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Home My WebLink AboutMINUTES - 03131990 - T.2 THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTYo CALIFORNIA Adopted this Order on March. 13 1990. by the following vote: AYES: -Supervisors Power , McPeak, : Torlakson, Fanden NOES: None ASSENT: Supervi-Gor. Schroder ABSTAIN: None ' RESOLUTION NO, 90/152 SUBJECT. Amending Itemized Professional and Service Rate Charges for Contra Costa County Health Services Effective March 13, 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 89/723 effective November 7, 1989; Board Resolution Number 88/783 effective December 20, 1988; and Board Resolution Number 84/422 effective July 17, 1984. The- County Administrator has reviewed the recommended amendment and also recommends that the previous rates and amended rates become effective March 13, 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 March 13, 1990 is established as follows: HOSPITAL INPATIENT Daily Rate for Routine Service Room and Board Medical Ward $ 473 * Nursery Bassinet $ 262 * Intensive Care $ 1,056 * Mental Health $ 540 Rehabilitation $ 630 * Total Unit Rate Obstetrics Fixed all inclusive @ Routine delivery $ 3,383 * Routine delivery with tubal ligation $ 4,548 * Prior or primary C-Section $ 7,112 * @ 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 -1- R,RS'OLUTION NO, 90/152 u ANCILLARY SERVICES DEPARTMENT BILLING UNIT CHARGE Anesthesiology 15-Minute Intervals $ 50.00 Pharmacy Cost Plus % Cost plus 60% Central Supply Cost Plus. % Cost plus 400% Central Supply (Service Units) RVS $ 15.00 Radiology Relative Value Units $ 23.00 EKG Relative Value Units $ 8.75 Laboratory (Hosp. & P.H. Lab) Relative Value Units $ 2.05 Rehab. Therapy OT/PT 30-Minute Intervals $ 67.00 Speech 30-Minute Intervals $ 67.00 Cardiopulmonary Relative Value Units $ 8.50 Delivery Room 15-Minute Intervals $ 60.00 Surgery Recovery 1st Hour $220.00 Each add'l 15 Minutes $ 50.00 Operating Room Each 15 Minutes $ 80.00 Cast Room Unit $ 80.00 PROFESSIONAL COMPONENT CHARGES PER RELATIVE VALUE UNIT BASED UPON THE CALIFORNIA MEDICAL ASSOCIATION RELATIVE VALUE STLM 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 CLDUC 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- RESOLUTION NO. 90/152 CHARGE Professional Use of impatient 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 T! New Patient Brief $ 35.00 $ 42.00 s $ 77.00 ' Limited $ 46.00 $ 42.00 ' $ 88.00 " Intermediate $ 74.00 $ 42.00 ' .$116.00 • Extended $ 97.00 $ 42.00 ' $139.00 Comp Admit HX & PX $120.00 $ 42.00 s $162.00 Established Minimal $ 20.00 $ 42.00 ` $ 62.00 Brief $ 25.00 $ 42.00 s $ 67.00 Limited $ 37.00 $ 42.00 ' $ 79.00 ; Intermediate $ 59.00 $ 42.00 ` $101.00 * Extended $ 84.00 $ 42.00 ' $126.00 Comp Admit HX & PX $100.00 $ 42.00 ' $142.00 Unit of Photocopying, Service Charge Copy Per Page $ .10 Microfilm Per Page $ .25 Staff Time Per Hour $ 16.00 Postage Actual charge MENTAL HEALTH OUTPATIENT SERVICES UNIT OF CATEGORY SERVICE CHARGE Collateral Visit $ 83.00 Assessment Visit $149.00 Individual Visit $110.00 Group Visit $ 75.00 Medication Visit $ 96.00 Crisis Visit $280.00 Day Care, Intensive Visit $136.00 Day Care, Habilitative Visit $ 83.00 Case Management Staff Hours $ 64.00 UNIT OF Medical Detoxification SERVICE CHARGE Services (21-day procedure) New Patient (1st 7 days) Visit $ 15.50 New Patient (days 8-12) Visit $ 10.00 Readmitted Patient (days 1-12) Visit $ 10.00 Physician Re-examination Visit $ 19.00 • Indicates Rate Increase/Change RESOLUTION NO, 90/152 -3- ALCOHOL SERVICES Driving Under the UNIT OF Influence ProgramES RVICE CHARGE 1st Offender (Level I) Person $ 312.00 * 1st Offender (Level H) Person $ 500.00 * 2nd Offender Person $1,175.00 HOME HEALTH AGENCY UNIT OF SERVICE SERVICE CHARGE Skilled Nursing Visit $ 96.50 Physical Therapy Visit $ 92.00 Speech Pathology Visit $102.00 Occupational Therapy Visit $ 96.50 Medical Social Service Visit $140.00 Home Health Agency Hour $ 39.00 HEALTH PLAN UNIT OF Medicare Premium SERVICE CHARGE Senior Health Basic (Low Option) Individual $ 41.00 * Senior Health (Medium Option) Individual $ 55.00 * Senior Health (High Option) Individual $ 88.00 * PUBLIC HEALTH PROGRAM FEE_ DESCRIPTION Family Planning Pregnancy Test $ 11.00 Non Eligible $ 80.00 New membership - first year _ Non Eligible $ 75.00 Annual membership renewal Male visits and supplies $ 8.00 Child Screening $ 2.50 Children up to 2 years of age under 200% of poverty $ 10.00 Children up to 2 years of age over 200% of poverty $ 10.00 Children between 2 and 12 years of age under 200% poverty $ 15.00 Children between 2 and 12 years of age ' over 200% poverty $ 12.50 12 years of age and older under 200% of poverty $ 20.00 12 years of age and older over 200% of poverty $ 20.00 Sports physicals and new grade school PX Immunization a. Typhoid $ 10.00 Each b. Stamping of Inter- national Travel Cards $ 3.00 Each T.B. Skin Testing (P.P.D) $ 5.00 Includes reading but no charge for contacts * Indicates Rate Increase/Change -4- RESOLUTION 90/ 152 PROGRAMS FEE DESCRIPTION Venereal Disease $ 20.00 Medication for sexually transmitted diseases $ 20.00 V.D. Clinic attendance for any sexually transmitted disease Nutrition Services $ 18.00 Per hour consultation fee Lab Tests Gardnerella culture $ 1950 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 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 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 s 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 110.00 * * Indicates Rate Increase/Change -5- RESOLUTION 90/152 Category Units Capacity Charge Food Processing Establishment Sq.Ft. <2,000 $230.00 * Food Processing Establishment Sq.Ft. 2, 000-5,999 250.00 * 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. <2,000 230.00 * Bakery Sq.Ft. 2,000-5,999 250.00 * 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 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 <2,000 230.00 * Wholesale Food Sq.Ft. 2,000-5,999 250.00 * Wholesale Food Sq.Ft 6, 000+ 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 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 * 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. 1 hereby certify that this is a true and correct copy of Orig: County Administrator an action taken and entered on the minutes of the Board of Supervisors on the date shown. cc: Health services Director A.rT�D: MAR 13 199 County Council PHIL BATCHELOR,Clerk of the Board County Auditor County Probation Officer of Supervisors and County Administrator RESOLUTION 90/152 -6 ti by AIJLaML:�Zo suer, e