HomeMy WebLinkAbout1998-213ORDINANCE NO 9 ? 'a Lam_
AN ORDINANCE OF THE CITY OF DENTON, TEXAS, ESTABLISHING FEES TO BE
CHARGED FOR EMERGENCY AMBULANCE SERVICES AND STANDBY EMERGENCY
AMBULANCE SERVICES IN THE CITY AS PROVIDED FOR IN SEC 27-102 OF
ARTICLE IV OF CHAPTER 27 "VEHICLES FOR HIRE" OF THE CODE OF ORDINANCES
OF THE CITY OF DENTON, TEXAS, REPEALING ALL ORDINANCES IN CONFLICT
HEREWITH, AND PROVIDING FOR AN EFFECTIVE DATE
WHEREAS, the City of Denton has analyzed and studied its fees for emergency
ambulance services, and
WHEREAS, the City of Denton should operate a cost-effective and efficient emergency
medical service, and
WHEREAS, the City of Denton desires to change its Health Care Finance Administration
(HCFA) Method from HCFA Method #3 to HCFA Method #4, NOW, THEREFORE,
THE COUNCIL OF THE CITY OF DENTON HEREBY ORDAINS
SECTION That fees are hereby established for emergency ambulance services in the
City provided pursuant to Sec 27-102 of the Code of Ordinances as follows
I A basic transportation fee of two hundred fifty dollars ($250 00) will be charged each patient
who is a residen of the City of Denton transported from the scene of an emergency to a City
of Denton or Denton County hospital In addition, a fee of three dollars ($3 00) per mile
from the incident location to the receiving hospital will be charged
2 A basic transportation fee of three hundred dollars ($300 00) will be charged each patient
who is a non-resident of the City of Denton transported from the scene of an emergency to a
City of Denton or Denton County hospital In addition, a fee of three dollars ($3 00) per mile
from the incident location to the receiving hospital will be charged
3 Additional fees, if incurred, shall be charged as follows
a A $25 00 fee for bandaging/splinting
b A $25 00 fee for cardiac monitoring
c A $30 00 fee for cardioversion
d A $50 00 fee for administering Cardio Pulmonary Resuscitation (CPR)
e A $30 00 fee for defibrillation
f A $30 00 fee for diagnostic 12-lead EKG
g A $10 00 fee for glucometer, blood sugar
h A $30 00 fee for pacing, non-invasive
i A $25 00 fee for carrying a patient down stairs
J Fees for additional supplies, medication and/or disposal goods administered to each
patient will be charged and billed in accordance with the schedule of prices and charges
attached to and made a part of this ordinance for all purposes as Exhibit "A"
SECTION II. That the City shall charge an emergency ambulance standby fee of sixty
eight dollars ($68 00) per hour with a four (4) hour minimum for the use of any City of Denton
emergency ambulance for standby at special events such as football games, rodeos, concerts, etc
If any patient is transported, the other fees in the ordinance shall be charged as incurred
SECTION III. That a copy of this schedule of fees and the annual medication and
disposal of goods schedule of fees shall be maintained on file in the office of the City Secretary
SF.CT� ION IV. That all ordinance or parts of ordinance in force when the provisions of
this ordinance become effective which are inconsistent or in conflict with the terms or provisions
contained in this ordinance are hereby repealed to the extent of any such conflict
a'CTION V That if any section, subsection, paragraph, sentence, clause, phrase, or
word in this ordinance, or application thereof to any person or circumstance is held invalid by
any court of competent Jurisdiction, such holding shall not affect the validity of the remaining
portions of this ordinance, the City Council of the City of Denton hereby declares that they
would have enacted such remaining portions despite any such invalidity
SECTION VI That this ordinance shall become effective immediately upon its passage
and approval
PASSED AND APPROVED this the day of 1998
JAC LER, MAYOR
Page 2
ATTEST
JENNIFER WALTERS, CITY SECRETARY
BY
APP VED AS TO LEGAL FORM
HERBERT L PROUTY, CITY ATTORNEY
BY
\T11 LCUVOLI\SHAREU\MM00091 Docummte\Ordinance\984m6ulance at"" fed d'
Page 3
EXHIBIT "A"
DRUGS
EEES
ACTIDOSE CHARCOAL
$13 64
ADENOCARD 6MG
$51 00
ALBUTEROL
$1 20
AMMONIA CAPS
$1 50
ASPIRIN 61MG
075
ATROPINE 1 MG
525
BENADRYL 50MG
$5 00
BRETYLIUM 500MG
706
CAPOTEN 25MG
$1 50
DEXTROSE 50% 25GM
614
DOPAMINE400MG/250135W
2223
EPINEPHRINE 1MG 1 1,000
582
EPINEPHRINE 1MG 1 10,000
614
LASIX 40MG
$4 75
LIDOCAINE 1GM1250DSW
554
LIDOCAINE 100MG
$11 40
MAZICON 0 5MG12ML
5806
MORPHINE
$3 60
N S IRRIGATION 250ML
$5 10
NARCAN 1MGI2ML
$18 85
NITROSPRAY
$3 00/DOSE
NITROUS OXIDE
$25 00
NORMAL SALINE IV 1000ML
$3 90
OXYGEN
$15 00
SODIUM BICARB 50mEq
332
TETRACAINE 112% SOL
568
VALIUM 10MG INJ
$12 30
PROCEDURES
FEES
BANDAGINGISPLINTING
$25 00
CARDIAC MONITORING
$25 00
CARDIOVERSION
$30 00
CPR ADMINISTERED
$50 00
DEFIBRILLATION
$30 00
DIAGNOSTIC 12-LEAD EKG
$30 00
GLUCOMETER, BLOOD SUGAR
$10 00
PACING, NON-INVASIVE
$30 00
PT CARRIED DOWN STAIRS
$25 00
BODY SUBSTANCE ISOLATION
LEVEL 2 PER CAREGIVER $7 50
LEVEL 3 PER CAREGIVER $10 00
DISPOSABLE GOODS FEES
AIRWAY, NASAL, ANY SIZE $4 80
EXHIBIT "A"
AIRWAY, ORAL, ANY SIZE
042
AMBU-BVM, CAPNO-FLO
$37 50
BANDAGE, TRIANGULAR
$210
Band-Aid, ANY SIZE
$0 50
BLANKET, YELLOW
896
CATHETER, IV BUTTERFLY
126
CATHETER, IV INTRAOSS
21 64
CATHETER, IV MEDIPORT
$22 50
CERVICAL COLLAR, ANY SIZE
1586
COLD PACK
1 68
ET TUBE, ANY SIZE
924
ELECTRODES, ANY SIZE
$2 30
EMISIS BASIN/ BAGS
$0 75
ENDO-LOCK
1627
EYE PAD
075
EYE SHIELD
$2 50
GAUZE, 4X4, SINGLE
$0 50
GAUZE, PETROLEUM
318
GAUZE 4X4 10 PACK TUB
1 68
GLOVES, STERILE
$2 00
HEAD BED
$6 60
HEAD ON BLOCKS
646
HOT PACK
$1 70
KLING, SOF, STERILE 4"
1 42
OB KIT
$12 00
OXYGEN DELIVERY DEVICE
$4 00
PACING PADS, NON-INVASIVE
$61 00
PILLOW, DISPOSABLE
2407
SHEET, BURN
1054
SHEET, DISPOSABLE
$2 50
SOLUTION SET, IV, MINIDRIP
616
SOLUTION SET, IV, REGULAR
534
SPLINT, PADDED, ANY SIZE
1072
SUCTION CANISTER, ANY
554
SUCTION DEVICE, ANY
$5 50
SUCTION, V-VAC, CARTRIDGE
1746
SWADDLER, SILVER
$11 90
TAPE, ANY APPLICATION
075
VENIGARD
$0 80
NOTE: Replaced by Ordinance No 2000-214
ORDINANCE NO
AN ORDINANCE OF THE CITY OF DENTON, TEXAS, ESTABLISHING FEES TO BE
CHARGED FOR EMERGENCY AMBULANCE SERVICES AND STANDBY EMERGENCY
AMBULANCE SERVICES IN THE CITY AS PROVIDED FOR IN SEC 27-102 OF
ARTICLE IV OF CHAPTER 27 "VEHICLES FOR HIRE" OF THE CODE OF ORDINANCES
OF THE CITY OF DENTON, TEXAS, REPEALING ALL ORDINANCES IN CONFLICT
HEREWITH, AND PROVIDING FOR AN EFFECTIVE DATE
WHEREAS, the City of Denton has analyzed and studied its fees for emergency
ambulance services, and
WHEREAS, the City of Denton should operate a cost-effective and efficient emergency
medical service, and
WHEREAS, the City of Denton desires to change its Health Care Finance Administration
(HCFA) Method from HCFA Method #3 to HCFA Method #4, NOW, THEREFORE,
THE COUNCIL OF THE CITY OF DENTON HEREBY ORDAINS
SECTION I. That fees are hereby established for emergency ambulance services in the
City provided pursuant to Sec 27-102 of the Code of Ordinances as follows
1 A basic transportation fee of two hundred fifty dollars ($250 00) will be charged each patient
who is a resident of the City of Denton transported from the scene of an emergency to a City
of Denton or Denton County hospital In addition, a fee of three dollars ($3 00) per mile
fromithe incident location to the receiving hospital will be charged
2 A basic transportation fee of three hundred dollars ($300 00) will be charged each patient
who is a non-resident of the City of Denton transported from the scene of an emergency to a
City of Denton or Denton County hospital In addition, a fee of three dollars ($3 00) per mile
from the incident location to the receiving hospital will be charged
3 Additional fees, if incurred, shall be charged as follows
a A $25 00 fee for bandaging/splinting
b A $25 00 fee for cardiac monitoring
c A $30 00 fee for cardioversion
d A $50 00 fee for administering Cardio Pulmonary Resuscitation (CPR)
e A $30 00 fee for defibrillation
f A $30 00 fee for diagnostic 12-lead EKG
g A $10 00 fee for glucometer, blood sugar
h A $30 00 fee for pacing, non-invasive
i A $25 00 fee for carrying a patient down stairs
Fees for additional supplies, medication and/or disposal goods administered to each
patient will be charged and billed in accordance with the schedule of prices and charges
attached to and made a part of this ordinance for all purposes as Exhibit "A"
SECTION II. That the City shall charge an emergency ambulance standby fee of sixty
eight dollars ($68 00) per hour with a four (4) hour minimum for the use of any City of Denton
emergency ambulance for standby at special events such as football games, rodeos, concerts, etc
If any patient is transported, the other fees in the ordinance shall be charged as incurred
SECTION III. That a copy of this schedule of fees and the annual medication and
disposal of goods schedule of fees shall be maintained on file in the office of the City Secretary
SECTION IV. That all ordinance or parts of ordinance in force when the provisions of
this ordinance become effective which are inconsistent or in conflict with the terms or provisions
contained in this ordinance are hereby repealed to the extent of any such conflict
SECTION V. That if any section, subsection, paragraph, sentence, clause, phrase, or
word in this ordinance, or application thereof to any person or circumstance is held invalid by
any court of competent jurisdiction, such holding shall not affect the validity of the remaining
portions of this ordinance, the City Council of the City of Denton hereby declares that they
would have enacted such remaining portions despite any such invalidity
SECTION VI. That this ordinance shall become effective immediately upon its passage
and approval
PASSED AND APPROVED this the day of 1998
JAC iLER, MAYOR
Page 2
ATTEST
JENNIFEVL WALTERS, CITY SECRETARY
BY ,
APP VED 4ASTO LEGAL FORM
HERBERT L PROUTY, CITY ATTORNEY
i V�
i
\\CH LGL\V0LI\SHARRD\DHPTLGL\0w Dm=cnu\0edmmcm\9ftmbulmce w '-fees do
Page 3
EXHIBIT "A"
DRUGS
EEE$
ACTIDOSE CHARCOAL
$13 64
ADENOCARD BMG
$51 00
ALBUTEROL
$1 20
AMMONIA CAPS
$1 50
ASPIRIN 81 MG
075
ATROPINE 1MG
525
BENADRYL 50MG
$5 00
BRETYLIUM 500MG
706
CAPOTEN 25MG
$1 50
DEXTROSE 50% 25GM
614
DOPAMINE400MG/250D5W
2223
EPINEPHRINE 1MG 1 1,000
582
EPINEPHRINE 1MG 1 10,000
614
LASIX 40MG
$4 75
LIDOCAINE 1GM/250D5W
554
LIDOCAINE 100MG
$11 40
MAZICON 0 5MG/2ML
5806
MORPHINE
$3 60
N S IRRIGATION 250ML
$5 10
NARCAN 1MG/2ML
$18 85
NITROSPRAY
$3 00/DOSE
NITROUS OXIDE
$25 00
NORMAL SALINE IV 1000ML
$3 90
OXYGEN
$15 00
SODIUM BICARB 50mEq
332
TETRACAINE 1/2% SOL
568
VALIUM 10MG INJ
$12 30
PROCEDURES
BANDAGING/SPLINTING
FEES
$25 00
CARDIAC MONITORING
$25 00
CARDIOVERSION
$30 00
CPR ADMINISTERED
$50 00
DEFIBRILLATION
$30 00
DIAGNOSTIC 12-LEAD EKG
$30 00
GLUCOMETER, BLOOD SUGAR
$10 00
PACING, NON-INVASIVE
$30 00
PT CARRIED DOWN STAIRS
$25 00
BODY SUBSTANCE ISOLATION
LEVEL 2 PER CAREGIVER $7 50
LEVEL 3 PER CAREGIVER $10 00
DISPOSABLE GOODS FEES
AIRWAY, NASAL, ANY SIZE $4 80
EXHIBIT "A"
AIRWAY, ORAL, ANY SIZE
042
AMBU-BVM, CAPNO-FLO
$37 50
BANDAGE, TRIANGULAR
$2 10
Band-Aid, ANY SIZE
$0 50
BLANKET, YELLOW
896
CATHETER, IV BUTTERFLY
1 26
CATHETER, IV INTRAOSS
2164
CATHETER, IV MEDIPORT
$22 50
CERVICAL COLLAR, ANY SIZE
1586
COLD PACK
168
E T TUBE, ANY SIZE
924
ELECTRODES, ANY SIZE
$2 30
EMISIS BASIN/ BAGS
$0 75
ENDO-LOCK
1627
EYE PAD
075
EYE SHIELD
$2 50
GAUZE, 4X4, SINGLE
$0 50
GAUZE, PETROLEUM
318
GAUZE 4X410PACK TUB
168
GLOVES, STERILE
$2 00
HEAD BED
$6 60
HEAD ON BLOCKS
646
HOT PACK
$1 70
KLING, SOF, STERILE 4"
142
OB KIT
$12 00
OXYGEN DELIVERY DEVICE
$4 00
PACING PADS, NON-INVASIVE
$61 00
PILLOW, DISPOSABLE
2407
SHEET, BURN
1054
SHEET, DISPOSABLE
$2 50
SOLUTION SET, IV, MINIDRIP
616
SOLUTION SET, IV, REGULAR
534
SPLINT, PADDED, ANY SIZE
1072
SUCTION CANISTER, ANY
554
SUCTION DEVICE, ANY
$5 50
SUCTION, V-VAC, CARTRIDGE
1746
SWADDLER, SILVER
$11 90
TAPE, ANY APPLICATION
075
VENIGARD
$0 80
S �Oor Wcumenu�ON�wrcee�ONcmEolcoccwMw @ee duc
ORDINANCE NO aoao-a 4
AN ORDINANCE AMENDING, REPEALING AND REPLACING ORDINANCE NO 98-213
OF THE CITY OF DENTON, TEXAS, ESTABLISHING FEES TO BE CHARGED FOR
EMERGENCY AMBULANCE SERVICES AND STANDBY EMERGENCY AMBULANCE
SERVICES IN THE CITY AS PROVIDED FOR IN SEC 27-102 OF ARTICLE IV OF
CHAPTER 27 "VEHICLES FOR HIRE" OF THE CODE OF ORDINANCES OF THE CITY
OF DENTON, TEXAS, REPEALING ALL ORDINANCES IN CONFLICT HEREWITH,
PROVIDING A SEVERABILITY CLAUSE, AND PROVIDING FOR AN EFFECTIVE
DATE
WHEREAS, the City of Denton has analyzed and studied its fees for emergency
ambulance services, and
WHEREAS, the City of Denton should operate a cost-effective and efficient emergency
medical service, and
WHEREAS, the City of Denton desires to maintain its Health Care Finance
Administration (HCFA) Method #4, NOW, THEREFORE,
THE COUNCIL OF THE CITY OF DENTON HEREBY ORDAINS
SECTION 1 That Ordinance No!198-2t3; enacted by the City Council on July 28, 1998,
is hereby amended, repealed and replaced by hereby approving and establislung the following
fees for emergency ambulance services in the City pursuant to Sec 27-102 of the Code of
Ordinances as follows
1 A basic transportation fee of Three Hundred Dollars ($300 00) will be charged each
patient who is a resident of the City of Denton transported from the scene of an
emergency to an appropriate medical care facility In addition, a fee of Six Dollars
($6 00) per mile from the incident location to the receiving hospital will be charged
2 A basic transportation fee of Three Hundred Seventy -Five Dollars ($375 00) will be
charged each patient who is a non-resident of the City of Denton transported from the
scene of an emergency to an appropriate medical care facility In addition, a fee of Six
Dollars ($6 00) per mile from the incident location to the receiving hospital will be
charged
3 Additional fees, if incurred, shall be charged as follows
a $30 00 fee for bandaging/splinting
b $30 00 fee for cardiac monitoring
c $36 00 fee for cardioversion
so. .. f.'A
d $60 00 fee for administering Cardio Pulmonary Resuscitation (CPR)
$36 00 fee for defibrillation
$36 00 fee for diagnostic 12-lead EKG
$12 00 fee for glucometer, blood sugar
h $36 00 fee for pacing, non-invasive
$30 00 fee for carrying a patient down stairs
Fees for additional supplies, medication and/or disposal goods administered to
each patient will be charged and billed in accordance with the schedule of prices
and charges attached to and made a part of this ordinance for all purposes as
Exhibit "A"
k Fees for additional supplies, medications and/or disposable goods administered to
each patient who refuses transport or is transported by means other than a City of
Denton ambulance will be charged and billed in accordance with the schedule of
prices and charges attached to and made a part of this ordinance for all purposes
as Exhibit "A"
SSECTION 2 That the City shall charge an Emergency Ambulance Standby fee of
Seventy-lix Dollars ($76 00) per hour with a four (4) hour mimmum for the use of any City of
Denton emergency ambulance for standby at special events such as football games, rodeos,
concerts,'etc If any patient is transported, the other fees in the ordinance shall be charged as
incurred
SECTION 3 That a copy of this schedule of fees and the annual medication and disposal
of goods schedule of fees shall be maintained on file in the office of the City Secretary
SECTION 4 That all ordinance or parts of ordinance in force when the provisions of this
ordinance, become effective which are inconsistent or in conflict with the terms or provisions
contained in this ordinance are hereby repealed to the extent of any such conflict
SECTION 5 That if any section, subsection, paragraph, sentence, clause, phrase, or
word in this ordinance, or application thereof to any person or circumstance is held invalid by
any court of competent jurisdiction, such holding shall not affect the validity of the remaining
portions of this ordinance, the City Council of the City of Denton, Texas, hereby declares that
they would have enacted such remaining portions despite any such invalidity
SECTION 6 That this ordinance shall become effective immediately upon its passage
and approval
Page 2 of 2
S bm 1.o f C
PASSED AND APPROVED this the a d day of QGUZL 12000
ATTEST
JENNIFER WALTERS, CITY SECRETARY
I
BY J3
APPROVED AS TO LEGAL FORM
HERBERT L PROUTY, CITY ATTORNEY
10
EULINE BROCK, MAYOR
Page 3 of 3
EXHIBIT "A"
AIRWAY AND OXYGEN
Airway, oral
$0 35
Airway, nasal
$1 95
Airway, Combitube
$44 55
Airway, Emdotacheal, uncuffed
$3 55
Airway, Endotracheal, cuffed
$3 95
Endotube Holder
$3 72
Laryngoscope Blade, disposable
$4 60
BVM, Adult
$25 40
BVM, Pediatric
$27 23
BVM Infant
$30 98
Cricothyrotomy Kit
$23 07
Oxygen Admininstration
$18 75
02 Mask, Adult
$1 39
02 Mask, Pediatric
$1 61
02 Mask, Infant
$4 17
02 Nebulizer
$1 66
Emesis Bag
$1 17
Suction Catheter
$0 37
Yankauer Suction
$2 17
V-Vac Suction
$12 12
Suction Cannister
$2 32
BANDAGING AND SPLINTING
Small Dressing
$1 50
Medium Dressing
$2 50
Large Dressing
$4 50
Asherman Chest Seal
$9 27
Cold Packs
$0 72
Heat Packs
$2 18
Head Beds
$4 47
Page 4
C-Collars, any size
Splint, short
Splint, medium
Splint, long
IV CATHS AND START KIT
Protectiv Cath, any size
Butterfly, Scalp Vein, any size
Intraosseous
Port-A-Cath
Start Kit
EKG
Electrodes
Quikcombo Pads
02 Sat Finger prode, any size
mmg&LANEOUS
Blanket, disposable
Burn Sheets
OB Kit
Infant Thermal Wrap
Morgan Lenses
Giucometer Test Strips
IV SOLUTIONS AND IRRIGATION
NS 1000MI
NS 500ml
Irrigation, NS 250ml
MEDICATIONS
Adensosine, 6mg
Amiodarone, 300mg
Aspirin, 81mg
disp
$5 60
$5 32
$7 98
$9 73
$2 32
$0 49
$13 93
$7 18
$4 00
$2 71
$31 87
$20 82
$2 72
$5 65
$5 40
$6 77
$10 02
$1 70
$1 08
$1 09
$1 08
$38 20
$220 00
$0 15
Page 5
Atropine, 1mg
Benadryl, 50mg
Brethine, 1 mg
Clonidine, 0 1mg
Dextose 50%, 269
Dopamine, drip
Epinephrine 1 1,000, 1mg
Epinephrine 1 10,000, 1m9
Epinephrine 1 1,000, 30mg
Oral Glucose, 25g
Giucagon, 1 mg
Haldol, 5mg
Lasix, 40mg
Lidocaine, 100mg
Lidocaine, Drip
Morphine, 1Om9
Narcan, 2mg
Nitrostat Tabs 0 4mg
Nitrous Oxide, per application
Norcuron, 10mg
Phenergan, 25mg
Proventd, 2,5mg
Sodium Bicarb 8 4% 50mEq
Succinylcholine, 200mg
Tetracaine drops
Thiamine, 100mg
Valium, 10mg
Versed, 5mg
$2 60
$2 42
$2 51
$2 87
$14 38
$3 72
$2 86
$7 71
$2 71
$84 15
$9 33
$2 30
$2 26
$5 61
$3 12
$11 83
$0 15
$30 00
$31 27
$2 18
$0 45
$2 53
$1 32
$3 12
$1 07
$6 83
Page 6