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1993-151E:\WPDOCS\ORD\EMS.O ORDINANCE NO. 3 5- AN ORDINANCE OF THE CITY OF DENTON, TEXAS, ESTABLISHING FEES TO BE CHARGED FOR 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 ORDINANCE OF THE CITY OF DENTON, TEXAS; REPEALING ALL ORDINANCES IN CONFLICT HEREWITH; AND PROVIDING FOR AN EFFECTIVE DATE. 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 transportation fee of Two Hundred Dollars ($200.00) will be charged each patient transported from the scene of an emergency to a City of Denton or Denton County Hospital. 2. An emergency transfer fee of Three Hundred Dollars ($300.00) will be charged to a patient transferred by order of his attending physician to a hospital within a one hun- dred mile radius of the City of Denton and outside of Den- ton County. An additional Three Hundred Dollars ($300.00) will be assessed for each additional one hundred miles or portion thereof beyond the first hundred mile radius. 3. Fees: (a) Fees for the following supplies or medication shall be: Adenosine, 6 mg/2 cc .....................$42.75 Airway, naso, any size ..............8.88 Airway, oral, any size ..............1.50 Airway, PTL .............39.75 Alcohol ..............3.30 Ammonia inhalant ..............0.75 Atropine, 1 mg/10 cc .............13.35 Bandage, triangular ..............3.00 Benadryl, 50 mg/1 cc ..............9.15 Blanket, emer., yellow .............17.85 Bretylium, 500 mg/10 cc .............16.20 Burn sheet, sterile .............12.00 Catheter, butterfly ..............6.51 Catheter, intraosseous .............30.00 Catheter, intravenous ..............6.51 Catheter, mediport .............18.00 Cervical collar, any size .............30.00 Cold pack ..............4.35 Dextrose, 5%, 500 cc .......................6.00 Dextrose, 50%, 25 GM/50 cc 13.20 Dextrostik, any type.. o o . 3oOO Diazepam, 10 mg/2 cc. 12.30 Dopamine, 200 mg/5 cc 14.25 Dressing, multi-trauma . 5.55 Easy cap, nelcor.......................... 35.00 Electrodes, adult, small .3.00 Emesis basin .1.00 Endo-lock 13.80 EPI. 1:1000, 1 mg/l cc .2.55 EPI. 1:10000, 1 mg/10 cc 13.50 E.T. tube, any size .8.55 Eye pad .1.50 Eye shield .1.50 Gauze, 4 x 4, 10 pack... . 2.40 Gauze, petroleum .2.25 Gloves, sterile .3.00 Head bed 13.65 Hot pack..... .3.60 Hydrogen peroxide .3.00 Isoproterenol, 1 mg/10 cc 13.50 Kling, 411 .2.40 Lasix, 40 mg/4 cc .8.25 Lidocaine, 2 mg/5 cc..... 14.25 Lidocaine, 100 mg/5 cc 11.25 Mast trousers 25.00 Mazicon, 5 mg/5 cc...... 36.00 Monitor/Defibrillator/Pacing 25.00 Narcan, 4 mg/l cc.. 93oOO Nifedipine, 10 mg/2 cc .3.00 Nitro. spray, 4 mg..... o3.00 Nitrous oxide 25.00 Normal saline, 1000 cc... o . 7.50 02. 15.00 OB kit... 20.25 Oxygen delivery, any.. . 6.12 Pads, pacer 42.75 Resuscitator, disposable 34.42 Ringers lactate, 1000 cc .7.50 Silver swaddler 17.25 So. bicarb., 50 meq/50 cc 13.20 So. chlor. irrigation. oo.oo . 6.00 Solution set, minidrip 10.50 Solution set, regular .8.25 Stylette, adult, small... o oo . 9.00 Suction device, any size.... o . 3o57 PAGE 2 Syringe, 1 cc ..............................5.49 Syringe, 10 cc .5.49 Syringe, 60 cc .6.00 Tetracaine, 5% 13.95 Thumper 25.00 Vacutainer .6.00 Veni-guard................................ . 1.60 Yankhour suction .6.75 (b) All other expendable items costing less than $10.00 and all pharmaceuticals shall be charged at a rate not to exceed three times the purchase price. (c) All other expendable items costing from $10.01 to $20.00 shall be charged at a rate not to exceed two times the purchase price. (d) All other expendable items costing more that $20.00 shall be charged at a rate not to exceed 1.5 times the purchase price. (e) An expendable item is defined as any item which is designed to be disposed of after each use or which must be used within a given period of time. SECTION II. (a) That the City shall have right to submit claims against a person's insurance company in lieu of direct billing to a person. (b) Persons receiving services who are members of the Denton Emergency Medical Services Membership Program will not be held re- sponsible for any copays or exclusion unless they are responsible for at least one-half (1/2) of the total charges pursuant to DENTON, TEX., REV. ORDINANCE, Ch. 27, art. V. (1991). (c) Any person not a member of the Denton Emergency Medical Services Membership Program shall be responsible for all charges relating to emergency medical services provided, including any co- pays, deductibles or exclusions. SECTION III. That a copy of this schedule of fees shall be maintained on file in the office of the city secretary. SECTION IV. That all ordinances or parts of ordinances in force when the provisions of this ordinance become effective which are inconsistent or in conflict with the terms or provisions con- tained in this ordinance are hereby repealed to the extent of any such conflict. PAGE 3 SECTION V. That if any section, subsection, paragraph, sen- tence, 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 vali- dity of the remaining portions of this ordinance, and the City Council of the City of Denton, Texas hereby declares it would have enacted such remaining portions despite any such invalidity. SECTION VI. That this ordinance shall become effective immed- iately upon its passage and approval. PASSED AND APPROVED this the 1 day of A'J 104 , 1993. ATTEST: JENNIFER WALTERS, BY: BY• ITY SECRETARY ED PS TO LEGAL FORM: A. DRAYOVITCH, CITY ATTORNEY PAGE 4