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RESOLUTION NO. 04-275
A RESOLUTION INCREASING AND ADDING CERTAIN
FEES TO THE FEE SCHEDULE FOR THE ST. LUCIE
COUNTY HEALTH DEPARTMENT
WHEREAS, the Board of County Commissioners of St. Lucie County, Florida, has made
the following determinations:
1. Section 154.06(1), Florida Statutes, authorizes the Board of County Commissioners
to establish fees for the Public Health Services, Personal Health Services, Primary Care Services,
and Miscellaneous Services provided by the St. Lucie County Health Department.
2. Due to the increased cost of medical supplies and labor, it is necessary and in the best
interest of the health, safety and public welfare of the citizens of St. Lucie County to amend the
current Fee Schedule for the Health Department to incorporate certain increased and additional fees.
NOW, THEREFORE BE IT RESOLVED by the Board of County Commissioners ofSt.
Lucie County, Florida:
1. The Board hereby adopts the "St. Lucie County Health Department Fee Schedule",
attached hereto and incorporated herein as Exhibit "A".
2. This resolution shall take effect on October 1, 2004
After motion and second the vote on this resolution was as follows:
Chairman Paula A. Lewis
AYE
Vice Chairman John D. Bruhn
ABSENT
Commissioner Cliff Barnes
AYE
Commissioner Doug Coward
AYE
Commissioner Frannie Hutchinson
AYE
PASSED AND DULY ADOPTED this 21 th day of September 2004.
ATTEST:
BOARD OF COUNTY COMlVlISSIONERS
ST. LUCIE COUNTY, FLOIUDA
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DEPUTY CLERK
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BY: ..~ tdt ,/ d/ r~£(~C1 J
CHAIRNÍAN
APPROVED AS TO FORM AND
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Fees for Service County Health Department
Effective 10/01/04
IMMUNIZATIONS
Fees Old Fees
Administration Fee Per immunization
Hepatitis B Vaccine
Adult (3 injections required) per injection
Child (1-10 yrs.) per injection
Child (11 and up) per injection
Hepatitis A (2 injections required)
10.00
Hepatitis A (children)
TwinRix Hep A&B combined(3
50.00
25.00
50.00
per injection
40.00
per injection 40.00
injections Required) 85.00
per injection
70.00
Influenza
MMR - Over the Age of 18
PPD
Tetanus (Adult) Diphtheria
Pneumonococcal Vaccine
Varicella Vaccination (Chicken Pox)
Immunization Book
680 Not associated with clinic visit
Yellow Fever
Typhoid
Rabies Vaccination:
Vaccine (5 doses) (per injection)
Immune Globulin (dosage based on
Meningitis
15.(,)0
60.00
17.00
20.00
20.00
75.00
3.00
3.00
90.00
70.00
15.00
550.00
body weight) 135.00(2ml vial)
70.00
LABORATORY
HIV/Aids Testing (Confidential)
HIV/Aids Testing (Anonymous)
Sexually Transmitted
Disease Testing
Cholinesterase Combination Testing
(Pesticide Exposure)
Drug Testing
Complete Urinalysis
CBC
Hepatitis B Immunity Screen
Cholesterol Screening
EKG
Hepatitis C Screen
Pregnancy Test
20.00
25.00
40.00
50.00
30.00
10.00
25.00
65.00
20.00
95.00
65.00
25.00
Effective 10/01/04
VITAL STATISTICS
Fees
Old Fees
Birth Certificates (Book Copy)
Birth Certificates (Computer Copy)
Extra Copies of Certificates
Out of County Birth Certificates
Death Certificates
Birth/Death Records Search (Per year)
Expediting Charge
15.00
13.00
8.00
15.00
12.00
5.00
5.00
PERSONAL HEALTH
Chest X-Ray 50.00
Insulin (per vial) 15.00
STD Screening 40.00
Physical Exam- Child (does not include lab) 40.00
Physical Exam- Adult (does not include lab) 60.00
School Exam Records/Patient Request (gold form) 3.00
Copies of Medical Records (per page) 1.00
Family Planning/Maternal
Health
*Sliding Fee Scale
According to Offic
of Management and
Budget Poverty Scale
PRIMARY CARE
Pediatric Clinic -base rate
50.00
ADULT HEALTH
Adult Clinic -base rate
50.00
70.00
* Proof of financial eligibility required to access sliding scale
DENTAL Fees
INITIAL ORAL EXAM
PERIODIC ORAL EXAM
LIMITED PROBLEM FOCUSED EXAM
COMPREHENSIVE ORAL EXAM
COMPLETE SERIES FXM
30.00
25.00
20.00
30.00
45.00
Effective 10/01/04
Fees Old Fees
PERIEPICAL FIRST FI~M
PERIEPICAL EACH ADD:TIONAL FILM
OCCLUSAL FILM
BITE WINGS-SINGLE F:LM
BITE WINGS-TWO FILM
BITE WINGS-FOUR FIL~
PANORAMIC FILM
EMERGENCY TREATMENT
PROPHYLAXIS CHILD
PROPHYLAXIS-ADULT
SEALANT-PER TOOTH
ROOT PANING & SCALI::G FULL MOUTH
ROOT PANING & SCALI::G PER QUADRANT
FULL MOUTH DEBRIDEM~NT
EXTRACTION-SINGLE S:~IPLE
EXTRACTION EACH ADD:TIONAL
ROOT REMOVAL/EXPOSEJ ROOTS
SURGICAL EXTRACTIOì:
IMPACTED WISDOM SOf: TISSUE
SURGICAL ROOT REMOV~L
ALVEOLOPLASTY W/EXT?ACTION
ALVEOLOPLASTY PER Q~ADRANT
BIOPSY OF ORAL HARD TISSUE
BIOPSY OF ORAL SOFT TISSUE
AMALGAM-ONE SURFACE PRIMARY
AMALGAM-TWO SURFACE PRIMARY
AMALGAM-THREE SURFACS PRIMARY
AMALGAM-FOUR SURFAC~ PRIMARY
AMALGAM-ONE SURFACE, PERMANENT
AMALGAM-TWO SURFACE, PERMANENT
AMALGAM-THREE SURFACE, PERMANENT
AMALGAM-FOUR OR MOR~, PERMANENT
RESIN-ONE SURFACE, ~~TERIOR
RESIN-TWO SURFACE, ;~TERIOR
RESIN-THREE SURFACE, ANTERIOR
14.00
10.00
10.00
14.00
18.00
20.00
50.00
25.00
30.00
40.00
18.00
200.00
50.00
100.00
40.00
30.00
45.00
65.00
95.00
90.00
30.00
50.00
70.00
70.00
30.00
~5.00
45.00
55.00
45.00
55.00
65.00
75.00
45.00
55.00
65.00
Effective 10/01/04
RESIN-FOUR INCISAL ANGLE, ANTERIOR
RESIN-ONE SURFACE, POSTERIOR PRIl~RY
RESIN-TWO SURFACE, POSTERIOR PRIl~RY
RESIN-THREE SURFACE, POSTERIOR PRIMARY
RESIN-ONE SURFACE, POSTERIOR PEffi1ANENT
RESIN-TWO SURFACE, POSTERIOR PERV~NT
RESIN-THREE SURFACE, POSTERIOR F~RMANENT
SEDATIVE FILLING
PULP CAP-DIRECT
PULP CAP-INDIRECT
PULPOTO~IY
ADJUSTEMENT MAXILLARY
ADJUSTEMENT MANDIBULAR
RELINE MAXILLARY (CHAIRSIDE)
RELINE pffiNDIBULAR (CHAIRSIDE)
TISSUE CONDITIONING MAXILLARY
TISSUE CONDITIONING MANDIBULAR
ADJUST UPPER PARTIAL
ADJUST LOWER PARTIAL
RELINE UPPER PARTIAL (CHAIRSIDE)
RELINE LOWER PARTIAL (CHAIRSIDE)
Acrylic Partial
One to Two tooth flipper
Premature Crown
Maxillary Complete
Mandibular Complete
Reline (Lab)
Upper/Lower Partial-(Cast Metal)
Crown w/Resin Base Metal
Temporary Crown
ENVIRONMENTAL HEALTH
Environmental Sample
Water Sampling (each) potable drinking water
Water Forms
Water System Variance
Wells
Domestic
Irrigation-Private
Commercial (less than 6")
Commercial (6'1 to 1111)
Commercial (12" or greater)
Fees
Old Fees
70.00
30.00
35.00
40.00
45.00
55.00
65.00
30.00
40.00
40.00
60.00
15.00
15.00
100.00
100.00
50.00
50.00
15.00
15.00
100.00
100.00
250.00
200.00
300.00
350.00
350.00
150.00
40.00 each
400.00
70.00
NEW
NEW
NEW
NEW
NEW
NEW
20.00
10.00
20.00
50.00
50.00
40.00
250.00
315.00
380.00
Effective 10/01/04
Monitoring
Abandonment
Reinspection
Fines
Repair (domestic)
Repair (public)
Irrigation- Commercial
Veteran's Administration Certification
for Water/Septic Systems
Water Report Reviewing and Sign off
Indoor Air Quality Response
Follow Up Inspection (Second Re-inspection)
Proposed Subdivision Analysis/Plan Review & Approval
Use of Septic Systems:
Hazardous Waste
County Septic Fee (every new permit)
Revised Plan Review Fee
Late permit fee
Environmental Record/Copy Fees:
Per Page Fee
UST installation plan review
UST closure plan review
MISCELLANEOUS
Health Education Seminars Per Hour/Person
Delivery Fees
Data Base Mail List
Notary Fee
Weight Class Series
Counseling -
Nutrition, HIV, AIDS & Healthy Start,
Computerized Diet Analysis
Menu Cycle Review for Group Care Facilities
Food service Training Seminars -Per Hour
Menu Cycle development for Group Care
Health Risk Appraisal
Computer application training / per person
Nebulizer Treatment (initial)
Nebulizer Treatment (subsequent)
Wart Removal (in addition to clinic
Fees
Old Fees
50.0
100.00
25.00
( open)
40.00
100.00
120.00
50.00
5.00
50.00
50.00 NEW
5.00
100.00
10.00
50.00
.15
75.00
25.00
15.00
10.00
200.00
5.00
25.00
50.00
Lactation
20.00
50.00
45.00
350.00
50.00
20.00
15.00
5.00
visit charge)15.00
Effective 10/01/04
Fees
Old Fees
Ear irrigation (in addition to clinic visit charge) l5.00
Dressing Change (in addition to clinic visit charge) 5.00
Additional copies of physical forms not associated with visit
3.00
ALL SERVICES PROVIDED TO THE JAIL WILL BE BILLED AT THE
MEDICAID RATE.