HomeMy WebLinkAbout952302.tiffAR24Ira S10
ORDINANCE NO. 82-Q
IN THE MATTER OF REPEALING AND RE-ENACTING ORDINANCE NO. 82-P, THE SETTING OF
FEES FOR SERVICES PROVIDED BY THE WELD COUNTY HEALTH DEPARTMENT
BE IT ORDAINED BY THE BOARD OF COUNTY COMMISSIONERS OF THE COUNTY OF WELD,
STATE OF COLORADO:
WHEREAS, the Board of County Commissioners of the County of Weld, State of Colorado,
pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority
of administering the affairs of Weld County, Colorado, and
WHEREAS, the Board of County Commissioners of Weld County, Colorado, has the
authority, under State statute and the Weld County Home Rule Charter, to establish certain fees for
services provided by the various departments of Weld County Government, and
WHEREAS, the Board of County Commissioners of Weld County desires, through this
Ordinance, to set fees and charges for services provided by the Weld County Health Department.
NOW, THEREFORE, BE IT ORDAINED, by the Board of County Commissioners of the
County of Weld, State of Colorado, that Ordinance No. 82-P be, and hereby is, repealed and that
the fee schedule set forth in Exhibits "A" and "B", copies of which are attached hereto and
incorporated herein by reference, shall be the fees charged by the Weld County Health Department
for the described services.
BE IT FURTHER ORDAINED by the Board that this Ordinance shall supersede all prior
ordinances and resolutions concerning fees for the services enumerated in this Ordinance.
BE IT FURTHER ORDAINED by the Board that the effective date of said fee schedule shall
be January 1, 1996, and such fees shall remain in full force and effect until the Board ordains to
change such fees.
BE IT FURTHER ORDAINED by the Board, if any section, subsection, paragraph, sentence,
clause, or phrase of this Ordinance is for any reason held or decided to be unconstitutional, such
decision shall not affect the validity of the remaining portions hereof. The Board of County
Commissioners hereby declares that it would have enacted this Ordinance in each and every
section, subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that
anyone or more sections, subsections, paragraphs, sentences, clauses, or phrases might be
declared to be unconstitutional or invalid.
2467510 B-1522 P-468 12/14/95 01:46P PG 1 OF 10
Weld County CO Clerk & Recorder
ee.: f=/5 rk O/4
REC D0C
0.00
952302
0RD82
RE: ORDINANCE NO. 82-Q
PAGE 2
The above and foregoing Ordinance Number 82-Q was, on motion duly made and seconded,
adopted by the following vote on the 11th day of December, A.D., 1995.
y Clerk to the Board
Second Reading:
Publication:
Final Reading:
Publication:
Effective:
November 27, 1995
November 30, 1995, in the
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLOD,
Dale K. Hall, Chairman
/Barbary.l, Kirkmeyer, Pro -
December 11, 1995
December 14, 1995, in the
January 1, 1996
George EfBaxter
Constance L. Harbert
North Weld Herald
North Weld Herald
North Weld Herald
2467510 B-1522 P-468 12/14/95 01:46P PG 2 OF 10
i
First Reading:
Publication:
November 13, 1995
November 16, 1995, in the
952302
ORD82
Exhibit a
Page 1
WELD COUNTY HEALTH DEPARTMENT
1996 ENVIRONMENTAL PROTECTION SERVICES FEE SCHEDULE
SEPTIC INSPECTION SERVICES FEE
Individual Sewage Disposal System Permit $150.00
(Does not include Site Evaluation)
Site Evaluation $115.00
Individual Sewage Disposal Repair/Alteration Permit $125.00
(Does not include Site Evaluation)
Holding Tank/Vault Permit $ 70.00
Systems Contractor License $ 35.00
Renewal of Systems Contractor License (Annually) $ 20.00
Systems Cleaners License $ 35.00
Renewal of System Cleaners License (Annually) $ 20.00
Existing Individual Sewage Disposal System Evaluation $ 90.00
Statement of Existing $ 10.00
Loan Approval Inspection without Water Sample $ 90.00
Loan Approval Inspection with Water Sample $105.00
Potable Water Sample (collection and analysis) $ 25.00
FOOD PROTECTION SERVICES
*Food Service License (full menu) $100.00
*Food Service License (limited menu) $ 80.00
2467510 8-1522 P-468 12/14/95 01:46P PG 3 OF 10
Exhibit A
Page 2
Weld County Health Department
Environmental Protection Services
Fee Schedule - 1996
Page 2
Temporary Food Service Inspection Fee $ 10.00
*Retail Market Inspection Fee (minimum) $ 20.00
Square Footage w/FSE License w/o FSE License
Less than 3,000 $ 0.00 $ 20.00
3,001 to 4,000 0.00 50.00
4,001 to 10,000 50.00 50.00
10,001 to 20,000 60.00 60.00
20,001 to 40,000 75.00 75.00
Over 40,001 100.00 100.00
* Fees which are shared with the State
POOL SERVICES
Swimming Pool License $150.00
Swim Pool Chemistry Inspection $ 46.00
Swim Pool Physical Inspection $ 73.50
Swim Pool Bacteriological Analysis $ 73.50
Complaint Response and Investigation $35.00/hr
INSTITUTION SERVICES
Board and Care Home License (1-2 Persons) $ 50.00
Daycare License $ 50.00
MISCELLANEOUS SERVICES
Environmental Protection Specialist Field Time Charge $35.00/hr
Beneficial Sludge Permit (160 Acre Parcel) $200.00
2467510 B-1522 P-468 12/14/95 01:46P PG 4 OF 10
Exhibit A
Page 3
Weld County Health Department
Environmental Protection Services
Fee Schedule - 1996
Page 3
Cistern Usage Permit ( Initial) $ 50.00
Cistern Usage Permit (Annual thereafter, with water sample) $ 25.00
LABORATORY SERVICES
1,ABORATORY MEDICAL SAMPLE
Gonorrhea Culture $ 5.00
Gonorrhea Smear $ 5.00
Syphilis Serology $ 5.00
Trichomonas/Clue Cell/Yeast $ 10.00
Colorectal Screen $ 3.00
Urine Culture $ 10.30
Fecal Culture $ 25.00
Streptococcal $ 5.00
Miscellaneous Screen $ 41.50
Urine Microscopic Analysis $ 4.40
Chlamydias $ 7.50
FOOD
Swab Rinse $ 5.00
Hamburger Test $ 25.00
Suspect Food $ 35.00
WATER (Potable)
Bacteria Total Coliform (membrane filtration) $ 6.50
Bacteria Total Coliform (most probable number) $ 28.50
LABORATORY CHEMISTRY SAMPLE
WASTE
Detergents $ 35.00
Oil and Grease (Chem) $ 36.75
Suspended Solids $ 6.00
Settleable Solids $ 4.70
BOD $ 12.70
Chlorine $ 6.60
Temperature $ 1.10
Nitrite $ 7.45
Potassium $ 5.25
2467510 B-1522 P-468 12/14/95 01:46P PG 5 OF 10
Exhibit A
Page 4
Weld County Health Department
Environmental Protection Services
Fee Schedule - 1996
Page 4
Potassium $ 5.25
Oil and Grease (visual) $ 1.25
Chromium Hexavalent $ 10.00
BACTERIAL - Pollution Investigation
Total Coliform Dilution Series $ 22.30
Fecal Coliform $ 22.30
Fecal Streptococci $ 22.30
Confirmation Culture $ 15.00
Staphyloccus aureus $ 17.00
Pseudomonas aeruginosa $ 17.00
,BOIL SAMPLE
Soil Ammonia $ 11.50
Soil Nitrate $ 9.00
GC SAMPLE
Natural Gas $ 45.00
Benzene Series $ 54.00
MISCELLANEOUS
Lead - Paint Chip $ 10.00
Lead - dishes $ 10.00
WATER QUALITY CHEMICAL ASSESSMENT
STEP 1
TDS $ 6.00
pH $ 1.25
Nitrate $ 6.40
Fluoride $ 7.40
Total Hardness $ 5.20
$ 26.25
STEP 2
Calcium $ 7.40
Chloride $ 7.40
Sodium $ 5.00
Turbidity $ 1.60
Magnesium $ 1.10
Sulfate $ 7.20
$ 29.70
2467510 8-1522 P-468 12/14/95 01:46P PG 6 OF 10
Exhibit A
Page 5
Weld County Health Department
Environmental Protection Services
Fee Schedule - 1996
Page 5
STEP 3
Total ALK $ 5.20
Specific Conductance $ 5.20
Manganese $ 5.00
Copper $ 5.00
Zinc $ 5.00
Iotassium $ 5.00
Ionic Balance $ 1.60
Ammonia -$ 9.50
Phen. Alkalinity $ 6.00
Iron 5.00
$ 52.50
WASTE WATER SAMPLE
COD $ 36.00
Turbidity $ 1.60
Detergent $ 33.00
Oil and Grease (Chemical) $ 36.75
Suspended Solids $ 6.00
-BOD $ 12.70
Chlorine $ 6.60
Temperature $ 1.10
Nitrite $ 7.45
Nitrate $ 6.40
Ammonia $ 9.50
Oil and Grease (Visual) S 1.25
PH S 1.25
Chromium Hexavalent S 10 00
$171.60
2467510 B-1522 P-468 12/14/95 01:46P PG 7 OF 10
WELD COUNTY HEALTH DEPARTMENT
PATIENT CHARGES
1'396 SLIDING FEE SCALE
UPDATED 11/95
HOUSEHOLD CODE SIZE
ITEM
rode Code Code rode rode
1 2 3 4 5
VISITS:
NP - EXPANDED .00 15.00 20.00 25.00 40.00
NP - DETAILED .B0 20.00 25.00 30.00 50.00
NP - COMPREHENSIVE .00 25.00 30.00 35.00 60.00
EP - BRIEF .B0 5.00 10.00 15.00 20.00
EP - FOCUSED .00 10.00 15.00 20.00 30.00
EP - EXPANDED .00 15.00 20.00 25.00 40.00
EP - DETAILED .00 20.00 25.00 30.00 50.00
FPP - GLOBAL .B0 .00 .00 .00 150.00
BC PICK-UP VISIT .00 .B0 .b0 .B0 .00
GYN 20.00 20.00 20.00 20.00 20.00
LHP
INITIAL .00 10.00 22.00 40.00 70.00
PERIODIC .00 10.00 17.00 40.00 50.00
INTER PERIODIC .00 5.00 10.00 20.00 35.00
PARTIAL .00 5.00 10.00 15.00 25.00
PARTIAL- COUNSELING .00 10.00 15.00 25.00 40.00
D
`i INITIAL .00 50.00 75.00 100.00 125.00
4N
O GLOBAL ANTEPARTUM .00 150.00 300.00 500.00 600.00
REGULAR .00 25.00 30.00 40.00 50.00
R
so CTS 15.00 15.00 15.00 15.00 15.00
.ii
'-4
D HOME VISIT .00 .00 10.00 30.00 60.00
in
xr
PROCEDURES
ri
N BLOOD SUGAR 5.00 5.00 5.00 5.00 5.00
ri
BP .00 .00 .00 .00 .00
1/4O
M CARDIAC PROFILE 10.00 10.00 10.00 10.00 10.00
aCBC 7.00 7.00 7.00 7.00 7.00
N CHOL. SCREEN 5.00 5.00 5.00 5.00 5.00
inCOLORECTAL 3.00 3.00 3.00 3.00 3.00
4 COLPO WITH BX4 .00 .00 85.00 120.00 160.00
COLPO W/O BX .00 .00 15.00 100.00 125.00
MAT:
POSTPARTUM3 .00 25.00 50.00 75.00 100.00
riCRYO 5.00 10.00 24.00 34.00 60.00
GLUCOSE STICK' 1.00 1.00 1.00 1.00 1.00
up
N HEARING 5.00 5.00 5.00 5.00 5.00
P]
HGB/HCT' 1.00 1.00 1.00 1.00 1.00
BPD AT RISK POPULATION 5.00 5.00 5.00 5.00 5.00
BPD EMPLOYMENT RELATED 10.00 10.00 10.00 ao.00 10.00
2467510 A-1522 P-468 12/14/95 01:46P PO 9
(Procedures Cont.)
PREGNANCY TEST
-REPEAT PAP
_THROAT CULTURE
D.A. DIPSTICK'
HEB B SCREEN
.00 .00 .00 .00 .00
.00 10.00 10.00 10.00 10.00
5.00 5.00 5.00 5.00 5.00
1.00 1.00 1.00 1.00 1.00
15.00 15.00 15.00 15.00 15.00
MEDICATIONS2
AMOXICILLIN 3.00 3.00 3.00 3.00 3.00
AMPICILLIN 2.00 3.00 4.00 5.00 6.00
AZITHROMYCIN 3.00 5.00 7.00 10.00 15.00
BACTRIM 3.00 3.00 3.00 3.00 3.00
DEPHALEXIN 9.00 9.00 9.00 9.00 9.00
ULEOCIN ORAL 6.00 10.00 14.00 21.00 25.00
ULEOCIN VAGINAL 3.OO 6.00 10.00 13.00 20.00
DOXYCYCLINE .00 3.00 4.00 5.00 6.00
ERYTHROMYCIN .00 3.00 4.00 5.00 6.00
FLAGYL 4 TABS 3.00 3.00 4.00 5.00 7.00
FLAGYL 14 TABS 3.00 5.00 7.00 9.00 10.00
LA BICILLIN .00 5.00 11.00 15.00 20.00
LICE SHAMPOO 2.00 4.00 4.00 4.00 4.00
YEAST TX 4.00 7.00 10.00 15.00 20.00
NYSTATIN 2.00 5.00 5.00 5.00 5.00
PODOPHYLLUM/TCA 2.0-0 2.00 3.00 4.00 6.00
SUPRAX .00 3.00 4.00 5.00 7.00
TROBICIN .00 5.00 11.00 15.00 17.00
IMMUNIZATIONS
DTP/TD 5.00 5.00 5.0O 5.00 5.00
FLU 8.00 8.00 8.00 8.-00 B.00
HEP B SERIES 105.00 105.00 105.00 105.00 105.00
HEP B (INFANT) 5.00 5.00 5.00 5.00 5.00
HIB 5.00 5.00 5.00 5.00 5.O0
IPV 25.00 25.00 25.00 25.00 25.00
IG 5.00 5.00 5.00 5.00 5.-00
MMR 5.00 5.00 5.00 5.00 5.00
NMR BOOSTER 35.00 35.00 35.00 35.00 35.00
OPV 5.00 5.00 5.00 5.00 5.00
PNEUMOVAX 15.00 15.00 15.00 15.00 15.-00
RHOGAM .00 20.00 35.00 45.00 60.-00
BIRTH CONTROL
CERVICAL CAP .00 22.00 30.00 36.00 40.00
CONDOMS 10/PKG .00 3.00 3.00 3.00 3.00
DIAPHRAGM .00 4.00 7.00 10.00 10.00
FOAM .00 2.00 3.00 6.00 6.00
GEL/CREAM .00 5.00 5.00 6.00 8.00
NORPLANT INSERT .00 400.00 400.00 400.00 400.00
NORPLANT REMOVAL .00 50.00 70.00 100.00 100.00
ORAL CONTR. .00 5.00 7.00 9.00 10.00
VAGINAL INSERTS .00 4.00 5.00 7.00 7.0-0
DEPO PROVERA .00 22.00 29.00 36.00 45.00
IUD .00 87.00 100.00 120.00 150.00
IUD INSERTION
IUD REMOVAL
.00 15.00 35.00
.00 6.00 12.00
50.00 55.00
16.00 18.00
TRAVEL SERVICES:
CHOLERA 15.00
ISG TRAVEL 15.00
.TYPHOID INJECTION 15.00
.TYPHOID ORAL 40.00
-POLIO. (INJECTION) 25.00
HEPATITIS A 55.00
YELLOW FEVER 40.00
JAPANESE ENCEPHALITIS 45.00
TYPHOID VI CAPSULAR
(ONLY ONE SHOT NEEDED)35.00
RABIES 50.00
MENINGITIS 45.00
O0UNSELING AND INFORMATION
OFFICE VISIT 20.00
15.00
15.00
15.00
40.00
25.00
55.00
40.00
45.00
35.00
50.00
45.00
15.00
15.00
15.00
40.00
25.00
55.00
40.00
45.00
35.00
50.00
45.00
20.00 20.00
DAY CARE CONSULTATION - $25 PER HOUR
PPD TRAINING - $25.00 PER HOUR
15.00
15.00
15.00
40.00
25.00
55.00
40.00
45.00
35.00
50.00
45.00
15.00
15.00
15.00
40.00
25.00
55.00
40.00
45.00
35.00
50.00
45.00
20.00 20.00
1) WAP clients only - no visit fee is charged.
2) Medicaid clients are to receive a written prescription for their
medication that is not provided free by State Health Department.
3) Service included in MCH fee for MCH clients. Medicaid clients are billed.
4) Pathologist fee is billed to client by NCMC for Code 3,4,5.
2467510 -B-1522 P-468 12/14/95 01:46P PG 10 OF 10
AFFIDAVIT OF PUBLICATION
STATE OF COLORADO
COUNTY OF WELD
SS.
I, Bruce J. Bormann, of said County of Weld, being duly
sworn, say that I am Publisher of
THE NORTH WELD HERALD
a weekly newspaper having a general circulation in said
County and State, published in the Town of Eaton, in said
County and State; and that the notice, of which the annexed is
a true copy, has been published in said weekly newspaper for
( successive weeks, that the notice was published
in the regular and entire issue of every number of the paper
during the period and time of publication, and in the
newspaper proper and not in a supplement, and that the
pu lication of said notice:
Ainfrita I/b• 22-Q ee
was in said newspaper bearing the date(s) of:
Thursday, the /7— day of 1995
Thursday, the day of 1995
Thursday, the day of 1995
Thursday the day of , 1995
and that the said THE NORTH WELD HERALD has been
published continuously and uninterruptedly for the period of 52
consecutive weeks, in said County and State, prior to the date
of first publication of said notice, and the same is a newspaper
within the meaning of an Act to regulate printing of legal
notices and advertisements, approved
prior acts so far force..-,
18, 1931, and all
BRUCE J. BORMANN, PUBLISHER
Subscribed and sw
My commission
me this /57`-A day
OTARY PUBLIC
9
ORDINANCE NO. 82-0
IN THE MATTER OF REPEALING AND RE-ENACTING ORDINANCE NO. 82-P, THE SETTING OF
FEES FOR SERVICES PROVIDED BY THE WELD COUNTY HEALTH DEPARTMENT
BE IT ORDAINED BY THE BOARD OF COUNTY COMMISSIONERS OF THE COUNTY OF WELD,
STATE OF COLORADO:
WHEREAS, the Board of County Commission,. of the County of Weld, State of Colorado,
pursuant to Colorado statute and the Wed County Home Rule Charter, is vested with the
authority of adninistering the Stairs of Weld County, Colorado, and
WHEREAS, the Board of County Commissioners of Weld County, Colorado, has the suntan!,
under State statute and the Weld County Horns Rule Charter, to establish certain lees for
urns provided by the various departments of Weld County Government, and
WHEREAS, the Board of County. Commissioners of Weld County desires, through Nils
Ordinance, to set Ises and charges for services provided by the Weld County Health
Department.
NOW, THEREFORE, BE IT ORDAINED, by the Board of County Commissioners of the County of
Weld, State of Colorado, that Ordinance No. 52-P be, and hereby is, repealed and that the les
schedule set forth in Exhibits "A" and 'it", copies of which are attached hereto and
*eorpbratad herein: by reference, shall be the lees charged by His Weld County Health
Department for the described services.
BE IT FURTHER ORDAINED by the Board that this Ordinance shall supersede all prior
ordinances and resolutions concerning fees for the services enumerated in this Ordinance.
BE IT FURTHER ORDAINED by the Board that the effective date of said fee schedule shall be
Januartome such fees shall rennin In fuN and effect until the Board ordains to
change such w
BE IT FURTHER ORDAINED by the Board, if any section, subsection paragraph, sentence,
clause, or phrase of this Ordinance is for any reason held or decided to be unconstitutional,
such decision shall not affect the validity of the remaining portions hereof. The Board of
County Commissions hereby declares that It would have enacted this Ordinance in each and
every fact that ten, subsection, paragraph, sentence, clause, and phrase Intern irrespective of the
anyone or more sections, subsections, paragraphs, sentences, clauses, or phrases
might be declared to be unconstitutional or Invalid.
The above and foregoing Ordinance. Number 62-0 was, on motion duly made and seconded,
adopted by the following vole on the 11th day of December, A.D., 1996.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
N. Dale K. Hall, Chairman
h/. Barbara J. Kirhmsyer, Pro -Tern
/W. George E. Baxter
IV Constance L. Harbert
/W. W. H. Webster
ATTEST: Mt Donald D. Warden
Weld County Clerk to the Board
(WELD COUNTY SEAL)
BY: NI. Shelly K. Miller
Deputy Clerk to the Board
APPROVED AS TO FORM: /at Bruce T. Barker
County Attorney
First Reeding: November 13, 1996
Publication: November 16, 1995, in the North Weld Herald
Second Reading: November 27,19%
Publication: November 90, 1995, in the North Weld Herald
Final Reading: December 11, 1996
Publication: December 14, 1996, in the North Weld Herald
Effective: January 1, 1996
Read and Approved: December 6, 1995
Published in the North Weld Herald: December 14,1996
Cistern Usrpb Penning (Initial)
50.00
rests
25.00
Gonorrhea Culture
Gonorrhea 5.00
syphilis Seroolp� 5.00
Trkhomones/Clue Cell/Yeast 5.00
Colorectal Screen 10.00
Urine Culture 3.00
Fecal Culture 10.30
Streptococcal 25.00
Miscellaneous Screen 5.00
�nMicroscopic Analysis 41.50
4.40
Baal 7.50
Swab Rinse
Hamburger Test 5.00
Suspect Food 25.00
(Potable) 35.00
Bacteria Total CoWorm (membrane filtration)
Brlla Total Conform (most portable number)6.50
I ATY]RV !,'FMICTRV ceA 28.50
WAKE
Detergents
ON and Grease (Chem) 35.00
suspended Solids 36.75
Settleable Solids 6.00
B00 4.70
Cleodrle 12.70
Temperature 6,60
Nitrate 1.10
Potassum 745
Potassium 5.25
Oil and Grease (visual) 5.25
Chromllum Hexavalent 1.25
10.00
Cistern
Usage
g tag
WELD CarNTV 1tEM r -
1996 FNNWa^„ MENTI PpeTEGTIDN S Pt e
ndua
SEPTA rL aPECTIDh R aV
individual Sewage Dypoal System Permit FEE
(Does not include Ste Evaluation) $150.00
Site Evaluation
Individual Sewage Disposal Repelr/Ateration Permit 115.00
(Does not include Site Evaluation) 125.00
Holding Tank/Vault Pert
Systems Contractor License 70.00
Renewal of Systems Contractor License (Annually 35.00
Systems. Cleaners License 20.00
Renewal of System Cleaners License (Annually) 35.00
. Existing Individual Sewage. Disposal System Evaluation 20.00
Statement of Existing 90.00
Loan Approval inspection Mow Water Sample 10.00
Loan Approval Inspection type Water Sample 90.00
Potable Water Sample (collection and analysts) 105.00
FOOD PROTECTION SERVICES 25.00
'Food Service Uceerne (lull menu)
'Food Service License (Polled menu) 100.00
Alqoe�es ».-
Ltd 80.00
YkrpaaNnMMw...'tilium): — _ -.. 10.00
Square Footage
Less than 3,000030 w/FSE License w/o FSE License
3,001 to 4,000 50.00 20.00
4,001 to 10,000 0.00 50.00
10,001 to 20,000 50.00 50.00
20,001 to 40,000 80.00 60.00
Over 40,001 75.00 75.00
'Fees which are shared with the state 100.00 100.00
POs_ SERVICES
Sw nmi g Pool License
Swim Pool Chemistry Mapeelbn 150.00
Swim Pool Physical Inspection 46.00
Swim Pool Bacterlolopical Anslysy 73.50
ConpiWN Response and Investigation 73.50
?/STMITK1N SERVICES 35.00/hr
Board and Care Home license (1-2 Poisons)
Daycare Veen* 50.00
MI L EIWasE uct - 50.00
Environmental Protection P 160
Beneficial Sludge Prime (160Acre Parcel Charge 35.001x
200.00
(Annual thereafter, with water sample)
WATER OUAI ITY CHEMICAL ASSESSMENT
$TFP
TDB
6.00
Nitrate 1.25
FlUoride 6.40
Total Hardness 7.40
52B
aT p � 26.25
C6lclum
Chbrlde 7.40
Sodium 7.40
Turbidity 5.00
Magnesium 1.60
Sulfate 1.10
122
STEP 3 29.70
Total ALK
Speclik Conductance 5.20
Manganese 520
Caper 5.00
Zinc
5.00
Potassium
5.00
Ionic Balance 5.00
Ammonia _ 1.80
Phan. Alf®lnay 9.50
Men 6.00
.... - 5.00
WASTE WATER SALVO F 52.50
COD
Turbidity 36.00
Detergent 1.80
Oil and Grease (Chemical) " ' 35.00
Suspended Solids 36.75
BOO 6.00
Chlorine 12.70
Temperature 6.60
Wps 1.10
Notate 7.45
Ammonia 6A0
Oil and Grease (Visual) 9.50
-n� ,,....• 125
Clromilum r'tetlSeayrd,.► - 125
Mad 7
17160
pmTFR:AI - Pollution InwPtrgttgg
Total Collorm Dilution Series 22.30
Fecal Collfom
Fecal Streptococci 22.30
Confirmation Culture 22.30
Staphyloccus aureus 15.00
Pseudomonas aeruginose 17,00
SOIL SAMPLE 17.00
Soil Ammonia
Soil Nitrate 11.50
GC SM1Pl F 9.00
Natural Gat .00
Bandana Series 45 4500
MISCELLANEOUS
Lead - Paint Chip
Lead • dishes 10.00
10.00
ITEM
=at
NP - EXPANDED
NP• DETAILED
NP -COMPREHENSIVE
EP • BRIEF
EP - FOCUSED
EP - EXPANDED
EP • DETAILED
FPP - GLOBAL
BC PICK-UP VISIT
WELD COUNTY HEALTH DEPARTMENT
PATIENT CHARGES
1996 SLIDING FEE SCALE
UPDATED 11/75
HOUSEHOLD CODE SIZE
Cods Code Code Code Code
1 2 3 4 5
888888888
15.00 20.00 25.00 40.00
20.00 25.00 30.00 50.00
25.00 30.00 35.00 60.00
B00 10.00 15.00 20.00.
10.00 15.00 20.00 30.00
15.00 20.00 25.00 40.00
20.00 25.00 30.00 50.00
.00 .00 .00 150..00
.00 .00 .00 .00
GYN
20.00 20.00 20.00 20.00 20.00
Q
INITIAL .00 10.00 22..00 40.00 70.00
PERIODIC .00 10.00 17.00 40.00 50.00
INTER PERIODIC .00 5.00 10.00 20.00 35.00
PARTIAL .00 5.00 10.00 15.00 25.00
PARTIAL • COUNSELING .00 10.00 15.00 25..00 40.00 •
Mg
INITIAL .00 50.00 75.00 100.00 125.00
GLOBAL ANTEPARTUM .00 150.00 300.00 500.00 600.00
REGULAR .00 25.00 30.00 40.00 50.00
POSTPARTUM° .00 25.00 50.00 75.00 100.00
GIS 15.00 15.00 15.00 15.00 15.00
HOME VISIT
.00 .00 10.00 30.00 60.00
pROCFOI IRFS
BLOOD SUGAR 5.00 5.00 5.00 5.00 5.00
BP .00 .00 .00 .00 .00
CARDIAC PROFILE 10.00 10.00 10..00 10.00 10.00
CBC 7.00 7.00 7.00 7.00 7.00
CHOL. SCREEN 5.00 5.00 5.00 5.00 5.00
COLORECTAL 3.00 3.00 3.00 3..00 3.00
OO(9O WITH BX4 .00 .00 85.00 120.00 160.00
COIPO W/O BX .00 .00 75.00 100.00 125.00
CRYO 5.00 10.00 24.00 34.00 60.00
GLUCOSE STICK 1.00 1.00 1.00 1.00 1.00
HEARING 5.00 5.00 5.00 5.00 5.00
HGB/HCTI 1.00 1.00 1.00 1.00 1.00
PPD AT RISK POPULATION 5.00 5.00 5.00 5.00 5.00
PPD EMPLOYMENT RELATED 10.00 10.00 10.00 10.00 10.00
PREGNANCYTEST .00 .00 .00 .00 .00
REPEAT PAP .00 10.00 10.00 10.00 10.00
THROAT CULTURE 5.00 5.00 5.00 5.00 5.00
U.A. DIPSTICK' 1.00 1.00 1.00 1.00 1.00
HERB SCREEN 15.00 15.00 15.00 15.00 15.00
MFOCATIfNNS2
AMOXICILLIN 3.00 3.00 3.00 3.00 3.00
AMPICILLIN 2.00 3.00 4.00 5.00 6.00
AZITHROMYCIN 3.00 5.00 7.00 10.00 15.00,
BACTRIM 3.00 3.00 3.00 3.00 3.00
CEPHALEXIN 9.00 9.00 9.00 9.00 9.00
CLEOCIN ORAL 6.00 10.00 14.00 21.00 25,00
CLEOCIN VAGINAL 3.00 6.00 10..00 13.00 20.00
DOXYCYCLINE .00 3.00 4.00 5.00 6.00
ERYTHROMYCIN .00 3.00 4.00 5.00 6.00
FLAGYL4 TABS 3.00 3.00 4.00 5.00 7.00
FLAGYL 14 TABS 3,00 5.00 7.00 9.00 10.00
LABICILLIN .00 5.00 11.00 15.00 20.00
LICE SHAMPOO 2.00 4.00 4.00 4.00 4.00
YEAST TX 4.00 7.00 10.00 15.00 20.00
NYSTATIN 2.00 5.00 5.00 5.00 5.00
PODOPHYLLUMITCA 2.00 2.00 3.00 4.00 6.00
SUPRA% .00 3.00 4.00 5.00 7.00
TROBICIN .00 5.00 11.00 15.00 17.00
IMMUNI7ATIONS
DTP/TD
FLU
HEP B SERIES
HER B (INFANT)
HID
IPV
IG
MMR
MMR BOOSTER
OPV
PNEUMOVAX
PJIOGAM
BIRTH CONTRCY
CERVICAL CAP
CONDOMS 10,PKG
DIAPHRAGM
FOAM
GEUCREAM
NORPLANT INSERT
NORPLANT REMOVAL
ORAL CONTR.
VAGINAL INSERTS
DEPO PROVERA
WD
IUD INSERTION
IUD REMOVAL
5.00 5.00 5.00 5.00 5.00
8.00 8..00 8.00 8.00 8.00
105.00 105.00 105.00 105.00 105.00
5.00 5.00 5..00 5.00 5.00
5.00 5.00 5.00 5.00 5.00
25.00 25..00 25.00 25.00 25.00
5.00 5.00 5.00 5.00 5.00
5.00 5.00 5.00 5.00 5.00
35.00 35.00 35.00 35.00 35.00
5.00 5.00 5.00 5.00 5.00
15.00 15.00 15.00 15.00 15.00
.00 20.00 35.00 45.00 60.00
_8888888888888
22.00 30.00 36.00 40.00
3.00 3.00 3.00 3.00
4.00 7.00 10.00 10.00
2.00 3.00 6.00 6.00
5.00 5.00 6.00 8.00
400.00 400.00 400.00 400.00
50.00 70.00 100.00 100.00
5.00 7,00 9.00 10.00
4.00 5.00 7.00 7.00
22.00 29.00 36.00 45.00
87.00 100.00 120.00 150.00
15.00 35.00 50.00 55.00
6.00 12.00 16.00 18.00
JRAVF) SFRVICFS
CHOLERA 15.00 15.00 15.00 15.00 15.00
ISO TRAVEL 15.00 15.00 15.00 15.00 15.00
TYPHOID INJECTION 15..00 15.00 15.00 16.00 15.00
TYPHOID -ORAL 40.00 40.00 40.00 40.00 40.00
POI•IOCTION) 25.00 25.00 25.00 25.00 25.00
HEPATITIS 55.00 55.00 55.00 55.00 55.00'
YELLOW FEVER 40.00 40.00 40.00 40.00 40.00
JAPANESE ENCEPHALITIS 45.00 45.00 45.00 45.00 45.00
TYPHOID VI CAPSULAR
(ONLY ONE SHOT NEEDED) 35.00 35.00 35.00 35.00 35.00
RABIES 50.00 50.00 50.00 50.00 50.00
MENINGITIS 45.00 45.00 45.00 .45.00 45.00
COUNSELING AND INFORMATION
OFFICE VISIT 20.00 20.00 20.00 20.00 20.00
DAY CARE CONSULTATION - $25 PER HOUR
PPD TRAINING • $25.00 PER HOUR
1) WAP clients only • no vise fee Is charged.
2) Medicaid clients are to receive a written prescription for their medication that is not provided
free by Stale Health Department.
3) Service included in MCH fee for MCH clients. Medicaid clients are bleed.
4) Pathologist lee is baled to client by NCMC for Code 3,4,5.
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