LAW
Writer®
Ohio Laws and Rules
(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 3701-49-011 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) Syphilis and 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) Water bacteriologic examination of samples collected under the responsibility of the department of health for administering the agricultural labor camp program under sections 3733.41 to 3733.48 of the Revised Code.
(7) 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.
(8) Tests on drinking water samples taken by licensors from food service operations, manufactured housing parks, marinas, public swimming pools, recreational vehicle parks, recreation camps and combined park-camps for purposes of determining compliance with the requirements for issuance or renewal of a license under Chapter 3732., 3733. or 3749. of the Revised Code or the rules adopted under those chapters. Tests on additional water samples taken by the licensor and required for licensure purposes also shall be exempt if the immediately previous sample or samples were found to be unsafe.
R.C. 119.032 review dates: 01/30/2006 and 01/01/2011
Promulgated Under: 119.03
Statutory Authority: 3701.23
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
(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) Potable and non-potable water samples
(a) Inorganic chemicals/miscellaneous
PARAMETER COST PARAMETER COST
Turbidity 10.00 Phenols 15.00
Conductivity 8.00 Arsenic 22.00
pH, lab. 8.00 Mercury 22.00
Alkalinity 12.00 Paint chips 20.00
Alkalinity 15.00 Sand sieve 75.00
Alkalinity 15.00 Selenium 22.00
Acidity, T 12.00 Calcium 10.00
Residue, T 10.00 Magnesium 10.00
Residue, T. VOL. 15.00 Potassium 10.00
Residue, T. NFL. 15.00 Sodium 10.00
Residue, T. FLT. 15.00 Aluminum 10.00
Residue, V. FLT 15.00 Antimony 10.00
Residue, SETT. 10.00 Barium 10.00
Total Kjeldahl 25.00 Berylium 10.00
Nitrogen ammonia 12.00 Boron 20.00
Nitrate-nitrite 12.00 Cadmium 10.00
Nitrite 8.00 Chromium, T. 10.00
Phosphorus, T. 25.00 Cobalt 20.00
Phosphorus, S. 25.00 Copper 10.00
Reactive phosphorus 8.00 Iron. T. 10.00
Sulfate 12.00 Lead 10.00
Sulfide 35.00 Manganese 10.00
Chloride 12.00 Nickel 10.00
Fluoride 12.00 Silver 10.00
Cyanide 15.00 Strontium 10.00
BOD 25.00 Tin 30.00
COD 20.00 Titanium 20.00
Oil-grease 48.00 Vanadium 10.00
Thallium 12.00 Zinc 10.00
(b) EPA minimum compliance requirements for public water systems – 132.00
arsenic, barium, cadmium, chromium, fluoride, mercury, selenium, nickel, antimony, berylium, thallium and cyanide.
EPA minimum compliance requirements for new well systems – 245.00
alkalinity, antimony, arsenic, barium, beryllium, cadmium, calcium, chloride, chromium, cyanide, fluoride, iron, lead, magnesium, manganese, mercury, nickel, nitrates, residue, selenium, silver, sodium, sulfate, and thallium.
(c)
Organic chemicals COST
Pesticides/herbicides 100.00
Trihalomethanes 100.00
Extraction (b/n and acid scan) 50.00
Purgeable aromatics 100.00
(d)
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
All of the costs listed above are for drinking water samples unless otherwise indicated
(2)
Occupation health COST
Arsenic $ 30.00
Asbestos (fiber count) 50.00
Formaldehyde 15.00
Inorganics (ion specific electrode) 25.00
Mercury 15.00
Metals 12.00
Organics (first component) 30.00
(each additional component) 20.00
Particulates 15.00
Silica 15.00
GC/MS – identification and quantification of organic chemicals 50.00/hour
(3) Special toxicology services
A special preparation fee of thirty dollars shall be assessed in addition to the regular fee for specimens other than blood, plasma, serum, or urine.
(a)
PANEL DESCRIPTION CLINICAL/FORENSIC
Ethanol Alcohol in bio-fluids $ 15.00
(b)
PANEL DESCRIPTION CLINICAL/FORENSIC
Volatiles 1,1,1-tricholoroethane 14.00
1-Popanol 14.00
2-Propanol 14.00
Acetone 14.00
Carbon tetrachloride 14.00
Chloroform 14.00
Dichloroemethane 14.00
Ethyl Acetate 14.00
Isobutanol 14.00
Methanol 14.00
Methyl Acetate 14.00
N-butanol 14.00
N-hexane 14.00
Propionaldehyde 14.00
Sec-butanol 14.00
Tetrachloroethylene 14.00
Toluene 14.00
Trichloroethylene 14.00
Xylene 14.00
(c)
Blood bound Carbon monoxide and hemoglobin (blood only) $ 10.00
(d)
Drug screens
Screens only; no confirmation/quantification) $ 25.00
Ten drug classes: i.e., benzodiazepines, barbiturates, amphetamines, methadone, propoxyphene, cocaine and opiates, cannabinoids, phencyclidine piperidine (PCP), and methaqualone
(e)
Drug screen/confirmation/quantitation
(clinical) $ 45.00
(forensic) $ 57.00
Ten drug classes: i.e, benzodiazepines, barbiturates, amphetamines, methadone, propoxyphene, cocaine, opiates, cannabinoids, phencyclidine piperidine (PCP), and methaqualone
(f)
Combination Ethanol, drug screen (ten toxicology classes), confirmation and quantitation
(clinical) $ 55.00
(forensic) $ 67.00
(g) Comprehensive Includes ethanol, ten classes toxicology and drugs not listed*
G-1 Screen only (clinical only) $ 60.00
G-2 Screen/confirmation/quantitation $145.00 *Limited by standards available.
(4) Hereditary/metabolic diseases
Newborn screen $28.85**
Hemoglobin pattern 10.00
**This fee is in addition to the fee collected pursuant to rule 3701-55-20 of the Administrative Code.
(5) Clinical chemistry
Lead-EP (erythrocyte proto.) $ 7.50
Lead-quantitative 15.00
(6)
(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) Sanitary microbiology
(i) Drinking water
Total coliform $ 7.50
Fecal coliform 7.50
Fecal streptococcus 7.50
MPN 15.00
Standard plate count 7.50
Staphylococcus 10.00
Beta hemolysis 5.00
Speciation (first pick) 15.00
Each additional 5.00
(ii) Stream Water
Total coliform $ 15.00
Fecal coliform 15.00
Fecal streptococcus 15.00
Additional preparation or special procedures 25.00/hour
(iii) Milk samples
Wisconsin mastitis (+DMSCC) $ 5.00
Standard plate count 5.00
Coliform count 5.00
Phosphatase 5.00
Antibiotic 5.00
Detection of inhibitory substance 5.00
Finished milk product package 10.00
Raw milk product package 6.50
(g) Mycobacteriology
Clinical material-mycobacteriology $ 20.00
Smear-mycobacteriology 7.50
ID-mycobacteriology 27.50*
Drug sensitivity (mycobac.) 20.00
(7) Proficiency testing specimens
Syphilis serology (5 sets) $200.00
Non-syphiliserology (4 sets) 80.00
Chemistry, general (4 sets) 150.00
Toxicology/endocrinology (4 sets) 100.00
Blood group & type (4 sets) 80.00
Parasitology (4 sets) 300.00
General micro (4 sets) 250.00
Mycology (4 sets) 250.00
Urinalysis (4 sets) 80.00
Gonorrhea cultures (4 sets) 150.00
(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), (A)(3), (A)(4), (A)(5), (A)(6), or (A)(7) 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 public health council, whichever occurs first.
Effective: 08/30/2006
R.C. 119.032 review dates: 01/31/2006 and 01/01/2011
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, 1/26/2002, 11/15/04
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: 01/30/2006 and 01/01/2011
Promulgated Under: 119.03
Statutory Authority: 3701.23
Rule Amplifies: 3701.23
Prior Effective Dates: 10/1/1982, 10/31/83
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: 01/30/2006 and 01/01/2011
Promulgated Under: 119.03
Statutory Authority: 3701.23
Rule Amplifies: 3701.23
Prior Effective Dates: 8/15/1981, 5/20/82, 10/1/82
The director of health shall develop as appropriate procedures for the administation 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 a prepaid stamp system 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 stamps and payment of fees, reporting of test results, and other forms as appropriate.
R.C. 119.032 review dates: 01/30/2006 and 01/01/2011
Promulgated Under: 119.03
Statutory Authority: 3701.504
Rule Amplifies: 3701.505
Prior Effective Dates: 8/4/1981
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: 01/30/2006 and 01/01/2011
Promulgated Under: 119.03
Statutory Authority: 3701.23
Rule Amplifies: 3701.23
Prior Effective Dates: 8/15/1981, 10/1/82