2004-277 - Laserfiche WebLink

Home Browse Search

INDIAN RIVER COUNTY HEALTH DEPARTMENT FEE SCHEDULE - Effective Oct 1 , 2004 Procedures not included in office visit 0% = A 17% - B 33% - C 50% - D 670% - E 83% - F 100% - G COST - 57454 Colposcopy (with biopsy) _ $0. 00 $8 . 50 $ 16 . 50 $25 . 00 1 $33. 50 $41 .50 $50 . 00 $50 . 00 57452 Colposcopy (without biopsy) $0 .00 $6.80 $ 13.20 $20 .00 $26 . 80 $33.20 $40 .00 $40.00 58300 IUD Insertion $0.00 $9 . 35 $ 18 . 15 $27. 50 $36.85 $45 . 65 $55.00 $55.00 58301 IUD Removal $0.00 $ 10 .20 $ 19.80 $30 .00 $40 .20 $49 .80 $60 . 00 $60 . 00 11975 Norplant Removal - $0 .00 $21 .25 $41 .25 $62 . 50 $83 . 75 $ 103. 75 $ 125.00 $ 125.00 11765 Ingrown Toenail Treatment $0 .00 $6 .80 $ 13 .20 : $20 . 00 $26.80 $33 .20 $40 .00 $40.00 17000 Wart Treatment - First $0 .00 $5.95 $ 11 . 55 $ 17. 50 $23 .45 $29.05 $35.00 $35 . 00 17003 Wart Treatment - Second - 14 $0.00 $ 1 .02 � � � $ L- 98I $3.00 $4 .02 $4. 98 $6,00 $600 10060 Incision and Drainage $0 .00 $9 . 35 _ $ 18 .1 $27 . 50 $36.85 $45 . 65 $55 . 00 $55. 00 94640 Respiratory Treatment_ $0.00 $ 1 . 36 $2.64 $4.00 $5 .36 $6.64 $8.00 $8 . 00 57170 Diaphragm Fitting $0 .00 $9 . 35 $ 18 . 15 $27 . 50 $36 .85 ! $45 . 65 $55.00 $55.00 93000 EKG $0 .00 $5. 10 $9.90 $ 15.00 $20 . 10 $24 . 90 $30 . 00+ 30 . 00 - - Procedures with set charges 0% - A 17% - B 33% - C __50o/0_=_ 0% D 67% - E 83% - F 100% - G COST 71020 Chest X-Ray $0.00 $9 . 35 $ 18 . 15 - $27.50 $36 . 85 $45. 65 $55 .00 $55. 00 Tubal Ligation - Surgical _ $ 1 ,000.00 $ 1 ,000.00 1 $ 1 ,000.00 $ 1 , 000 .00 $ 19000 . 00 $ 19000 . 00 . $ 19000 .00 $ 1 ,000 .00 Band or Clip $ 1 ,000.00 $ 1 ,000 . 00 $ 1 ,000 .00 $ 19000.00 $ 1 ,000 . 00 $ 1 ,000 .00 $ 11000.00 $ 1 , 000.00 Postpartum $ 1 ,000.00 $ 1 ,000.00 $ 1 ,000.00 $ 1 ,000 . 00 $ 1 ,000 .00 $ 10000 .00 $ 19000 .00 $ 19000.00 Post Cesarean $ 1 ,000 .00 $ 1 ,000 .00 $ 19000 . 00 : $ 19000.00 $ 1 ,000.00 $ 11000 . 00 $ 19000.00 $ 1 ,000 .00 Inpatient Per Diem 1 $ 1 ,000.00 $ 11000 .00 $ 19000.00 $ 1 ,000 .00 $ 11000 .00 $ 19000 .00 $ 19000 . 00 $ 19000.00 Outpatient Fee $ 1 ,000 .00 $ 1 ,000 .00 $ 19000 . 00 $ 19000 .00 $ 11000.00 $ 1 ,000 .00 $ 19000 .00 $ 1 ,000 .00 Vasectomy $450.00 $450 .00 $450.00 $450 . 00 $450 . 00 $450 .00 $450 .00 . $450 .00 Nutritional Counseling - per hour $0 . 00 $5. 95 $ 11 . 55 $ 17. 50 $23.45 $29.05 $35 .00 $35.00 PPD TB Test $0 .00 $ 1 . 70 $3.30 $5 . 00 $6 . 70 $8 . 30 $ 10.00 $ 10 .00 E ons 0% - A 17% - B 33% - C - 50% - D 67% - E 83% FF - 0% = G COST $0 . 00 $3.06 $5 . 94 $9.00 $ 12 .06 $ 14.94 $ 18 . 00 $ 18. 00 cal Pneumonia $0.00 $4 . 76 $9.24 $ 14.00 $ 18.76 $23 .24 $28.00 $28.00 mps/Rubella $0 .00 $8 . 50 $ 16.50 $25.00 $33.50 $41 .50 $40 . 00 $50.00 $0. 00 $2 .55 $4.95 $7 . 50 $ 10.05 $ 12.45 $ 15.00 $ 15 .00 Injected Polio Vaccine $0 .00 $5 . 10 $9 .90 $ 15.00 $20 . 10 $24 .90 $30.00 $30. 00 Varivax (Chicken Pox) $0 .00 $ 13.60 $26.40 $40 . 00 $53.60 $66.40 $80 .00 $80 .00 Meningococcal $0 .00 $ 12 . 75 $24. 75 . $37.50 $50 .25 $62 .25 $75.00 $75.00 Rabies Vaccine (per injection ) $ 125 .00 $ 125.00 $ 125 .00 $ 125 . 00 $ 125.00 $ 125. 00 $ 125 .00 $ 125 . 00 kHea Per 2cc Vial $ 150.00 $ 150 . 00 $ 150 .0 $ 150 .00 $ 150 .00 $ 150 .00 $ 150. 00 $ 150 .00 tis A Vaccine (per injection) $0 .00 $4.25 $8 .25 $ 12 . 50 $ 16. 75 $20. 75 $25 . 00 $25. 00 tis B Vaccine (per injection ) $0.00 $5.95 $ 11 .55 $ 17.50 $23 .45 $29 .05 $35.00 $35.00 x -Hep A & B (perinjection) $0 .00 $8. 50 $ 16 . 50 $25 .00 $33. 50 $41 .50erCDC guidelines , vaccine for childhood immunizations are covered under the Vaccine for Children Program and are provided at no cost to children age 0- 18. Charges for communicable disease control issues will be waived with authorization . 11 /2/2004CLFEE2004-05 Page 2 of 7