Chapter 3701-49 Fees for Laboratory Services

3701-49-01 Fees for laboratory services.

(A) Unless exempted under paragraph (B) or (C) of this rule, the director of health shall charge a fee for each laboratory specimen or sample submitted according to the schedule in rule 3701-49- 01.1 of the Administrative Code.

(B) The charging of fees for the following laboratory tests would significantly and adversely affect the public health and the fees shall not be charged for:

(1) Laboratory tests authorized by the director of health as part of an epidemiological investigation supervised by the department of health.

(2) Laboratory tests on specimens or samples submitted by the health commissioner of any city or general health district as part of an epidemiological investigation if the director of health determines that the charging of a fee would significantly and adversely affect the public health and prior arrangements are made with the director to make the tests.

(3) Viral isolations and serologies for influenza and vector-borne encephalitis.

(4) Gonorrhea specimens generated by any venereal disease clinic recognized by the director of health.

(5) Specimens from food handlers involved in any food operation except in a private home, if the food handler is suspected of being infected with any disease.

(6) Specimens for salmonellosis, shigellosis, amebiasis or other enteric disease from individuals who are contacts with individuals suspected of having these diseases. This exemption shall be limited to one diagnostic specimen and shall not include repeat tests.

(7) Cultures received from other laboratories in Ohio for identification, grouping or typing.

(8) Rabies examinations of animals involving possible human or animal exposure, or having symptoms suspicious of rabies but excluding rabies examinations of pet rodents or of rabbits, chipmunks, squirrels, mice and rats.

(9) The following hereditary-metabolic disease-screening specimens for infants:

(a) Metabolic screening retests which are ordered by the Ohio department of health laboratory when the initial test results on the infant are suspicious or abnormal or in early discharges when the specimen is taken less than forty-eight hours after birth, as specified in rule 3701-45-01 of the Administrative Code.

(b) Metabolic screening tests which are submitted by local health departments for newborns delivered at home.

(c) Metabolic screening tests which are performed on infants whose parents are unable to pay for the tests upon certification to that effect by the hospital or the attending physician or midwife.

(d) Phenylketonuria monitor specimens for cases identified by screening and for which follow-up forms have been filed with the department of health laboratory. This exemption shall apply only to specimens from persons under twenty-one years of age.

(10) Other tests relative to which the director determines, on a case-by-case basis, that the charging of a fee would significantly and adversely affect the public health. In such a case, the director may exempt the test from the fee for a period of one hundred twenty days.

(C) Tests on the following laboratory specimens also shall be exempted from the fees required by this chapter:

(1) Tests on specimens or samples submitted by any employee or unit of the department of health as part of any official responsibility of the employee or unit for the department when prior arrangements are made with the department of health laboratory.

(2) Tests which are being charged for under a contract negotiated between the department and any party or are funded by the department through a grant or other financial arrangement.

(3) Tests performed by the department of health laboratory which are specifically exempted by any statute or by any rule of the public health council from a fee charged by the department.

(4) Tests on second or additional specimens which are required by the department of health laboratory because of the inability to make or complete the test or because the testing operation or procedure is unsatisfactory for any reason.

(5) Tests for which funds are included in appropriations to the department of health to pay the costs of the tests in lieu of charging laboratory test fees.

(6) Tests on any specimen or sample in connection with any enforcement action already filed or for which filing is imminent or for any administrative hearing or court proceeding for the enforcement of any rule of the department of health required by section 3701.56 of the Revised Code or any other provision of law, if prior arrangements are made with the director of health to make the tests.

Effective: 03/28/2011
R.C. 119.032 review dates: 12/16/2010 and 01/06/2016
Promulgated Under: 119.03
Statutory Authority: 3701.221
Rule Amplifies: 3701.22 , 3701.23
Prior Effective Dates: 8/15/1981, 5/20/82, 10/1/82, 10/31/83, 8/1/85, 4/7/89

3701-49-01.1 Fees for laboratory services (variable fees).

(A) Unless exempted under paragraph (B) or (C) of rule 3701-49-01 of the Administrative Code, the director of health shall charge and collect a fee for each parameter or group of parameters in the bacteriological, chemical, or radiological analyses of environmental samples or the toxicological analysis of body fluid as set forth in this rule.

(1) Non-potable water samples

(a)

Radioactivity

COST

Gross alpha

$ 35.00

Gross alpha and beta

35.00

Uranium

100.00

Iodine 131

100.00

Strontium 90

100.00

Tritium

30.00

Computerized multichannel analyzer (CMA) (72 elements)

40.00 /hour

Gross alpha and beta (milk, soil, sediment, vegetation, etc.)

85.00

Gamma scan (water)

75.00

Gamma scan (milk)

45.00

Gamma scan (soil, sediment, vegetation, etc.)

95.00

Radium 226

150.00

Radium 228

150.00

(2) Hereditary/metabolic diseases

Newborn screen

$ 37.30 **

Hemoglobin pattern

10.00

**This fee is in addition to the fee collected pursuant to rule 3701-55-20 of the Administrative Code.

(3) Microbiology testing

(a) General bacteriology unit

Identification/confirmation

$ 30.00 *

Stool-positive

15.00

Stool-negative

12.00

Food screen

50.00

Sero group-salmonella/shigella (and type)

10.00

Sero group/type salmonella

25.00 *

Sero group/hemophilis

20.00 *

Sero group/meningitis

20.00 *

Sero group/lancefield

20.00 *

FA bordetella

12.00

B. pertussis culture

20.00

Phage type

25.00 *

Beta hemolytic streptococci

15.00

(b) Virus isolation unit

Rabies examination

$ 30.00

Stool culture-virus isolation

25.00

Swab-virus isolation

20.00

Virocult FA virus isolation (herpes)

20.00

Biopsy-virus isolation

30.00

Spinal fluid-virus isolation

25.00

Urine-virus isolation

25.00

Viral isolate-confirm/identification

40.00 *

Chlamydia

10.00

HIV EIA

6.75

HIV Western Blot

32.50

Orasure HIV EIA

5.25

Orasure HIV Western Blot

38.00

(c) Special microbiology unit

GC cultures

$ 11.02

GC smears

5.00

Botulism

40.00

Legionnaires-cultures

30.00 *

Legionnaires-FA

15.00

Mycoplasma

20.00

Ureaplasma

25.00

Campylobacter/yersinia

20.00

Stool-positive

15.00

Stool-negative

12.00

(d) Mycology/parasitology unit

Smear-parasitology

$ 10.00

Stool-parasitology

15.00

Pinworm

7.50

Mycelial identification-mycology

30.00 *

Yeast identification-mycology

30.00 *

Nocardia

30.00 *

Streptomyces

30.00 *

Sputum-mycology

25.00

Blood-mycology

20.00

Spinal fluid-mycology

20.00

Biopsy-mycology

30.00

Skin-mycology

20.00

Nails (whole)-mycology

20.00

Nails (micronized)-mycology

20.00

Hair-mycology

20.00

Environmental samples (added to identification charge)

25.00 /hour

(e) Serology unit

Cryptococcus

$ 30.00

Coccidiomycosis

30.00

Histo/blastomycosis

30.00

Histoplasmosis

30.00

Blastomycosis

30.00

Aspergillosis

30.00

Legionella

20.00

Respiratory battery

100.00

Para-influenza 1, 2, and 3

25.00

Adenovirus

20.00

Respiratory syncytial

20.00

M. pneumoniae

$ 20.00

Mumps

15.00

Rubeola

15.00

Varicella

15.00

Torch battery

45.00

Toxoplasmosis

15.00

Animal toxoplasmosis-IHA

15.00

Rubella

15.00

Cytomegalovirus

15.00

Herpes simplex

15.00

Rocky mountain spotted fever

30.00

Murine typhus

30.00

Lyme disease

30.00

Q fever

30.00

VDRL

8.50

FTA

13.25

Chlamydia

13.25

Gonorrhea

11.02

(f) Mycobacteriology

Clinical material-mycobacteriology

$ 20.00

Smear-mycobacteriology

7.50

ID-mycobacteriology

27.50 *

Drug sensitivity (mycobac.)

20.00

* exempt for pure cultures

(B) In cases when it is necessary or desirable for the department of health laboratory to perform a test that falls within one of the general categories specified in paragraph (A)(1), (A)(2), or (A)(3) of this rule, but for which no fee has been established by this rule, the director of health may establish and charge a reasonable fee for the test. A fee established under this paragraph shall remain in effect for no longer than one hundred eighty days or until a fee is established by rule of the director, whichever occurs first.

Effective: 07/29/2013
R.C. 119.032 review dates: 05/10/2013 and 01/06/2016
Promulgated Under: 119.03
Statutory Authority: 3701.221
Rule Amplifies: 3701.22
Prior Effective Dates: 10/1/1982, 8/1/85, 8/8/91 (Emer.), 10/4/91, 11/13/92, 7/12/93, 1/26/02, 11/15/04, 8/30/06, 03/28/11

3701-49-01.2 Fees for training activities.

The director of health shall charge a fee for laboratory training programs as follows:

Cost

Laboratory workshops 4.00 /hour for each student

Laboratory seminars 2.00 /hour for each student

R.C. 119.032 review dates: 01/06/2011 and 01/06/2016
Promulgated Under: 119.03
Statutory Authority: 3701.23
Rule Amplifies: 3701.23
Prior Effective Dates: 10/1/1982, 10/31/83

3701-49-01.3 When director may refuse to test.

The director of health or his authorized representative may refuse to accept any specimen for testing, unless the test is being performed under a contract negotiated between the department and any party or funded by a grant or other financial arrangement with the department, for any appropriate reason including but not limited to the following:

(A) The test is one not normally performed by the laboratory; or,

(B) The laboratory does not have the necessary equipment or facilities to perform the test.

R.C. 119.032 review dates: 01/06/2011 and 01/06/2016
Promulgated Under: 119.03
Statutory Authority: 3701.23
Rule Amplifies: 3701.23
Prior Effective Dates: 8/15/1981, 5/20/82, 10/1/82

3701-49-02 Procedures for administration of laboratory fee.

The director of health shall develop as appropriate procedures for the administration of this laboratory fee charge program to include but to not be limited to the following:

(A) Systems for the payment and collection of fees charged by a department of health laboratory including prepurchased newborn screening kits or other system of payment as appropriate.

(B) Proper accounting procedures to insure all fees are collected and accounted for.

(C) Instructions for the submission of specimens including the protection of specimens during shipment.

(D) Forms necessary for making application to the laboratory for testing services, for the purchase of newborn screening kits and payment of fees, reporting of test results, and other forms as appropriate.

Effective: 03/28/2011
R.C. 119.032 review dates: 12/16/2010 and 01/06/2016
Promulgated Under: 119.03
Statutory Authority: 3701.221
Rule Amplifies: 3701.23
Prior Effective Dates: 8/15/81

3701-49-03 Reports to council.

Within two years of the effective date of this chapter, August 15, 1981 and each two years thereafter, the director of health shall submit a report to the public health council on the operation of the laboratory fee charge system, including his recommendations for revising the method of charging fees, the amount of the fees, and any other revisions of these rules.

R.C. 119.032 review dates: 01/06/2011 and 01/06/2016
Promulgated Under: 119.03
Statutory Authority: 3701.23
Rule Amplifies: 3701.23
Prior Effective Dates: 8/15/1981, 10/1/82