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Repealed and replaced by Ordinance No. 2010-204 09/07/10 )R
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ORDINANCE NO. 51QL,2ro— //3
AN ORDINANCE REPEALING AND REPLACING ORDINANCE NO. 2004-206 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 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. Ordinance No. 2004-206, enacted by the City Council on July 20, 2004, is
hereby repealed and replaced by hereby approving and establishing the following fees for
emergency ambulance services in the City pursuant to Sec. 27-102 of the Code of Ordinances as
follows:
a. Advanced Life Support ("ALS") and Basic Life Support ("BLS") service base
rates, fees for additional supplies, medications and/or disposable goods administered to each
patient, and fees associated additional personnel and response codes will be charged:
ALS 1
Emergency Base Rate
855.00
ALS 1
Non -Emergency Base Rate
855.00
ALS2
Emergency Base Rate
900.00
BLS
Emergency Base Rate
787.00
BLS
Emergency Base Rate in ALS unit
787.00
BLS
Non -Emergency Base Rate
787.00
BLS
Non -Emergency Base Rate in ALS unit
787.00
ALS
Supplies — Airway Management
94.00
ALS
Supplies — Autopulse
472.00
ALS
Supplies — Capnography
156.00
ALS
Supplies — Defibrillation
210.00
ALS
Supplies — EKG Pads
36.75
ALS
Supplies — External Pacing
210.00
ALS
Supplies — Intubation
100.00
ALS
Supplies — IO Infusion
262.25
ALS
Supplies — IV Therapy
258.00
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ALS Supplies
- Mast Trousers
42.00
ALS Supplies -
Needle Thoracostomy
31.50
ALS Supplies -
Surgical Airway
314.75
ALS Supplies -
Routine Disposable
52.50
BLS Supplies -
Routine Disposable
52.50
BLS Supplies -
Defibrillation (AED)
42.00
Bone Injection Adult
250.00
Bone Injection Pedi
250.00
Blood Glucose Test
45.64
EKG Interpretation
260.00
ETCO2 Bulb Adult
32.50
ETCO2 Bulb Pedi
32.50
Oxygen, Administration and Supplies/hr.
119.00
Nu-Trake Surg. Airway
300.00
Pulse Oximeter
94.50
Spinal Immobilization
184.50
Extra Attend - CPR
147.00
Extra Attend - Stairs
50.00
Dispatch Fee
94.00
Emergency Rate
94.00
b. A mileage rate of $15.00 per mile from the incident location to the receiving hospital
will be charged. A charge of $100.00 for BLS treatment provided with no transport to a medical
facility, and $200.00 for ALS treatment provided with no transport to a medical facility will be
administered.
c. Fees for medications administered and IV treatments performed to each patient will be
charged as follows:
Drug - Acetaminophen 5 mL
2.25
Drug -
Activated Charcoal 20 cc PO
12.50
Drug -
Adenosine 6 mg
66.62
Drug -
Albuterol (.83%) 3 mL
19.83
Drug -
Albuterol/Ipratropium
36.00
Drug -
Aminophyllin 250 mg
88.25
Drug -
Aminodarone HCl 150 mg/3 mL
335.71
Drug -
Apirin Chewable 81 mg
2.10
Drug -
Atropine Sulfate 0.3 mg
14.69
Drug -
Butorphanol 2 mg
60.00
Drug -
Calcium Chloride 1 gm/10 mL
7.75
Drug -
Clonodine 0.1 mg
11.00
Drug -
Dexamethasone 4 mg
44.00
Drug -
Dextrose 25% (1325)
29.50
Drug -
Dextrose 50% (D50)
18.88
Drug -
Diazepan 5 mg
26.23
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Drug
- Diltiazem HCI
61.88
Drug
- Diphenhydramine 50 mg
9.44
Drug
- Dobutamine, per 250 mg
54.55
Drug
- Dopamine
22.03
Drug
- Enalaprilat
44.00
Drug
- EPI 1 mg/10 mL IV
9.32
Drug
- EPI 1 mg/cc IV
15.74
Drug
- EPI Pen
60.00
Drug
- EPI Pen Pedi
60.00
Drug
- Etomidate 1 Vial
33.57
Drug
- Flumazenil
60.00
Drug
- Furosemide 20 mg
20.72
Drug
- Glucagon 1 mg
136.38
Drug
- Haloperidol 5 mg
26.25
Drug
- Ibuprofen for Children 4 oz
2.25
Drug
- Ipecac 5 cc
5.25
Drug
- Ipratropium Bromide .18 mg
5.25
Drug
- Isoproterenol HCI .5%
20.98
Drug
- Ketorlac 15 mg
48.00
Drug
- Labetolol 10 mg
44.59
Drug
- Lidocaine Drip 1 gm/25 mL
52.50
Drug
- Lidocaine HCI (2%) 50 mg
26.23
Drug
- Lorazepam 2 mg
43.01
Drug
- Mag Sulfate, per 500 mg
22.03
Drug
- Mannitol
104.91
Drug
- Meperidine HCI 100 mg
35.50
Drug
- Methylprednisolone 125 mg
41.44
Drug -
Midazolam HCI 1 mg
41.96
Drug -Morphine
Sulfate, 10 mg
58.75
Drug -
Nalbuphine HCI 10 mg
24.65
Drug -
Naloxone lmg IV
12.65
Drug -
Nitrous Oxide
80.00
Drug -
Norcuron 10 mg
94.42
Drug -
NTG Spray 0.4 mg SL
6.99
Drug -
Oral Glucose Gel 15 g
6.29
Drug -
Oxytocin 10 I J
19.93
Drug -
Procainamide HCI
39.45
Drug -
Promethazine, 50 mg
33.05
Drug -
Propranolol HCI I mg
11.04
Drug -
Revex 100 mcg
60.00
Drug -
Rocuronium/Zemuron
119.00
Drug -
Sodium Bicarbonate per CC
7.74
Drug -
Sublimaze
75.75
Drug -
Succinylcholine 20 ml
8.39
Drug -
Terbutaline Sulfate 1 mg
26.02
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Drug — Tetracaine
19.50
Drug — Thiamine 100 mg IV
3.36
Drug — Basopressin 40 units
54.55
Drug — Vecuronium 10 mg
110.00
Drug— Verapamil 2.5 mg
60.00
Drug — Xopenex 1.25 mg
35.50
IV — 5% Dextrose/NS 500 CC
42.00
IV —D5W 1000 CC
47.75
IV —D5W 500 CC
42.00
IV — Normal Saline 1000 CC
47.75
IV —Normal Saline 100 CC
39.60
IV — Normal Saline 250 CC
39.60
IV — Normal Saline 500 CC
41.90
IV — Ringers Lactate 1000 CC
47.75
IV — Blood Draw Procedure
21.00
IV — Collection Tubes
18.75
d. A fee of $40.00 will be charged for each medical records request made by
attorneys' offices or other agencies which requires an affidavit.
SECTION 2. The City shall charge an Emergency Ambulance Standby fee of $150.00
per hour with a four 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, to the patient, as incurred.
SECTION 3. A copy of this schedule of fees and charges shall be maintained on file in
the office of the City Secretary.
SECTION 4. All ordinances or parts of ordinances in force when the provisions of this
ordinance become effective which are inconsistent or in conflict with the terns or provisions
contained in this ordinance are hereby repealed to the extent of any such conflict.
SECTION 5. 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. This ordinance shall become effective immediately upon its passage and
approval.
PASSED AND APPROVED this the 2 nd day of U 2006.
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ATTEST:
JENNIFER WALTERS, CITY SECRETARY
APPROVED AS TO LEGAL FORM:
EDWIN M. SNYDER, CITY ATTORNEY
EULINE BROCK, MAYOR
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