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Health Department Fee Schedule

The Health Department fee schedule is subject to change each fiscal year. Below are current fees listed by program.

 

  
  
  
collapse Program Area : Animal Holding Facilities ‎(1)
Annual Permit (New & Renewal)$50.00
collapse Program Area : Case Management Services ‎(3)
Care Coordination for Children No Charge to Patient
Home Visit for Newborn & Postpartum AssessmentsNo Charge to Patient
Pregnancy Care HomeNo Charge to Patient
collapse Program Area : Community Alternative Program (CAP) ‎(1)
CAP AIDS, CAP DA (Disabled Adults) & CAP C (Children)Medicaid Deductible AppliesMust be Medicaid Certified
collapse Program Area : Dental Health ‎(1)
Children ages newborn to 15 years of age$56.00 to $508.00Fee based on services provided
collapse Program Area : Family Planning, Women’s Health ‎(9)
Breast Feeding & Child Birth ClassesNo Charge to Patient
Depo-Provera Injections$73.00
Implanon Hormonal Implant$943.00
Medical Nutritional Services$30.00 to $65.00
Mirena IUD Kit & Insertion$780.00
Norplant Removal$248.00
Oral Contraceptive Pills$9.00 per pack
Pap Smears$26.00
Paraguard IUD Kit & Insertion$671.00
collapse Program Area : Foreign Travel ‎(3)
Nurse Consultation$48.00 per personThis program is out-of-pocket expense only.  Consultation fee applies to each client receiving services. Immunizations vary based on destination; see Immunization Section for Immunization Admin and Vaccine Cost.
Preventive Medicine Counseling, Group$98.00This program is out-of-pocket expense only.  Immunizations vary based on destination; see Immunization Section for Immunization Admin and Vaccine Cost.
Preventive Medicine Counseling, Individual$80.00 to $206.00This program is out-of-pocket expense only.  Immunizations vary based on destination; see Immunization Section for Immunization Admin and Vaccine Cost.
collapse Program Area : Home Day Cares ‎(2)
Day Care Education Program$10.00
New Registration & Permit$70.00
collapse Program Area : Immunizations - Childhood Required Vaccines 0-18 yrs ‎(40)
 Injectable Vaccine Administration; each additional vaccine$13.00For vaccines that are administered as part of a series, the fees listed are per dose. Vaccine Administration costs are charged in addition to the vaccine rendered unless indicated otherwise.
 Injectable Vaccine Administration; single vaccine$15.00For vaccines that are administered as part of a series, the fees listed are per dose. Vaccine Administration costs are charged in addition to the vaccine rendered unless indicated otherwise.
 Oral - Intranasal Administrative; each additional vaccine$12.00For vaccines that are administered as part of a series, the fees listed are per dose. Vaccine Administration costs are charged in addition to the vaccine rendered unless indicated otherwise.
 Oral - Intranasal Vaccine Administration; single vaccine$15.00For vaccines that are administered as part of a series, the fees listed are per dose. Vaccine Administration costs are charged in addition to the vaccine rendered unless indicated otherwise.
ActHib (PRP-T)$25.00For vaccines that are administered as part of a series, the fees listed are per dose. Vaccine Administration costs are charged in addition to the vaccine rendered unless indicated otherwise.
Diptheria-Tetanus$38.00For vaccines that are administered as part of a series, the fees listed are per dose. Vaccine Administration costs are charged in addition to the vaccine rendered unless indicated otherwise.
Dtap$20.00For vaccines that are administered as part of a series, the fees listed are per dose. Vaccine Administration costs are charged in addition to the vaccine rendered unless indicated otherwise.
Dtap-HIB-IPV$93.00For vaccines that are administered as part of a series, the fees listed are per dose. Vaccine Administration costs are charged in addition to the vaccine rendered unless indicated otherwise.
Dtap-IPV$43.00For vaccines that are administered as part of a series, the fees listed are per dose. Vaccine Administration costs are charged in addition to the vaccine rendered unless indicated otherwise.
Flu Mist with administration (intranasal)$40.00For vaccines that are administered as part of a series, the fees listed are per dose. Vaccine Administration costs are charged in addition to the vaccine rendered unless indicated otherwise.
Fluzone  with administration (Intradermal)$34.00For vaccines that are administered as part of a series, the fees listed are per dose. Vaccine Administration costs are charged in addition to the vaccine rendered unless indicated otherwise.
Hep A (adult)$53.00For vaccines that are administered as part of a series, the fees listed are per dose. Vaccine Administration costs are charged in addition to the vaccine rendered unless indicated otherwise.
Hep B (adult)$66.00For vaccines that are administered as part of a series, the fees listed are per dose. Vaccine Administration costs are charged in addition to the vaccine rendered unless indicated otherwise.
Hepatitis A - Pediatric/Adolescent$20.00For vaccines that are administered as part of a series, the fees listed are per dose. Vaccine Administration costs are charged in addition to the vaccine rendered unless indicated otherwise.
Hepatitis B - Pediatric/Adolescent$12.00For vaccines that are administered as part of a series, the fees listed are per dose. Vaccine Administration costs are charged in addition to the vaccine rendered unless indicated otherwise.
Hiberix Booster$25.00For vaccines that are administered as part of a series, the fees listed are per dose. Vaccine Administration costs are charged in addition to the vaccine rendered unless indicated otherwise.
High Dose Fluzone with administration (65 yrs+)$46.00For vaccines that are administered as part of a series, the fees listed are per dose. Vaccine Administration costs are charged in addition to the vaccine rendered unless indicated otherwise.
HPV Vaccine (Cervarix)$160.00For vaccines that are administered as part of a series, the fees listed are per dose. Vaccine Administration costs are charged in addition to the vaccine rendered unless indicated otherwise.
HPV Vaccine (Gardasil)$163.00For vaccines that are administered as part of a series, the fees listed are per dose. Vaccine Administration costs are charged in addition to the vaccine rendered unless indicated otherwise.
Immune Globulin$13.00For vaccines that are administered as part of a series, the fees listed are per dose. Vaccine Administration costs are charged in addition to the vaccine rendered unless indicated otherwise.
Inactivated Poliovirus$30.00For vaccines that are administered as part of a series, the fees listed are per dose. Vaccine Administration costs are charged in addition to the vaccine rendered unless indicated otherwise.
Influenza Vaccine (3 yrs+) with administration$30.00For vaccines that are administered as part of a series, the fees listed are per dose. Vaccine Administration costs are charged in addition to the vaccine rendered unless indicated otherwise.
Influenza Vaccine (6-35 months) with administration$30.00For vaccines that are administered as part of a series, the fees listed are per dose. Vaccine Administration costs are charged in addition to the vaccine rendered unless indicated otherwise.
Measles, Mumps, Rubella$53.00For vaccines that are administered as part of a series, the fees listed are per dose. Vaccine Administration costs are charged in addition to the vaccine rendered unless indicated otherwise.
Measles,Mumps,Rubella,Varicella (Proquad)$161.00For vaccines that are administered as part of a series, the fees listed are per dose. Vaccine Administration costs are charged in addition to the vaccine rendered unless indicated otherwise.
Menactra$128.00For vaccines that are administered as part of a series, the fees listed are per dose. Vaccine Administration costs are charged in addition to the vaccine rendered unless indicated otherwise.
Menomune$130.00For vaccines that are administered as part of a series, the fees listed are per dose. Vaccine Administration costs are charged in addition to the vaccine rendered unless indicated otherwise.
Pedvax Hib$24.00For vaccines that are administered as part of a series, the fees listed are per dose. Vaccine Administration costs are charged in addition to the vaccine rendered unless indicated otherwise.
Pneumonia Vaccine$66.00For vaccines that are administered as part of a series, the fees listed are per dose. Vaccine Administration costs are charged in addition to the vaccine rendered unless indicated otherwise.
Prevnar$145.00For vaccines that are administered as part of a series, the fees listed are per dose. Vaccine Administration costs are charged in addition to the vaccine rendered unless indicated otherwise.
Rabies (lmovax)$176.00For vaccines that are administered as part of a series, the fees listed are per dose. Vaccine Administration costs are charged in addition to the vaccine rendered unless indicated otherwise.
Rotavirus (oral)$87.00For vaccines that are administered as part of a series, the fees listed are per dose. Vaccine Administration costs are charged in addition to the vaccine rendered unless indicated otherwise.
Tdap$47.00For vaccines that are administered as part of a series, the fees listed are per dose. Vaccine Administration costs are charged in addition to the vaccine rendered unless indicated otherwise.
Tetanus-Diptheria$23.00For vaccines that are administered as part of a series, the fees listed are per dose. Vaccine Administration costs are charged in addition to the vaccine rendered unless indicated otherwise.
Tuberculin Skin Test$22.00For vaccines that are administered as part of a series, the fees listed are per dose. Vaccine Administration costs are charged in addition to the vaccine rendered unless indicated otherwise.
Twinrix$107.00For vaccines that are administered as part of a series, the fees listed are per dose. Vaccine Administration costs are charged in addition to the vaccine rendered unless indicated otherwise.
Typhoid$67.00For vaccines that are administered as part of a series, the fees listed are per dose. Vaccine Administration costs are charged in addition to the vaccine rendered unless indicated otherwise.
Varicella$104.00For vaccines that are administered as part of a series, the fees listed are per dose. Vaccine Administration costs are charged in addition to the vaccine rendered unless indicated otherwise.
Yellow Fever$107.00For vaccines that are administered as part of a series, the fees listed are per dose. Vaccine Administration costs are charged in addition to the vaccine rendered unless indicated otherwise.
Zoster (Shingles)$191.00For vaccines that are administered as part of a series, the fees listed are per dose. Vaccine Administration costs are charged in addition to the vaccine rendered unless indicated otherwise.
collapse Program Area : Laboratory ‎(20)
Chlamydia; Amplified Probe$92.00
Culture, Presumptive, Pathogenic Organisms, Screening Only$24.00
Finger, Heel, Ear Stick$12.00
Gram Stain$22.00
Hemoglobin$15.00
Marriage License Serology$45.00
Neisseria Gonorrhoeae; Amplified Probe$92.00
Occult Blood, Feces$14.00
Other Laboratory Services$12.00 to $92.00
Ova & Parasite Smear$50.00
PH, Body Fluids$16.00
Quantiferon TB Gold In-Tube Test$107.00
Quantitation of Drug Assay$84.00
Special Stains, All Other$152.00
Specimen Handling & Conveyance$15.00
Syphilis Test - RPR Qualitative$31.00
Urinalysis, Dipstick$12.00
Urine Pregnancy Test$25.00
Venipuncture$14.00
Wet Mount$19.00
collapse Program Area : Medical Records ‎(6)
Administrative Attorney/Insurance Request$10.00
Disability Determination Request$12.00
General Patient Record/Lab Results per page$1.00
Pages 100+$0.25
Pages 1-25$0.75
Pages 26-100$0.50
collapse Program Area : Public Pools ‎(5)
Annual Pools - permit to operate$250.00
Annual Pools - Permit to Operate$370.00
Permit to Construct a Public pool$250.00
Seasonal Pools - Permit to Operate (Received after February)$250.00
Seasonal Pools - Permit to Operate (Received Prior to March 1)$130.00
collapse Program Area : Refugee Services ‎(2)
Completion of Immigration Record$25.00
Refugee HealthNo Charge to Patient
collapse Program Area : Residential Pools ‎(1)
Permit to Construct Residential Pool$75.00
collapse Program Area : Restaurants/Foodservice ‎(5)
Basic Food Service Worker Certification (2 hours)$50.00
Document Copies$0.05 per page
Food Training Tape$10.00
Food/Lodging Plan Review$250.00
Temporary Event Fee$75.00
collapse Program Area : STD ‎(2)
Genital Wart Treatment / Follow-up$0.00
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