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List Fee Schedule Med Medical Examination Services Fee Schedule
| CLIN 1 Health Unit HQ Support | Unit Price | Hours | Total Cost |
| Physican Assistant (Hourly rate) | | 1920 | |
| Nurse Manager (Hourly rate) | | 1920 | |
| Staff Nurse (Hourly rate) | | 1920 | |
| Medical Assistant (Hourly rate) | | 1920 | |
| Outreach Nurses (2) | | 900 | |
| Maintenance and Supplies (price provided by Government) | | | |
| CLIN 2 Medical Examination Services | Unit Price | Quantity | Total Cost |
| Applicant Exams | | | |
| Comprehensive exam: Audiogram, Comprehensive vision, Vital Signs, Height and Weight, Laboratory testing (complete metabolic panel, complete blood count lipid panel and urinalysis), Venipuncture, Electrocardiogram, Pulmonary Function Test, Quantiferon - TB Gold In-Tube test (QFT-GIT), Ishihara - 14 plate, and Thyroid profile (TSH & free T4) | | 1100 | |
| Incumbent Exams | |
| Comprehensive exam: Audiogram, Comprehensive vision, Vital Signs, Height and Weight, Laboratory testing (complete metabolic panel, complete blood cell count, lipid panel and urinalysis), Venipuncture, Electrocardiogram, Ishihara – 14 plate, and Thyroid profile (TSH & free T4) | 1175 |
| HQ Health Unit Exams (Bundled Services) | |
| HQ Labs: (complete metabolic panel, complete blood cell count, lipid panel and urinalysis) | 1575 |
| Other Medical Exams | |
| Expedited Exams | 20 |
| CDL Exams | 10 |
| State Department Exams | |
| Department of State Exams associated with Incumbent Examinations | 15 |
| Department of State Exams - standalone | 15 |
| Fitness for Duty Exams | |
| Fitness for Duty Exam | 5 |
| Neuropsychological Test | 5 |
| Medical Surveillance Exams | |
| Comprehensive exam (incumbent exam): Pulmonary Function Test, Baseline Chest X-Ray and B read x-ray | 25 |
| Exposures | |
| Hepatitis B Panel/Hepatitis C Antibody/HIV | 15 |
| Other Standalone Testing | |
| Aided Audiogram (performed by Audiologist) | 20 |
| Alanine Aminotransferase (ALT) | 150 |
| Audiogram/repeat audiogram | 150 |
| B-Read X-ray | 15 |
| B-12 | 48 |
| Carbon Dioxide | 150 |
| CDT (Carbohydrate-deficient transferrin) | 48 |
| Chest X-Ray (PA&L) | 20 |
| Chest X-Ray (PA) | 60 |
| Cholinesterase | 15 |
| Complete Metabolic Panel (standalone) | 150 |
| Complete Blood Cell Count (CBC) | 150 |
| Comprehensive Vision (Ishihara 14-plate color) | 25 |
| EKG Over-Read | 48 |
| Electrocardiogram (EKG) | 25 |
| Folate | 48 |
| Functional Hearing Test | 40 |
| Hemmocult | 15 |
| Hemoglobin A1c | 75 |
| Hepatitis A Antibody | 20 |
| Hepatitis A, B, and C Serology | 30 |
| Hepatits B Surface Antibody | 20 |
| Histoplasma | 40 |
| HIV Serology | 30 |
| Independent Medical Examination | 5 |
| Lead Blood Test | 300 |
| Lipid Panel | 150 |
| Prostate Specific Antigen (PSA) | 1200 |
| Pulmonary Function Test (Spirometry) | 150 |
| Quantiferon - TB Gold In-Tube test (QFT-GIT) | 300 |
| Repeat Blood Pressure | 15 |
| Respirator Fit Testing | 1 |
| RPR (Rapid Plasma Reagin) | 48 |
| TB screening (Mantoux Test) standalone | 100 |
| Thyroid Stimulating Hormone (TSH & free T4) | 250 |
| Thyroid Panel Test | 175 |
| Urinalysis | 150 |
| Urine ETG (Drug Tox Monitoring Alcohol METAB,ON, U) | 60 |
| Urine Drug Test (Drug Tox Monitoring 7 w/Conf, U) | 48 |
| Urine Hippuric Acid | 30 |
| Venipuncture | 20 |
| ZPP Levels Test | 300 |
| Consultation Services | |
| CLIN 3 Immunization Services | Unit Price | Quantity | Total Cost |
| Immunizations and Foreign Travel | | | |
| Hepatitis A | | 250 | |
| Hepatitis B | | 175 | |
| Combination (Hep A & Hep B) | | 300 | |
| Influenza | | 100 | |
| Malarial Prophylactic Medications | | 200 | |
| Measles/Mumps/Rubella (MMR) | | 100 | |
| Meningococcal | | 450 | |
| Polio | | 50 | |
| Tetanus, Diphteria, and Acellular Pertussis (Tdap) | | 475 | |
| Typhoid (injection) | | 475 | |
| Typhoid (oral) | | 20 | |
| Yellow Fever Vaccine | | 400 | |
| CLIN 4 Transfer of Records (Optional) | Unit Price | Quantity | Total Cost |
| Medical Records Transfer Fee (Flat rate) | | TBD | |
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