Clinic Fee Schedule 2009

							                                                      COWLITZ COUNTY HEALTH DEPARTMENT
                                                       FEE SCHEDULE - CALENDAR YEAR 2009

           ADULT IMMUNIZATIONS
                                                              2009 FEE                             STD - HIV SERVICES                        2009 FEE
         & OTHER HEALTH SERVICES
Adult Vaccine Administering (one immunzation)             $             13.00          HIV Pre and Post Counseling                       $           59.00
Adult Vaccine Administering (two or more)                 $             21.00          **ELISA, Orasure, or OraQuick HIV Test            $           20.00
**Flu                                                     $             20.00          Adult Office Visit                                $           19.00
**Pneumonia                                               $             29.00          Liquid Nitrogen (includes OV)                     $           62.00
**Twinrix (Hep A and B)                                   $            111.00          *Chlamydia Culture                                $           17.00
**Hepatitis A                                             $             77.00          *Chlamydia Urine Test                             $             -
Hepatitis A (Food Handlers Only)                          $             13.00          *VDRL (RPR)                                       $           15.00
**Hepatitis B                                             $             80.00          *Gonorrhea Culture                                $           15.00
**Tetanus Diptheria                                       $             27.00          *Gonorrhea Urine Test                             $             -
**Typhoid (Oral)                                          $             44.00          *Blood Drawing Fee                                $            4.00
Pregnancy Test                                            $             26.00          *STD Oral Medications                             $           17.00
 ** Also an Adult Administration Charge                                                SGOT /SGPT Blood Draw                             $            7.00
                                                                                        *Also an Adult Office Visit Charge
                                                                                        **Also an HIV PreCounseling Charge

        CHILDREN'S IMMUNIZATIONS
                                                              2009 FEE                         TUBERCULOSIS SERVICES                         2009 FEE
          (Rate set by State DOH)
Chicken Pox                                               $               5.50         Adult Office Visit                                $            19.00
DtaP--Diphtheria Tetanus & Pertussis                      $               5.50         *TB Test/PPD - intradermal                        $             9.00
DTAP/HB/IPV (Pediarix)                                    $               5.50         TB Initial History                                $            55.00
Flu-Pediatric (State Supplied)                            $               5.50         TB Follow-up                                      $            33.00
Hepatitis A                                               $               5.50         **TB - Ethambutol 100 mg #100                     subject to change
Hepatitis B                                               $               5.50         **TB - Ethambutol 100 mg #400                     subject to change
HIB--Haemophilus Influenzae Type B                        $               5.50         **TB - Isoniazid 300mg#30 (INH)                   subject to change
HPV: Human Papilloma Virus                                $               5.50         **TB - Pyridoxine (B6) mg #33                     subject to change
IPV--Injectible Polio Vaccine                             $               5.50         **TB - Pyrazinamide 500 mg #100                   subject to change
Meningococcal Vacc (MCV4) (State Supplied)                $               5.50         **TB - Rifampin 300 mg #60                        subject to change
MMR--Measles Mumps & Rubella                              $               5.50         **TB - Rifamate (Prepack) #62                     subject to change
OPV--Oral Polio Vaccine                                   $               5.50         Single View Chest X-Ray                           $            60.00
PCV7 (Prevnar) (State Supplied)                           $               5.50         Frontal/Lateral Chest X-Ray                       $            83.00
Rotavirus Vaccine (State Supplied)                        $               5.50          *Also an Adult Office Visit Charge
Tetanus Diphtheria                                        $               5.50          **Also a TB Initial History or TB Follow-up Charge



\\Hshd\healthdept\Finance_Shared\Cashier\Program_Documents\Fee Schedule Cheat Sheets

    Revised 12/312007