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 multi-page service pricing and details document from HCPS Safety Department and HCPS Transportation for medical and drug testing services, specifically for Department of Transportation (DOT) compliance and workplace health screenings. The services cover a comprehensive range of occupational health examinations and drug testing, including breath alcohol tests, urine drug screens, physical examinations, vaccinations, and fitness-for-duty evaluations. The pricing document outlines specific services with associated fees, such as DOT physical exams ($85.00), breath alcohol testing ($28.00), and various drug screening packages, with special instructions for new hire and post-accident testing.
The document indicates that services are billed directly to the employer, with specific requirements for documentation and result transmission. Notable details include requirements for NRCME (National Registry of Certified Medical Examiners) certified medical examiners, mandatory employer authorization for testing, and specific protocols for different types of examinations. Fees vary by service type, with additional charges for confirmation testing, onsite services, and after-hours responses. The document provides a detailed breakdown of testing packages, including federal CCF (Custody and Control Form) standards for substance testing, and specifies that results for new hires should be sent via email to a specific contact, with DOT recertification paperwork to be sent to a transportation HR email address.
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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.
Page: 2/3
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