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Home My WebLink About20183836.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, the Board has been presented with revisions to the fee schedule for fees collected by the Weld County Department of Public Health and Environment, and WHEREAS, after study and review, the Board deems it advisable to approve the proposed revisions, effective January 1, 2019, copies of which are attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the revised fee schedule for fees collected by the Weld County Department of Public Health and Environment, as attached hereto, be, and hereby are, approved, effective January 1, 2019. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 3rd day of December, A.D., 2018. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST:WdeffeA) jeleo•ok. Steve Moreno, Chair Weld County Clerk to the Board ara Kirkmeyer, P o-Tem BY: P.Deputy Cler to the Board an P. Conway APPR AS TO O kit; eer-dad ° e A. Cozad ou y A orney �` (�' 'V � XCUSED Mike Freeman Date of signature: \ FO CI cc' HLCIG) ‘1311i9 2018-3836 HL0003 18 .Memorandum TO: Steve Moreno, Chair __ Board of County Commissioners Ge5UNT _.. ...7)c FROM: Mark E. Wallace, MD, MPH Executive Director Department of Public Health & Environment DATE: November 29, 2018 SUBJECT: Proposed 2019 Fee Schedule Increases For the Board's review and approval are the Health Department's proposed Environmental Health Services ("EHS") and Public Health Clinical Services ("PHCS") fees schedules for 2019. Both a strike-through version and the final versions of each are attached to aid in the Board's review. ENVIRONMENTAL HEALTH SERVICES: A detailed review of the EHS fee schedule was made to ensure that costs are adequately recovered across all sections of the EHS division. Six lab test fees were increased by $1.00-$2.00 to align with providers of similar services. Several lab tests that are no longer offered were removed. Retail Food Establishment license fees were updated again this past September to allow for the third and last phase of the statutory fee increase. Temporary event fees were further differentiated to reflect a license fee difference for "minor service" food preparation at the event and"full service" so that those vendors doing minimal food preparation on site are not paying the same amount for a license as those doing extensive or"full" service. The hourly rate for specialist field and miscellaneous service time was increased to $55.00 from $50.00 in order to come closer to cost recovery ($56.51/hour). This fee was last increased in 2012. All related fees were adjusted. Swimming pool and spa fees were deleted as this program is no longer active. No fee changes or additions were made to the EHS Household Hazardous Waste fee schedule; however, some language clarifications were made. PUBLIC HEALTH CLINICAL SERVICES: A detailed review of the PHCS fee schedule was made to ensure that costs are adequately recovered across all clinic programs of the PHCS division. All fees were reviewed to establish that the Health Department is charging at least the Medicare reimbursement rate for all services provided at the Health Department. For services that are not covered by Medicare, the Medicaid reimbursement rate was used as a reimbursement floor. Consistent with prior year fee schedule adjustments, following that comparison and after making increases where appropriate, we increased our fees for all services and supplies by 3% across-the- board. Again, this fee increase request is a modest increase compared to the medical rate of inflation which is anticipated to be remain consistent at approximately 6.5% in 2019. Several services were added to the fee schedule to provide more comprehensive care for our clinic patients. I recommend approval of the 2019 PHCS and EHS fee schedule increases. I a/3 2018-3833 I-11.000 3 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT PUBLIC HEALTH SERVICES-2019 SLIDING FEE SCHEDULE HOUSEHOLD CODE SIZE Code Code Code Code Code Code Procedure 1 2 3 4 5 99201 Minimal* 0.00 13.00 26.00 39.00 52.00 99202 Expanded* 0.00 30.25 60.50 90.75 121.00 99203 Detailed* 0.00 39.25 78.50 117.75 157.00 99204 Comprehensive* 0.00 58.50 117.00 175.50 234.00 Established Client 99211 Minimal* 0.00 11.50 23.00 34.50 46.00 99212 Focused* 0.00 19.50 39.00 58.50 78.00 99213 Expanded* 0.00 25.50 51.00 76.50 102.00 99214 Detailed* 0.00 40.25 80.50 120.75 161.00 Home Visits 99341 New Client- Focused 95.00 95.00 95.00 95.00 95.00 99342 New Client- Expanded 95.00 95.00 95.00 95.00 95.00 99347 Est. Client- Focused 94.00 94.00 94.00 94.00 94.00 99348 Est. Client- Expanded 99.00 99.00 99.00 99.00 99.00 Preventive Medicine Counseling (Family Planning) 99401 Individual- 15 min* 0.00 12.25 24.50 36.75 49.00 99402 Individual- 30 min* 0.00 17.75 35.50 53.25 71.00 99403 Individual-45 min* 0.00 24.75 49.50 74.25 99.00 Travel Visits 99404 Individual Initial Visit-60 128.00 128.00 128.00 128.00 128.00 99401W Return Visit 59.00 59.00 59.00 59.00 59.00 99412 Group Initial Visit(per person)-60 59.00 59.00 59.00 59.00 59.00 Preventive Medicine 99384 New Client 12-17 years old* 0.00 39.25 78.50 117.75 157.00 99385 New Client 18-39 years old* 0.00 39.25 78.50 117.75 157.00 99386 New Client 40-64 years old* 0.00 42.50 85.00 127.50 170.00 99394 Est. Client 12-17 years old* 0.00 33.00 66.00 99.00 132.00 99395 Est. Client 18-39 years old* 0.00 33.75 67.50 101.25 135.00 99396 Est. Client 40-64 years old* 0.00 35.75 71.50 107.25 143.00 Additional Codes 0071W Community Education 1 hr. 76.00 76.00 76.00 76.00 76.00 0069W Travax Printout/Medical Records 15.00 15.00 15.00 15.00 15.00 G9006 NHV Mother-Task Care Management 15.00 15.00 15.00 15.00 15.00 T1017 NHV Child-Task Care Management 15.00 15.00 15.00 15.00 15.00 STI Exam pre-pay-NP 199.00 199.00 199.00 199.00 199.00 Wellness Package 50.00 50.00 50.00 50.00 50.00 99499 TB Consultation 46.00 46.00 46.00 46.00 46.00 PROCEDURES 56420 Bartholin Cyst 144.00 144.00 144.00 144.00 144.00 11100 Biopsy of skin, single 122.00 122.00 122.00 122.00 122.00 57500 Cervical Lesion Biopsy 151.00 151.00 151.00 151.00 151.00 0116W Chest X-Ray(Prepay) 69.00 69.00 69.00 69.00 69.00 Revised 11/28/2018 1 of 6 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT PUBLIC HEALTH SERVICES-2019 SLIDING FEE SCHEDULE 57452 Colposcopy without Biopsy** 130.00 130.00 130.00 130.00 130.00 57454 Colposcopy with Biopsy** 181.00 181.00 181.00 181.00 181.00 57511 Cryocautery cervix-initial or repeat 172.00 172.00 172.00 172.00 172.00 17000 Cryotherapy first lesion** 79.00 79.00 79.00 79.00 79.00 17003 Cryotherapy 2-14 lesions** 7.00 7.00 7.00 7.00 7.00 17004 Cryotherapy 15+lesions** 178.00 178.00 178.00 178.00 178.00 56501 Destruction Lesion Vulva 155.00 155.00 155.00 155.00 155.00 57170 Diaphragm/Cervical Cap Fitting* 0.00 24.50 49.00 73.50 98.00 58100 Endometrial biopsy w/wo Biopsy 130.00 130.00 130.00 130.00 130.00 58110 Endometrial biopsy with Colposcopy 70.00 70.00 70.00 70.00 70.00 Essure by referral*** 0.00 0.00 0.00 0.00 0.00 11400 Excisions, benign lesion 146.00 146.00 146.00 146.00 146.00 11981 Implanon Insertion* 0.00 50.50 101.00 151.50 202.00 10060 Incision &drainage of abcess, single or simple 139.00 139.00 139.00 139.00 139.00 58300 Insertion IUD* 0.00 50.75 101.50 152.25 203.00 57460 LEEP with biopsy 334.00 334.00 334.00 334.00 334.00 57461 LEEP with conization 379.00 379.00 379.00 379.00 379.00 88305 Level 4- Surgical pathology 1st site 111.00 111.00 111.00 111.00 111.00 88305W Level 4-Surgical Pathology 2nd site&each ac 111.00 111.00 111.00 111.00 111.00 59025 Non Stress Test Interp 0.00 0.00 0.00 0.00 0.00 11976 Removal, implant contraceptive(lmplanon)* 0.00 60.00 120.00 180.00 240.00 11983 Removal implant, with reinsertion* 0.00 92.00 184.00 276.00 368.00 58301 Removal IUD* 0.00 40.75 81.50 122.25 163.00 A4550 Surgical Tray 73.00 73.00 73.00 73.00 73.00 Shaving of epidermal lesion, single on trunk, 11300 arms or legs, .5cm 114.00 114.00, 114.00 114.00 114.00 76857 Ultrasound- pelvic non-obstetric 78.00 78.00 78.00 78.00 78.00 FAMILY PLANNING SUPPLIES A4267 Condoms pkg 10* 0.00 1.75 3.50 5.25 7.00 0052W Cycle Beads* 0.00 3.75 7.50 11.25 15.00 A4266 Diaphragm* 0.00 8.50 17.00 25.50 34.00 A4269 Foam Contraception* 0.00 3.00 6.00 9.00 12.00 J7307 Nexplanon (Etonogestrel)* 0.00 216.75 433.50 650.25 867.00 J7306 Levonorgestrel 0.00 216.75 433.50 650.25 867.00 J7298 IUD Mirena* 0.00 248.75 497.50 746.25 995.00 J7300 IUD Paragard* 0.00 211.25 422.50 633.75 845.00 J7301 IUD Skyla* 0.00 230.75 461.50 692.25 923.00 J7297 IUD Liletta 0.00 169.25 338.50 507.75 677.00 J7296 IUD Kyleena 0.00 148.00 296.00 444.00 592.00 J1050 Medroxyprogesterone 150mg IM (Depo)* 0.00 18.75 37.50 56.25 75.00 96372 Admin fee depo- if visit for injection only 0.00 7.50 15.00 22.50 30.00 J7303 Nuva Ring* 0.00 11.00 22.00 33.00 44.00 S4993 Oral Contraceptives* 0.00 9.00 18.00 27.00 36.00 0068W Seasonale* 0.00 18.75 37.50 56.25 75.00 0065W Today's Sponge* 0.00 1.25 2.50 3.75 5.00 LAB 86900 ABO blood typing 0.00 1.25 2.50 3.75 5.00 82947 Assay, body fluid, glucose, (FBS)* 0.00 5.75 11.50 17.25 23.00 82565 Assay of creatine 7.00 7.00 7.00 7.00 7.00 86609 Bacterium antibody 17.00 17.00 17.00 17.00 17.00 85025 CBC w/Diff 24.00 24.00 24.00 24.00 24.00 Revised 11/28/2018 2 of 6 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT PUBLIC HEALTH SERVICES-2019 SLIDING FEE SCHEDULE 85027 CBC w/o Diff 21.00 21.00 21.00 21.00 21.00 87491 Chlamydia PCR* 0.00 13.00 26.00 39.00 52.00 87491 NS Chlamydia PCR*-full fee 52.00 52.00 52.00 52.00 52.00 80053 Comprehensive Metabolic Panel 14.00 14.00 14.00 14.00 14.00 0090W Court Ordered Lab Draw 16.00 16.00 16.00 16.00 16.00 82627 DHEAS 32.00 32.00 32.00 32.00 32.00 83001 FSH 39.00 39.00 39.00 39.00 39.00 87591 Gonorrhea PCR* 0.00 13.00 26.00 39.00 52.00 87591 NS Gonorrhea PCR*-full fee 52.00 52.00 52.00 52.00 52.00 82948 Glucose Random 8.00 8.00 8.00 8.00 8.00 82951 Glucose Tolerance Test 2 hr (GTT) 28.00 28.00 28.00 28.00 28.00 87205 Gram Stain 30.00 30.00 30.00 30.00 30.00 84702 HCG Quantitative- Serum Pregnancy Test 45.00 45.00 45.00 45.00 45.00 84703 HCG Qualitative-Serum Pregnancy Test 45.00 45.00 45.00 45.00 45.00 83718 HDL Cholesterol 34.00 34.00 34.00 34.00 34.00 86708 Hep A antibody 16.00 16.00 16.00 16.00 16.00 86709 Hep A igm antibody 15.00 15.00 15.00 15.00 15.00 86706 Hep B Surface Antibody 27.00 27.00 27.00 27.00 27.00 86705 Hep B core AB=Hep b core antibody igm 26.00 26.00 26.00 26.00 26.00 86317 Hep B surface AB 21.00 21.00 21.00 21.00 21.00 87340 Hep B surface AG* 20.00 20.00 20.00 20.00 20.00 80074 Hepatitis Panel (ABC) 63.00 63.00 63.00 63.00 63.00 86803 Hepatitis C Antibody 19.00 19.00 19.00 19.00 19.00 87522 Hepatitis C PCR 56.00 56.00 56.00 56.00 56.00 87255 Herpes Culture 78.00 78.00 78.00 78.00 78.00 86695 Herpes Select-Type I (89999A33) 78.00 78.00 78.00 78.00 78.00 86696 Herpes Select-Type II (89999A33) 78.00 78.00 78.00 78.00 78.00 85018 HGB- (Finger Stick)* 0.00 3.50 7.00 10.50 14.00 83036 HGB A1c 37.00 37.00 37.00 37.00 37.00 86701 HIV 1/2 AB Diff(this is HIV 1) 12.00 12.00 12.00 12.00 12.00 86702 HIV 1/2 AB Diff(this is HIV 2) 13.00 13.00 13.00 13.00 13.00 86703 HIV Screen, ELISA 27.00 27.00 27.00 27.00 27.00 87389 HIV- 1 antigen w/HIV-1 &HIV-2 27.00 27.00 27.00 27.00 27.00 87806 HIV antigen w/hiv antibodies 25.00 25.00 25.00 25.00 25.00 87536 HIV-1 quantitative 110.00 110.00 110.00 110.00 110.00 G0435 HIV Screen, Rapid Test 27.00 27.00 27.00 27.00 27.00 87624 HPV, High Risk 78.00 78.00 78.00 78.00 78.00 87625 HPV typing 16,18,45 48.00 48.00 48.00 48.00 48.00 0081W HPV, High Risk w/repeat pap (LabCorp use) 125.00 125.00 125.00 125.00 125.00 484006W Immunohistochemical Stain 112.00 112.00 112.00 112.00 112.00 87254 Influenza -Viral Culture 47.00 47.00 47.00 47.00 47.00 83525 Insulin, Fasting 15.00 15.00 15.00 15.00 15.00 83002 LH 39.00 39.00 39.00 39.00 39.00 80061W Lipid Panel-SFS* 0.00 10.25 20.50 30.75 41.00 80061N Lipid Panel 41.00 41.00 41.00 41.00 41.00 80076 Liver Panel 33.00, 33.00 33.00 33.00 33.00 86790 MAC Elisa 136.00 136.00 136.00 136.00 136.00 80048 Metabolic Panel 34.00 34.00 34.00 34.00 34.00 86376 Microsomal antibodies 19.00 19.00 19.00 19.00 19.00 82274 Occult Blood Test, Fecal, IA* 32.00 32.00 32.00, 32.00 32.00 88142 Pap-Thin Prep* 0.00 11.75 23.50 35.25 47.00 0080W Pap, repeat thin prep 47.00 47.00 47.00 47.00 47.00 88175 Pap, Thin prep,w HR HPV, Reflex 16,18.45 127.00 127.00 127.00 127.00 127.00 88141 Physician Read Pap 38.00 38.00 38.00 38.00 38.00 84144 Progesterone Level 21.00 21.00 21.00 21.00 21.00 Revised 11/28/2018 3 of 6 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT PUBLIC HEALTH SERVICES-2019 SLIDING FEE SCHEDULE 84146 Prolactin 41.00 41.00 41.00 41.00 41.00 84482 Reverse T3 21.00 21.00 21.00 21.00 21.00 86901 RH blood type 0.00 1.75 3.50 5.25 7.00 87535 RNA Qaul. 48.00 48.00 48.00 48.00 48.00 86592 RPR/Syphillis test 26.00 26.00 26.00 26.00 26.00 86593 RPR/Syphillis(Quant) 12.00 12.00 12.00 12.00 12.00 87798 RT-PCR comprehensive-serum and urine 707.00 707.00 707.00 707.00 707.00 87081 Streptococcus- Hemolytic 9.00 9.00 9.00 9.00 9.00 84480 T3 Triiodothyronine 50.00 50.00 50.00 50.00 50.00 84481 TT-3 (Free-Unbound) 50.00 50.00 50.00 50.00 50.00 84436 T4 Thyroxine 9.00 9.00 9.00 9.00 9.00 84439 T4 (Total Free-Unbound) 11.00 11.00 11.00 11.00 11.00 84403 Testosterone, Total 37.00 37.00 37.00 37.00 37.00 86800 Thyroglobulin Ab 21.00 21.00 21.00 21.00 21.00 82465 Total Cholesterol 25.00 25.00 25.00 25.00 25.00 87661 Trichomonas vaginalis-amplified 47.00 47.00 47.00 47.00 47.00 86780 Treponema pallidum 15.00 15.00 15.00 15.00 15.00 84443 TSH 37.00 37.00 37.00 37.00 37.00 86480 Tuberculosis Test-Quantiferon (IGRA) 99.00 99.00 99.00 99.00 99.00 81001 Urinalysis, complete with micro ex 7.00 7.00 7.00 7.00 7.00 81002 Urinalysis, w/o scope(UA) 10.00 10.00 10.00 10.00 10.00 87086 Urine Culture, Comprehensive 11.00 11.00 11.00 11.00 11.00 81025 Urine Preganancy Test* 0.00 3.75 7.50 11.25 15.00 36415 Venipuncture 8.00 8.00 8.00 8.00 8.00 36415W Venipuncture with sliding fee lab 0.00 2.00 4.00 6.00 8.00 36416 Venipuncture-capillary blood specimen 8.00 8.00 8.00 8.00 8.00 36416W Venipuncture-capillary blood specimen 0.00 2.00 4.00 6.00 8.00 96372 Admin fee for Depo and antibiotics 0.00 7.50 15.00 22.50 30.00 87210 Wet Prep 27.00 27.00 27.00 27.00 27.00 MEDICINES and TREATMENTS 0020W Amoxicillin 875 mg#20 16.00 16.00 16.00• 16.00 16.00 Q0144 Azythromycin, Z pack 16.00 16.00 16.00 16.00 16.00 101456W Azithromycin 1g- partner pack 11.00 11.00 11.00 11.00 11.00 0456W Azithromycin State supplied 0.00 0.00 0.00 0.00 0.00 J0696 Ceftriaxone 250 mg 35.00 35.00 35.00 35.00 35.00 0696W Ceftriaxone 250 mg State Supplied 0.00 0.00 0.00 0.00 0.00 0007W Cephalexin 500 mg#14 10.00 10.00 10.00 10.00 10.00 0058W Ciprofloxcin 500 mg #6 16.00 16.00 16.00 16.00 16.00 0035W Condylox 10.00 10.00 10.00 10.00 10.00 J8499 Doxycycline 100 mg#14 11.00 11.00 11.00 11.00 11.00 0059W Estradiol 1 mg-#100 16.00 16.00 16.00 16.00 16.00 0011W Fluconazole 150 mg#1 24.00 24.00 24.00 24.00 24.00 0012W Iron 12.00 12.00 12.00 12.00 12.00 J0561 LA Bicillin 2.4 Units 5.00 5.00 5.00 5.00 5.00 0060W Medroxyprogesterone 10 mg-#5 16.00 16.00 16.00 16.00 16.00 0008W Metrogel 10.00 10.00 10.00 10.00 10.00 0009W Metronidazole 500 mg#4 10.00 10.00 10.00 10.00 10.00 0010W Metronidazole 500 mg#14 15.00 15.00 15.00 15.00 15.00 0013W Metronidazole 250 mg#28 15.00 15.00 15.00 15.00 15.00 0006W Misoprostel (Cytotec)200 mcg#2 10.00 10.00 10.00 10.00 10.00 0016W Podophyllin/TCA 16.00 16.00 16.00 16.00 16.00 0004W Sulfatrim SMX/TMP 10.00 10.00 10.00 10.00 10.00 J8499 Suprax 400 mg#1 - partner pak 30.00 30.00 30.00 30.00 30.00 00180NC Suprax 400 mg#1 - State Supplied 0.00 0.00 0.00 0.00 0.00 Revised 11/28/2018 4 of 6 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT PUBLIC HEALTH SERVICES-2019 SLIDING FEE SCHEDULE IMMUNIZATIONS 90471 Imm.Admin-one vaccine 30.00 30.00 30.00 30.00 30.00 90472 Imm Admin-each addl. Vaccine 30.00 30.00 30.00 30.00 30.00 90473 Imm Admin- intranasal or oral 30.00 30.00 30.00 30.00 30.00 90700N DTaP-State supplied 0.00 0.00 0.00 0.00 0.00 90700 DTaP 33.00 33.00 33.00 33.00 33.00 90702N DT -State supplied 0.00 0.00 0.00 0.00 0.00 90633N Hepatitis A-Child-State supplied 0.00 0.00 0.00 0.00 0.00 90633 Hepatitis A-Child 35.00 35.00 35.00 35.00 35.00 90632N Hepatitis A-Adult-State supplied 0.00 0.00 0.00 0.00 0.00 90632 Hepatitis A-Adult 93.00 93.00 93.00 93.00 93.00 90744N Hepatitis B- Child- State supplied 0.00 0.00 0.00 0.00 0.00 90744 Hepatitis B-Child 30.00 30.00 30.00 30.00 30.00 90746N Hepatitis B-Adult-State supplied 0.00 0.00 0.00 0.00 0.00 90746 Hepatitis B-Adult 85.00 85.00 85.00 85.00 85.00 90739 Heplisav-B 112.00, 112.00 112.00 112.00 112.00 90647N HIB- State supplied 0.00 0.00 0.00 0.00 0.00 90647 HIB 39.00 39.00 39.00 39.00 39.00 90651N HPV 9-State supplied 0.00 0.00 0.00 0.00 0.00 90651 HPV 9 205.00 205.00 205.00 205.00 205.00 90281 IG Hepatitis A-State supplied 0.00 0.00 0.00 0.00 0.00 90660N Influenza- intranasal use-State supplied 0.00 0.00 0.00 0.00 0.00 90660 Influenza- Intranasal Adult 37.00 37.00 37.00 37.00 37.00 90687 Influenza- infant quadrivalent 37.00 37.00 37.00 37.00 37.00 90687N Influenza-infant quadrivalent-State supplied 0.00 0.00 0.00 0.00 0.00 90688 Influenza- 3 yrs and up-quadrivalent 37.00 37.00 37.00 37.00 37.00 90688N Influenza-3 yrs and up-State supplied quadri, 0.00 0.00 0.00 0.00 0.00 90713N IPV-VFC -State supplied 0.00 0.00 0.00 0.00 0.00 90713 IPV 72.00 72.00 72.00 72.00 72.00 90738 Japanese Encephalitis(new formulation) 328.00 328.00 328.00 328.00 328.00 90696N Kinrix-(DTaP/IPV)/Quadracel-State supplied 0.00 0.00 0.00 0.00 0.00 90696 Kinrix- (DTaP/IPV)/Quadracel 64.00 64.00 64.00 64.00 64.00 90734N MCV4-State supplied 0.00 0.00 0.00 0.00 0.00 90734 MCV4 174.00 174.00 174.00 174.00 174.00 90620 MenB 166.00 166.00 166.00 166.00 166.00 90733 MPSV4 (Menomune)(polysaccharide) 174.00 174.00 174.00 174.00 174.00 90707N MMR- State supplied 0.00 0.00 0.00 0.00 0.00 90707 MMR 73.00 73.00 73.00 73.00 73.00 90723N Pediarix (DTAP, IPV, Hep B) -State supplied 0.00 0.00 0.00 0.00 0.00 90723 Pediarix-(DTaP/IPV/Hep B) 90.00 90.00 90.00 90.00 90.00 90698N Pentacel- (DTaP/IPV/HepB)- State supplied 0.00 0.00 0.00 0.00 0.00 90698 Pentacel- (DTaP/IPV/HepB) 132.00 132.00 132.00 132.00 132.00 90732N Pneumovax-State supplied 0.00 0.00 0.00 0.00 0.00 90732 Pneumovax 95.00 95.00 95.00 95.00 95.00 90710N Proquad- MMR-Varicella 0.00 0.00 0.00 0.00 0.00 90710 Proquad- MMR-Varicella 203.00 203.00 203.00 203.00 203.00 90670N Prevnar- (PCV13)- State supplied 0.00 0.00 0.00 0.00 0.00 90670 Prevnar- (PCV13) 194.00 194.00 194.00 194.00 194.00 90675 Rabies IM 285.00 285.00 285.00 285.00 285.00 90675N Rabies IM- State supplied 0.00 0.00 0.00 0.00 0.00 90375 RIG (rabies) -per cc' 361.00 361.00 361.00 361.00 361.00 90680N Rotavirus- State supplied 0.00 0.00 0.00 0.00 0.00 90680 Rotavirus- (RV5) 100.00 100.00 100.00 100.00 100.00 90750 Shingrix 145.00 145.00 145.00 145.00 145.00 Revised 11/28/2018 5 of 6 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT PUBLIC HEALTH SERVICES-2019 SLIDING FEE SCHEDULE 90714N Td-State supplied 0.00 0.00 0.00 0.00 0.00 90714 Td- 59.00 59.00 59.00 59.00 59.00 90715N Tdap- State supplied 0.00 0.00 0.00 0.00 0.00 90715 Tdap- 114.00 114.00 114.00 114.00 114.00 86580 Tuberculosis Interdermal Skin Test(PPD) 50.00 50.00 50.00 50.00 50.00 90636 Twinrix- Hep A& Hep B 126.00 126.00 126.00 126.00 126.00 90691 Typhoid- 1 Shot 81.00 81.00 81.00 81.00 81.00 90690 Typhoid- Oral 71.00 71.00 71.00 71.00 71.00 90716N Varivax-State supplied 0.00 0.00 0.00 0.00 0.00 90716 Varivax 126.00 126.00 126.00 126.00 126.00 90717 Yellow Fever 161.00 161.00 161.00 161.00 161.00 Miscellaneous INC Service Includes Follow-up Care 0.00 0.00 0.00 0.00 0.00 99212 Antepartum Care 1 visit 78.00 78.00 78.00 78.00 78.00 59425 Antepartum care 4-6 visits 697.00 697.00 697.00 697.00 697.00 59426 Antepartum care 7 or more visits 1433.00 1433.00 1433.00 1433.00 1433.00 99402W PE Establishing Medical Record 68.00 68.00 68.00 68.00 68.00 0255W Phone visit 0.00 0.00 0.00 0.00_ 0.00 59430 Post Partum Only 222.00 222.00 222.00 222.00 222.00 H1005 Prenatal Plus(1-4 visits) 203.00 203.00 203.00 203.00 203.00 H1005 Prenatal Plus(5-9 visits) 539.00 539.00 539.00 539.00 539.00 H1005 Prenatal Plus(10 visits) 1012.00 1012.00 1012.00 1012.00 1012.00 H1005 Prenatal Plus(11 or more visits) 1146.00 1146.00 1146.00 1146.00 1146.00 * Fees only slide for the Family Planning Program. Charges for all other programs are the Code 5 fee. ** Services include surgical procedure only. *** These items are for referral Revised 11/28/2018 Revised 11/28/2018 6 of 6 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH ENVIRONMENT PUBLIC HEALTH SERVICES - 2019 SLIDING FEE SCHEDULE I HOUSEHOLD CODE SIZE 2018 , 2019 PROPOSED Increased Code Code Code Code Code CURRENT by: Yellow - New Procedures/Codes Code Procedure 1 2 3. 4 5 Fee change 99201 Minimal* 0.00 13.00 26.00 39.00 52.00 50.00 52.00 , 99202 Expanded* 0.00 30.25 60.50 90.75 121 .00 117.00 121 .00 99203 Detailed* 0.00 39.25 78.50 117.75 157.00 __ 152.00 157.00 99204 Comprehensive* 0.00 58.50 117 .00 175.50 234 . 00 227.00 234.00 Established Client I 99211 Minimal* 0.00 11 .50 23.00 34.50 46.00 45.00 46.00 99212 Focused* 0.00 19.50 39.00 58.50 78.00 76.00 78.00 99213 Expanded* 0.00 25.50 51 .00 76.50 102.00 99.00 102.00 99214 Detailed* 0.00 40.25 80.50 120.75 161 .00 156.00 161 .00 ,_ Home Visits 99341 New Client - Focused 95.00 95.00 95.00 95.00 95.00 92.00 95.00 99342 New Client - Expanded 95.00 95.00 95.00 95.00 95.00 92.00 95.00 99347 Est. Client - Focused 94.00 94.00 94.00 94.00 94.00 91 .00 94.00 99348 Est. Client - Expanded 99.00 99.00 99.00 99.00 99.00 96.00 99.00 Preventive Medicine Counseling (Family Planning) 99401 Individual - 15 min* 0.00 12.25 24.50 36.75 49.00 48.00 49.00 99402 Individual - 30 min* 0.00 17.75 35.50 53.25 71 .00 69.00 71 .00 99403 Individual - 45 min* _ 0.00 24.75 49.50 74.25 99.00 96.00 99.00 Travel Visits 99404 Individual Initial Visit - 60 128.00 128.00 128.00 128.00 128.00 124.00 128.00 99401W Return Visit 59.00 59.00 59.00 59.00 59.00 57.00 59.00 99412 Group Initial Visit (per person) - 60 59.00 59.00 59.00 59.00 59.00 57.00 59.00 Preventive Medicine 99384 New Client 12-17 years old* 0.00 39.25 78.50 117.75 157.00 152.00 157.00 99385 New Client 18-39 years old* 0.00 39.25 78.50 117.75 157.00 152.00 157.00 99386 New Client 40-64 years old* 0.00 42.50 85.00 127.50 170.00 165.00 170.00 99394 Est. Client 12-17 years old* 0.00 33.00 66.00 99.00 132.00 128.00 132.00 99395 Est. Client 18-39 years old* 0.00 33.75 67.50 101 .25 135.00 131 .00 135.00 '99396 Est. Client 40-64 years old* 0.00 35.75 71 .50 107.25 143.00 139.00 143.00 Additional Codes 0071W Community Education 1 hr. 76.00 76.00 76.00 76.00 76.00 74.00 76.00 0069W Travax Printout/Medical Records 15.00 15.00 15.00 15.00 15.00 15.00 15.00 G9006 NHV Mother - Task Care Management 15.00 15.00 15.00 15.00 15.00 15.00 15.00 `T1017 NHV Child - Task Care Management 15.00 15.00 15.00 15.00 15.00 15.00 15.00 STI Exam pre-pay-NP 199.00 199.00 199.00 199.00 199.00 193.00 199.00 Wellness Package _ 50.00 50.00 50.00 50.00 50.00 49.00 50.00 99499 TB Consultation 46.00 46.00 46.00 46.00 ; 46.00 45.00 46.00 PROCEDURES _ _ 56420 Bartholin Cyst 144.00 .- 144 .00 144 00 144.00 144 .00 140.00 144 .00 11100 Biopsy of skin, single 122.00 122 .00 122. 00 122.00 122.00 118.00 122.00 57500 Cervical Lesion Biopsy 151 .00 151 .00 151 .00 151 .00 151 .00 147.00 151 .00 0116W Chest X-Ray (Prepay) 69.00 69.00 69.00 69.00 69.00 67.00 69.00 57452 Colposcopy without Biopsy ** 130.00 130.00 130.00 130.00 130.00 126.00 130.00 57454 Colposcopy with Biopsy ** 181 .00 181 .00 181 .00 181 .00 181 .00 176.00 181 .00 57511 Cryocautery cervix- initial or repeat 172.00 172.00 172.00 172.00 172.00 167.00 172.00 17000 Cryotherapy first lesion** 79.00 79.00 79.00 79.00 79.00 77.00 79.00 17003 Cryotherapy 2-14 lesions** 7.00 7.00 7.00 7.00 7.00 7.00 7.00 17004 Cryotherapy 15 + lesions** 178.00 178.00 178.00 178.00 178.00 173.00 178.00 56501 Destruction Lesion Vulva 155.00 155.00 155.00 155.00 155.00 150.00 155.00 57170 Diaphragm/Cervical Cap Fitting* 0.00 24.50 49.00 73.50 98.00 95.00 98.00 58100 Endometrial biopsy w/wo Biopsy 130.00 130.00 130.00 130.00 130.00 126.00 130.00 58110 Endometrial biopsy with Colposcopy 70.00 70.00 70.00 70.00 70.00 68.00 70.00 Essure by referral*** 0.00 0.00 0.00 0.00 _ 0.00 0.00 0.00 11400 Excisions, benign lesion 146.00 146.00 146 .00 146.00 146 00 142.00 146.00 11981 Implanon Insertion* 0.00 50.50 101 .00 151 .50 202.00 196.001 202.00 Incision & drainage of abcess, single or r 10060 simple 139.00 139.00 139.00 139.00 139.00 135.00 139.00 ' 58300 Insertion IUD* 0.00 50.75 101 .50 152.25 203.00 197.00 203.00 57460 LEEP with biopsy 334.00 334.00 334.00 334.00 334.00 324.00 334.00 57461 LEEP with conization 379.00 379.00 379.00 379.00 379.00 368.00 379.00 88305 Level 4 - Surgical pathology 1st site 111 .00 111 .00 111 .00 111 .00 � 111 .00 108.00 111 .00 88305W Level 4 - Surgical Pathology 2nd site & eacf 111 .00 111 00 111 .00 111 . 00 111 .00 _ I 108.00 111 .00 ' Rev:sed 1 1 28/2018 Page 1 of 5 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH ENVIRONMENT PUBLIC HEALTH SERVICES - 2019 SLIDING FEE SCHEDULE PROPOSED Increased Code Code Code Code Code CURRENT by: Yellow - New Procedures/Codes 59025 Non Stress Test Intern 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11976 Removal, implant contraceptive (Implanon)* 0.00 60.00 120.00 180.00 240.00 233.00 , 240.00 11983 Removal implant, with reinsertion* 0.00 92.00 184.00 276.00 368.00 357.00 368.00 58301 Removal IUD* 0.00 40.75 81 .50 122.25 163.00 158.00 163.00 A4550 Surgical Tray 73.00 73.00 73.00 73.00 73.00 71 .00 73.00 Shaving of epidermal lesion, single on 11300 trunk, arms or legs, .5cm 114.00 i 114.00 114.00 114.00 114.00 111 .00 114.00 76857 Ultrasound - pelvic non-obstetric 78.00 78.00 78.00 78.00 78.00 76.00 78.00 FAMILY PLANNING SUPPLIES A4267 Condoms pkg 10* 0.00 1 .75 3.50 5.25 , 7.00 7.00 7.00 0052W - Cycle Beads* 0.00 3.75 7.50 11 .25 15.00 15.00 15.00 A4266 Diaphragm* 0.00 8.50 17.00 25.50 34.00 33.00 34.00 A4269 Foam Contraception* 0.00 3.00 ' 6.00 9.00 12.00 12.00 12.00 J7307 Nexplanon (Etonogestrel)* 0.00 216.75 433.50 650.25 867.00 842.00 867.00 J7306 Levonorgestrel 0.00 216.75 433.50 650.25 867.00 , 842.00 867.00 J7298 IUD Mirena* 0.00 248.75 497.50 746.25 995.00 966.00; 995.00 J7300 IUD Paragard* 0.00 211 .25 422.50 633.75 845.0O 803.00 845.00 J7301 IUD Skyla* 0.00 230.75 461 .50 692.25 923.00 896.00 923.00 J7297 IUD Liletta 0.00 169.25 338.50 507.75 677.00 657.00 677.00 J7296 IUD Kyleena 0.00 148.00 296.00 444.00 592.00 575.00 592.00 J1050 Medroxyprogesterone 150mg IM (Depo)* 0.00 18.75 37.50 56.25 75.00 73.00 75.00 96372 Admin fee depo- if visit for injection only 0.00 7.50 15.00 22.50 30.00 29.00 30.00 J7303 Nuva Ring* 0.00 11 .00 22.00 33.00 44.00 43.00j 44.00L S4993 Oral Contraceptives* 0.00 9.00 18.00 27.00 36.00 31 .00 36.00 0068W Seasonale* 0.00 18.75 37.50 56.25 75.00 73.00 75.00 0065W Today's Sponge* 0.00 ' 1 .25 2.50 3.75 5.00 5.00 5.00 LAB 86900 ABO blood typing 0.00 1 .25 2.50 3.75 5.00 5.00 5.00 82947 ' Assay, body fluid. glucose . ( FBS)* 0. 00 5 75 ' 11 , 50r 17 25 23 00 22.00 23.00 82565 Assay of creatine 7 00 7 00 7.00 7 00 7. 00 0.00 7.00 86609 Bacterium antibody 17. 00 17.00 17.00 17 00 17. 00 0.00 17.00 85025 CBC w/Diff i 24.00 24.00 24.00 ' 24.00 24.00 23.00 24. 00 85027 CBC w/o Diff 21 .00 21 .00 21 .00 21 .00 21 .00 20.00 21 .00 87491 Chlamydia PCR* 0.00 13 00 26 00 39.00r 52.00 50.00 52.00 87491 NS Chlamydia PCR* - full fee — 52.00 52. 00 52.00 ' 52.00 52.00 50.00~ 52.00 80053 Comprehensive Metabolic Panel 14.00` 14.00 14.00 14.00 14.00 14.00 14.00 0090W Court Ordered Lab Draw 16.00 16.00 16.00 16.00 16.00 16.00 16.00 82627 DHEAS 32.00 32.00 32.00 32.00 32.00 31 .00 32.00 83001 FSH 39.00 39.00 39.00 39.00 39.00 38.00 39.00 87591 Gonorrhea PCR* 0.00 13.00 26.00 39.00 52.00 50.00 52.00 87591 NS Gonorrhea PCR* - full fee 52.00 52.00 52.00 52.00 52.00 4 50.00 52.00 82948 Glucose Random 8.00 8.00 8.00 8.00 8.00 8.00 8.00 82951 Glucose Tolerance Test 2 hr (GTT) 28.00 28.00 28.0O 28.00 28.00 27.00 28.00 87205 Gram Stain 30.00 30.00 30.00 30.00 30.00 29.00 30.00 84702 HCG Quantitative - Serum Pregnancy Test 45.00 45.00 45.00 45.00 45.00 44.00 45.00_ 84703 HCG Qualitative - Serum Pregnancy Test 45.00 45.00 45.00 45.00 45.00 44.00 45.00 83718 HDL Cholesterol 34.00 34 00 34.00 34.00 34.00 , 33.00 34.00 , 86708 Hep A antibody 16.00 16 . 00 16. 00 16 00 16.00 0.00 16.00 86709 Hep A igm antibody 15. 00 15 00 15. 00 15. 00 15.00 0.00 15.00 86706 Hep B Surface Antibody 27. 00 27 00 27 00 27 00 27 00 ' 26.00 27 00 86705 Hep B core AB=Hep b core antibody igm 26. 00 26.00 26 00 26 00 26. 00 0.00 26.00 86317 Hep B surface AB 21 . 00 21 00 21 .00 21 00 21 00 0.00 21 . 00 87340 Hep B surface AG* 20 00 20 00 20 00 20 00 20. 00 0.00 20.00 80074 Hepatitis Panel (ABC ) 63. 00 63 00 63. 00 63. 00 63. 00 63.00 63.00 86803 Hepatitis C Antibody 19 00 19 00 19. 00 19 00 19. 00 18.00 19.00 87522 Hepatitis C PCR 56.00 56.00 56. 00 56. 00 56. 00 55.00 56.00 87255 I Herpes Culture 78.00 78.00 78.00 78.00 78.00 1 76.00 78.00 86695 Herpes Select - Type I (89999A33) 78.00 78.00 78.00 78.00 78.00 76.00 78.00 86696 Herpes Select - Type II (89999A33) 78.00 78.00 78.00 78.00 78.00 76.00 78.00 85018 HGB - (Finger Stick)* 0.00 3.50 7.00 10.50 14.00 14.00 14.00 83036 HGB A1c 37.00 37.00 37.00 37.00 37.00 36.00 37.00 86701 HIV 1/2 AB Diff (this is HIV 1 ) 12.00 12.00 12.00 12.00 12.00 12.00 12.00 86702 HIV 1/2 AB Diff (this is HIV 2) 13.00 13.00 13.00 13.00 13.00 13.00 13.00 86703 HIV Screen, ELISA 27.00 27.00 27.00 27.00 27.00 26.00 27.00 • 87389 HIV - 1 antigen w/ HIV-1 & HIV-2 27.00 27.00 27.00 27.00 27.00 26.00 27.00 87806 HIV antigen w/hiv antibodies 25.00 25 00 25 00 25 00 25 00 0.00 25. 00 87536 HIV- 1 quantitative 110.00 110 .00 110. 00 110.00 110. 00 0.00 110.00 G0435 HIV Screen, Rapid Test 27.00 27.00 ; 27.00 27.00 27.00 , 26.00 27.00 87624 HPV, High Risk 78.00 78.00 78.00 78.00 78.00_ 76.00 78.00 87625 HPV typing 16, 18,45 _ 48.00 _ 48.00 48.00 48.00 48.00 47.00 48.00 0081W HPV. High Risk w/ repeat pap ( LabCorp USE 125 . 00 125.00 125 .00 ' 125.00 125 00 ' 121 .00 125 .00 Revised 11/28/2018 Page 2 of 5 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH ENVIRONMENT PUBLIC HEALTH SERVICES - 2019 SLIDING FEE SCHEDULE PROPOSED Increased Code Code Code Code Code CURRENT by: Yellow - New Procedures/Codes 1 484006W Immunohistochemical Stain 112.00 112.00 112.00 112.00 112.00 109.00 112.00 87254 Influenza - Viral Culture 47.00 47.00 47.00 47.00 47.00 , 46.00 47.00~ 83525 Insulin, Fasting 15.00 15.00 15.00 15.00 15.00 15.00 15.00 83002 LH 39.00 39.00 39.00 39.00 39.00 38.00 39.00 80061W Lipid Panel - SFS* 0.00 10.25 20.50 30.75 41 .00 40.00 41 .00 80061N Lipid Panel 41 .00 41 .00 41 .00 41 .00 41 .00 40.00 41 .00 80076 Liver Panel 33.00 33.00 33.00 33.00 33.00 32.001 33.00 86790 MAC Elisa 136.00 136.00 136.00 136.00 136.00 132.00 136.00 80048 Metabolic Panel 34.00 34.00 34.00 34.00 34.00 33.00 34.00 86376 Microsomal antibodies 19.00 19.00 19.00 19.00 19.00 18.00 19.00 82274 Occult Blood Test, Fecal, IA* 32.00 32.00 32.00 32.00 32.00 31 .00 32.00 88142 Pap - Thin Prep* 0.00 11 .75i 23 50 35.25 47.00 , 46.00 47.00 0080W Pap, repeat thin prep _ 47.00 47.00 47. 00] 47.00 47.00 46.00 47.00 88175 Pap, Thin prep, w HR HPV, Reflex 16, 18.45 127.00 127.00 127.001 127.00 127.00 123.00 127.00 88141 Physician Read Pap 38.00 . 38.00 38.00 38.00 38.00 37.00 38.00, 84144 Progesterone Level 21 . 00 21 . 00 21 . 00 21 . 00 21 00 0.00 21 .00 84146 Prolactin 1 41 . 00 41 . 00 41 . 00 4100 41 00 40.00 41 . 00 84482 Reverse T3 21 . 00 21 .00 21 . 00 21 00 21 00 0.00 21 .00 86901 RH blood type 0.00 , 1 .75 3.50 5.25 7.00 _ 7.00 ' 7.00 87535 RNA Qaul. 48.00 48.00 48.00 48.00 48.00 47.00 48.00 86592 RPR/Syphillis test 26.00 26.00 26. 00 26. 00 26 00 25.00 26 00 86593 RPR/Syphillis (Quant) 12.00 12. 00 12. 00 12.00 12 00 0.00 12.00 _ _ 87798 RT-PCR comprehensive- serum and urine , 707.00 707.00 707.00 707.00 707.00 ' 686.00 ' 707.00 ' 87081 Streptococcus - Hemolytic 9.00 9.00 9.00 9.00 9.00 A 9.00 9.00- 84480 T3 Triiodothyronine 50.00 50.00 50.00 50.00 _ 50.00 49.00 50.00 84481 TT-3 (Free-Unbound) 50 00i 50.00 50. 00 50. 00 ! 50.00 _ 49.00 50.00,_ 84436 T4 Thyroxine _ 9. 00 9.00 9. 00 _ 9.00 , _ 9. 00 9.00 , 9.00 84439 T4 (Total Free-Unbound) 11 .00 11 .00 11 .00 11 .00 11 .00 -' 11 .00 11 .00 84403 Testosterone, Total 37.00 37.001 37.00 37.00 37.00 36.00 37.00 86800 Thyroglobulin Ab 21 .00 21 . 00 21 . 00 21 .00 21 .00 0.00 21 .00 82465 [Total Cholesterol 25.00 25.001 25.00 25.00i 25.00 24.00 25. 00 87661 Trichomonas vaginalis - amplified 47.001 47.001 47 00r 47 00 47 00 46.001 47.00 86780 Treponema pallidum 15.00 15.00 15.00 15.00 15. 00 0.00 15.00 84443 , TSH 37.00 37.00 37.00 37.00 37.00 36.00 ' 37.00 86480 Tuberculosis Test-Quantiferon (IGRA) 9. 9.00 99.00 , 99.00 99.00 99.00 96.00 99.00 81001 Urinalysis, complete with micro ex 7.00 7.00 7.00 7.00 7.00 _ 7 7.00 7.00 81002 Urinalysis, w/o scope (UA) 10.00{ 10.00 10.00 10.00 10.00 10.00 10.00 87086 Urine Culture, Comprehensive 11 .00 11 .00 11 .00 11 .00 11 .00 11 .00 11 . 00 81025 Urine Preganancy Test* 0.00 3.75 7.50 11 .25 15.00 15.00 15.00 36415 Venipuncture 8.00 , _ 8 . 00 8.00 8.00 8. 001 6.0C 8.00 36415W Venipuncture with sliding fee lab 0.00 ' 2. 00 4.00_ 6.00 8. 00 6.00 8.00 36416 Venipuncture - capillary blood specimen 8.00 8.00 8.00 8.00 8. 00 6.00 8 .00 _ 36416W Venipuncture - capillary blood specimen 0.00 2.00 4.00 6.00 8 .00 , 6.00 8.00 96372 Admin fee for Depo and antibiotics _ 0.00 7.50 15.00 22.50 ' 30.00 _ 29.00 30.00 _ 87210 Wet Prep 2T00 27.00 27.00 27 00 27.00 26.00 27.00 MEDICINES and TREATMENTS 0020W Amoxicillin 875 mg #20 16.00 16.00 16.00 16.00 16.00 16.00 16.00 Q0144 Azythromycin, Z pack 16.00 16.00 16.00 16.00 16.00 16.00 16.00 101456W Azithromycin 1g - partner pack 11 .00 11 .00 11 .00 11 .00 11 .00 11 .00 11 .00 0456W Azithromycin State supplied 0.00 0.00 0.00 0.00~ 0.00 0.00 0.00 J0696 Ceftriaxone250 mg 35.00 35.00 35. 00 ; 35.00 _ 35.00 34.00 35.00 0696W Ceftriaxone 250 mg State Supplied 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0007W Cephalexin 500 mg #14 10.00 10.00 10.00 10.00 10.00 10.00 10.00 0058W Ciprofloxcin 500 mg #6 16.00 16.00 16.00 16.00 16.00 16.00 16.00 0035W Condylox 10.00 10.00 10.00 10.00 10.00 10.00 10.00 J8499 Doxycycline 100 mg #14 11 .00 11 .00 11 .00 11 .00 11 .00 11 .00 11 .00 0059W Estradiol 1 mg- #100 16.00 16.00 16.00 16.00 16.00 16.00 16.00 0011W Fluconazole 150 mg #1 24.00 24.00 24.00 24.00 24.00 23.00 24.00 0012W Iron 12.00 12.00 12.00 12.00 12.00 12.001 12.00 J0561 LA Bicillin 2.4 Units 5.00 5.00 5.00 5.00 5.00 5.00 5.00 0060W Medroxyprogesterone 10 mg - #5 16.00 16.00 16.00 16.00 16.00 16.00 16.00 0008W Metrogel 10.00 10.00 10.00 10.00 10.00 10.00 10.00 0009W Metronidazole 500 mg #4 10.00 , 10.00 10.00 10.00 10.00 10.00 10. 00, 0010W Metronidazole 500 mg #14 15.00 15.00 15.00 15.00 15.00 15.00 15.00 0013W Metronidazole 250 mg #28 15.00 15.00 15.00 15.00 15.00 15.00 15.00 0006W Misoprostel (Cytotec) 200 mcg #2 10.00 10.00 10.00 10.00 10.00 10.00 10.00 0016W Podophyllin/TCA 16.00 16.00 ' 16.00 16.00 16.00 16.00 16.00 0004W Sulfatrim SMX/TMP 10.00 10.00 10.00 10.00 10.00 10.00 10.00, J8499 Suprax 400 mg #1 - partner pak 30.00 30.00 30.00 30.00 30.00 29.00 30.00 00180NC Suprax 400 mg #1 - State Supplied 0.00 0.00 0.00 0.00 0.00 0.00 0.00 , IMMUNIZATIONS _ , Revised 11/28/2018 Page 3 of 5 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH ENVIRONMENT PUBLIC HEALTH SERVICES - 2019 SLIDING FEE SCHEDULE I PROPOSED Increased Code Code Code Code Code CURRENT by: Yellow - New Procedures/Codes 90471 Imm. Admin - one vaccine 30.00 30.00 30.00 30.00 30.00 29.00 30.00 90472 Imm Admin - each addl. Vaccine 30.00 30.00 30.00 30.00 30.00 29.00 30.00 90473 Imm Admin - intranasal or oral 30.00 30.00 30.00 30.00 30.00 29.00 30.00 90700N DTaP -State supplied 0.00 0.00 0.00 0.00 0.00 0.00 0.00 90700 DTaP 33.00 33.00 33.00 33.00 33.00 32.00 33.00 90702N DT - State supplied 0.00 0.00 0.00 . 0.00 0.00 0.00 0.00 90633N Hepatitis A - Child - State supplied 0.00 0.00 ' 0.00 0.00 0.00 0.00 0.00 90633 Hepatitis A - Child 35.00 35.00 35.00 35.00 35.00 34.00 35.00 90632N Hepatitis A - Adult - State supplied 0.00 0.00 0.00 0 . 00 0.00 0.00 0.00 90632 Hepatitis A - Adult 93.00 . 93.00 93.00 93 00 93.00 90.00 93.00 90744N Hepatitis B - Child - State supplied 0 . 00 0.00 0.00 0.00 0.00 0.00 0.00 90744 Hepatitis B - Child 30. 00 30.00 30.00 30.00 30.00 29.00 30.00 90746N Hepatitis B - Adult - State supplied _ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 90746 ' Hepatitis B - Adult 85.00 85.00 85.00 85.00 85.00 83.00 85.00 90739 Heplisav-B 112. 00 112 00 112.00 112 00 112 . 00 _ 0.00 112.00 90647N HIB - State supplied 0.00 , 0.00 0.00 0.00 , 0.00 0.00 0.00 90647 , HIB 39.00 39.00 39.00 39.00 39.00 38.00 39.00 90651 N HPV 9 - State supplied 0.00 0.00 0.00 0.00 0.00 0.00 0.00 90651 HPV 9 205.00 205.00 205.00 205.00 2 184.00 265764 90281 IG Hepatitis A - State supplied 0.00 0.00 0.00 0.00 ' 0.00 0.00 0.00 90660N Influenza - intranasal use - State supplied 0.00 0.00 0.00 0.00r 0.00 0.00 0.00 90660 , Influenza - Intranasal Adult 37.00 37.00 37.00 37.00, 37.00 36.00 37.001 90687 Influenza - infant quadrivalent 37.00 37.001 37.00 37.00 37.00 A 36.00 37.00 90687N Influenza - infant quadrivalent - State supplii 0.00 0.00 0 . 00 o.00 0.00 0.00 0.00 90688 Influenza - 3 yrs and up - quadrivalent 37.00 37.00 37.00 37.00 37.00 4 36.00~ 37.00 90688N Influenza - 3 yrs and up - State supplied qua 0.00_ 0.00 0.00 0.00 0.00 _ _ _ _ _ 0.00 _0.00 90713N IPV-VFC - State supplied 0.00 0.00 0.00 0.00 0.00 0.00 0.00 90713 IPV 72.00 72.00 72.00 72.00 72.00 70.00 72.00 90738 Japanese Encephalitis (new formulation) 328.00 328.00 328.00 328.00 328.00 318.00 328.00 90696N Kinrix - (DTaP/IPV)/Quadracel - State supplied 0.00 0.00 0.00 0.00 0.00 0.00 0.00 90696 Kinrix - (DTaP/IPV)/Quadracel 64.00 64.00 64.00 64.00 64.00 62.00 64.00 ,90734N MCV4 - State supplied 0.00 0.00 0.00 0.00 0.00 0.00 0.00 90734 MCV4 174.00 174.00 174.00 174.00 174.00 169.00 174.00 90620 MenB 166.00 166.00 166.00 166.00 166.00 161 .00 166.00 90733 MPSV4 (Menomune)(polysaccharide) 174.00 174.00 174.00 174.00 174.00 169.00 174.00 90707N MMR - State supplied 0.00 0.00 0.00 0.00 0.00 0.00 0.00 90707 MMR 73.00 73.00 73.00 73.00 73.00 71 .00 73.00 90723N Pediarix (DTAP, IPV, Hep B) - State supplii 0.00 0.00 0.00 0. 00 0.00 0.00 0.00 90723 Pediarix - (DTaP/IPV/Hep B) 90.00 90.00 , 90.00 , 90.00 90.00 87.00 90.00 90698N Pentacel - (DTaP/IPV/HepB) - State supplie 0.00 0.00 0.00 0.00 0.00 0.00 0.00 90698 Pentacel - (DTaP/IPV/HepB) 132.00 132.00 132.00 132.00 132.00 128.00 132.00 90732N Pneumovax - State supplied 0.00 0.00 0.00 0.00 0.00J 0.00 0.00 90732 Pneumovax 95.00 95.00 95.00 95.00 l`' 95.004 87.00 95.00 90710N Proquad - MMR-Varicella 0.00 0.00 0.00 0.00 0.00 0.00 0.00 90710 Proquad - MMR-Varicella 203.00 203.00 203.00 203.00 203.00 197.00 203.00 90670N Prevnar - (PCV13) - State supplied 0.00 0.00 0.00 0.00 0.00 0.00 0.00 90670 Prevnar - (PCV13) 194.00 194.00 194.00 194.00 194.00 188.00 194.00 _, _ 90675 Rabies IM 285.00 285.00 285.00 285.00 a 285.00 270.00 285.00 90675N Rabies IM - State supplied 0.00 0.00 0.00 0.00 0 00 0.00i 0 00 90375 RIG (rabies) - per cc 361 .00 361 .00 361 .00 361 .00 361 .0Q 241 .00 361 .00 90680N Rotavirus - State supplied 0.00 0.00 0.00 0. 00 i 0.00 . 0.00 0.00 90680 Rotavirus - (RV5) T 100.00 100.00~ 100 00 ~ 100 00 100.00 97.00 100.00 90750 Shingrix 145 . 00 145 . 00 145.00 145 . 00 145. 00 0.00 145.00 9071.4N Td - State supplied 0.00 0. 00 , 0.00 ,� 0.00_ 0. 00 0.00 0.00 90714 Td - 59.00 59.00 59.00 59.00 59.00 57.00 59.00 90715N Tdap - State supplied 0.00 0.00 0.00 0.00 0.00 0.00 0.00 90715 Tdap - 114.00 114.00 114.00 114.00 114.00 111 .00 114.00 86580 Tuberculosis Interdermal Skin Test (PPD) 50.00 50.00 50.00 50.00 50.00 49.00 50.00 90636 Twinrix - Hep A & Hep B 126.00 126.00 126.00 126.00 126.00 122.00 126.00 90691 Typhoid - 1 Shot 81 .00 81 .00 81 .00 81 .00 81 .00 79.00 81 .00 90690 Typhoid - Oral 71 .00 71 .00 71 .00 71 .00 71 .00 69.00 71 .00 90716N Varivax - State supplied 0.00 0.00 0.00 0.00 0.00 0.00 0.00 90716 Varivax 126.00 126.00 126.00 126.00 126.00 122.00 126.00 90717 Yellow Fever 161 .00 161 .00 161 .00 161 .00 161 .00 156.001 161 .00 Miscellaneous INC Service Includes Follow-up Care 0.00 0.00 0.00 0.00 0.00 0.00 0.00 99212 Antepartum Care 1 visit 78.00 78.00 78.00 78.00 78.00 76.00 78.00 59425 Antepartum care 4-6 visits 697.00 697.00 697.00 697.00 697.00 677.00 697.00 59426 Antepartum care 7 or more visits 1433.00 1433.00 t 1433.00 1433.00 1433.00 1391 .00 k 1433.00_ 99402W PE Establishing Medical Record 68.00 68.00 68.00 68.0O 68.00 66.00 68.00 0255W Phone visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 59430 Post Partum Only 222.00 222.00 222.00 222.00 222.00 i 216.00 222.00I5 H1005 Prenatal Plus ;1 -4 visits ) 203.00 203. 00 203 . 00 203 00 203 00 1 197 .00 203 .00 Revised 11/28/2018 Page 4 of 5 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH ENVIRONMENT PUBLIC HEALTH SERVICES - 2019 SLIDING FEE SCHEDULE PROPOSED Increased Code Code Code Code Code CURRENT by: Yellow - New Procedures/Codes H1005 Prenatal Plus (5-9 visits) 539.00 539.00 539.00 539.00 539.00 523.00 539.00 H1005 Prenatal Plus (10 visits) 1012.00 1012.00 1012.00 1012.00 1012.00 983.00 1012.00 H1005 Prenatal Plus (11 or more visits) 1146.00 1146.00 1146.00 1146.00 1146.00 1113.00 1146.00 * Fees only slide for the Family Planning Program. Charges for all other programs are the Code 5 fee. ** Services include surgical procedure only. *** These items are for referral 11 /28/2018 revised Revised 11/28/2018 Page 5 of 5 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH&ENVIRONMENT ENVIRONMENTAL HEALTH SERVICES-2019 FEE SCHEDULED BODY ART FACILITY SERVICES Body Art Facility License $350.00 Body Art Facility-Delinquent License Surcharge $75.00 Body Art Facility-Plan Review Application Fees and Pre-opening Application fee of$100 plus$55.00/hour Body Art Facility-Real Estate Site Review $55.00/hour Body Art Facility-Temporary License $350.00 Body Art Facility-Mobile Facility License $350.00 Autoclave Sterilization Spore Test(Steam) $12.00 CHILD CARE CENTER FEES Child Care Center-Facility Inspection Fee 5-20 Children $50.00 Child Care Center-Facility Inspection Fee 21-50 Children $100.00 Child Care Center-Facility Inspection Fee 51-100 Chidren $150.00 Child Care Center-Facility Inspection Fee 101+Children $200.00 Group Home-Facility Inspection Fee $125.00 Residential Treatment Facility-Facility Inspection Fee $100.00 Child Care Center-Plan Review/Walk-thru/Pre-opening Inspection Fee $55.00/hour Child Care Center-Plan Review Application Fee $100.00 FOOD PROTECTION SERVICES No Fee License(K-12 schools,non-profits as defined in CRS 25-4-1607(9)(a)(III)) $0.00 Limited Food Service(convenience,other) $270.00 Restaurant(0-100 seats) • $385.00 Restaurant(101-200 seats) $430.00 Restaurant(>200 seats) $465.00 Grocery Store(0-15,000 sq.ft.) $195.00 Grocery Store(>15,000 sq.ft.) $353.00 Grocery Store w/Deli(0-15,000 sq.ft.) $375.00 Grocery Store w/Deli(>15,000 sq.ft.) $715.00 Mobile Unit(prepackaged) $270.00 Mobile Unit(full food service) $385.00 Oil&Gas Temporary $855.00 Special/Temporary Event License-Non-Profits(as defined in CRS 25-4-1607(9)(a)(III)) and Licensed Mobile Units $0.00 Special/Temporary Event License-Full Service Single Event $100.00 Special/Temporary Event License-Full Service Calendar Year $385.00 Special/Temporary Event License-Minor Service Single Event $50.00 Special/Temporary Event License-Minor Service Calendar Year $270.00 Special/Temporary Event Vendor License-Late/Expedite Fee:up to 2 days before event $25.00 Special/Temporary Event Coordinator Fee(1 Vendor) $0.00 Special/Temporary Event Coordinator Fee(2-5 Vendors) $50.00 Special/Temporary Event Coordinator Fee(6-15 Vendors) $100.00 Special/Temporary Event Coordinator Fee(16+Vendors) $200.00 Special/Temporary Event Coordinator Fee(if applicable for additional miscellaneous time) $55.00/hour Special/Temporary Event Coordinator Fee-Late/Expedite Fee:up to 2 days before event $50.00 Requested Full Re-inspection $189.00 Plan Review Application Fees and Preopening Application fee of$100 plus$55.00/hour (not to exceed$580) Equipment Review Fee $55.00/hour (not to exceed$500) HACCP Plan(Written)(Not to exceed) $100.00 HACCP Plan(On-site Eval.)(Not to exceed) $400.00 Real Estate Review of Property-(Actual Cost Based Upon Hourly Rate) $55.00/hour Miscellaneous Services $55.00/hour Weld Star Education Course-For-profit Establishments $20.00/pp Weld Star Education Course-Non-profit Establishments $10.00/pp Weld Star Education Course-Off-site Presentation Fee(charged for groups of<25) $50.00 Weld Star Education Course(groups>25)-For-profit Establishments $500.00 Weld Star Education Course(groups>25)-Non-profit Establishments $250.00 INSTITUTION SERVICES Ambulance Inspection License $50.00/company Ambulance Unit Inspection Fee $100.00/ambulance WELD COUNTY DEPARTMENT OF PUBLIC HEALTH&ENVIRONMENT ENVIRONMENTAL HEALTH SERVICES-2019 FEE SCHEDULED MISCELLANEOUS SERVICES Environmental Health Specialist Field Time Charge $55.00/hour Biosolids Permit(160 Acre Parcel) $375.00($2.34 for each acre over 160 Acres) Septage Permit(160 Acre Parcel) $375.00($2.34 for each acre over 160 Acres) Cistern Usage Permit(Initial) $250.00 Cistern-Variance Request $50.00 Radon Kits $6.00 Radon Kits(mailed) $8.00 Lead Investigation-Requested Inspection(actual cost based on hourly rate, 1 hour min) $55.00/hour Fax Fee(up to 10 pages,$.50 per each additional page) $5.00+ File Review Fee's Per Appendix 5-D,Chapter 5,of the Weld County Code ONSITE WASTEWATER TREATMENT SYSTEM(OWTS) OWTS Permit $850.00 OWTS Repair/Alteration Permit $850.00 OWTS Permit Extension $50.00 Commercial OWTS New Permit $950.00 Commercial OWTS Repair Permit $950.00 OWTS Mhor Repair Permit $150.00 OWTS Reinspection Fee $75.00 Holding Tank/Vault Permit $350.00 Weld County OWTS 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 OWTS Evaluation $200.00 Statement of Existing $10.00 Loan Approval Inspection without Water Sample $200.00 Loan Approval Inspection with Water Sample $245.00 Potable Water Sample(collection and analysis) $45.00 Variance Request $50.00 METHAMPHETAMINE PROGRAM SERVICES Methamphetamine Lab Decontamination Permit-Covers up to 4 hours of staff time. $220.00 (Review and inspection activities in excess of 4 hours will be billed at an hourly rate.) Methamphetamine Lab-Hourly Rate $55.00/hour LABORATORY SERVICES MEDICAL/ENVIRONMENTAL Chlamydia/N.Gonorrhea Combo,Amplified Test $104.00 Syphilis RPR Screen $26.00 Syphilis TPPA Confirmation w/CDPHE $12.00 Stat Fee for individual test $25.00 TB-Quantiferon Gold PLUS $99.00 Trichomonas,Amplified Test $47.00 HPV High Risk $78.00 HPV Genotyping 16 18/45 $48.00 WATER QUALITY-BACTERIOLOGICAL ASSESSMENT After hours Stat Fee for individual tests Total Coliform,PA $20.00 Total Cofrform,Quantitray $22.00 Pseudomonas aeruginosa $30.00 Potable Water Sample(collection and analysis),PA $45.00 Potable Water Sample(collection and analysis),Quantitray $47.00 Heterotraphic Plate Count $24.00 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH&ENVIRONMENT ENVIRONMENTAL HEALTH SERVICES-2019 FEE SCHEDULED WATER QUALITY-CHEMICAL ASSESSMENT Alkalinity,Total $16.00 Aluminum(reference lab) Market Rate Ammonia $21.50 Arsenic $20.00 BTEX(benzene,toluene,ethyl benzene,xylene) $100.00 Barium(reference lab) Market Rate Biochemical Oxygen Demand(BOD) $60.00 Cadmium $20.00 Calcium as CaCO3 $20.00 Chloride $19.00 Chlorine $16.00 Chlorite $25.00 Chromium $20.00 Copper $20.50 Dissolved Oxygen $14.00 Fluoride $19.00 Haloacetic Acids(reference lab) Market Rate Hardness,Total $20.00 Iron $20.00 Lead,water $20.50 Lead,paint chips $10.00 Magnesium(by hardness calculation) $6.00 Manganese $20.00 Mercury(reference lab) Market Rate Metal digestion(if necessary) $21.00 Molybdenum(reference lab) Market Rate Nickel(reference lab) Market Rate Nitrate $19.00 Nitrite $19.00 Oil and Grease,Visual $2.00 PH/Temperature $16.00 Phosphate,Ortho $25.00 Phosphate,Total $32.50 Potassium $20.00 Salinity $12.00 Selenium $20.50 Silver(reference lab) Market Rate Sodium $20.50 Solids,Total $16.00 Solids,Total Dissolved $16.50 Solids,Total Suspended $16.50 Autoclave Spore Test $12.00 Specific Conductance $16.00 Sulfate $19.00 Thallium(reference lab) Total Kjeldahl Nitrogen $45.00 Total Organic Carbon(reference lab) Market Rate Total Trihalomethanes $80.00 VOC screen(EPA Method 524.2) $150.00 Zinc $20.00 MISCELLANEOUS LABORATORY SERVICES Zoonotic Testing(rabies,tularemia,plague,WNV mosquitoe pool,etc.) Market Rate Chemical Sample Sampling Fee $25.00 State Sample Point ID Verification Fee $5.00 Non-Returned Sampling Bottle Fee $2.50 NOTE: Analyses are the rates cited above unless the amount is set by a contract approved by the Board of County Commissioners. WELD COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT ENVIRONMENTAL HEALTH SERVICES - 2019 FEE SCHEDULED ( PROPOSED DRAFT) PROPOSED CHANGES FOR 2019 IN RED BODY ART FACILITY SERVICES Body Art Facility License $ 350 . 00 Body Art Facility - Delinquent License Surcharge $ 75 . 00 Body Art Facility - Plan Review Application Fees and Pre-opening Application fee of $ 100 plus $ 50/hr $ 55 . 00/ hr Body Art Facility - Real Estate Site Review $ 50 . 00/hr $ 55 . 00/hr Body Art Facility - Temporary License $ 350 . 00 Body Art Facility - Mobile Facility License $ 350 . 00 Autoclave Sterilization Spore Test ( Steam ) $ 12 . 00 CHILD CARE CENTER FEES Child Care Center - Facility Inspection Fee 5-20 Children $ 50 . 00 Child Care Center - Facility Inspection Fee 21 -50 Children $ 100 . 00 Child Care Center - Facility Inspection Fee 51 - 100 Children $ 150 . 00 Child Care Center - Facility Inspection Fee 101 + Children $200 . 00 Group Home - Facility Inspection Fee $ 125 . 00 Residential Treatment Facility - Facility Inspection Fee $ 100 . 00 Child Care Center - Plan Review/Walk-thru/ Pre-opening Inspection Fee $ 50 . 00/hr $ 55 . 00/ hr Child Care Center - Plan Review Application Fee $ 100 . 00 FOOD PROTECTION SERVICES No Fee License ( K- 12 schools , non- profits as defined in CRS 25-4- 1607 ( 9 ) ( a ) ( III ) ) $ 0 . 00 4„1, Limited Food Service ( convenience . other) $ 253 . 00 $ 270 . 00 Restaurant ( 0- 100 seats ) $ 360 . 00 $ 385 . 00 Restaurant ( 101 -200 seats ) $400 . 00 $430 . 00 Restaurant ( >200 seats ) $435 . 00 $465 . 00 Grocery Store ( 0- 15 , 000 sq . ft. ) $ 183 . 00 $ 195 . 00 Grocery Store ( > 15 . 000 sq . ft. ) $ 330 . 00 $ 353 . 00 Grocery Store w/ Deli ( 0- 15 , 000 sq . ft. ) $ 350 . 00 $ 375 . 00 Grocery Store w/ Deli ( > 15 , 000 sq . ft . ) $ 665 . 00 $ 715 . 00 Mobile Unit ( prepackaged ) $ 253 . 00 $ 270 . 00 Mobile Unit ( full food service ) $ 360 . 00 $ 385 . 00 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT ENVIRONMENTAL HEALTH SERVICES - 2019 FEE SCHEDULED ( PROPOSED DRAFT) Oil & Gas Temporary $ 800 . 00 $ 855 . 00 Special/Temporary Event License - Non - Profits ( as defined in CRS 25-4- 1607 ( 9 ) ( a ) ( III ) ) and Licensed Mobile Units $ 0 . 00 Special/Temporary Event License - Full Service Single Event $ 100 . 00 Special/Temporary Event License - Full Service Calendar Year $ 385 . 00 S pecial/Temporary Event License - Minor Service Single Event $ 50 . 00 S pecial/Temporary Event License - Minor Service Calendar Year $270 . 00 Special/Temporary Event Vendor License - Late/Expedite Fee : up to 2 days before ev $25 . 00 Special/Temporary Event Coordinator Fee ( 1 Vendor) $ 0 . 00 Special/Temporary Event Coordinator Fee ( 2 -5 Vendors) $ 50 . 00 Special/Temporary Event Coordinator Fee (6- 15 Vendors ) $ 100 . 00 Special/Temporary Event Coordinator Fee ( 16 + Vendors ) $ 200 . 00 S pecial/Temporary Event Coordinator Fee ( if applicable for additional miscellaneous t $ 50 . 00/hr $ 55 . 00/hr Special/Temporary Event Coordinator Fee - Late/ Expedite Fee : up to 2 days before e\ $ 50 . 00 Requested Full Re-inspection $ 189 . 00 P lan Review Application Fees and Preopening Application fee of $ 100 plus $ 50 $ 55 . 00/hr per hour ( not to exceed $ 580 ) Equipment Review Fee Application fee of $ 100 plus $50 $ 55 . 00/hr per hour ( not to exceed $ 500 ) HACCP Plan (Written ) ( Not to exceed ) $ 100 . 00 HACCP Plan ( On -site Eval . ) ( Not to exceed ) $400 . 00 Real Estate Review of Property ( $ 75 or Actual Cost Based Upon Hourly Rate ) $ 55 . 00 Remove $ 75 and just use " actual cost based upon hourly rate " ( $ 55 . 00 ) Miscellaneous Services $ 50 . 00/ hr $ 55 . 00/ hr Weld Star Education Course - For-profit Establishments $ 20 . 00/pp Weld Star Education Course - Non -profit Establishments $ 10 . 00/pp Weld Star Education Course - Off-site Presentation Fee ( charged for groups of <25 ) $ 50 . 00 Weld Star Education Course ( groups >25 ) - For- profit Establishments $ 500 . 00 Weld Star Education Course ( groups >25 ) - Non -profit Establishments $ 250 . 00 INSTITUTION SERVICES Ambulance Inspection License $ 50 . 00/company Ambulance Unit Inspection Fee $ 100 . 00/ambulance WELD COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT ENVIRONMENTAL HEALTH SERVICES - 2019 FEE SCHEDULED ( PROPOSED DRAFT) MISCELLANEOUS SERVICES Environmental Health Specialist Field Time Charge $ 50 . 00/hr $ 55 . 00/ hr Biosolids Permit ( 160 Acre Parcel ) $ 375 . 00 ( $2 . 34 for each acre over 160 Acres ) Septage Permit ( 160 Acre Parcel ) $ 375 . 00 ( $ 2 . 34 for each acre over 160 Acres ) Cistern Usage Permit ( Initial ) $250 . 00 Cistern - Variance Request $ 50 . 00 Radon Kits $ 6 . 00 Radon Kits ( mailed ) $ 8 . 00 Lead Investigation - Requested Inspection $200 for first 4 hrs ($50/hr thereafter) $ 55 . 00/ Hr Actual cost based upon hourly rate ( one hour minimum ) Fax Fee ( up to 10 pages , $ . 50 per each additional page ) $2 . 00 $ 5 . 00+ File Review Fee' s Per Appendix 5- D . Chapter 5 . of the Weld County Code POOL SERVICES REMOVE ALL POOL FEES; PROGRAM DISCONTINUED $280 . 00 Swim Pool Chemistry Inspection $48 . 00 Swim Pool Physical Inspection $ 78 . 00 Swim Pool Bacteriological Analysis $52 . 00 $50 . 00/hr $75 . 00 Swimming Poo4 Plan Review (each additional hour) $50 . 00/hr ONSITE WASTEWATER TREATMENT SYSTEM ( OWTS ) OWTS Permit $ 850 . 00 OWTS Repair/Alteration Permit $ 850 . 00 OWTS Permit Extension $ 50 . 00 Commercial OWTS New Permit $ 950 . 00 Commercial OWTS Repair Permit $ 950 . 00 OWTS Minor Repair Permit $ 150 . 00 OWTS Reinspection Fee $ 75 . 00 Holding Tank/Vault Permit $ 350 . 00 Weld County OWTS Regulations $ 5 . 00 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT ENVIRONMENTAL HEALTH SERVICES - 2019 FEE SCHEDULED ( PROPOSED DRAFT) 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 OWTS Evaluation $200 . 00 Statement of Existing $ 10 . 00 Loan Approval Inspection without Water Sample $ 200 . 00 Loan Approval Inspection with Water Sample $220 . 00 $ 245 . 00 Water sample is $45 . 00 not $ 20 . 00 ; this is a correction Potable Water Sample ( collection and analysis ) $45 . 00 Variance Request $ 50 . 00 METHAMPHETAMINE PROGRAM SERVICES Methamphetamine Lab Decontamination Permit - Covers up to 4 hours of staff time . $ 200 . 00 $ 220 . 00 ( Review and inspection activities in excess of 4 hours will be billed at an hourly rate . ) Methamphetamine Lab - Hourly Rate $ 50 . 00/hr $ 55 . 00 LABORATORY SERVICES MEDICAL/ ENVIRONMENTAL Chlamydia/N . Gonorrhea Combo , Amplified Test $ 98 . 00 $ 104 . 00 Syphilis RPR Screen $24 . 00 $26 . 00 Syphilis TPPA Confirmation w/CDPHE $ 12 . 00 Stat Fee for individual test $25 . 00 TB - Quantiferon Gold PLUS $ 95 . 00 $ 99 . 00 Trichomonas , Amplified Test $45 . 00 $47 . 00 HPV High Risk $ 74 . 00 $ 78 . 00 HPV Genotyping 16 18/45 $46 . 00 $48 . 00 WATER QUALITY - BACTERIOLOGICAL ASSESSMENT After hours Stat Fee for individual tests Total Coliform , PA $20 . 00 Total Coliform , Quantitray $22 . 00 Total Coliform , MPN $35 . 00 REMOVE WELD COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT ENVIRONMENTAL HEALTH SERVICES - 2019 FEE SCHEDULED ( PROPOSED DRAFT) Pseudomonas aeruginosa $ 30 . 00 Potable Water Sample ( collection and analysis ) , PA $45 . 00 Potable Water Sample ( collection and analysis ) , Quantitray $47 . 00 Heterotrophic Plate Count $24 . 00 WATER QUALITY - CHEMICAL ASSESSMENT Alkalinity , Total $ 16 . 00 Aluminum ( reference lab ) Market Rate Ammonia $21 . 50 Arsenic $20 . 00 BTEX ( benzene , toluene , ethyl benzene , xylene ) $ 100 . 00 Barium ( reference lab ) Market Rate Biochemical Oxygen Demand ( BOD ) $60 . 00 Cadmium $ 20 . 00 Calcium as CaCO3 $20 . 00 Chloride $ 19 . 00 Chlorine $ 16 . 00 Chlorite $25 . 00 Chromium $20 . 00 Copper $20 . 50 Dissolved Oxygen $ 14 . 00 Fluoride $ 19 . 00 Haloacetic Acids ( reference lab ) Market Rate Hardness , Total $20 . 00 Iron $20 . 00 Lead . water $20 . 50 Lead , paint chips $ 10 . 00 Magnesium ( by hardness calculation ) $6 . 00 Manganese $ 20 . 00 Mercury ( reference lab ) Market Rate Metal digestion ( if necessary) $21 . 00 Molybdenum ( reference lab ) Market Rate Nickel ( reference lab ) Market Rate WELD COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT ENVIRONMENTAL HEALTH SERVICES - 2019 FEE SCHEDULED ( PROPOSED DRAFT) N itrate $ 19 . 00 N itrite $ 19 . 00 Oil and Grease , Chemical $ 50 . 00 REMOVE Oil and Grease , Visual $ 2 . 00 PH/Temperature $ 16 . 00 P hosphorous $20 . 00 REMOVE Phosphate . Ortho $25 . 00 P hosphate , Total $ 32 . 50 P otassium $20 . 00 Salinity $ 12 . 00 S elenium $20 . 50 Silver ( reference lab ) Market Rate Sodium $20 . 50 S olids . Total $ 16 . 00 S olids , Total Dissolved $ 16 . 50 S olids , Total Suspended $ 16 . 50 Solids , Volatile Suspended $ 16 . 50 REMOVE Autoclave Spore Test $ 12 . 00 Specific Conductance $ 16 . 00 S ulfate $ 19 . 00 Thallium ( reference lab ) Total Kjeldahl Nitrogen $45 . 00 Total Organic Carbon ( reference lab ) Market Rate Total Trihalomethanes $ 80 . 00 Turbidity $ 16 . 50 REMOVE VOC screen ( EPA Method 524 . 2 ) $ 150 . 00 Zinc $20 . 00 $ 75 . 00 REMOVE WELD COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT ENVIRONMENTAL HEALTH SERVICES - 2019 FEE SCHEDULED ( PROPOSED DRAFT) MISCELLANEOUS LABORATORY SERVICES Zoonotic Testing ( rabies , tularemia , plague . WNV mosquitoe pool , etc . ) Market Rate Chemical Sample Sampling Fee $25 . 00 State Sample Point ID Verification Fee $ 5 . 00 Non - Returned Sampling Bottle Fee $ 2 . 50 NOTE : Analyses are the rates cited above unless the amount is set by a contract approved by the Board of County Commissioners . WELD COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT 2019 HHW Facility - VSQG Fees Waste Type Cost per container Cost per pound gallon $ 9 . 80 Acid 5 gallon _ $ 52 . 00 $ 1 . 30 55 gallon $ 311 . 85 / pound SS gallon , bulk $ 376 . 20 Aerosol ( paint, pesticide ) $ 1 . 20/ pound Antifreeze $ 0 . 60/ gallon gallon $ 9 . 80 Base 5 gallon $52 . 00 55 gallon $ 311 . 85 $ 1 . 30/ pound 55 gallon, bulk $ 376 . 20 Battery ( excluding alkaline ) $ 0 . 25 / pound Battery , alkaline ) $ 1 . 20/ pound Compressed Gas Cylinders ; small ; tank $ 3 . 10 Compressed Gas Cylinders ( large ) tank $ 19 . 30 quart $ 12 .05 Cyanide Compounds gallon _ $48 . 20 5 gallon $ 241 . 00 Drum Handling Fee drum $ 15 . 00 Flammable Liquid ( bulkable ) or Cooking Oil 55 gallon drum $ 149 . 60 $ 0 . 35 / pound quart $0 . 55 Flammable Liquid gallon $ 2 . 30 $ 1 . 20/ pound if < 5 gallon $ 16 . 20 quart or loose - pack Fluorescent Bulbs linear foot $ 0 . 15 Fluorescent Bulbs, Compact ( small ) small bulb $0 . 25 Fluorescent ( large , or Sodium Bulbs Bulb $ 1 . 35 Filter, oil $ 0 . 15/ pound Grease 30 gallon $ 147 . 55 Mercury thermometer $ 0 . 75 $ 0 . 50/ pound Motor Oil ( used ) $ 0 . 25/ gallon Motor Oil Testing $ 20 . 00 if needed to determine quality of oil . Oily Waste Water $ 0 . 80/gallon gallon _ $ 9 . 80 Oxidizer S gallon _ $52 .00 $ 1 . 30/ pound 55 gallon � $ 311 . 85 quart _ _ no fee * Paint ( Latex & Oil Based ) gallon no fee * S gallon no fee * PCB Ballast ( and non PCB ; $ 0 . 75/ pound gallon $ 30 . 50 _ Peroxide Formers 5 gallon $ 162 .50 55 gallon $ 974 . 90 gallon $9 . 80 Pesticide/ Poison Liquid __ 5 gallon $ 52 . 00 55 gallon $311 . 85 $ 1 . 30/ pound SSgallon bulk $498 . 50 Pesticide, dry $ 1 . 05/ pound quart $ 12 .05 Water Reactive , Shock Sensitive gallon $48. 20 $ 3 . 10/ pound if < 5 gallon $ 241 . 00 quart Miscellaneous Items To be determined , sub; ect to market rate . * Latex and oil based paint are not charged due to contract with PaintCare . WELD COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT 2019 HHW Facility - VSQG Fees Waste Type Cost per container Cost per pound gallon $9.80 S gallon $52.00 55 gallon $311.85 Acid 55 gallon, bulk $376.20 $1.30/ pound Aerosol (paint, pesticide) 51 .20/ pound Antifreeze 1)0 i,i1/ gallon gallon $9.80 5 gallon $52.00 55 gallon $311.85 Base 55 gallon, bulk $376.20 $1.30/ pound Battery (excluding alkaline) $0.25/ pound Battery (alkaline) $1.20/ pound Compressed Gas Cylinders (small) tank $3.10 Compressed Gas Cylinders (large) tank 519.30 quart $12.05 gallon $48.20 Cyanide Compounds 5 gallon $241.00 Drum Handling Fee drum $15.00 Flammable Liquid (bulkable) or Cooking Oil 55 gallon drum $149.60 $0.35/ pound quart $0.55 gallon $2.30 Flammable Liquid 5 gallon $16.20 S1 .20/ pound if < quart or loose-pack Fluorescent Bulbs linear foot 50.15 Fluorescent Bulbs, Compact (small) small bulb $0.25 Fluorescent (large) or Sodium Bulbs Bulb $ 1 3 Filter, oil 50.15/ pound Grease 30 gallon $147.55 Mercury thermometer $0.75 $0.50/ pound Motor Oil (used) or Looking Oil (move...) $0.25/ gallon flammable liquid at SI) 35/noundl Motor Oil Testing $20.00 if needed to determine quality of oil. Oily Waste Water $0.80/gallon gallon $9.80 5 gallon $52.00 Oxidizer 55 gallon $311.85 51 .30/ pound quart no fee' gallon no fees Paint (Latex & Oil Based) 5 gallon no fee* 50.25/ pound or $15 minimum handling fee- PCB Ballast (and non PCB) S0.75/ pound gallon $30.50 5 gallon $162.50 Peroxide Formers 55 gallon $974.90 gallon S9.80 5 gallon $52.00 55 gallon $311.85 Pesticide/Poison Liquid 55gallon bulk $498.50 $1.30/ pound Pesticide, dry $1.05/ pound quart S12.05 gallon $48.20 Water Reactive, Shock Sensitive 5 gallon $241.00 53.10/ pound if < quart Miscellaneous Items To be determined, subject to market rate. Minimum Fee (removed) *Latex and oil based paint are not charged due to contract with PaintCare. Hello