HomeMy WebLinkAboutRESOLUTIONS - 05071991 - 91-288 THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIJ
Adopted this Order on May 7,, 19.9 1 by the following vote:
AYES: SuPervis-ors Fanden r, Schroder, McPeak, Torlakson, Powers
NOES: None
ASSENT. None
ABSTAIN: None.
RESOLUTION NO. 91/288
SUBJECT: Amending Itemized Professional and Service Rate Charges for Contra Costa
County Health Services Effective May 44, 1991.
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 90/560 effective August 14, 1990.
The County Administrator has reviewed and recommended adoption of this proposed
amendment.
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 May 14, 1991 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 $4,776
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 lab work
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
91/288
ANCILLARYSERVICES
DEPARTMENT BILLING IT 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'l 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 STUDIES
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
91/288
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
Emer envy 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 Per Hour Actual Charge
MENTAL HEALTH PROGRAM SERVICES
UNIT OF
SERVICE CHARGE
Collateral Visit $ 87.00
Assessment Visit $157.00
Individual Visit $116.00
Group Visit $ 79.00
Medication Visit $106.00
Crisis Visit $294.00
Day Care, Intensive/Adult Visit $143.00
Day Care, Intensive/Child Visit $ 88.00
Day Care, Habilitative Visit $ 87.00
Case Management Staff Hours $ 67.00
* Indicates Rate Increase/Change
91/288
3
DETOXIFICATION SERVICES
UNIT OF
Medical DetoxificationES RVICE CHARGE
Services (21-day procedure)
New Patient (1st 7 days) Visit $ 16.50
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 $2,400.00
Drug Free Outpatient UNIT OF
Clinic Treatment SERVICE CHARGE
Individual Intake/Assessment Visit $ 165.00 *
Individual Counseling Visit $ 103.00 *
Collaterol Service Visit $ 103.00 *
Group Counseling Visit $ 42.00 *
Acupuncture Treatment Visit $ 73.00 *
Medical Assessment/
Physical Exam Visit $ 90.00 *
Outpatient Drug Free
(Composite State Charge) Visit $ 103.00
ALCOHOL PROGRAM SERVICES
Alcohol Information for UNIT OF
Referral Service (AIRSSERVICE 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 $1,175.00
HOME HEALTH AGENCY
UNIT OF
SERVICE SERVICE CHARGE
Skilled Nursing Visit $109.00 *
Physical Therapy Visit $105.00*
Speech Pathology Visit $114.00 *
Occupational Therapy Visit $108.00 *
Medical Social Service Visit $157.00 *
Home Health Agency Hour $ 44.00
* Indicates Rates Increase/Change
4 91/288
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
Individual 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 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 0o' per quarter.
PUBLIC HEALTH
Family Planning CHARGE DESCRIPTION
Pregnancy Test $ 12.00
Non Eligible $ 80.00 New membership - first.year
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 and new grade school PX
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
Indicates Rate Increase/Change
5 91/288
PUBLIC HEALTH (con't)
T.B. Skin -Testing DESCRIPTION
(P.P.D) $ 5.00 Includes reading but no charge for contacts
Venereal Disease $ 20.00 Clinic attendance for any sexually
transmitted disease
Nutrition Services $ 41.00 Per hour consultation fee
Ub Test
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
MHAT? $ 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 - 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-T? $ 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
Health Education Material Cost plus 10%
(i.e.: videos, posters,
pamphlets, t-shirts, etc)
Elderly Flu Shots Voluntary Contributions
PUBLIC HEALTHLICENSEFEES
Category Units Capacity Rates
Restaurants Seats 0-49 $280.00 *
Restaurants Seats 50-149 $380. 00 *
Restaurants Seats 150+ $420.00 ' *
Vending Machines Machines 1-4 $ 60. 00 *
Vending Machines Machines 4+ $ 45.00' *
Tavern/Cocktail Lounge Bar $280. 00
Snack Bar $260.00
Indicates Rate Increase/Change
6
91/288
PUBLIC HEALTH LICENSE FEES (con't)
Category Units Capacity Rates
Drive-In/Take-Out $340. 00 *
Commissary $340. 00 *
Catering $340.00 *
School Cafeterias No Fee No Fee
Itinerant Restaurants $ 80.00
Retail Markets Sq.Ft <2, 000 $260. 00 *
Retail Markets Sq.Ft. 2, 000-5,999 $280. 00 *
Retail Markets Sq.Ft. 6, 000+ $390. 00 *
Roadside Stands $130.00 *
Food Salvager $364.00
Food Processing Establishment Sq.Ft. <2,000 $260.00 *
Food Processing Establishment Sq.Ft. 2,000-5,999 $280.00 *
Food Processing Establishment Sq.Ft. 6, 000 $390.00 *
Food Demonstrator $120.00 *
Retailer Food Vehicle (Del & Ped) $130. 00 *
Mobile Food Prep Units $230. 00 *
Retail Food Vehicles (Ind CAT.TRk) $130. 00 *
Bakery Sq.Ft. <2,000 $260.00 *
Bakery Sq.Ft. '2,000-5,999 $280.00 *
Bakery Sq.Ft. 6,000 $400.00 *
Septic Tank,Chemical Toilet CleanerBusiness $140.00 *
Septic -Tank,Chemical Toilet CleanerVehicle/ea $ 50.00 *
Pool-Apt, Motel,Hotel Mult-Use $260. 00 *
Pool-Public School No Fee
Pool-Municipal Pool No Fee
Pool-Health Club/Swim School $260. 00 *
Pool-Resort $260.00 *
Each Add. Pool within same Location $ 90.00
Pool-Other-Fee @ Hourly Rate $ 80.00
Pool-Other-No Fee No Fee
Spa-Apartment, Motel, Hotel Mult-Use $260. 00 *
Spa-Public School No Fee
Spa-Municipal Pool No Fee
Spa-Health Club/Swim School $260.00 *
Spa-Resort $260.00 *
Each Add. Within Same Location $ 90.00
Spa-Other-Fee @ Hourly Rate $ 80.00
Spa-Other-No Fee No Fee
Small Water Systems connection 2-4 $ 60. 00
Small Water Systems connection 5-50 $100. 00 *
Small Water Systems Connection 51-99 $120. 00 *
Small Water Systems No Fee No Fee
Wholesale Food Sq.Ft <2 ,000 $260.00 *
Wholesale Food Sq.Ft. 2,000-5,999 $280.00 *
Wholesale Food Sq.Ft 6, 000+ $390.00 *
Ice Plant $100.00 *
Incidental Confectionary $110. 00 *
Violation Reinspection Fee $ 50. 00
Special Services Fee @ Hourly Rate $ 80. 00 *
Application Fee $ 23 .00 *
Wiping Rags Business $120.00 *
VITALSTATISTICS
Certified Copies Charge
Death and Fetal Death $ 8. 00
Birth - General Public $ 12.00
Birth - Government Agency $ ' 8.00
Permit for Disposition ofHumanRemains Charge
Regular $ 7.00
After Hours $ 7.00
Cross Filing $ 10.00
Indicates Rate Increase/Change
.91/2887
ENVIRONMENTAL HEALTH
Category Charge
Small quantity generator with
onsite treatment $ 100. 00 *
Limited quantity hauler $ 50.00 *
Common storage facilities
Serving 2-10 generators $ 100. 00 *
Serving 11-49 generators $ 250. 00 *
Serving 50 or more generators $ 500. 00 *
Transfer station $ 500.00 *
Large quantity generators:
Acute care hospitals
1-99 beds $ 600. 00 *
100-199 beds $ 860. 00 *
200-250 beds $1, 000. 00 *
251- or more beds $1,400. 00 *
Specialty clinics $ 350.00 *
Skilled Nursing Facilities
1-99 beds $ 275.00 *
100-199 beds $ 350.00 *
200 or more beds $ 400.00 *
Acute psychiatric hospital $ 200. 00 *
Intermediate care $ 300. 00 *
Primary care $ 350. 00 *
Clinical laboratory $ 200.00 *
Health care service plan facility $ 350.00 *
Veterinary clinic or hospital $ 200. 00 *
Medical/Dental/Veterinary office
(200 lbs. or more per month) $ 200. 00 *
Reinspection fee (per hour) $ 80.00 *
Medical Waste certification/
application fee $ 25.00 *
Solid Waste - Mandatory
Service Exemption $ 5. 00 - 50. 00 Sliding fee
Per Ton
Solid Waste Tonnage Fee $ .90
Charge
Rodent Bait Cost Plus 25%
Sewage Disposal Systems
and Water Wells Charge Description
Subdivisions proposing to use
individual sewage disposal systems and water
$ 120. 00 * Site evaluation,
2-4 lots, per lot
$ 600. 00 * Site evaluation,
5 or more lots, maximum
$ 250. 00 * Percolation tests, per
lot or building (5 holes
min. )
$ 100.00 * Appeal (except hearings
called pursuant to
Section 420-6. 026)
8 91/288
ENVIRONMENTAL HEALTH cont)
Category Charge
Subdivisions proposing to use
individual sewage disposal systems
$ 80.00 * Site evaluation,
2-4 lots, per lot
$400.00 * Site evaluation,
5 or more lots
$250. 00 * Percolation tests, pe
lot or building
$100.00 * Appeal (except hearing
called pursuant t
Section 420-6.026)
Individual Sewage Disposal Systems
$ 80.00 * Site Evaluation
$250. 00 * Percolation test
$250.00 * Each addll percolatio
test
$200.00 * Permit (except mina
building)
$120.00 * Review of existin
individual system
$ 50. 00 * Abandonment or sealing o
septic tank permit
$ 50. 00 * Reinspection
$100.00 * Appeal (except hearing
called pursuant t
Section 420-6. 026)
$ 40.00 * Advice, consultation
minor repair permit
Subdivision Proposing to use wells $ 80.00 * Site evaluation,
2-4 lots, per lot
$400.00 * Site evaluation,
5 or more lots, maximum
$100.00 * Appeals (hearings calle,
pursuant to Section 414
4 . 1019 (b) )
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.
:vw
Orig: County Administrator
cc: Health Services Director I hereby certify that this is a true and correct copy of
County Counsel an action taken and entered on the minutes of the
County Auditor Board of Supervisors on the date shown.
ATTESTED: - MAY 2 1221
PHIL BATCHELOR,Clerk of the Board
of Supervisors and County Administrator
Deputy
9