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Resolution 2025-191 RESOLUTION NO. 2025- 191 A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA, SUPERSEDING RESOLUTION NO. 2023-206 AND ALL PRIOR RATE RESOLUTIONS AND SCHEDULES FOR THE FLORIDA DEPARTMENT OF HEALTH AND ESTABLISHING THE FEES, RATES AND CHARGES FOR SERVICES RENDERED BY THE COUNTY HEALTH DEPARTMENT. WHEREAS, under the authority of Section 154.06 of the Florida Statutes, The Department of Health may establish fee schedules for public health services rendered through the Health Department. WHEREAS, said statutory authority grants the Department of Health the power to assess fees, co-payments, sliding fee scales, fee waivers and fee exemptions. WHEREAS, the funds collected under Section 154.06 of the Florida Statutes shall be expended solely for the purpose of providing health services and facilities within the county served by the county health department. Fees collected by the county health department pursuant to department rules shall be deposited with the Chief Financial Officer and credited to the County Health Department Trust Fund. WHEREAS,the fees collected by the county health department for public health services or personal health services shall be allocated to the state and the county based upon the pro rata share of funding for each service. WHEREAS, the Board of County Commissioners, shall provide for the transmittal of funds collected for its pro rate share of personal health services or primary care services rendered under the provisions of this section to the State Treasury for credit to the County Health Department Trust Fund, but in any events the proceeds from such fees may only be used to fund county health department services. NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA,that: Section 1. Resolution No. 2023-206 is hereby superseded in its entirety. Section 2.The schedule of rates,changes and fees set forth are attached and made an integral component of this Resolution. Section 3. The effective date of this Resolution shall be upon adoption. INSTR 6734153 OR 6510 PG 3930 RECORDED 9/25/2025 10:45 AM PAGES 9 CLERK OF THE CIRCUIT COURT AND COMPTROLLER COLLIER COUNTY FLORIDA REC$78.00 INDX$1.00 (25-UFO-00170/1967001/11 This Resolution adopted after this 23r`Iday of Sefir,,ier , 2025,after motion,second and majority vote. ATTEST: BOARD OF COUNTY COMMISSIONERS Crystal K. Kin/L'l:O•leileef Courts COLLIER COUNTY, FLORIDA Z By: By: '4 eeputirClerk Burt L. Saunders. Chairman Attes a 'b s to Clpixti1i`dn's signature only Approv:• , t I • • . • legality: Ida/ Jeffrey A ° lat./ ow, County Attorney (25-UF0-00170/1967001/1] FLORIDA DEPARTMENT OF HEALTH COLLIER COUNTY - FEE SCHEDULE This fee schedule is established as authorized by Florida Statutes Section 154.06. All funds collected shall be expended soley for the purpose of providing public health services within Collier County. Financial Eligibility: Shall be determined for all clients receiving personal health services for which a sliding fee is to be charged, and shall be re-determined a minimum of once a year or shorter if income or family size changes. Clients that waive the financial eligibility determination shall be assigned to the full fee category and attest to their decision by signing the HMS generated fact sheet. Clients will not be charged in the following circumstances: (1) Clients enrolled in Medicaid, however charges may apply for non-covered services. (2) Childhood immunizations required for school(pm-K- 12th). Third party payers shall be billed an administration (injection) fee. (3)Anonymous HIV testing if there is an inability to pay. (4) No charge to a minor's parent(s) if the minor is without parental consent, has no income and is receiving STD or HIV services. (5) Clients that are part of a contact or al-risk group related to the investigation of a communicable disease. Charges may apply for any subsequent clinical examination and treatment. MEDICAL SERVICES Current Fee Proposed New Expanded Prob Focused 90.00 94.00 New Detailed Low 120.00 147.00 New Comp Moderate 180.00 220.00 New Comp High 220.00 220.00 Min Visit MD /Nurse Visit (RN Visit) 50.00 30.00 Est Prob Focused (MD or APRN Visit) 60.00 73.00 Est Expanded Prob Focused 90.00 119.00 Est Detailed Visit 130.00 168.00 Est Comp Visit 170.00 236.00 } ANCILLARY MEDICAL SERVICES Current Fee Proposed Venous Blood Draw I 12.00 12.00 Chest X-Ray (2 view) * Cost based on contracted fee. f 100.00 45.00 Quantiferon, includes a draw fee of 15.00 (CPT 36415) 99.00 60.00 T-Spot, includes a draw fee of 15.00 (CPT 36415) 99.00 42.00 HIV Test 20.00 20.00 mor • TITERS Current Fee Proposed Measles 20.00 $20.00 Mumps 20.00 $20.00 Rubella 20.00 $20.00 Varicella 20.00 $20.00 Hepatitis B 25.00 $25.00 Hepatitis Panel-A.B ana C - NO RISK IDENTIFIED 25.00 $25.00 Elective testing for emoloyrrent or school. 'IMMUNIZATIONS Current Fee Pro osed 1 Immunization Administration 30.00 20.00 Immunization Administration Each Additional Vaccine 15.00 10.00 Vaccines are subject to an administrative fee for each vaccine. The fee for the vaccine is based on current market cost. 1. IRE r. Current Fee Pro sosed Minimal (Counseling/PT) 130.00 112.00 12-17 Yrs Initial Evaluation 175.00 122.00 18-39 Yrs Initial Evaluation 175.00 120.00 40-64 Yrs Initial Evaluation 190.00 195.00 65 and Over Initial Evaluation 210.00 212.00 12-17 Yrs Annual (Periodic) Evaluation 155.00 122.00 18-39 Yrs Annual (Periodic) Evaluation 155.00 153.00 40-64 Yrs Annual (Periodic) Evaluation 155.00 163.00 65 and Over Annual Periodic Evaluaticr 175.00 175.00 _ . "PROOEDURES Nexplanon Insertion 125.00 133.00 Nexplanon Removal 140.00 145.00 Nexplanon Removal and Insertion 195.00 188.00 Colposcopy 100.00 IUD Insertion 138.00 IUD Removal 140.00 129.38 Depo-Provera + Injec Adm 135.00 80.00 Liletta, Device fee 700.00 855.00 Paragard Device fee 850.00 400.00 NuvaRing 120.00 120.00 Nexplanon Device fee 850.00 600.00 Contrace•tive Pills, 3 month supply 11.50 30.00 All labs are subject to a $15 draw fee for each venipuncture for labs collected in house. Fees for test are based on current market cost . Venipuncture, draw fee 12.00 15.00 Vaccines are subject to a S15 draw fee Vaccire fees are based on current market cost DENTAL SERVICES Current Fee Proposed Periodic oral evaluation -established patient 43.00 43.00 Limited oral evaluation - problem focused 64.00 64.00 Comprehensive oral evaluation - new or established patient 73.00 73.00 Intraoral- complete series(including bitewings) 121.00 121.00 Intraoral- periapical first film 26.00 26.00 Intraoral- periapical each additional film 22.00 22.00 Intraoral- occlusal film 35.00 35.00 Bitewing- single film 22.00 22.00 Bitewings -two films 41.00 41.00 Bitewings -three films 51.00 51.00 Bitewings -four films 58.00 58.00 Vertical bitewings-7 to 8 films 89.00 89.00 Panoramic film 103.00 103.00 Oral/facial photographic images 36.00 36.00 Pulp vitality tests 30.00 30.00 Diagnostic casts 94.00 94.00 . .. _. a Prophylaxis-adult 83.00 83.00 Prophylaxis-child 62.00 62.00 Topical fluoride varnish; therapeutic application for moderate to 35.00 35.00 Topical application of fluoride 33.00 33.00 Oral Hygiene Instructions 22.00 22.00 Sealant-per tooth 48.00 48.00 Interim caries arresting medicament application 28.98 28.98 Space maintainer-fixed - unilateral 298.00 298.00 Space maintainer-fixed -bilateral 402.00 402.00 Re-cementation of space maintainer 83.00 83.00 Removal of fixed space maintainer 104.00 104.00 11 . Amalgam -one surface, primary or permanent 127.00 127.00 Amalgam -two surfaces, primary or permanent 158.00 158.00 Amalgam -three surfaces, primary or permanent 189.00 189.00 Amalgam -four or more surfaces, primary or permanent 221.00 221.00 Resin-based composite-one surface. anterior 149.00 149.00 Resin-based composite-two surfaces, anterior 181.00 181.00 Resin-based composite-three surfaces, anterior 220.00 220.00 Resin-based composite-four or more surfaces or involving 271.00 271.00 Resin-based composite crown. anterior 389.00 389.00 Resin-based composite-one surface, posterior 162.00 162.00 Resin-based composite-two surfaces, posterior 206.00 206.00 Resin-based composite-three surfaces, posterior 253.00 253.00 Resin-based composite-four or more surfaces. posterior 297.00 297.00 Crown - porcelain/ceramic substrate 1,112.00 1,112.00, Crown - porcelain fused to high noble metal 1,080.00 1,080.00 Crown - porcelain fused to noble metal 1,045.00 1,045.00 Crown -full cast high noble metal 1,100.00 1,100.00 Crown -full cast noble metal 1,086.00 1,086.00 Provisional crown 331.00 331.00 Recement cast or prefabricated post and core 121.00 121.00 Recement crown 94.00 94.00 Prefabricated stainless steel crown - primary tooth 270.00 270.00 Prefabricated stainless steel crown - permanent tooth 297.00 297.00 Protective restoration 104.00 104.00 Core buildup, including any pins 245.00 245.00 Post and core in addition to crown. indirectly fabricated 355.00 355.00 Prefabricated post and core in addition to crown 299.00 299.00 Labial veneer(porcelain laminate) - laboratory 1083.00 1083.00 Temporary crown (fractured tooth) 294.00 294.00 2 F .' Phi'(:. t •va,,�j Y, 9 Pulp cap- direct (excluding final restoration) 71.00 71.00 Pulp cap- indirect(excluding final restoration) 69.00 69.00 Therapeutic pulpotomy(excluding final restoration) - removal of 172.00 172.00 pulp corona)to the dentinocemental junction and application of medicament Pulpal debridement, primary and permanent teeth 173.00 173.00 Pulpal therapy(resorbable filling) -anterior. primary tooth 250.00 250.00 (Excluding final restoration) Pulpal therapy(resorbable filling) -posterior. primary tooth 270.00 270.00 (excluding final restoration) Endodontic therapy anterior tooth(excluding final restoration) 702.00 702.00 Endodontic therapy, bicuspid tooth (excluding final restoration) 812.00 812.00 Endodontic therapy, molar(excluding final restoration) 983.00 983.00 Retreatment of previous root canal therapy-anterior 825.00 825.00 Gingivectomy or gingivoplasty-one to three contiguous teeth 245.00 245.00 Clinical crown lengthening - hard tissue 665.00 665.00 Provisional splinting -extracoronal 369.00 369.00 Periodontal scaling and root planing -four or more teeth per 233.00 233.00 Periodontal scaling and root planing -one to three teeth per 163.00 163.00 Scaling moderate or severe inflamation full mouth 155.00 155.00 Full mouth debridement to enable comprehensive evaluation 160.00 160.00 Localized delivery of antimicrobial agents via a controlled 83.00 83.00 Periodontal maintenance 121.00 121.00 1<< xLs1'airs J -" ... "I' Complete denture- maxillary 1482.00 1482.00 Complete denture- mandibular 1485.00 1485.00 Immediate denture-maxillary 1565.00 1565.00 Immediate denture -mandibular 1569.00, 1569.00 Maxillary partial denture -resin base(including any 1063.00 1063.00 Mandibular partial denture- resin base (including any 1087.00 1087.00 Maxillary partial denture- cast metal framework with resin 1561.00 1561.00 Mandibular partial denture-cast metal framework with resin 1570.00 1570.00 Maxillary partial denture-flexible base (including any clasps. 1357.00 1357.00 Mandibular partial denture-flexible base(including any clasps, 1347.00 1347.00 Adjust complete denture - maxillary 80.00 80.00 Adjust complete denture -mandibular 80.00 80.00 Adjust partial denture- maxillary 80.00 80.00 Adjust partial denture- mandibular 80.00 80.00 Repair broken complete denture base 186.00 186.00 Replace missing or broken teeth -complete denture(each 162.00 162.00 Repair resin denture base 182.00 182.00 Repair cast framework 265.00 265.00 Repair or replace broken clasp 215.00 215.00 I Replace broken teeth - per tooth 170.00 170.00 PROSTHODONTICS, REMOVABLE Add tooth to existing partial denture 194.00 194.00 Add clasp to existing partial denture 223.00 223.00 Reline complete maxillary denture(chairside) 301.00 301.00 Reline complete mandibular denture (chairside) 298.00 298.00 Reline maxillary partial denture(chairside) 298.00 298.00 Reline mandibular partial denture (chairside) 298.00 298.00 Reline complete maxillary denture (laboratory) 400.00 400,00 Reline complete mandibular denture (laboratory) 397.00 397.00 Reline maxillary partial denture(laboratory) 397.00 397.00 Reline mandibular partial denture (laboratory) 397.00 397.00 Tissue conditioning, maxillary 170.00 170.00 Tiss:.e conditioning, mandibular 170.00 170.00 PROSTHODONTICS, FIXED Pontic-cast high noble metal 1102.00 1102.00 Pontic-cast noble metal 1102.00 1102.00 Pontic-porcelain fused to high noble metal 1075.00 1075.00 Pontic- porcelain fused to noble metal 1071.00 1071.00 Pontic- porcelain/ceramic 1098.00 1098.00 Crown - porcelain/ceramic 1008.00 1008.00 Crown -porcelain fused to high noble metal 1092.00 1092.00 Crown -porcelain fused to noble metal 1075.00 1075.00 Crown -full cast high noble metal 1075.00 1075.00 Recement fixed partial denture 142.00 142.00 Post and core in addition to fixed partial denture retainer. 334.00 334.00 Prefabricated post and core in addition to fixed partial denture 265.00 265.00 Core build up for retainer. including any pins 220.00 220.00 . w ,91344ANEVMAXIMAVAP.M.S.(JRGERY Extraction, coronal remnants -deciduous tooth 111.00, 111.00 Extraction, erupted tooth or exposed root(elevation and/or 157.00 157.00 Surgical removal of erupted tooth requiring removal of bone 251.00 251.00 and/or sectioning of tooth and eval. Surgical removal of residual tooth roots (cutting procedure) 260.00 260.00 Tooth reimplantation and/or stabilization of accidentally evulsed 400.00 400.00 Alveoloplasty in conjunction with extractions -four or more 268.00 268.00 Alveoloplasty in conjunction with extractions -one to three 230.00 230.00 Excision of benign lesion up to 1.25 cm 329.00 329.00 Incision and drainage of abscess - intraoral soft tissue 175.00 175.00 Removal of foreign body from mucosa, skin. or subcutaneous 250.00 250.00 Occlusal orthotic device. by report 788.00 788.00 Frenulectomy-Also known as frenectom or frenotom - 387.00 387.00 " ...01 **7A.I4,1.111t*4:'/fd4 Palliative (emergency) treatment of dental pain -minor 98.00 98.00 Fixed partial denture sectioning 143.00 143.00 Local anesthesia not in conjunction with operative or surgical 20.00 20.00 Other Drugs and Medicaments 28.00 28.00 Application of desensitizing medicament 48.00 48.00 Behavior management. by report 89.00 89.00 Occlusal guard. by report 493.00 493.00 Internal bleaching -per tooth 240.00 240.00 Unspecified adjunctive procedure, by Report 30.00 30.00 ENVIRONMENTAL HEALTH SERVICES Current Fee Pro osed FOOD Plan Rev:ew (per hour) 50.00 50.00 Operating Permit Fee . Annual and se-niannaul (annual fee) 75.00 75.00 Operating Permit Fee • Quarterly and triannual (annual fee) 100.00 100.00 B-15 EDICAL WASTE Operating Permit Fee (annual fee) 75.00 75.00 p . Plan Review ;per nour; 50.00 50.00 Reinspection (one-time fee) 50.00 50.00 Construction Inspection (one-time fee) 50.00 50.00 Adult Family Care(annual fee) 150.00 150.00 Assisted Living Facilities (annual fee) 250.00 250.00 Residential Facilities (annual fee) 250.00 250.00 Schools > 200 persons (annual fee) 500.00 500.00 Schools < 200 persons (annual fee) 150.00 150.00 Other Group Facilities (annual fee 150.00 150.00 MOBILE HOMPARKS Plan Review (per hour) 50.00 50.00 Reinspection (one-time fee) 50.00 50.00 Operating Permit Fee : Uo to 149 spaces (annual fee) 75.00 75.00 MIGRANT HOUSING Reinspection (one-time 'ee) 50.00 50.00 Operating Permit Fee ; 5-50 occupants (annual fee) 100.00 100.00 Operating Permit Fee ; 51 occupants or more(annual `e : 150.00 150.00 Plan Review(per hour) _ 50.00 50.00 Reinspection (one-time fee) 50.00 50.00 SWIMMING POOLS Reinspection routine inspections (one-time fee) 75.00 75.00 Construction Inspection (one-time fee) 100.00 100.00 Bacteriological Fee (annual fee) 250.00 250.00 Renovation Inspection (one-time fee) 50.00 50.00 Exempt Pool (one-time fee) 100.00 100.00 Operator Certificate (one-time fee) 20.00 20.00 Operator Course (one-time fee) 75.00 75.00 Resurfacing Inspection (one-time fee) _ 50.00 50.00 Critical Health and Safety Reviews (per submission fee) 100.00 100.00 Modification Review(one-time fee) 50.00 50.00 WATER Water Letter(one-time fee) 30.00 30.00 Bacteriological Sample Non-Regulated (one-time fee) 25.00 25.00 Sample Collection Non-Regulated (one-time fee) 60.00 60.00 Nitrate Sample Non-Regulated (one-time fee) 60.00 60.00 Bacteriological Sample Regulated (one-time fee) 15.00 15.00 Sample Collection Regulated (one-time fee) 40.00 40.00 Nitrate Sample Regulated (one-time fee) 60.00 60.00 Lead Sample (one-time fee) 30.00 30.00 Sodium Sample (one-time fee) 25.00 25.00 Chloride Sample(one-time fee) 20.00 20.00 OSTDS. . 'a . . ... Development Plan Review(one-time fee, 20.00 20.00 Incidental Plan Review(one-time fee) 10.00 10.00 Construction Permit Application (one-time fee) 160.00 160.00 Final Cover Inspection (one-time fee) 75.00 75.00 ATU Permit (annual fee) 150.00 150.00 PBT Permit (annual fee) 200.00 200.00 Reinspection (one-time fee) 75.00 75.00 Repair Permit(one-time fee) 200.00 200.00 Septic Letter(one-time fee) 30.00 30.00 x. ADMINISTRATIVE SERVICES Current Fee Propposed VITAL STATISTICS Birth Certificate (1st Copy) 12.00' 14.00 Birth Certificate (each additional copy 8.00 10.00 Death Certificate l 10.00 12.00 Expedited Services _ 10.00 10.00 Protective Sleeve 3.00 3.00 MISGFF€S , Emergency Management Plan Review(CEMP) - Initial 48.00 48.00 Emergency Management Plan Review(CEMP) - 24.00 24.00 Duplication (.15 per page -charges under S5.00 will be waived) 0.15 0.15 'A special service charge will apply for requests that involve Returned Check 25.00 25.00