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2006-113FILE REFERENCE FORM 2006-113 X Additional File Exists Additional File Contains Records Not Public, According to the Public Records Act Other FILES Date Initials Repealed and replaced by Ordinance No. 2010-204 09/07/10 )R . S:\Ou,DocumClt.slOrdinances\06\ambulanc."",,;ccfccso:rd.doc ORDINANCE NO. 2000- ///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 SEe. 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 Ordinance No. 2004-206, enacted by the City Council on July 20, 2004, is hereby repealed and replaced by hereby approving and establishing the following fees for emergency ambulance services in the City pursuant to Sec. 27-102 of the Code of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: ALSI ALSI ALS2 BLS BLS BLS BLS ALS ALS ALS ALS ALS ALS ALS ALS ALS Emergency Base Rate Non-Emergency Base Rate Emergency Base Rate Emergency Base Rate Emergency Base Rate in ALS unit Non-Emergency Base Rate Non-Emergency Base Rate in ALS unit Supplies - Airway Management Supplies - Autopulse Supplies - Capnography Supplies - Defibrillation Supplies - EKG Pads Supplies - External Pacing Supplies - Intubation Supplies - 10 Infusion Supplies - IV Therapy 855.00 855.00 900.00 787.00 787.00 787.00 787.00 94.00 472.00 156.00 210.00 36.75 210.00 100.00 262.25 258.00 . S:\OurDocumClt.s\Orrnnances\06\ambuLmccserviccfcesord.doc ALS Supplies - Mast Trousers ALS Supplies - Needle Thoracostomy ALS Supplies - Surgical Airway ALS Supplies - Routine Disposable BLS Supplies - Routine Disposable BLS Supplies - Defibrillation (AED) Bone Injection Adult Bone Injection Pedi Blood Glucose Test EKG Interpretation ETC02 Bulb Adult ETC02 Bulb Pedi Oxygen, Administration and Supplies/hr. Nu- Trake Surg. Airway Pulse Oximeter Spinal Immobilization Extra Attend - CPR Extra Attend - Stairs Dispatch Fee Emergency Rate 42.00 31.50 314.75 52.50 52.50 42.00 250.00 250.00 45.64 260.00 32.50 32.50 119.00 300.00 94.50 184.50 147.00 50.00 94.00 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 Drug - Activated Charcoal 20 cc PO Drug - Adenosine 6 mg Drug - Albuterol (.83%) 3 mL Drug - Albuterol/Ipratropium Drug - Aminophyllin 250 mg Drug - Aminodarone HCl 150 mg/3 mL Drug - Apirin Chewable 81 mg Drug - Atropine Sulfate 0.3 mg Drug - Butorphanol 2 mg Drug - Calcium Chloride I gmllO mL Drug - Clonodine 0.1 mg Drug - Dexamethasone 4 mg Drug - Dextrose 25% (D25) Drug - Dextrose 50% (D50) Drug - Diazepan 5 mg 2.25 ]2.50 66.62 19.83 36.00 88.25 335.71 2.10 14.69 60.00 7.75 11.00 44.00 29.50 18.88 26.23 Page 2 of5 . S:IOurDoculnmts'Qrdinances'C6'''''''bulanc.....vi..r...ord_OOc Drug - Diltiazem HCI Drug - Diphenhydramine 50 mg Drug - Dobutamine, per 250 mg Drug - Dopamine Drug - Enalaprilat Drug - EPI I mg/lO mL IV Drug - EPI 1 mg/cc IV Drug - EPI Pen Drug - EPI Pen Pedi Drug - Etomidate 1 Vial Drug - Flumazenil Drug - Furosemide 20 mg Drug - Glucagon 1 mg Drug - Haloperidol 5 mg Drug - Ibuprofen for Children 4 oz Drug - Ipecac 5 cc Drug - Ipratropium Bromide .18 mg Drug - Isoproterenol HCI .5% Drug - Ketorlac 15 mg Drug - Labetololl0 mg Drug - Lidocaine Drip 1 gm/25 mL Drug - Lidocaine HCI (2%) 50 mg Drug - Lorazepam 2 mg Drug - Mag Sulfate, per 500 mg Drug - Mannitol Drug - Meperidine HCI 100 mg Drug - Methylprednisolone 125 mg Drug - Midazolam HCI 1 mg Drug - Morphine Sulfate, 10 mg Drug - Nalbuphine HCI 10 mg Drug - Naloxone Img IV Drug - Nitrous Oxide Drug - Norcuron 10 mg Drug - NTG Spray 0.4 mg SL Drug - Oral Glucose Gel 15 g Drug - Oxytocin 10 ill Drug - Procainamide HCI Drug - Promethazine, 50 mg Drug - Propranolol HCI I mg Drug - Revex 100 mcg Drug - Rocuronium/Zemuron Drug - Sodium Bicarbonate per CC Drug - Sublimaze Drug - Succinylcholine 20 ml Drug - Terbutaline Sulfate 1 mg 61.88 9.44 54.55 22.03 44.00 9.32 15.74 60.00 60.00 33.57 60.00 20.72 136.38 26.25 2.25 5.25 5.25 20.98 48.00 44.59 52.50 26.23 43.01 22.03 104.91 35.50 41.44 41.96 58.75 24.65 12.65 80.00 94.42 6.99 6.29 19.93 39.45 33.05 11.04 60.00 119.00 7.74 75.75 8.39 26.02 Page 3 of 5 . $:\OurOocwncnlS'Ordinmccs'D6\an1buJanccscrv:iccfccsord.doc Drug - Tetracaine Drug - Thiamine 100 mg IV Drug - Basopressin 40 units Drug - Vecuronium 10 mg Drug - Verapamil 2.5 mg Drug - Xopenex 1.25 mg IV - 5% Dextrose/NS 500 CC IV - D5W 1000 CC IV - D5W 500 CC IV - Normal Saline 1000 CC IV - Normal Saline 100 CC IV - Normal Saline 250 CC IV - Normal Saline 500 CC IV - Ringers Lactate 1000 CC IV - Blood Draw Procedure IV - Collection Tubes 19.50 3.36 54.55 110.00 60.00 35.50 42.00 47.75 42.00 47.75 39.60 39.60 41.90 47.75 21.00 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 terms 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 r]fI day of ~~ ,2006. Page 4 of5 . S:IOuTDocumt:nu'Ordiom.c..\[I6\ambuhmccsaviccrecsord,doc c~AJc EULINE BROCK, MAYOR ATTEST: JENNIFER WALTERS, CITY SECRETARY BY ~"',;~ \'0. Q-J:,'N APPROVED AS TO LEGAL FORM: EDWIN M. SNYDER, CITY ATTORNEY 1~ BY: Page 5 of5