Current_Fee_Schedule.pdf
PDF 413 KB Posted
- Attached to
- Occupational Health Program Services
- Solicitation number
- 25079-RFP-MST
- Issued by
- Florida
About this file
The document is a detailed fee schedule for Occupational Health Program Services issued by Hillsborough County Public Schools (HCPS) Safety Department and Transportation Department, dated May 19, 2025. The fee schedule outlines comprehensive medical and health-related services for drug testing, physical examinations, and screening services for employees across various job classifications. Services include DOT physicals, breath alcohol testing, drug screening, UDS (Urine Drug Screen) panels, hepatitis vaccines, TB testing, respiratory exams, and fitness for duty evaluations. The services are structured with specific packages and pricing, such as a New Hire DOT PE package at $85.00 that includes drug testing, physical exam, and physical abilities test.
The pricing structure is unit-based, with fees ranging from $15.00 for a TB test to $125.00 for a fitness for duty evaluation. Special instructions indicate that new hire results should be emailed to a specific contact, and DOT recertification paperwork must be sent to a transportation HR email. The document specifies that some services require employer authorization, such as post-accident testing, and must be completed by certified medical examiners. Additional nuanced requirements include providing copies of medical exam forms to both the patient and employer, using specific DOT Medical Examination forms, and following detailed protocols for different types of screenings and physical examinations.
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Text version
Company Name
Drug Testing
Courier:
Company Number 09626
FEDERAL EXPRESS
Results: EMAIL
Special Instructions
"DOT FOR ALL POST-ACCIDENTS* Al ere/ eScreen: 39989-389 *DERs accessing eScreen Portal
Third Party:
Service Information Details Drug Screening
Name
AFfER HOURS
RESPONSE
BAT-DOT
BREATH ALCOHOL
ON SITE SER VICES
Fee
$100.00
$28.00
$28.00
$50.00
Package
Drug Test Billed To:
EMPLOYER
Third Party Phone:
Third Party Fax:
Comment
$ I 00 first hour, then $50 per hour 11fter
POST-ACCIDENT: Post Accident testing includes BOTH DOT UDS and BAT I Plus $28 if confirmation is needed// EMPLOYER WILL
PROVIDE VERBAL
AUTHORIZATION FOR TESTING
Plus $28 if confinnation is needed
(ONSITE DRUG SCREENS) Hourly fee
UDS -5 PA NEL $28.00 Substance Testing -
PACKAGE 2496
eCup -933 - State of Florida; Rapid 5 panel through eReader (OPTIONAL -
UPON REQUEST)
UDS -DOT $28.00 2496
UDS -DOT $28.00 2496
Occupational Health Form:
Form on File:
Form to be:
Special Instructions
Send all new hire results to .. Joy.Williams@hcps.net •• (DO NOT FAX) DOT PE (RECERTIFICATION) Paperwork: DOT physical form and certification form. Send documentation to ** transportationhr@hcps.net ••
FEDERAL CCF
Cannabinoids, Cocaine, Methamphetamine, Opiates, Phencyclidine, MDMA, 6-AM
POST-ACCIDENT: Post Accident testing includes BOTH DOT UDS and
BAT// EMPLOYER WILL PROVIDE
VERBAL AUTHORIZATION FOR
TESTING
Physicals Billed To:
Employer
Service Information Details Physical Exams
Name Fee Package
DOT PE
Monday, May 19, 2025
$85.00 New Hire -
PACKAGE 2492
Comment
(NEW HIRE) o Includes DOT UDS, BAT, DOT physical exam and physical abilities test o
Paperwork: (see HCPS Transportation Profile Page in share drive). Must be completed by NRCME ce1tified medical examiner.
Must be completed on DOT Medical Examination fonn. P atient and employer get copy of medical exam form and medical ce11ificate.
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