HomeMy WebLinkAboutRESOLUTIONS - 08141990 - 90/560H. 3
THE BOAR® OF SUPERVISORS OF CONTRA COSTA COUNTY9 CALIFORNIA
Adopted this Order on
August 14 , 1990
by the following vote:
AYES: Supervisors Powers , Schroder , hMcPeak, Torlakson, Fanden
NOES: None
ABSENT:None
ABSTAIN: None RESOLUTION
NO. 90/560
SUBJECT: Amending Itemized Professional and Service Rate Charges for Contra Costa
County Health Services Effective August 14, 1990.
The Health Services Department has submitted a recommendation to amend the schedule
of itemized service rate charges and fees and restate unchanged rates for County Health
Services adopted by Board Resolution Number 90/152 effective March 13, 1990.
The County Administrator has reviewed the recommended amendment and also
recommends that the previous rates and amended rates become effective August 14, 1990.
These recommendations have been considered by the Board and IT IS BY THE BOARD
RESOLVED that an amended and restated schedule of itemized rate charges for the
Health Services Department effective August 14, 1990 is established as follows:
HOSPITAL INPATIENT
Daily Rate for Routine
Service Room and Board
Medical Ward 497 *
Nursery Bassinet 276 *
Intensive Care 1,109 *
Mental Health 567 *
Rehabilitation 662 *
Total Unit Rate
Obstetrics Fixed all inclusive @
Routine delivery 3,553 *
Routine delivery with tubal ligation 49776 *
Prior or primary C-Section 7,468 *
@ Services included:
1. Medical/Social Intake and orientation with Medical Social Worker.
2. Choice of Family Practice Physician
a. all required lab work
b. all required rests
3. Nutrition Class
4. Early Pregnancy Class
6. Labor and Delivery care, including ABC or C-Section
7. Back-up consultation services for complications of pregnancy, labor and
delivery (does not include transfer and care at high risk facility
if necessary for mother or baby)
8. Neonatal care, including nursery care and pediatric consultation, if needed.
9. One PHN home visit.
10. .One post-partum check with Family Physician, including birth
control counseling.
11. Three return well-baby visits with Family Physicians.
Indicates Rate Increase/Change
RESOLUTION NO. 90/560
1
ANCILLARY SERVICES
DEPARTMENT BILLING UNIT CHARGE
Anesthesiology 15-Minute Intervals 52.50 *
Pharmacy Cost Plus % Cost plus 60%
Central Supply Cost Plus % Cost plus 400%
Central Supply (Service Units) RVS 16.00 *
Radiology Relative Value Units 25.00 *
EKG Relative Value Units 9.20 *
Laboratory (Hosp. & P.H. Lab) Relative Value Units 2.20 *
Rehab. Therapy
OT/PT 30-Minute Intervals 70.50 *
Speech 30-Minute Intervals 70.50 *
Cardiopulmonary Relative Value Units 9.00
Delivery Room 15-Minute Intervals 63.00
Surgery Recovery 1st Hour 231.00
Each add'1 15 Minutes 52.50
Operating Room Each 15 Minutes 84.00
Cast Room Unit 84.00
PROFESSIONAL COMPONENT
CHARGES PER RELATIVE VALUE UNIT BASED UPON
THE CALIFORNIA MEDICAL ASSOCIATION RELATIVE VALUE SIUDIFS
CHARGE
Medicine 6.50
Surgery 161.00
Radiology 7.00
Anesthesiology 32.00
OUTSIDE SERVICES AND SUPPLIES
CHARGE
Nuclear Medicine Cost Plus 35%
EEG Cost Plus 30%
Blood Bank Cost Plus 35%
Prosthesis Cost Plus 35%
Laboratory Cost Plus CHS
CHS - Collection and Handling of Specimens)
AMBULATORY CLINIC RATES
CHARGE
Professional Use of
Outpatient Visits Component Treatment Room Total
New Patient
Brief 34.00 29.00 63.00
Limited 44.00 29.00 73.00
Intermediate 60.00 29.00 89.00
Extended 77.00 29.00 106.00
Comprehensive 100.00 29.00 129.00
Indicates Rate Increase/Change
2
CHARGE
Professional Use of
Outpatient Visits Component Treatment Room Total
Established
Minimal 14.00 29.00 43.00
Brief 20.00 29.00 49.00
Limited 30.00 29.00 59.00
Intermediate 37.00 29.00 66.00
Extended 50.00 29.00 79.00
Comprehensive 74.00 29.00 103.00
Dental Care Per Fee Schedule
Emergency Room Visits
New Patient
Brief 35.00 44.00 * 79.00
Limited 46.00 44.00 * 90.00
Intermediate 74.00 44.00 * 118.00 *
Extended 97.00 44.00 * 141.00 *
Comp Admit HX & PX $120.00 44.00 * 164.00 *
Established
Minimal 20.00 44.00 * 64.00 *
Brief 25.00 44.00 * 69.00 *
Limited 37.00 44.00 * 81.00 *
Intermediate 59.00 44.00 * 103.00 *
Extended 84.00 44.00 * 128.00 *
Comp Admit HX & PX $100.00 44.00 * 144.00 *
Unit of
Photocopying Service Charge
Copy Per Page 10
Microfilm Per Page 25
Staff Time Per Hour 16.00
Postage Actual charge
MENTAL HEALTH PROGRAM SERVICES
UNIT OF
CATEGORY SERVICE CHARGE
Collateral Visit 87.00
Assessment Visit 157.00
Individual Visit 116.00
Group Visit 79.00
Medication Visit 101.00
Crisis Visit 294.00
Day Care, Intensive Visit 143.00
Day Care, Habilitative Visit 87.00
Case Management Staff Hour 67.00
DETOXIFICATION SERVICES
UNIT OF
Medical Detoxification SERVICE CHARGE
Services (21-day procedure)
New Patient (1st 7 days) Visit 16.50
Indicates Rate Increase/Change
3
UNIT OF
Medical Detoxification (coni) SERVICE CHARGE
New Patient (days 8-12) Visit 10.50 *
Readmitted Patient (days 1-12) Visit 10.50 *
Physician Re-examination Visit 20.00 *
DRUG ABUSE PROGRAM SERVICES
UNIT OF
Residential Treatment SERVICE CHARGE
Admission Fee Person 35.00
Residential Treatment Month 1,350.00
ALCOHOL SERVICES
Alcohol Information for Referral UNIT OF
Service (AIRS)SERVICE CHARGE
Individual Counseling Visit 60.00
Group Counseling Visit 20.00
Driving Under the UNIT OF
Influence Program SERVICE CHARGE
1st Offender (Level I) Person 312.00
1st Offender (Level II) Person 500.00
2nd Offender Person 11175.00
HOME HEALTH AGENCY
UNIT OF
SERVICE SERVICE CHARGE
Skilled Nursing Visit 102.00
Physical Therapy Visit 97.00
Speech Pathology Visit 107.00
Occupational Therapy Visit 102.00
Medical Social Service Visit 147.00
Home Health Agency Hour 41.00
HEALTH PLAN
UNIT OF
Medicare Premium SERVICE CHARGE
Senior Health Basic (Low Option) Individual 41.00
Senior Health (Mid Option) Individual 55.00
Senior Health Plus (High Option) Individual 88.00
Commercial Group and UNIT OF
Indivdual Premium SERVICE CHARGE
Monthly Revenue Requirement Monthly Premium $ 88.03
Authorizes establishment of
specific premium rates required
by commercial groups and
individuals; use of the
community rating by class"rate
4
determination process for
groups of 25 or more
employees; increase in the
revenue requirement on a
quarterly basis as appropriate
by an amount not to exceed 4%
per quarter)
PUBLIC HEALTH
UNIT OF
Family Planning SERVICE CHARGE
Pregnancy Test 12.00 *
Non Eligible 80.00 New membership - first year
UNIT OF
Family Planning`(con't)SERVICE CHARGE
Non Eligible 75.00 Annual Membership renewal
Male visits and supplies 8.00
Child Screening
10.00 Children up to 2 years of age over 200%
of poverty
15.00 Children between 2 and 12 years of age
over 200% poverty
20.00 12 years of age and older over 200% of
poverty
20.00 Sports physicals over 200% of poverty
Immunization
a. Typhoid 10.00 Each
b. Stamping of Inter-
national Travel Cards $ 3.00 Each .
c. Childhood
Immunizations 2.00 * Each person, not to exceed $5.00 per family
d. Measles Vaccine
second shot)2.00 * Each under 200% of poverty
26.00 * Each over 200% of poverty
T.B. Skin Testing
P.P.D) 5.00 Includes reading but no charge for contacts
Venereal Disease 20.00 Clinic attendance and medication for any
sexually transmitted disease
Nutrition Services 41.00 * Per hour consultation fee
Lab Tests
Gardnerella culture 19.50 Each
Yeast culture No charge Done in conjunction with Gardnerella
culture
Quantitative VDRL 6.50 Each
Qualitative VDRL 6.00 Each
MHATP 20.50 Each
Saline wet mount 16.00 Each
KOH wet mount 16.00 Each
Gram stain 16.00 Each
Indicates Rate Increase/Change
5
Lab Tests FEE DESCRIPTION
Darkfield 26.00 Each
Beta lactamese screen 12.50 Each
Screen 1 organism 19.50 3 standard PTV
Chlamydia Culture - Iso 18.00 8 standard PTV
Chlamydia - EIA 16.50 *6 standard PTV
Chlamydia direct 13.50 8 standard PTV
KOH fungus 16.00 5 standard PTV
Herpes direct 18.50 9 standard PTV
Herpes Iso 28.50 13 standard PTV
Treponema MHA-TP 20.50 4 standard PTV
Hepatitis Panel
B. surface antibody 16.50 Each
B. core antibody 18.50 Each
B. surface antigen 18.00 Each
I gm. anti A 17.50 Each
E Antigen 18.00 Each
E Antibody 18.00 Each
Routine culture - aerobic $ 47.00 Each
General culture -anaerobic$ 47.50 Each
Rabies 80.00 Each
Elderly Flu Shots Voluntary Contributions
Public Health License Fees
Category Units Capacity Charge
Restaurants Seats 0-49 250. 00
Restaurants Seats 50-149 330. 00
Restaurants Seats 150+ 370. 00
Vending Machines Machines 1-4 55. 00
Vending Machines Machines 4+ 40. 00
Tavern/Cocktail Lounge Bar Each 270. 00
Snack Bar Each 270. 00
Drive-In/Take-Out Each 300. 00
Commissary Each 300. 00
Catering Each 300. 00
School Cafeterias No Fee No Fee
Itinerant Restaurants Each 70. 00
Retail Markets Sq.Ft 2, 000 230. 00
Retail Markets Sq.Ft. 2, 000-5, 999 250. 00
Retail Markets Sq.Ft. 6, 000+ 350. 00
Roadside Stands Each 110. 00
Food Salvager Each 364 . 00
Food Processing Establishment Sq.Ft. 21000 230. 00
Food Processing Establishment Sq.Ft. 21000-5,999 250. 00
Food Processing Establishment Sq.Ft. 6, 000+ 350. 00
Food Demonstrator Each 100. 00
Retailer Food Vehicle (Del & Ped) Each 110. 00
Mobile Food Prep Units Each 210. 00
Retail Food Vehicles (Ind CAT.TRK) Each 110. 00
Bakery Sq.Ft. 21000 230. 00
Bakery Sq.Ft. 21000-51999 250. 00
Bakery Sq.Ft. 6, 000+ 350. 00
Hospital Beds 0-99 130. 00
Hospital Beds 100+ 200. 00
SNF Each 60. 00
Septic Tank,Chemical Toilet Cleaner Business 120. 00
Septic Tank,Chemical Toilet Cleaner Vehicle/ea 40. 00
Pool-Apt, Motel,Hotel Mult-Use) 230. 00
Pool-Public School Each No Fee
Indicates Rate Increase/Change
6
Category Units Capacity Charge
Pool-Municipal Pool Each No Fee
Pool-Health Club/Swim School Each 230. 00
Pool-Resort Each 230. 00
Each Add. Pool within Same Location Each 80. 00
Pool-Other-Fee @ Hourly Rate Hour 71. 00
Pool-Other-No Fee Each No Fee
Spa-Apartment, Motel, Hotel Mult-Use 230. 00
Spa-Public School Each No Fee
Spa-Municipal Pool Each No Fee
Spa-Health Club/Swim School Each 230. 00
Spa-Resort Each 230. 00
Each Add. Within Same Location Each 80. 00
Spa-Other-Fee @ Hourly Rate Hour 71. 00
Spa-Other-No Fee Each No Fee
Small Water Systems Connection 2-4 50. 00
Small Water Systems Connection 5-50 90. 00
Small Water Systems Connection 51-199 110. 00
Small Water Systems No Fee No Fee
Wholesale Food Sq.Ft 21000 230. 00
Wholesale Food Sq.Ft. 21000-51999 250. 00
Wholesale Food Sq.Ft 61000+ 350. 00
Ice Plant Each 90. 00
Incidental Confectionary Each 100. 00
Violation Reinspection Fee Each 50. 00
Special Services Fee @ Hourly Rate Hour 71. 00
Application Fee Each 20. 00
Wiping Rags Business Each 100. 00
Vital Statistics
Certified Copies Charge
Death and Fetal Death 7 . 00
Birth - General Public 11. 00
Birth - Public Agency 7 . 00
Permit for Disposition of Human Remains
Regular 4 . 00
After Hours 7 . 00
Cross Filing 9. 00
Environmental Health
Category Per Ton
Solid Waste .Tonnage Fee 90
Indicates Rate Increase/Change
WAIVER: The Health Officer may waive any of these fees in any individual
case in which he determines that the advancement and protection of the public
health will be better served thereby and that these considerations outweigh
the County financial interests in collecting the fee.
Orig: County Administrator
I hereby cerify trot Cris is a true and correct copy ofcc: Health Services Director
an action taken enr entered on the minutes of theCountyCouncilBoardofSuperviromon 'ho date shown.
County Auditor ATTESTED: ice, /9 9 d
County Probation Officer PHIL SAT L.. . cork of the Board
Of Supervisors ana County Administrator
By oeputv
7