above environmental health tests. firw O Name of Laboratory--Food Staphlococci aureus Count $19 . 00 Enteric Culture--Salmonella & Shigella 37 . 00 a Standard Plate Count--Aerobic 37 . 00 en E.1 Standard Plate Count--Anaerobic 37 . 00 coo Complete Coliform Analysis 36 . 00 z og 2 . 00 H H NH Complete food analysis of the above $168 . 00 Salmonella Screen--Food $ 14 . 00 °r w Ground Beef Preservatives only $11. 00 Ground Beef % Fat only 31 . 00 Total cost of Ground Beef for preservatives and % fat $ 42 . 00 w Additional Food Laboratory Tests a Ln Ln pH $ 2. 00 ri O, Organoleptic Testing 30. 00 Lead in Pottery 26 . 00 w Presence of Hydrogen or CO2 Gas 2. 00 Utensil Rinse Test--Swab Rinse 6 . 00 Sterilizer Controls 1 . 00 Microscopic Examination 5 . 00 Name of Laboratory--VD GC Culture $ 3. 00 Microscopics--not GC Cultures Darkfield (includes collection by lab) 59 . 00 Direct Smear for GC 5. 00 Wet Preparation for Trichomonas 5. 00 Wet Preparation for Yeast 5. 00 Syphilis Serology--RPR 2 . 00 Blood Typing (Basic ABO and Anti D) 4 . 00 -2- Name of Laboratory--Other Communicable Diseases NO Throat Culture for Beta Streptococci and Staphlococci aureus (includes primary, bacitracin, catalase, coagu- HE.) lase, CAMP, and microscopic) $ 2 . 00 a 0 3 Enteric Culture (Salmonella & Shigella) • a 29. 00 to-W W 0 U r1' a w O en a oOU M H H H �W N El H Cf) ,moo r- w a' rn a' z � z 0 U C4 a • LD N O O N ri H mw -3- Weld County Legal Notices ORDINANCE pip.82-C - FINAL RE• ADING ordinances and resolutions concerning fees for the services enumerated in this ordinance. IN THE MATTER OF REPEALING ORDINANCE NO.82-A AND 83-B AND RE-ENACTING THE The above and foregoing Ordinance No.$2-C was, SETTING OF FEES FOR SERVICES PROVIDED on motion duly made and seconded,adopted by the BY-THE WELD COUNTY HEALTH DEPART- following vote on the M day of December, MEET. A.D., 1983. BE IT ORDAINED BY THE BOARD OF COUNTY BOARD OF COUNTY COMMISSIONERS COMMISSIONERS OF WELD COUNTY, COLO- WELD COUNTY,COLORADO RADO: Chuck Carlson,Chairman WHEREAS,the Board of County Commissioners John Martin,Pro-Tem of Weld County,Colorado has authority under state. Gene Brantner statute and the Weld County Home Rule Charter to Norman Carlson establish certain fees for services provided by the • Jacqueline Johnson various departments of Weld County Government, ATTEST: and WHEREAS,the Board of County Commissioners Weld County Clerk and Recorder of Weld County desires,through this Ordinance,to and Clerk to the Board set fees and charges for services provided by the By.. Jeannette Sears ,Weld County Health Department. - Deputy County Clerk NOW,THEREFORE,BE IT ORDAINED by the Board of County Commissioners of Weld County, APPROVED AS TO FORM: Colorado that Ordinance Nos. 83-A and U.S are Russell R. Anson hereby repealed and Mat the fee schedule set forth in 'Assistant County Attorney Exhibits A through C,copies of which are attached hereto and incorporated herein by reference,shall First reading - November 14, 1983. be the fees charged by the Weld County Health Department for the described services. Published in the LaSalle Leader Thursday, Novem- ber 17, 1983. BE IT FURTHER ORDAINED by the Board of County Commissioners,of Weld County, Colorado Second Reading - November 30.1983. that the effective date of said fee schedule shall be Published in the LaSalle Leader Thursday,January 1, 1984 and such fees shall remain in full Decem- force and effect until this Board ordains to change ber 1, 1983. such fees. __ Final Reading - December 13, 1983 BE IT FURTHER ORDAINED by the Board of published in the LaSalle Leader Thursday,Decem- County Commissioners of Weld County, Colorado her 15, 1983. that this ordinance shall supersede all prior EXHIBIT "A" NURSING CLINICS ADJUSTED TOTAL GROSS INCOME AND FAMILY SIZE CODES Annual Monthly Weekly Number in Family Income Income Income 1 2 3 4 5 6 7 Below $4,860 Below $405 Below $93 1 1 1 1 1 1 1 $4,860-''5,700 3405-5475 593-$110 2 1 1 1 1 1 1 $5,701-36,540 3476-3545 $111-$126 3 1 1 1 1 1 1 $6,541-$7,800 5546-3650 $127-$150 4 2 1 1 1 1 1 37,801-58,640 3651-3720 3151-3166 5 3 1 1 1 1 1 58,641-$9,480 3721-$790 3167-3182 6 4 2 1 1 1 1 $9,481-310,320 3791-3860 3183-3198 7 4 3 1 1 1 1 $10,321-311,580 3861-3965 3199-3223 7 5 4 2 1 1 1 51I,581-$13,260 $966-$1,105 $224-$255 7 6 4 3 2 1 1 $13,261-$14,940 $1,106-51,245 $256-5287 7 7 5 4 3 2 1 $14,941-$17,460 $1,246-$1,455 $288-$336 7 7 6 5 4 3 2 $17,461-519,980 31,456-51,665 $337-$384 7 7 7 6 5 4 3 • $19,981-$23,340 $1,666-$1,945 $385-$449 7 7 7 7 6 5 4 $23,341-$25,860 $1,946-52,155 5450-$497 7 7 7 7 7 6 5 $25,861-$26,700 $2,156-$2,225 $498-$513 7 7 7 7 7 6 6 $26,701-$29,880 $2,226-$2,490 $514-$575 7 7 7 7 7 7 6 Above $29,880 Above $2,490 Above $575 7 7 7 7 7 7 7 • Use codes l to 7 with Sliding Fee Scale prices to determine amount patients pay for services and supplies. • CODES: 1 - Below100%poverty as defined by 1983 guidelines. 2 - Between 101% and 150% poverty as defined by 1983 guidelines, lower income-group. 3 —Between 101% and 150% poverty as defined by 1983 guidelines, middle income group. 4 - Between 101% and 150% poverty as defined by 1983 guidelines, higher income group. 5.- Between 151% and 200% poverty as defined by 1983 guidelines, lower Income group. 6 - Between 151% and 200% poverty as defined by 1983 guidelines, higher income' group. 7 - Above 200% poverty as defined by 1983 guidelines. FP/GYN....Use 1 - 7 MAT.......Use 1 - CC....Use 1 - 7 5 WO WOC....Use 1 - 7 v.D.... ...Use 1 - 7 Revised 8/83 Adjusted Total Gros Income/ Household Size Codes Item 1 2 4 5 6 VISITS: 7 0% 10e 20% 0 40 60% 80% 100% Initial medical Annual medical 6.00 13.00 25.00 33.00 50, 0 5'00 9.00 19.00 23.00 00 63.00 ]8.00 47.00 Diaphragm fitting 0 (initial, with teaching) 4.00 0.00 17.00 25.00 34.00 IUD insertion 0 IUD removal 3.00 5.00 10.00 16.00 21.00 42.00 0 2.00 3.00 6.00 10.00 26.00 (problem) 0 2.00 0 2.00 4.00 8.00 13.00 13.00 - 16.00 Medical Revisit Contraceptive revisit 17.00 21.00 � 3.00 6.00 Repeat pap .g10.00 13.00 16.00 Brief visit 2.00 3.00 6.00 :7.00 13.00 Pregnancy test only 00 1.00 2.00 1.00 Rubella titer (drawn 0 1.00 2.00 3.00 3 00 9.00 1 11 00 6 sent) ' 1.00 1.00 4.00 00 6.00 2.00 3.00 4.4.00 5.00 CODE 3 SCALE Time Care Started In Weeks Gestation 12 16 20 24 28 32 34 36 Visit Vumber 1 $15 $16 $18.75 $22 S25 $30 $37.50 $50 2 $15 $16 $18.75 $22 $25 $30 $37.50 $50 3 $15 $16 $18.75 $22 $25 $30 $37.50 $50 4 $15 $16 $18.75 $22 $25 $30 $37.50 5 $15 $16 $18.75 $22 $25 $30 6 $15 $16 $18.75 $22 $25 7 $15 $16 $18.75 $18 8 $15 $16 $18.75 $22 9 $15 *0 S15 10 *0 $150.00$150.00$150.00$150.00$150.00$150.00$150030$150.00 TOTAL COST FOR PRE-NATAL PACKAGE *Zero charge if qualifies for discount C-4 CODE 5 SCALE Time Care Started In Weeks Gestation 12 16 20 24 28 32 34 36 Visit I I I I f I imbet 1 $30 $33 _ $37.50 $43 $50 $60 $75 $100 2 $30 $33 $37.50 $43 $50 $60 $75 $100 ll ,b :$30 $33 $37.50 $43 '$50 $60 ' $75 $100 4 $30 $33 $37.50 $43 $50 $60 $75 5 $30 $33 $37.50 $43 $50 $60 6 $30 $33 $37.50 $43 $50 7 $30 $33 $37.50 $42 8 $30 $33 $37.50 $36 9 S30 *0 $30 10 *0 $300 $300 $300 $300 $300 ..$300 $300. ._.$300 TOTAL COST FOR PRE-NATAL PACKAGE *Zero charge if qualifies for discount f r r LA SALLE 'G'EADER D8Sitiber 15 1983 Page 18 kba 4a : 9Sk zs yya; Counseling: 0-15 min. 0 2.00 '' 3.00 6.00 -10:00 13.00 16.00 16-30 min. 0 3.00 -:6.00 23.00:'29.00 26.00 '.32.00 - 31-45 min. 0 5,00 ,9.00 19.00' 28.00. 38.00 ` '47.00 46-60 min. ' 0 6.00,.4413.00 . 25:00 38.00 50.00 x63:00 GC cultures CONTRACEPTIVES: i. Condoms - each 0 OS ,0$ .x• . - 10 .15 .20 .25 Diaphragm 0 jelly 0 1.00 2.00 5.00. 7.00 10.00 12.00 Jelly or cream 0 - .35 ` .70 1.40 2.10 3.00 3.50 App1lcator(jelly/cream) 0 , .10 ^ ` .20 • .40 ".60 ,80 1.00 Foam - 0 :50 '=. 1.00 1.50 2.00 3.00 3.50 Encase'.ovals 0 .50 1.00 2.50 2.00 3.00 :3.50 IUD;Cu7:or Tatum T 0- 4.00"' '7 00 '14.00 -21.00 28.00 35:00 IUD Loop or Saf-T-Coil 0 4.00 7.00 14.00 21.00 28.00 35.00 Pills, per cycle 0 1.00 ,2.00 3.00 .4.00 5.00. 6.00 SUPPLIES: Ampicil2in ea. 250 mg 0 ,02 .04 .08 .12 .16 -.20 500 mg 0 .03 .06 .12 .18 .24 .30 'AVC'cream 0 2.00 3.00 4.00 5..00 6.00 7.00 Benemid ea. 0 .OS ' .10 .20 .30 .40 .50 Flagyl ea. 0 .08 .15 .30 .45 .60 .75 Koro-sulf ' 0 .50 1.00 2.00 3.00 4.00 5.00 Kwell.shampoo 0. .50 '1.00 2.00 3.00 4.00 5.00 Monistat _ 0 1.00 2.00 3.00 5.00 6.00 8.00 Mycostatin 0 .50 1.00 2.00 3.00 - 4.00 -5.00 Provera ea. 10 mg 0 .03 : .05 .10 .15 .20 , .25 Sultrin - . 0 2.00' 2..00 3.00 5.00 6.00 • Tetracycline ea. 250 mg 0 '.01 ,02 .04 .06 .08 ' .10 500 mg 0 .02 103 .06 .09 .12 .15 Effective 2-1-83 WELL OLDSTER CLINIC:. PATIENT CHARGES SLIDING FEE SCALE . Household Size.Codes Item. 1 . 2 3 4 5 .. 6 7 Visits: 0 103 ' 20% 40% .... 60% 80% .100.{ Physical Exam 1,'00 .1.00 000 12.00 18.00 24.00 30.00 Routine with Lab teats 1.00 1.00 5.00 10.00 15.00 20.00 25.00 Repeat 0 0 1.00 2.00 7.00 4.00 5.00 Services: Pap 0 0. . LOU 5.00 8.00 10.00 13.00 Hearing ' 0 0 ' 5.00 10.00 15.00 20.00 25.0E • CHILD HEALTH CONFERENCE PATIENT CHARGES - SLIDING FEE SCALE Household Size Codes 4 5 6 7 Item 40% 60% 80% 100% ; Visits:, 1 2 J ts:, 0% 10% 20% Physical Exam 0 5.00 10.00 20.00 30.00 40.00 50.00 0 1.00 2.00- 4.00 6.00 8.00 10.0)Repeat visit - Services/Tests: ^ - 0._. 3.00 5.00 10.00 20.00. 26.00 32.00 Hnaeitg._ . .. . 0 - "1.00 .,.1.00 " 1.00 1:.00 1.00 ..1.00, Injecelons . • - + 1'.'illl PA! UI'.N..1 1 .4 PTII pT1 ' SLISLI DINl1 Household Size Codes ' ' 5 G 7 1 2 3 Item ` ' 100% 0% 10% zox 40% 60% BOY Visits; � 0 me 2.00 . 4.00 8.00, 12.D0 16.00 20.00 peatxa 'i 1.00 L•'2.00 3.00. 4.00.; , 5.00 6.00_ pea C'F.Xam 0 : r s 0 3.00.. 6.00 9.00 12.00 15.00 . 0„,C; 0 2.0 4.00 6. ,00 8.00 10.00 Wet Prep/whiff/Cram 0 1 00 2.00 2i• 7! stain....: ,-: 0 . 1.00 "2.00 4.OD 6.00". 8.00 10.00 ;. $yphillis Serology Supplies: 0. 1.00 x' 2.00 3.00 4.00, 6.00. 7.00 Aonistat 0 1.00 2.00 3.00 5.00 6.00 8.00 Ewell 0 1.00 .;1.00 2.00 3.00 4.00 5.00 Y,well . .10 .15 - .30 .50 .60 Flagyl"ea. 0 0 '1.00, "1.00 Podophyllum 0 1 00 .y ,1-00 1.00 1• MATERNITY PATIENT T C�_,- SLIDING FEE SCALE • PAYMENT SCALE Code 1--$1.00 per visit Code-2--25%--$ 75.00 Code 3--50%--$150.00 Code 4--75%--$225.00 Code 5-100%--$300.00 _ The client will be charged in installments according to the number of visits she is expected to have. 1Continued on Page 14) • gtjb;tU'' -;3 ,s,S:.:.s s live. s Page 14 LA SALLE LEADER December 15, 1983 �twhAw�nwwn C-1 CODE 2 SCALE Time Care Started In Weeks Gestation 12 16 . 20 . 24 28 32 34 36 it , .bar 1 $7.50 , $9 $10 . $11 $12.50 $15 $18.75 $25 2 $7.50 $9 $10 $11 $12.50 $15 $18.75 $25 - 3 $7.50 , $9 $10 $11 $12.50 $15 $18.75 $25 4 $7.50 $9 $10 $11 $12.50 $15 $18.75, _ 5 , $7.50 4 $9 $10 $11 $12.50 $15 6 $7.50 $9 $10 $11 $12.50 7- 7 $7.50 $9 $10 $9 8 $7.50 $9 $5 ' $3 9 $7.50 *0 • $7.50 10 *0 -$7g $75 $75 $75 $75 $75- $75 $75— TOTAL COST FOR PRE-NATAL PACKAGE *Zero charge if !qualifies for discount 0,3 .-', t t ate' r CODE.:,. .4 SCALE d t #:�, y s� +�'^� rk �`Timef;tCa�,�L$t aTt�• f� r tfas.��+ 'fe+a' ., , 25, . , In Wee .teatat,Rq°, • ` i', ` llt.16 ;_ .820 {'' 'It 4t„,. 28 32 34 �,36 � > 1 $2`2 50 $25' " $28 >. 7 :$32 $3f 50 $45 $56 25 $75 a, { F { a<<r � ` $45 ' $56 254 $75 s; t l 22 525 a :n$28 .:5„,'.-},a ,u � v.:- ,ky,�.Ney �"¢ri� P an a ., y Y ' s^ 101 roe., w 'r✓ so; t r '' - ,. : il ' I' s" if- ,;.:.-7..t.-- 50 $455C $56•'25,$25 `� ' "� m xm s [�, gq �-,l ,X' ' T i"2° b 1 .:, yv !. U'a i i ` r-- f r i +4 i ..44..'N''''—'.'.'1,',-/.44.A4 .. S b +1 ISO,.Y Pty d jcA� ~ni C Y5 -':' t i.' ' : ! 1 v�... } D^1 tl \ iy✓✓i'1� 2 - ` 4 a� s, $;$37,50 $45 � .24 4. a ck �y � r l }l yam* a r. ry• L '^V i, n vj� ,iY 5 $72 50 $25 S2 • 37.50 it I rG '`;‘,41,,,litt ii 822 50c $25 2 : $32 :$3�• 50 F, L-4 et a 11144; 1 'v s"" - ! i.tad'. 4 w �f ,...2..14'-.5"/.. �7 $y22.5 r` i < 8 • $22-; '. 825 ',„s$29T7 •;.x. $25 _'" ' 9,--. $22YSO *OF f'x Y{ • y Y is h rn F"xi' • -' 5e! -it-.,_ i>+ \. w� 7 M1 S .aA V $225 $225 8225. ri �S225 :: $225 , $225 225 $225 ism+' � A �0$Tv$,0R `FREJNATAL PACKAGE' ,,, 1 S it i k- Y 9!4AriuQ1 f 3R f r , T ,r yy'$14.11 is F, . , +h , t. "“ fo • ,• .: rr+uarFf ;Q" t ''''''''-''''';2 t t 1 ..,`-",s-"I Zromcdarge?df ;43,,,.,.„,,,,„a2 o- Lot �d scoupt., fin. .°. , n, ,,,. I' . ;1&- c u &MhSAt• ';d XAIIb 3.IY ,4„,,,„:,,,-, + +' usYh 1NbLLVY . gg , , e.AlflflOVn9 iAVr7. ,alwt.ws“w'�n. .n `-f4ii .a }+tV'6YA of 4IEwt na.!'- ' "w1 a.cata?1ne watt' . xar lA »-+f attlgm.. a , .;;;"4.1 Weld County Legal NOtices Ceetlnu dfromn.ya1N WALK—IN CLINIC PATIENT CHARGES SET FEE SCALE Item Fee Immunizations $1.00 Blood- Pressure Check $1.00 Travel Injections $7.50 Flu Immunizations $2.00 Head Lice Check $1.00 -- NO CHARGE CLINICS Neurology Orthodontia Genetics T.B. - WELD COUNTY HEALTH DEPARTMENT EXHIBIT "B" ENVIRONMENTAL HEALTH SERVICES - ADMINISTRATION OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS Individual Sewage Disposal System Permit ' $150.00 Individual Sewage Disposal Repair/alteration Permit 35,00` Holding.Tank/Vault Permit 35:00' Systems Contractor License 25.00- Renewal of Systems Contractor License (Annually) 10.00 System Cleanres License 25.00 Renewal of System Cleaners License (Annually) 10.00 Percolation retest for original application at Applicant's Request 60.00 Loan Approval Inspection without water sample- 30.00 Loan Approval Inspection with water sample ,... 35.00 .MEAT INSPECTION - Cattle.Catceas - - - $ 4.00* All Other:Animal.Carcass _ S;2001 * Slaughter house collecting fee shall be entitled to retain $.20 per carcaee, for collection of-fee. EXHIBI " t/ELD COUNTY HEALTH DEPARTMENT FEES • For the Calendar Year 1981 for Routine Tests. FEE Loa of Water Analyses ADOPTED Total Colifonn Count--ME ( including Verification) $ 8.00' `` Fecal Colifoem Count--ME 8.00:-• Fecal 'Streptococci--MF Pseudomonas aeroginosa 10.00'• Staphlococci aureus, 12.00:, Plate Count 14.00 Enteric, Culture for Salmonella S Shigella 38.00. General Microscopic Examination 4.00" Turbidity 4'*-4 " a- 8,00 Flouride fiitraie =a�. . 15.00': . 52.00 Color 1.00 : Total Hardness as CaCO3 v" 4.00'' Calcium as CaCO3 4.00` Magnesium Hardness--Calculated 2.00 Chloride 15.00- Sulfate--Potable Water 30.00; Sulfate--Waste Water ' 49.00 Phenolphthalein Alkalinity � slc e<„, 2.00 Total Alkalinity 5.00:• LA SALLE LEADER December 15, 1983 Page 15 Specific Conductance , ,, ,00 Iron--Screen 15.00 Iron--Quantitative 45.00 Manganese 45.00 ARmonia as 1i--Potable Water 15.00 Ammonia as N--Waste Water 30.00 Detergent--Methylene Blue Active Substances 34.00 Chlorine Amperometric 10.00 Oil 8 Grease--Visual 1.00 Oil 8 Grease--Chemical 59.00 Suspended Solids 8.00 Settable Solids 2.00 Dissolved Oxygen--Winkler 5.00 Dissolved Oxygen--Probe 10. 00 Nitrite 39.00 PH 2. 00 Biochemical Oxygen Demand 23.00 Temperature 1.00 Total Dissolved Solid's--Chemical 10.00 Total Dissolved Solids--Calculated 2.00 Environmental Health — Pick up for potable 4.00 — Pick up for waste water 20:00 Complete potable water chemical test package including: Turbidity, Flouride, Nitrate, Total Hardness as CaCO3, Calcium as CaCQ3, Magnesium.Hardness--Calcu- lated, Chloride, Sulfate, Phenolphthalein Alkalinity, Total Alkalinity, Ammonia as N, pH, Total Dissolved Solids--Chemical $164.00 Complete chemical pollution series including: Nitrate, Chloride, Specific Conductance, Ammonia as N. Detergent--Methlene Blue Active Substances, Oil and Grease Screen, Nitrite, p11. $174.00 Private citizens shall not be ch_grr ed foes for .any of the above environmental health tests. Name of Laboratory--Food Staphlococi aureus Count $19.00 Enteric.Culture--Salmonella a Shigella 37.00 Standard Plate Count--Aerobic 37.00 Standard Plate Count--Anaerobic 37.00 Complete Coliform Analysis 36.00 PH ___2.00 Complete food analysis of the above $168.00 Salmonella Screen--Food $ 14.00 Ground Beef Preservatives only $11.00 Ground Beef % Fat only 31.00 Total cost of Ground Beef for preservatives and 5', fat $ 42.00 Additional Food Laboratory Tests pH $ 2.00 Organoleptic Testing 30.00 Lead in Pottery 26.00 Presence of Hydrogen or CO2 Gas 2.00 Utensil Rinse Test--Swab. Rinse 6.00 Sterilizer Controls 1.00 • Microscopic Examination 5.00 Name of Laboratory--VD GC Culture Microscopics--not GC Cultures Darkfield (includes collection by lab) 59.00 ' Direct Smear for GC 5.00- Wet Preparation'.for Trichomonas 5.00 Wet Preparation for Yeast } 5.00 mn.t.:‘ - Syphilis Serology--RPR ' ' S{ 2.00 Blood Typing-.(Basicc�.ABO,,ana,,,Anti,.of 4.00 Name of Laboratory--Other Communicable Diseases Throat Culture for Beta Streptococci and Staphlococci aureus (includes primary, bacitracin, catalase, coagu- lase, CAMP, and microscopic), $ 2.00 Enteric Culture (Salmonella & ,Shigella) -. 29.00 __ , . _ , -Page 121A SALLE LEADER December 1, 1983 Weld County Legal Notices SECOND READING ordinances and resolutions concerning ties for the ORDINANCE NO.62-C services enumerated in this ordinance. IN.TNE MATTER OF REPEALING ORDINANCE NO./YA..AND $2-B AND REENACTING THE The above and foregoing Ordinance No.52-C was, SETTING OF FOR SERVICES nded,adoed by the BY THE WELDE pd made and COUNTY HEALTH DEPART-., following vote on the-- th day of pt December, MONT. A.D., 1983. CO IT COMMISSIONERS THE BOARD NTY,COUNTY BOARD OFNCOUNTY ELD COUNTY,COLONERS COMMISSIONERS OF WELD COUNTY, COLO. O RADO: Chuck Carlson,Chairman • John Martin,Pro•Tem ldCounty,WHEREAS, Board of s a thty Coity and r ate I Gene Brantner t nd Colorado tys authority Carter state • Norman Carlson statute establish c the Weld eeCounty Holes Rule Charter e - Jacqueline Johnson• variqu certain rt fees for services provided by afnwrl4us departments of Weld County Government ATTEST': WHEREAS,the Board of County Commissioners WeldCounty Clerk k an4 Recorder of Weld County desires,through This Ordinance,to Clerk ard Set fees and charges for services provided by the By. Weld County Health Department. Deputy County Clerk NOW,THEREFORE,BE IT ORDAINED by the APPROVED AS TO FORM: Board.of County Commissioners of Weld County, tlolorado that Ordinance Nos. a1-A and 12•B are hereby repealed and that the fee schedule set forth In. County Attorney Exhibits A'through Cs copies of which are attached' hereto and incorporated herein by reference,snail First reading •November 11,1913. be the fees charged by the Weld County Health''! Published in the LaSalle Leader Thursday,Novem- �„ Department for Me described services. ber 17, 1913. BE IT FURTHER ORDAINED by the Board of• County Commissioners of Weld County, Colorado Second Reading • November 30.11913. that the effective date of said fee schedule shall be Published in the LaSalle Leader Thursday,Decam- January 1, Ins and such fees shall remain in full ford,and effect until this Board ordains to change, her 1, 1911. _ such fees. Final Reading• December-13 1911 BE IT FURTHER ORDAINED by the Board of. Published in the LaSalle Leader Thursday,Decem- County Commissioners of Weld County, Colorado oer 15, 1913 that this ordinance shall supercede all prior EXHIBIT "A" NURSING CLINICS ADJUSTED TOTAL GROSS INCOME AND FAMILY SITE COONS • Annual Monthly Weekly Number in Family Income Income Income 1 2 4 5 6 7 Belo• w $4,860 Below $405 Below $93 1 1 1 1 1 1 1 $4,860-`5,700 - $405-$475 $93-$110 2 1 1 1 1 1 1 .$5,701-$6,540 5476-5545 5111-5126 . 3 1 1 1 1 1 1 $6,541-$7,800 $546-$650 $127-5150 4 2 1 1 1 1 1 • $7 6$01-$8,640 $651-$720 5151-$16 5 3 1 1 1 1 1 -` '$8,641-$9,480 $721-$790 5167-5182-. 6 4 2 -.1 _1 1 1 $9,481-$10,320 5791-5860 $183-$198 7 4 3 1 1 1 1 $10,321-511,580 $861-$965 $199-$223 7 5 4 2 1 1 1 $11,581-$13,260 $966-$1,105 $224-$255 7 6 4 3 2 1 1 $13,261-$14,940 $1,106-$1,245 $256-$287 7 7 5 4 3 2 1 $14,941-$17,460 51,246-51,455 $288-$336 -7 7 6 5 4-.3 2 $17.,461-$19,980 51,456-$1,665 $337-$384 7 7 7 6 5 4 3 $19,981-$23,340 $1,666-51,945 $385-$449 7 7 7. 7 6 5 4 $23,341-525,860 $1,946r$2,15$.. , $450-$497 7 7 7 7 7 6 5 $25,861-$26,700 $2,156-$2;225' $498-S513 7 7 7. 7 7 6 6 $26,701-$29,880 $2,226-$2,490 $514-$575 7 7 7 . 7 7 7 6 ",r'_' .. Above $575- 7 7'',7 7 7' 7 7 Abaver'$29;880. Above 52,4983 . 1_:11se_codes:.'1 to.7.with .Sliding*Fee.Scale prices to determine amount patients pay for services and supplies. 1 . CODES: 1.- Below 1O0%poverty as defined.by 1983 vuidelin@ .y, -` -- 2 Between 101% and-150%- poverty as defl'n�'ed. -49 ldellnes, .Sower incorre group• a . 3 - Between 10I% and 150% poverty as defined by 1983 guidelines, ';C 1' middle income,grouP• ;.. -4 Between 101% and150% poverty as defined'by 2983 guidelines; f higher income group'. 5,- Between 151% and. 200% poverty as defined by 1983 guidelines, , _'' lowerincome group.'. 6.- Between 151% and 200% poverty as defined by 1983 guidelines, higher income group. 7 - Above 200% poverty as defined by 1983 guidelines. FP/GYM ...Use 1 - 7 CSC....Use 1 - 7 MAT.......Use 1 5.. , ',wOC....Use 1.- 7 V.DJ Use 1 - 7. Revised 8/83 Adjusted ,Total Gros Income/ Household Size Codes ::Item 1 2 3 4 5 6 7 7VISITS: 0% 10% 20% 40% 60% 80% 100E Initial medical 0 6:00 13.00 25.00 38.00 50.00 63.00 Annual medical 0 5.00 9.00 19.00 23.00 38.00 47.00 Diaphragm fitting 0 (initial, with teaching) 4.00 0.00 17.00 :25.00 '34.00 42.00 taoinsertion - 0 3.00 5.00 _ 10.00; 16.00 21.00 26.00 rub rem?val 0 2.00 3.00 6.00 10.00 13.00 16.00 Medical;Revisit 0 2.00 4.00 8.00 13.00 17.00 21.00 (problem) Contraceptive revisit 0 2.00 3.00 6.00 10.00 13.00 16.00 ,R peat pap 0 2.00 3.00 6.00 10.00 13.00 16.00 Brief-visit 0 1.00 2.00 4.00 • 7.00 9.00 11.00 Pregnancy test only 0 1.00 2.00 3.00 4.00 • 5.00 6.00 AYiMF*►titer (drawn 0 1.00 1.00 2.00 3.00 4.00 5.00 • Counseling: 0-15 min. 0 2.00 3.00 6.00 10.00 13.00 1E 16-30 min. 0 3.00 6.00 13.00 19.00 26.00 3; 31-45 min. 0 5.00 9.00 19.00 28.00 38.00 4; 46-60 min. 0 6.00 13.00 25.00 38.00 50.00 6: GC cultures 0 1.00 1.00 2.00 3.00 4.00 CONTRACEPTIVES: Condoms - each 0 .05 .05 .10 .15 .20 Diaphragm 6 jelly 0 1.00 2.00 5.00 7.00 10.00 1: Jelly or cream 0 .35 .70 1.40 2.10 3.00 Applicator(jelly/cream) 0 .10 .20 .40 .60 .80 Foam 0 .50 1.00 1.50 2.00 3.00 Encare ovals 0 .50 1.00 1.50 2.00 3.00 IUD Cu7 or Tatum T 0 4.00 7.00 14.00 21:00 28.00 3 IUD Loop or Saf-T-Coil 0 4.00 7.00 14.00 21.00 28.00 3 Pills, per cycle 0 1.00 2.00 3.00 4.00 5.00 SUPPLIES: Ampicil1in ea. 250 mg 0 .02 .04 .08 .12 .16 500 mg 0 .03 .06 .12 .18 .24 AVC cream 0 2.00 3.00 4.00 5.00 6.00 7 Benemid ea.- 0 .05 .10 .20 .30 .40 Flagyl ea. 0 .08 .15 .30 .45 .60 Koro-sulf 0 .50 1.00 2.00 3.00 4.00 5 Ewell shampoo 0 -.50 1.00 2.00 3.00 4.00 Monistat 0 1.00 2.00 3.00 5.00 6.00 1 Mycostatin 0 .50 1.00 2.00 3.00 4.00 . ' Provers ea..10 mg 0 .03 .05 .10 .15 .20 Sultrin 0 1.00 2.00 3.00 5.00 6.00 1 Tetracycline ea. 250 mg 0 .01 .02 .04 .06 .08 500 mg 0 .02 .03 .06 .09 .12 Effective 2-1-83 WELL OLDSTER CLINIC PATIENT CHARGES SLIDING FEE SCALE Household Size Codes Item 1 2 3 4 5 6 Visits: 0 10% 20% 40% 60% 80% Physical Exam 1.00 1.00 6.00 12.00 18.00 24.00 3 Routine with Lab tests 1.00 1.00 5.00 10.00 15.00 20.00 1 Repeat 0 0 1.00 2.00 3.00 4.00 Services: Pap 0 0 3.00 5.00 8.00 10.00 Hearing 0 0 5.00 10.00 15.00 20.00 CHILD HEALTH CONFERENCE PATIENT CHARGES SLIDING FEE SCALE Household Size Codes Item 1 2 3 4 5 6 ' Visits: - 0% 10% 20% 40% 60% 80% Physical'Exam 0 - 5.00: . 10.00. . 20.00 30.00 40.00 Repeat visit 0 1.00 2.00 COO. 6.00 8.00 Services/Tests: Nearing 0 3.00 5.00 10.00 20.00 - 26.b0. Injections 0 1.00 1.00 1.00 1.00 1.00 8/83 ".✓ AL.DIStASC ,YAll t t Nf OniIHGOD:. . SLIDING FEE SCALE Household Size Codes 3 4 5 6 Visits: 0% 10% 0`. 0x 20 80%Initial Exam 0 a 2.00 4.00 8.00 12.00 16.0.0 0 2 Repeat Exam ., 0 1.00 2.00 3.00 4.00 5.00 G.C. 0 2.00 3.00 6.00 9.00 2.00 I Wet prep/whiff/Cram 0 1.00 2.00 4.00 -6.00 18.00 1 stain Syphillis Serology a 1.00 2.00 4.00 6.00 8.00 1 Supplies: AVC Cream 0 .1.00 2.00 3.00 4.00 6.00 Monistat 0 1.00 2.00 3.00 $.00 6.00 Kwell 0 ;1.00 1.00 2.00 3.00 £lagyl ea.. 4.00 .10 .15 .30 .50 .60 Podophyllum 0' 1.00 1.00 1.00 1.00. 1.00 MATERNITY PATIENT CHARGES SLIDING FEE SCALE PAYMENT SCALE Code 1--$1.00 per visit Code,2--25%--$ 75.00 Code J--50%--$150.00 Code 4--75%--$225.00 Code 5-100%--$300.00 The client will be charged in installments according to the number of visits she is expected to-have. Continued at page 13; Weld County Legal Notices Confnuw from page DO C-1 CODE 2 SCALE Time Care Started In Weeks Gestation 12 16 , 20 24 28 32 34 36 it be 1 87.50 $9 $10 $11 $12.50 $15 $18. 75 $25 2 $7.50 $9 $10 $11 $12.50 $15 $18.75 $25 3 ' $7.50 $9 $10 $11 $12.50 $15 $18. 75 $25 4 $7.50 " $9 $10 $11 $12.50 $15 $18, 75 5 $7.50, $9 $10 $11 $12.50 $15 6 '$7.50 $9 $10 811 $12.50. 7 $7.50 $9 $10 $9 8 $7.50 $9 $5 $3 9 ■ S7.50 *p $7.50 0 *p - S7$ : , $75 $75 $75 $75 $75 $75 $75 TOTAL COST FOR PRE-NATAL PACKAGE *Zero charge if qualifies for discount LA SALLE LEADER December 1, 1983 Page 13 qu..�wr titi1 �f F, t C '�.. «.rf � w"i�'. ... .. . CODE 3 SCALE 3F! Time Care` Started, In Weeks Gestation 12 16 20 24 28' 32 34 36 Visit Number 1 $15. $16 $18. 75 $22 $25 $30 $37.50 $5<1 2 $15'- $16 - -,$18-:'75 $22 ' $25 $30 $37.:50-$50 3 $15 $16 $18.75 $22 $25 ' ' $30 $3750 $501 4 $15 $16 $18.75 $22, . $25 $30 $37.50, 5 $15 $16 J18.75 $22 S25 $30 6 $15 $16 $18:75 $22 $25 ' 7 $15 $16 ..;$18.75 $18 8 $15 $16 :. $18,.'75 $22 9 $15 *0 $15 10 *0 $150:00$150.00$150.00$150.00$150.00$150.00$150.00$P50.00 TOTAL COST FOR PRE-NATAL PACKAGE_ , *Zero charge if qualifies for discount C-3 , Jy SCALE - • Time Care Started ; In' Weeks' Gestation .• 12 16 20 . •., 24 28 ' 32 34 ' . 36 tt per 1 • $22-.`5E1 $25 • $28- S32 S37:50 $45 -.$56.25 $75 2 $22'50 $25-;±- $32 ''"53T- .50 5615;"$7.0• 3 ' $2250 $25 • :;,:r$28„-'-..,..$3'2 au-•. 4 ` $22.-50 $25 $28 $32 $37.50 $45 ;$56.25 5 $22.50 $25 .$28 $32 $37.50 $45 V ` 6 $22.50, $25 $28 $32• $37.'50 - ,"` ''" 7 $22.50 $25 •$28 'S33 , 4-4-aa,c-ar! rakT. .. 8 $22.50 $25 $29 • $25 9 $22,.50 *0 a k ek�w1' ti a akscd�-r $22.50 • w r,u :.•". R0 *0 $225 $225 $225 S225 $225 y 22 a 2 "' $225�� 422S - $225 TOTAL COST FOR PRE—NATAL PACKAGE i • *Zero charge if qualifies for discount pars'IRV Antic,; ,.C4,• 4 A . C-p CODE 5 SCALE. , ez.,: 'Time:;Care Started In.Weeks Gestation 12 16 20 24 28 32 34 . . . . Jisitr 'lumber.1- $30 d ---$31 $37.50-$43 , ,,$50. $60 $753-b.. ..., :$100 , S33 $3750 '''$43 , '"`$50 $60 $75 ' $100 x •sue�"�;4 S '+' £+� i," ":,min' y . ... x'.Y^" 5.w' enU'✓ r 3 -$ $50 ; 60 $'7s n ^silo 4 $30 $33 $37.50 -$4. ,550 $60 $75 5 $30 $33 $37.50 `$ x`$50 $60 t'. 6 $30 S�33 537.50 S SSO -.411+'y a 7' $30 $33 $37.50 $'4fl • • q * -8' $30- 533 $37.50 ' , 536 J 97 •$30 '. *0 $30 10 *0 $300 $300 $300 :. $300': $300 $300 $300 '$300 TOTAL COST Kg, RE-NATAL PACKAGE ₹30, *Zero charge if qualif .for discount jGoniinued on Pey814) ts�asx.. r. Page 14 LA SALLE LEADER December 1, 1983 Weld County Legal Notices . Conanuettronni elll WALK—IN CLINIC PATIENT CHARGES SET FEE SCALE " Item Fee Immunizations $1.00;. Blood Pressure Check $1.00 Travel Injections $7.50 Flu Immunizations $20 Head Lice Check $1.0a . c?'' HO CHARGE CLINICS, Neurology ; Orthodontia Genetics T.B. EXHIBIT "8" WELD COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH SERVICES • ADMINISTRATION OP INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS Individual Sewage Disposal System Permit $150.00; Individual Sewage Disposal Repair/alteration Permit 'r.35.00" Holding Tank/Vault Permit 35.00 Systems't Contractor License 25:00 Renewal of Systems Contractor License (Annually) 10.00. System Cleanres License 25.00 Renewal of System Cleaners License (Annually) - 10.00 Percolation retest for original application at Applicant's Request 60.00 Loan Approval Inspection without water. sample 30.00 . Loan Approval Inspection with water sample •',35.00 MEAT INSPECTION n Cattle Carcass "4,4 K All °their Animal Carcass , * Slaughter house collecting fee shall be entitled to ret is f.20 per carcass for collection of fee. ' % s EXHIBIT "C,'... tJELO COUNTY HEALTH DEPARTMENT FEES For the Calender Year 1981 for Routine Tests. FEE l_ype of Water Analyse 4" ADOPTED Total Conform Count--MF (incltiding Verification) $:8.•00 Fecal Col iform Count--MF • 8.00 Fecal Streptococci--MF .; 8.00 Pseudomonas aeroqinosa = 10.00` Staphlococci aureus 12.00 Plate Count ;{ i,t ti #:. 14.00 Enteric Culture for Salmonella r Shigella • 38.00' General Microscopic Examination • 4.00 Turbidity 8.00 Flouride 15.00 Ritrate 52.00 Color 1.00 Total Hardness as CaCO3 - 4.00 Calcium as CaCO3 4.00 Magnesium Hardness--Calculated s 2:00 Chloride 15.00 Sulfate--Potable Water 30.00 . Sulfate-,-Waste Water • 49.00 Phenolphthalein Alkalinity 2.00 Total,sAlAlkalinity 5.00 Specific Conductance 2.00 Iron--Screen 15.00 Iron==Quantitative 45.00 Mapganese - ' 45.00 Ammonia as II--Potable Water 15.00 Ammonia, as N--Waste Water 30.00 Detergent--MethyTene Blue Active Substances 34.00 Chlorine Amperometric 10.00 Oil-d Grease--Visual 1.00 i 0.-il8 Grease--Chemical 59.00 $t ended'Solids 8.00 5$e4 able Solids 2.00 Dt olved'0xygen--Winkler 5:00 p$`sholved 0xy9en--Probe 10.00 te, . - 39'00 p 2.00 tio4hemiCa1 0xygen Demand 23.00 iemperature 1.00 Teital° D'7ssolved Solids=-Chemical 10.00 -- 'fetal 'Dissolved Solids--Calculated 2.00 ttiylionoental Health - Pick-up for potable 4.00 { .r Pick .up for waste cater 20:00 'Comshete potable water-chemical test package including: +* v-`Turbidity,_ Flouride, Nitrate, Total Hardness as ' •.Caco3,.Caltium.. as CaCO3, Magnesium Hardness--Calcu- .'fated, Chloride, Sulfate, Phenolphthalein Alkalinity, -Potal.Alkalinity, Ammonia as N, pH, Total Dissolved Solids Chemical $164.0( Complete chemical pollution series including: -, Nitrate,. Chloride, Specific Conductance, Ammonia as N. Detergent--Methlene Blue Active Substances, Oil and Grease Screen, Nitrite, pH. $174.0C Private citizens shall not be charged fees for any 0f: the above environmental health tests. -Name of Laboratory--Food ' Staohlococci aureus Count $19.00 Enteric Culture--Salmonella & Shigella 37.00 Standard Plate Count--Aerobic 37.00 Standard Plate Count--Anaerobic 37.00 Complete Coliform Analysis 36.00 DH 2.00 Complete food 'analysis of the above $168.00 Salmonella Screen--Food $ 14.00 >Ground_Beef•Preservatives only $11.00 ' .``Ground Beef % 'Fat"only 31,00 ',Total: cost''of- Ground Beef for preservatives and % fat $ 42.00 Additional.Food Laboratory Tests . pH $ 2.00. (:prganoleptic,"Testing 30.00 iaadlin Pottery 26.00 ;Bresence of-Hydrogen or CO2 Gas 2.00 Utensil Rinse Test--Swab Rinse 6.00 4terilizer Controls 1.00 £ eroscooic Examination 5.00 •Namef Laboratory VD I. I Sc CultureH -'M croscooics not CC Cultures } Darkfield (includes collection by lab) 59,'00 ,, "" Direct Smear•+.for GC 5.00= '' - arati gf:for Trichomonas 5 00 - haa'4A7rr: -Syoh h a Serology -RPR +�� _ 5 00 Blood Typing (Basic.ABO and Anti 0) :.4-44 -.,- ' ffiNaRsomet Name of Laboratory---.Other communicable Diseases " -- - - 1 , Throat' Culture:'for BetaStreptococci and St hlococcii HT . aureus (includes primary, bacitracin„' catalase, coagu- ! lase, CAMP, and microscopic) ' ] $ '2,00 Enteric Culture (Salmonella & Shigella) i - 29.00: '(' PubWhcd h,lhria$d14.dp Thmcdt9,D.ccmbu 1,1989. - A P4. 20 LA SALLE LEADER November 17, 1983 Weld County Legal Notices ORDINANCE NO.82-C ordinances and resolutions concerning fiis for the services enumerated in this ordinance. IN THE MATTER OF REPEALING ORDINANCE NO.12-A AND 82-B AND RE-ENACTING THE The above and foregoing Ordinance No.12-C was, SETTING OF FEES FOR SERVICES PROVIDED on motion duly made and seconded,adopted by the BY THE WELD COUNTY HEALTH DEPART- following vote on the th day of December, MEET. q.D., 1983. SE IT ORDAINED BY THE BOARD OF COUNTY BOARD OF COUNTY COMMISSIONERS COMMISSIONERS OF WELD COUNTY, COLO- WELD COUNTY,COLORADO RADO: Chuck Carlson,Chairman WHEREAS,the Board of County Commissioners John Martin,Pro-Tem of Weld County,Colorado has authority under state Gene Brantner statute and the Weld County Home Rule Charter to Norman Carlson establish certain fees for services provided by the Jacqueline Johnson various departments of Weld County Government, and ATTEST: WHEREAS,the Board of County Commissioners Weld County Clerk and Recorder of Weld County desires,through this Ordinance,to and Clerk to the Board set fees and charges for services provided by the Weld County Health Department. By: Deputy County Clerk NOW,THEREFORE, BE IT ORDAINED by the Board of County Commissioners of Weld County, APPROVED AS TO FORM: Colorado that Ordinance Nos. 82-A and 82-B are hereby repealed and that the fee schedule set forth in County Attorney Exhibits A through C,copies of which are attached hereto and incorporated herein by reference,shall First reading . November 14, 1983. be the fees charged by the Weld County Health Department for the described services. Published in the LaSalle Leader Thursday,Novem- ' ber it, 1983. BE IT FURTHER ORDAINED by the Board of County Commissioners of Weld County, Colorado Second Reading - November 28, 1983, that the effective date of said fee schedule shall be January 1, 1984 and such fees shall remain in full published in the LaSalle Leader Thursday, Decem- force and effect until this Board ordains to change per 1, 1983. such fees. Final Reading - December 12, BE IT FURTHER ORDAINED by the Board of County Commissioners of Weld County, Colorado her 15, 1983. Published in the LaSalle Leader Thursday, Decem- 198] that this ordinance shall supercede all prior EXHIBIT "A" NURSING CLINIC'S ADJUSTED TOTAL GROSS INCOME AND FAMILY SIZE WWOE:, Annual Monthly Weekly Number in Family Income Income Income 1 2 3 4 5 6 7 Below $4,860 Below $405 Below $93 1 1 1 1 1 1 1 $4,860-!'5,700 $405-$475 $93-3110 2 1 1 1 1 1 1 $5,701-56,540 3476-3545 5111-3126 3 1 1 1 1 1 ' 1 $6,541-$7,800 $546-5650 $117-5150 4 2 1 1 1 1 1 • $7,801-$8,640 $651-$720 3151-3166 5 3 1 1 1 1 1 38,641-39,480 $721-5790 3167-5182 6 4 2 1 1 1 1 39,481-310,320 5791-$860 3183-3198 7 4 3 1 1 1 1 310,321-511,580 5861-3965 5199-5223 7 5 4 2 1 1 1 311,581-.513,160 $966-51,105 5224-5255 7 6 4 3 2 1 1 313,261-514,940 31,106-51,245 5156-$287 7 7 5 4 3 2 1 514,941-$17,460 51,246-51,455 5288-5336 7 7 6 5 4 3 2 317,461-319,980 51,456-51,665 5337-5384 7 7 7 6 5 4 1 319,981-323,340 31,666-31,945 5385-$449 7 7 7 7 6 5 4 323,341-325,860 31,946-31,156 $450-5497 7 7 7 7 7 6 5 $25,861-$26,700 $2,156-32,225 3498-3513 7 7 7 7 7 6 6 $26,701-329,880 $2,226-$2,490 $514-$575 7 7 7 7 7 7 6 Above $29,880 Above $2,490 Above $575 7 7 7 7 7 7 7 Use codes 1 to 7 with Sliding Fee Scale prices to determine amount patients pay for services and supplies. CODES: 1 - Below100%poverty as defined by 1983 guidelines. 2 - Between 101% and 150% poverty as defined by 1983 guidelines, lower income group. 3 - Between 101% and 150% poverty as defined by 1983 guidelines, middle income group. 4 - Between 101% and 150% poverty as defined by 1983 guidelines, , higher income group. 5. - Between 151% and 200% poverty as defined by 1983 guidelines, lower income group. 6 - Between 151% and 200% poverty as defined by 1983 guidelines, higher income group. 7 - Above 200% poverty as defined by 1983 guidelines. FP/GYN Use 1 - 7 CHC....Use 1 - 7 MAT Use 1 - 5 WOC....Use 1 - 7 V.D Use l - 7 Revised 8/83 Adjusted Total Gros Income/ Household Size Codes Item 1 2 3 4 5 6 7 VISITS: 0% '20% 20% 40% 60% 80% I00% Initial medical 0 6.00 13.00 25.00 38.00 50.00 63.00 Annual medical 0 5.00 9.00 19.00 23.00 38.00 47.00 Diaphragm fitting 0 (initial, with teaching) 4.00 8.00 . 17.00 25.00 34.00 42.00 IUD insertion '0 3.00 5.00 10.00 16.00 21.00 26.00 IUD removal 0 2.00 3.00 6.00 ' 10.00 23.00 16.00 Medical Revisit 0 2.00 4.00 8.00 13.00 17.00 21.00 (problem) Contraceptive revisit 0 2.00 3.00 6.00 10.00 13.00 16.00 . Repeat pap 0 2.00 3.00 6.00 20.00 23.00 16.00 Brief visit 0 1.00 2.00 4.00 7.00 9.00 21.00 Pregnancy test one'Zy 0 1.00 2.00 3.00 4.00 5.00 6.00 Rubella titer (drawn 0 2.00 1.00 2.00 3.00 4.00 5.00 6 sent) Counseling: 0-15 min. 0 2.00 3.00 6.00 10.00 13.00 16.i 16-30 min. 0 3.00 6.00 13.00 19.00 26.00 32.E 31-45 min. 0 5.00 9.00 19.00 28.00 38.00 47.' 46-60 min. 0 6.00 13.00 25.00 38.00.00 50.00 0.00 63.' GC cultures 0 1.00 1.00 2.00 CONTRACEPTIVES: .05 .05 .10 .15 .20 Condoms -' each 0 Diaphragm 6 jelly 0 1.00 2.00 5.00 7.00 10.00 12- p .35 .70 1.40 2.10 3.00 3. .00 3. Jelly orat cream .10 .20 .40 .60 Foaliv for(jelly/cream) 0 p .50 1.00 1.50 2.00 3.00 3. Foamre ovals 0 .50 1.00 1.50 2.00 -3.00 3. IhDa Cu o or Tatum T 0 4.00 7.00 14.00 21.00 28/00 35. IUD Co4 00 7 00 14.00 21.00 28.00 35. IUD Loop or Saf-T-Coil 0 2 00 3.00 4.00 5.00 6. Pills, per cycle 0 1.00 SUPPLIES: 02 .04 .08 .12 .16 .2 Ampi ci 11 in ea. 250 mg 0 .02 .06 .12 .18 .24 .3 500 mg 0 cream 0 2.00 3.00 4.00 5.00 6.00 7.0 AVCBenem 0 .05 .10 .20 30 .40 .5 ' flagyld aa. .08 .15 .30 .45 .60 .7 p .50 1.00 2.00 3.00 4.00 5.0 Kwell shf 0 .50 1.00 2.00 3.00 4.00 5.0 gonis shampoo 0 1.00 2.00 3.00 5.00 6.00 8.0 Mycostatin star 0 .50 1.00 2.00 3.00 4.00 5.0 Prover ea. 10 mg p .03 .05 .10 .15 .20 .2 Proves Sul trio 0 1.00 2.00 3.00 5.00 6.00 8.1 .01 .02 .04 .06 Tetracycline ea. 250 mg 0 06 .09 .12 .1 500 mg 0 .02 .03 Effective 2-I-83 WELL OLDSTER CLINIC --------- PATIENT CHARGES SLIDINGFEEE SC ALE Household Size Codes 4 5 6 2 Item p 10% 20% 40% 60% 80% 101 Visits: Physical Exam 1.00 1.00 6.00 12.00 18.00 24.00 30.(C 0.00 Routine with Lab tests 1.00 1� 1.00 05 00 10.00 15.00 5.00 20.00•.00 25.C Repeat Services: 0 0 3.00 5.00 8.00 10.00 13.( Pap 0 0 5.00 10.00 15.00 20.00 25.( Nearing _-- --- SLIDING FEE SCALE . Household Size Codes Item 1 2 3 4 5 6 . Visits: oz 10% 20% 40% 60% 80% 100 Physical Exam 0 5.00 10.00 20.00 30.00 40.00 50.0 Repeat visit 0 1.00 2.00 4'.00 6.00 8.00 10.C Services/Tests: Hearing 0 3.00 5.00 10.00 20.00, 26.00 32., Injections 0 1.00 1.00 1.00 1.00. 1.00 " 1., 8/83 MERKA I. DISEASE 8AT[LNT CHANOL3 SLIDING FEE SCALE Household Size Codes Item 1 2 3 4 5 6 7 Visits: 0% 10% 20% 40% 60% 80% 100% Initial Exam 0 2.00 ' 4.00 8.00 12.00 16.00 20.0C Repeat Exam ' 0 1.00 2.00 3.00 4.00 5.00 6.00 G.C. 0 2.00 3.00 6.00 9.00 12.00 15.0C Wet prep/whiff/Gram 0 1.00 2.00 4.00 6.00 8.00 10.0( stain Syphillis Serology 0 1.00 2.00 4.00 6.00 8.00 10.0( Supplies: AVC Cream 0 1.00 2.00 3.00 4.00 6.00 7.0( :4onistat 0 1.00 2.00 3.00 5.00 6.00 8.0( Ewell 0 1.00 1.00 2.00 1.00 4.00 5.0: Flagyl, ea. 0 .10 .15 .30 .50 Podophyllum 0 1.00 1.00 1.00 1.00 1.00 1.0( MATERNITY PATIENT CHARGES SLIDING FEE SCALE PAYMENT SCALE Code 1--51.00 per visit Code 2--25%--5 75.00 Code 3--50%--5150.00 Code 4--75%--5225.00 Code 5-100%--5300.00 • The client will be charged in installments according to the number of visits she is expected to have. (1 Gpndnysd on Pspe27); • Weld County Legal Notices (Continued from Pogo 20) C-1 CODE 2 SCALE Time Care Started In Weeks Gestation 12 16 20 24 28 32 34 36 it bet 1 57.50 $9 $10 $11 S12.50 $15 $18. 75 $25 2 $7.50 $9 $10 $11 $12.50 $15 $18.75 $25 3 $7.50 $9 _ $10 $11 $12.50^ $15 $18.75 $25 4 $7.50 $9- $10 $11. $12.50 $15 $18.75 5 , $7.50 $9 $10 $11 $12.50 $15 6 $7.50 $9 $10 $11 $12.50 7 $7.50 $9 $10 $9 8 $7.50 $9 $5 $3 9 $7.50 *0 57.50 ,10 *0 $75 $73 $75 $75 • $75 ' $75 $75 $75-- TOTAL COST FOR PRE-NATAL PACKAGE *Zero charge if qualifies for discount 1 LA SALLE LEADER November 17,1983 Page 21 CODE 3 SCALE Time Care Started In Weeks Gestation 12. 16 20 24 28 32 34 36 7isit ' ;umber 1 $15 $16 $18. 75 $22 $25 $30 $37.50 $50 2 $15 $16 $18. 75 $22 $25 $30 $37.50 $50 3 $15 $16 $18.75 $22 $25 $30 $37.50 $50 4 $15 $16 $18.75 $22 $2.5 $30 $37.50 5 $15 $16 $18. 75 $22 $25 $30 6 $15 $16 $18.75 $22 $25 7 $15 $16 $18.75 $18 8 $15 $16 $18. 75 $22 9 $15 *0 $15 10 *0 $150.00$150.00$150.00$150.00$150.00$150:00$150.00$150.00 TOTAL COST FOR PRE-NATAL PACKAGE *Zero charge if qualifies for discount C-4. CODE 4 SCALE Time Care Started In Weeks Gestation 12 16 20 24 28 32 34 36. it ,er� l $22.50 $25 $28 $32 $37.50 $45 $56.25 $75 • 2 $22.50 S25 $28 , $32 S37.50 $45 ' $56.25 $75 3 $22.50 $25 $28 $32 ' 537.50 $45 $56.25 $75 k . $22.50 $25 $28 S32 $37.50 $45 $56.25 5 $22.50 $25 S28 $32. $37.50 $45 6 $22.50 $25 $28 S32 $37.50 , 7 $22.50 $25 $28 $33 8 $22.50 $25 $29 • $25 '.` 9 $22.50 *0 $22.50 LO *0 ' '$225. $225 S225 $225 ~ $225 '$225 $225 S225 .`.TOTAL COST- FOR PRE-NATAL`,PACKAGE�' t *Zero charge if qualifies fOr tiscount <<' . • CODE 5 SCALE. ' Time Care Started . In Weeks Gestation 12 16 •20 24. 28 ' 32 34 36 Visit lumber.' $30 $33 $37.50 $43 $50 $60 $75 $100 2 $30 $33 $37.50 $43 $50 $60 $75 ' $100 3 $30 $33 $37.50 $43 $50 $60 $75 $100 , 4 $30 $33 $37.50, $43 $50 $60 $75. 5 $30 $33 _ $37.50 $43 S50 _ $60' • 6 $30 $33 $37. 50 $43 .$50 . 7 $30 $33 ' $37.50 $42 . -8 ._$30 S J3 S37.50 . : . •. "`..'•- 0 $30 J *0 • . *...1.:i . $30: • • 10 *0 .________t_____'...-. 1' ' $300'' $300 $300 $300 ''$300 $300'' ' $300 $300 :` TOTAI. cosT FOR PRE-NATAL;.PACKAGE ,."..:;,.1 • 1 :',' *Zero charge if,qualifies qualifies for discount +s., sac. .a, ... J.. •�.. J " .• `y ; IGontA Inued on PNOe 22) - ' a 4 Page:•22 LA'SALLE:LEADER November 17,,1483• 'Weld County` Legal' notices (Continued from Page 2'(j WALK—IN-'CLINIC PATIENT CHARGES SET FEE SCALE Item Fee Immunizations $1.00_ Blood Pressure Check $1.00 Travel Injections $7.50 Flu Immunizations $2.00 Head Lice Check $1.00 NO CHARGE CLINICS Neurology Orthodontia Genetics - T.B. EXHIBIT "B"'.;:.. WELD COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH SERVICES ADMINISTRATION OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS Individual Sewage Disposal System Permit $150.00 Individual Sewage Disposal Repair/alteration Permit 35(00 Holding Tank/Vault Permit ' 35.00 Systems Contractor License. 25.00 Renewal of Systems Contractor License (Annually) 10.00 System Cleanres License 25.00 Renewal of System Cleaners License (Annually) 10.00 Percolation retest for original application at Applicant's Request 6Q,00'M ,�. Loan Approval Inspection without water sample 30,00 Loan Approval Inspection with water sample 35.00 MEAT INSPECTION Cattle Carcass - $ 4:00*, All Other Animal Carcass ' _ $ 2.00* * Slaughter house collecting fee shall be entitled,to retain $.20 per carcass for collection of,.fee. y EXHIBIT "L. WELD COUNTY HEALTH DEPARTMENT FEES - For the Calender Year 1981 for Routine Tests. FEE jpe of Water F.nalyses ADOPTED Total Coliform Count--MF ( including Verification) $` 8.00-- Fecal Colifortu Count--MF 8:00 Fecal Streptococci--MF 8:00 Pseudomonas aeroginosa 10.00 staphlococci aureus 12:00 Plate Count 14:00 Enteric Culture for Salmonella & Shigella 38.00 General Microscopic Examination 4.00 Turbidity 8.00` FTouri de • 15.00:.-... iti Irate 52.00 Color 1.00 Total Hardness as CaCO3 4.00 Calcium as CaCO3 4.00 Magnesium Hardness--Calculated 2.00k Chloride 15.00.': Sulfate--Potable Water 30-.00 sulfate--Waste Water — 49.0V, Phenolphthalein Alkalinity 2:OQ Total Alkalinity 5.0Q,: Specific Conductance 2. 0 Iron--Screen 15.0 Iron--Quantitative 45.0 Manganese 45.0 Ammonia as N--Potable Water 15.0 Ammonia as N--Waste Water 30.0' Detergent--Methylene Blue Active Substances 34.0' Chlorine Amperometric 10.01 Oil 8 Grease--Visual . :% 1.0( Oil .& Grease--Chemical 59.0( Suspended Solids 8.01 Settable Solids 2.01 Dissolved Oxygen--Winkler 5.01 Dissolved Oxygen--Probe 10.01 Nitrite ' 39.0( pH 2.01 Biochemical Oxygen Demand 23.0( Temperature 1.0( • Total Dissolved' Solids--Chemical 10.0( Total Dissolved Solids--Calculated 2. 0( Environmental Health - Pick up for potable 4.0 — Pick up for waste water 20.0 Comolete potable water chemical test package including: Turbidity, Flouride„ Nitrate, Total Hardness as .CaCO3, Calcium as CaCO3, Magnesium .Hardness--Calcu- lated, Chloride, Sulfate, Phenolphthalein Alkalinity, Total Alkalinity, Ammonia as N, pH, Total Dissolved Solids--Chemical $164.( Complete chemical pollution series including: Nitrate, Chloride, Specific Conductance, Ammonia as N. Detergent--Methlene' Blue Active Substances, Oil and Grease Screen, Nitrite, pH. $174.( Private citizens shall not be charged fees for any of the above environmental health tests. Name'of Laboratory--Food - Staohlococci aureus Count $19.00 Enteric Culture--Salmonella & Shigella 37.00 Standard Plate Count--Aerobic 37.00 Standard Plate Count--Anaerobic 37.00 Complete Coliform Analysis 36.00 nH 2.00 Comolete food analysis of the above $168.0 Salmonella Screen--Food $ 14.0 Ground Beef Preservatives only $11.00 Ground Beef % Fat only 31.00 Total cost of Ground Beef for preservatives and % fat,- -:.$,.42,0 !Additional Food Laboratory Tests pH $ 2.00 Organoleptic Testing 30.00 -` Lead in Pottery 26.00 • Presence of Hydrogen or CO2 Gas 2.00 Utensil Rinse Test--Swab Rinse 6.00 Sterilizer Controls 1.00 Microscopic Examination 5.00 Name of Laboratory--VD . . GC Culture - $ 3.00 Microscopic-s--not -CC Cultures_ t Darkfield (includes collection by lab) 59.00 Direct{Smear.:for GC - 5.00 I Wet;Preparation'.for Trichomonas 5.00 ' ''i Wet Preparation for Yeast 5.00 •'$ Syphilis Serology -RPR 2.00 i% Blood Typing (Basic ABO and Anti D) 4.00 'tame 'of Laboratory--Other Communicable Diseases Throat Culture for:. Beta Streptococci and Staphlococci -" 'aureus (includes primary, bacitracin, catalase, coagu ;lase, CAMP, and.microscopic) ;•i $ 2.00 11, 'Enteric Culture (Salmonella & Shigella) 29.00 ( ) t -___'Published In the Ls Salle Loader Thursday%Nerember 17,1950. Hello