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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