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					                                                     MACOMB COUNTY PURCHASING
                                                               BID TABULATIONS
                     Date:     12/6/2012                   Bid Item: 50-12                        Dept:   Risk Management
                     Time:            10:00 AM               Name: Occupational Health Services
VENDOR'S NAME                    Henry Ford
DESCRIPTION
Exams & Screenings Svcs

Basic Employment Physical                $30.00
D.O.T. Physical                          $40.00
Audiogram                                $12.00
Respirator Pulmonary Func                $40.00
Training - each class          Appendix H
Med Eval questionnaire                   $15.00
Fit Testing – Face Mask etc.             $25.00
Pulmonary X-ray                based on # of views

Onsite svc exp vs offsite svc see on site mobile pricing

TB Skin Test                               $7.00
Flu Shot                                 $23.00
Hepatitis B (3 injections)              $156.00
Hepatitis B Booster                      $52.00
Hepatitis B Titer                        $31.00
Lumbar/5 view X-ray                     $100.00
Chest/2 view X-ray                       $71.00
Limb/complete X-ray            based on # of views

EKG                                      $40.00
Police Academy Med Exam                  $40.00
SWAT Team medical exam                   $40.00


                                                                     Page 1 of 4
                                                 MACOMB COUNTY PURCHASING
                                                                 BID TABULATIONS
                    Date:       12/6/2012                 Bid Item: 50-12                           Dept:   Risk Management
                    Time:            10:00 AM                  Name: Occupational Health Services
VENDOR'S NAME                     Henry Ford
DESCRIPTION
Dive Team medical exam                  $40.00
Screening Substance Abuse

Alcohol Screen –

Breathalyzer                            $27.00
Urine Alcohol                           $30.00
Blood Alcohol                           $27.00
Collection Only –

Urine                                   $17.00
Blood                                   $17.00
Hair                                    $17.00
Drug Screen & Confirmation

Quick Test                              $30.00
Five – Panel                            $30.00
Ten – Panel                             $30.00
Law Enforcement Six-panel               $30.00
NIDA Five-panel                         $30.00
Medical Review Officer Svcs included in price of drug screen

Back to Work Screen/Test

Functional Capacity Eval              $360.00
Wk Hardening/Conditioning 2hr         $148.00
Wk Hard/Cond each add hr                $72.00


                                                                      Page 2 of 4
                                                       MACOMB COUNTY PURCHASING
                                                              BID TABULATIONS
                    Date:        12/6/2012                Bid Item: 50-12                        Dept:   Risk Management
                    Time:              10:00 AM             Name: Occupational Health Services
VENDOR'S NAME                      Henry Ford
DESCRIPTION
Work Site Analysis init 1st hr              $80.00
WS each add 30 minutes                      $40.00
WS Treat/Job Coach first hr                 $80.00
each additional 30 minutes                  $40.00
WS consult per hour                         $80.00
Functional Job Description                $180.00
Pre-work Scn=Func Job Desc                $200.00
Pre-work Screen, routine                    $40.00
Other non-injury svcs: describe: see on site service

Discount State of MI (%)                       20%
PPOM or comparable discount                     N/A




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