HomeMy Public PortalAboutORD13645 BILL NO. 2993.124 _
SPONSORED BY COUNCILMAN
ORDINANCE NO.
AN ORDINANCE OF THE CITY OF JEFFERSON, MISSOURI, 4UTHORIZING THE
MAYOR AND CITY CLERK TO EXECUTE AN AGREEMENT WITH CAPITAL REGION
MEDICAL CENTER FOR PROFESSIONAL MEDICAL SERVICES.
BE IT ENACTED BY THE COUNCIL OF THE CITY OF JEFFERSON, MISSOURI, AS
FOLLOWS:
ryti n 1. The Mayor and City Clerk are hereby authorized and directed to execute
an agreement with Capital Region Medical Center for professional medical services.
5e on 2. The agreement shall be substantially the same in form and content as
that agreement attached hereto as Exhibit A.
Section 3. This Ordinance shall be in full force and effect from and after the date
of Its passage and approval,
Passed: : L '�`Y� _ Approved:
residing Officer Mayor
TEST: APPROVED AS TO FORM:
City Clerk City Counselor
III
Fee Schodidel,
PR RE OCEDU
CODE DESCRIPTION FCRMC COST SMHC COST PATIENT CARE]
Office Visit-Now Patient
09201 Problem Focusod ---$4320 $6500 $66 004126.00
09202 Expanded ...... 304 0 0 $75,00
99203 Detailed/Low Ccimploxity_ --$00 60 $9700
09204 Comp whansivalModonito Complowly $12.800 $165 00
99205 Comprolionsivo/1-Ilgh $16800 $187 06
Office Visit-Established
99211 [Minimal ^__$74_0_0 $3300
99212 Problem Foctisod $3840 $4500
99213 $51 20 $(50,00
09214 DelailedlModorale Comploxity $7760 $90 00
09215 Can prehonsivo/1-11111i Compluxit $ 350)
1 To �6 1)5 00
Testimony
jWC/dmability rating by Clinic I tit) 115 00
L_��L
rds to ho rovn!vTKq?L,I $350—6-6
E-- -,- T
I iDeposition 'f4—W FO-1
Expert Testimony by Clinic Physician(p
- Ln _
To attend court,including wail bine(per hq!jr)
--$1.`50 00
Patient Consultation with Physician
1 99242 130 rninules
1 092 $126
99244 190 minutes
Physical Examination(Fire and Police)
Base(§Q
()o
jPulmonary Function-rest(PH) 00
Audiogram 0
j2auajoil 00 1-1,?) snool $30,010
Physical Examination(Transit)
Physical Examination(Maintenance) —:01(5o
Base other en possible-SM11G)
Physical Fitness Evaluations
99201 Ofte Visit.Resting Heart Ralp 00, ------
Bose(I Heart rate included in brine pri�oLtolLco Lir $350()
82465 Total Cholesterol $1200
Total Cholesterol(Pollco&Hui) $2.100
Veniptinclure(Police&Vim) $2000
Stress EKG
w/Pfolessional Cardiok?jy Rend $;)no oo
---,Stross EKG(procodure porfomied nt SMI W)(11(gwo&I uu $447 fl(*,
P"udf UR7C-
OFESCRIPT(ON CRMC COST SMIM COST PATIENT CARE
CODE
Ootlonal PtivsIcal and/or FItnoss
Audiometric tusting $2000
Chost x-rnv $sq()0
EKG with lotorprolabon $42,00
UKG Stross Test with Prolotisional(At thol V110 00
I lold Profile ___P4 00
-Pulmonaty function scr�( $151 00
TO losling —()o
Total ChoInsforol $1206
Ullfullysin $700
Immunizations
Rql46 lie
I fepalltlA B or dose) $B(3 00
90050 Ififluollill a 1 a 00 $1502
00110 Urnotanur. 7 00
Telanus $23.00
90075 Robles $20200
IRabias rardoso)
Drug Screening
D T
Non-DO r(pro•oqjp oyEonl
____140 LO
CollocIlon Only $20 00 W.
11to 1111 Ncohol SC100fliflu
hiliul Cost(2411
alonth/Ycotl(A Confirmation SM)00
Bronth Alcohol Confirmation
Outpatlent Rehabilitation
Physiral and Occufnitional I horn rnnc n fronnll r itn vr511 ......
Emergency Room(SMHCj
00281__..Physician Foo - 05
1)0 F8_2 _llhy!�!qian LL!j_ '—' _.
99283 Physiclao Fee $13205
90284 Physician Farr ...... 221 OG
992A5 Physician Foo 3356 0:3
90281 Facdnt Fee $57 75
99282 Facility Foo
99283 Facility Fee $128 311
99204 Facility Foe $34541
99205 Facility Feo $533,11
e-Caro(SMIIC)
aysician F(A) [E $
-E-E
Ph 90281 P roan Fcxa °h3 U5
09282 Ph
!!y Fet,_
Ity Foo -------- Ltd)