Mecklenburg County Health Department Fee Schedule, 2016
Service
Animal Holding Facilities Annual Permit (New & Renewal)
Care Coordination for Children
Home Visit for Newborn & Postpartum Assessments
Pregnancy Care Management
CAP AIDS, CAP DA (Disabled Adults) & CAP C (Children)
Amalgam 1 surface
Amalgam 2 surfaces
Amalgam 3 surfaces
Amalgam 4+ surfaces
Analgesia N2O
Apexification/recalcification final appt.
Apexification/recalcification initial visit
Apexification/recalcification interim
Apply desensitizing agents
Athletic mouthguard
Biopsy soft tissue
Bitewing single film
Bitewings 2 films
Bitewings 3 films
Bitewings 4 films
Complicated suture – up to 5 cm.
Composite crown – anterior
Comprehensive oral evaluation
Crown build up
Dental prophy - 13yrs. and under
Dental prophy - 14yrs. and over
Endodontics – anterior
Extract single tooth / simple
Extract soft tissue impacted
Extract tooth – erupted (surg.)
Full mouth debridement
Habit appliance
Fee
$50.00
No Charge to Patient
No Charge to Patient
No Charge to Patient
Medicaid Deductible
Applies
$108.00
$157.00
$190.00
$231.00
$57.00
$555.00
$376.00
$165.00
$378.00
$168.00
$421.00
$27.00
$41.00
$36.00
$57.00
$1,045.00
$274.00
$73.00
$242.00
$63.00
$91.00
$664.00
$139.00
$309.00
$246.00
$166.00
$130.00
1
Program Area
Animal Holding Facilities
Case Management Services
Case Management Services
Case Management Services
Community Alternative Program (CAP)
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Mecklenburg County Health Department Fee Schedule, 2016
Hospital Call
Incision & Drainage / abscess intra-oral
Intraoral – periapical additional film
Intraoral film (comp. series)
Intraoral occlusal film
Intraoral periapical 1st film
Limited oral evaluation -problem
Misc.(duplicate X-rays)
Oral Eval under 3 w/Counseling
Palliative treatment of dental pain minor
Periodic oral evaluation
Pin retention per tooth
Prefab SS w/resin window
Pulp cap – direct
Pulp cap – indirect
Pulpotomy – therapeutic
Re-cement crown
Re-cement space maintainer
Resin 1 surface – anterior
Resin 1 surface – posterior
Resin 2 surfaces - posterior
Resin 2 surfaces – anterior
Resin 3 surface - posterior
Resin 3 surfaces – anterior
Resin 4 + surfaces - posterior
Resin 4+ surfaces involving incisal
Sealant per tooth
Sedative filling
Space maintainer – fixed bilateral
Space maintainer – fixed unilateral (quad)
Stainless steel crown , Perm. tooth
Stainless steel crown , primary tooth
Suture of recent small wounds
Tooth re-implantation
$140.00
$274.00
$19.00
$128.00
$36.00
$24.00
$70.00
$21.00
$42.00
$105.00
$42.00
$51.00
$351.00
$66.00
$52.00
$157.00
$93.00
$69.00
$134.00
$157.00
$205.00
$171.00
$255.00
$209.00
$313.00
$248.00
$36.00
$97.00
$421.00
$319.00
$287.00
$254.00
$419.00
$530.00
2
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Dental Health
Mecklenburg County Health Department Fee Schedule, 2016
Topical fluoride Varnish
Acute hepatitis panel
Acyclovir injection
Alanine amino (alt) (sgpt)
Alcohol/Substance Abuse >30min
Alcohol/Substance Abuse 15-30m
Artificial insemination
Assay of creatinine
Assay of ggt
Assay of lead
Assay, glucose, blood quant
Azithromycin
Azithromycin dihydrate, oral
Bilirubin, direct
Bilirubin, total
Bx done w/colposcopy add-on
Ca screen;pelvic/breast exam
Cannula nasal
Cardioversion electric, ext
Case management
Ceftriaxone sodium injection
Chylmd trach, dna, quant
Complete cbc w/auto diff wbc
Comprehen Metabolic Panel
Contraceptive vaginal ring
Cytopath c/v auto fluid redo
Cytopath, c/v, auto rescreen
Cytopath, c/v, manual
Cytopath, c/v, thin layer
Depo-Provera Injections
Destruct lesion, 1-14
Destruct lesion, 15 or more
Developmental test, lim
Diagnosticmammographydigital
$36.00
$59.25
$0.02
$6.73
$175.00
$70.00
$0.00
$6.52
$9.15
$15.39
$4.99
$17.33
$0.37
$6.39
$6.39
$149.00
$50.00
$5.00
$402.00
$17.00
$0.54
$41.41
$9.88
$10.74
$14.57
$33.04
$13.43
$26.00
$26.00
$23.79
$78.99
$94.04
$33.00
$196.00
3
Dental Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Mecklenburg County Health Department Fee Schedule, 2016
Diagnosticmammographydigital
Diflucan 150 mg
Dilation of cervical canal
Drugs unclassified injection
Dwelling lead investigation
Emergency Contraceptive /Plan B
Enterovirus antibody, dfa
Fecal blood scrn immunoassay
Female condom
Fitting of diaphragm/cap
FLU VACCINE NO PRESERV ID
Flulaval vacc, 3 yrs & >, im
Gamma globulin 2 cc inj
Gamma globulin 3 cc inj
Gamma globulin 4 cc inj
Glycosylated hemoglbin tests
Group mnt 2 or more 30 mins
Health risk assessment test
Heart/lung resuscitation cpr
Hemoglobin chromotography
Hemoglobin electrophoresis
Hep b surface antibody
Hep be antibody
Hepatic function panel
Hepatitis b surface ag, eia
Hepatitis b, dna, quant
Hepatitis c ab test
Herpes simplex type 2
Hiv-1
Hiv-1, dna, quant
Home visit, nb care
Home visit, postnatal
Hormonal Implant Insertion
Hormonal Implant Removal
$196.00
$5.00
$149.00
$18.91
$437.25
$5.00
$14.57
$33.00
$75.13
$149.00
$19.00
$15.03
$13.00
$13.00
$13.00
$0.00
$17.00
$40.00
$477.00
$22.96
$15.48
$13.66
$14.71
$10.19
$11.83
$41.41
$18.15
$24.62
$0.00
$67.59
$163.00
$135.00
$250.00
$272.00
4
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Mecklenburg County Health Department Fee Schedule, 2016
HPV detection by DNA or RNA
Imadm Any Route 1St Vac/Tox
Immunoassay,infectious agent
Inadm Any Route Addl Vac/Tox
Influenza virus antibody
Init Pm E/M, New Pat 1-4 Yrs
Init Pm E/M, New Pat 65+ Yrs
Init Pm E/M, New Pat, Inf
Intervene hlth/behave, indiv
Lipid panel
Male condom
Med nutrition, indiv, subseq
Medical nutrition, group
Medical nutrition, indiv, in
Medical Records Publishing Fee
Medrxyprogester acetate inj
Mirena - long term contraceptive
Mirena IUD Kit & Insertion
Mnt subs tx for change dx
Mononuclear cell antigen, quan
Mouth piece
N.gonorrhoeae, dna, quant
Neutralization test, viral
Newborn metabolic screening
Nexplanon - long term contraceptive
Obtaining screen pap smear
Occult blood, other sources
Office consultation
Office/outpatient visit, est (fee depends on medical services provided)
$46.90
$23.98
$35.00
$12.29
$17.24
$184.00
$265.00
$173.00
$43.00
$17.04
$0.00
$53.00
$30.00
$65.00
$1.00
$47.00
$291.08
$207.00
$17.00
$33.02
$5.00
$41.41
$35.00
$19.00
$325.00
$47.00
$14.00
$38.98
$48.00
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Office/outpatient visit, est (fee depends on medical services provided)
$80.00
Family Planning, Women’s Health
Office/outpatient visit, est (fee depends on medical services provided)
$113.00
Family Planning, Women’s Health
5
Mecklenburg County Health Department Fee Schedule, 2016
Office/outpatient visit, est (fee depends on medical services provided)
$170.00
Family Planning, Women’s Health
Office/outpatient visit, est (fee depends on medical services provided)
$239.00
Family Planning, Women’s Health
Office/outpatient visit, new (fee depends on medical services provided)
$84.00
Family Planning, Women’s Health
Office/outpatient visit, new (fee depends on medical services provided)
$130.00
Family Planning, Women’s Health
Office/outpatient visit, new (fee depends on medical services provided)
$190.00
Family Planning, Women’s Health
Office/outpatient visit, new (fee depends on medical services provided)
$275.00
Family Planning, Women’s Health
Office/outpatient visit, new (fee depends on medical services provided)
$350.00
Family Planning, Women’s Health
Oral Contraceptive Pills
Oral prescrip drug non chemo
Other specified case mgmt
Ova and parasites smears
Pap Smears
Paraguard IUD Kit & Insertion ( Intraut copper contraceptive) long term
contraceptive
Penicillin g benzathine inj
Per Pm Reeval Est Pat 65+ Yr
Per Pm Reeval, Est Pat, Inf
Prev Visit, Est, Age 12-17
Prev Visit, Est, Age 1-4
Prev Visit, Est, Age 18-39
Prev Visit, Est, Age 40-64
Prev Visit, Est, Age 5-11
Prev Visit, New, Age 12-17
Prev Visit, New, Age 18-39
Prev Visit, New, Age 40-64
Prev Visit, New, Age 5-11
Preventive counseling, group
$9.00 per pack
$0.00
$15.00
$50.00
$21.46
$228.35
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
$0.02
$222.00
$142.00
$173.00
$155.00
$196.00
$212.00
$160.00
$205.00
$232.00
$259.00
$186.00
$98.00
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
6
Mecklenburg County Health Department Fee Schedule, 2016
Preventive counseling, indiv
Preventive counseling, indiv
Preventive counseling, indiv
Preventive counseling, indiv
Pure tone hearing test, air
Quantitative assay, drug
Rbc sickle cell test
Removal of contraceptive cap (Norplant)
Remove intrauterine device
Remove/insert drug inplant
Rn services up to 15 minutes
Sc Ther Infusion, Reset Pump
Screeningmammographydigital
Smoking/Tobacco Cess. >10min
Smoking/Tobacco Cess. 3-10 min
Special supplies
Spun microhematocrit
Strep a ag, eia
Support broker waiver/15 min
Syphilis Test Non-Trep Quant
T cell, absolute count
T cell, absolute count/ratio
T cells, total count
Targeted case management
Tb Ag Response T-Cell Susp
Ther/Proph/Diag Inj, Sc/Im
Tobacco-use counsel 3-10 min
Tobacco-use counsel>10min
Toxoplasma antibody
Treponema Pallidum
Urinalysis, auto, w/o scope
Varicella-zoster antibody
Virus inoculation, tissue
Visual acuity screen
$80.00
$157.00
$201.00
$206.00
$28.00
$84.00
$7.02
$248.00
$192.00
$435.00
$45.00
$0.00
$196.00
$68.00
$34.00
$12.00
$13.00
$14.57
$17.00
$5.61
$34.04
$59.74
$47.96
$23.61
$60.00
$26.00
$14.00
$28.00
$18.27
$17.26
$15.00
$16.38
$20.71
$11.00
7
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Family Planning, Women’s Health
Mecklenburg County Health Department Fee Schedule, 2016
Visualization of windpipe
Wet mounts/ w preparations
Foreign Travel Clinic Nurse Consultation
Class Registration for Contractors
Contamination Sites/Monitoring Well - Site Fee > 50 wells
Contamination Sites/Monitoring Well - Site Fee 11-25 wells
Contamination Sites/Monitoring Well - Site Fee 26-50 wells
Contamination Sites/Monitoring Well - Site Fee 3 wells
Contamination Sites/Monitoring Well - Site Fee 4 wells
Contamination Sites/Monitoring Well - Site Fee 5 wells
Contamination Sites/Monitoring Well - Site Fee 6 wells
Contamination Sites/Monitoring Well - Site Fee 7-10 wells
Copies
Day Care Education Program
New Registration & Permit
Injectable Vaccine Administration; each additional vaccine
Injectable Vaccine Administration; single vaccine
Oral - Intranasal Administrative; each additional vaccine
Oral - Intranasal Vaccine Administration; single vaccine
Admin hepatitis b vaccine (Medicare clients only)
Admin influenza virus vac (Medicare clients only)
Admin pneumococcal vaccine (Medicare clients only)
Flu Mist with administration (intranasal)
Flu Vaccine (3 yrs+) with administration multi dose
Flu Vaccine (6-35 months) with administration single dose - no
preservative
Flu vaccine 6-35 months multi dose
Flu virus vaccine, multidose (6-35 months)
Fluzone with administration (Intradermal)
Hep A (adult)
Hep a/hep b vaccine, adult im (Twinrix)
Hepatitis A - Pediatric/Adolescent, 2 dose
Hib vaccine ActHib (PRP-T)
Hib vaccine, prp-omp, im
$138.41
$7.00
$48.00 per person
$70.00
$850.00
$450.00
$650.00
$150.00
$180.00
$210.00
$240.00
$290.00
$.05 per page
$10.00
$70.00
$13.71
$15.00
$13.71
$15.00
$12.00
$12.00
$12.00
$40.00
$15.00
$15.00
$15.00
$20.82
$34.33
$47.83
$71.04
$24.56
$25.00
$24.00
8
Family Planning, Women’s Health
Family Planning, Women’s Health
Foreign Travel
Groundwater - Environmental Health
Groundwater - Environmental Health
Groundwater - Environmental Health
Groundwater - Environmental Health
Groundwater - Environmental Health
Groundwater - Environmental Health
Groundwater - Environmental Health
Groundwater - Environmental Health
Groundwater - Environmental Health
Groundwater - Environmental Health
Home Day Cares
Home Day Cares
Immunizations
Immunizations
Immunizations
Immunizations
Immunizations
Immunizations
Immunizations
Immunizations
Immunizations
Immunizations
Immunizations
Immunizations
Immunizations
Immunizations
Immunizations
Immunizations
Immunizations
Immunizations
Mecklenburg County Health Department Fee Schedule, 2016
High Dose Fluzone with administration (65 yrs+)
HPV Vaccine (Cervarix)
HPV Vaccine (Gardasil) (4 antigens)
HPV, 9 antigens
Immune Globulin
Influenza vac quad 6-35 mos IM
Influenza Vaccine (3 yrs+) with administration single dose
Influenza Vaccine (3 yrs+) with administration single dose - no
preservative
Pneumococcal vaccine (Prevnar)
Rabies vaccine, im
Rotovirus vacc 3 dose, oral
Chicken Pox (Varicella)
Diptheria-Tetanus
Dtap
Dtap-hep b-ipv vaccine, im
Dtap-hib-ip vaccine, im
Dtap-Ipv Vacc 4-6 Yr Im
Hep B Adult vaccine
Hepatitis B - Pediatric/Adolescent, 3 dose
Influenza Vaccine (3 yrs +) with administration multi dose
Measles, Mumps, Rubella
Measles,Mumps,Rubella,Varicella (Proquad)
Meningococcal vaccine, im (55 years of age and younger)
Meningococcal vaccine, sc (56 years of age and older)
Pneumonia Vaccine
Poliovirus (Inactivated), ipv, sc/im
Shingles (Zoster)
Tetanus-diptheria (Td)
Tetanus-diptheria acellular pertussis (Tdap)
Typhoid vaccine, im
Yellow fever vaccine, sc
Chlamydia; Amplified Probe
Finger, Heel, Ear Stick
9
$31.00
$160.00
$163.00
$175.87
$13.00
$15.00
$15.00
$16.75
Immunizations
Immunizations
Immunizations
Immunizations
Immunizations
Immunizations
Immunizations
Immunizations
$145.00
$176.00
$87.00
$104.00
$38.00
$18.49
$57.45
$93.00
$41.31
$38.72
$11.85
$15.00
$53.00
$161.00
$128.00
$130.00
$66.00
$30.00
$191.00
$23.00
$33.01
$67.00
$107.00
$92.00
$12.00
Immunizations
Immunizations
Immunizations
Immunizations
Immunizations
Immunizations
Immunizations
Immunizations
Immunizations
Immunizations
Immunizations
Immunizations
Immunizations
Immunizations
Immunizations
Immunizations
Immunizations
Immunizations
Immunizations
Immunizations
Immunizations
Immunizations
Immunizations
Laboratory
Laboratory
Mecklenburg County Health Department Fee Schedule, 2016
Gram Stain
Hemoglobin
N.gonorrhoeae, dna, amp prob
Occult Blood, Feces
Ova & Parasite Smear
Routine venipuncture
Screening Culture
Special Stains, All Other
Specimen handling
Syphilis Test - RPR Qualitative
Tb Test Cell Immun Measure
TRICHOMONAS VAGINALIS AMPLIF
Urinalysis, Dipstick
Urine Pregnancy Test
Wet Mount
Administrative Attorney/Insurance Request
Administrative Attorney/Insurance Request, Pages 100+
Administrative Attorney/Insurance Request, Pages 1-25
Administrative Attorney/Insurance Request, Pages 26-100
Disability Determination Request
General Patient Record/Lab Results per page
Immunization Record
Permit to Construct a Public pool
Annual Pools - Permit to Operate (received after February)
Annual Pools - permit to operate (received prior to March 1)
Seasonal Pools - Permit to Operate (Received after February)
Seasonal Pools - Permit to Operate (Received Prior to March 1)
Completion of Refugee Immigration Record
Permit to Construct Residential Pool
Basic Food Service Worker Certification (2 hours)
Document Copies
$22.00
$15.00
$92.00
$14.00
$50.00
$14.00
$24.00
$152.00
$15.00
$31.00
$107.00
$29.84
$12.00
$25.00
$19.00
$10.00
$0.25
$0.75
$0.50
$15.00
$1.00
Free
$250.00
$370.00
$250.00
$250.00
$130.00
$25.00
$75.00
$50.00
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Medical Records
Medical Records
Medical Records
Medical Records
Medical Records
Medical Records
Medical Records
Plan Review - Environmental Health
Public Pools - Environmental Health
Public Pools - Environmental Health
Public Pools - Environmental Health
Public Pools - Environmental Health
Refugee Services
Residential Pools - Environmental Health
Restaurants/Foodservice - Environmental Health
$0.05 per page
Restaurants/Foodservice - Environmental Health
10
Mecklenburg County Health Department Fee Schedule, 2016
Food Training Tape
$10.00
Restaurants/Foodservice - Environmental Health
Food/Lodging Plan Review
$250.00
Restaurants/Foodservice - Environmental Health
Push Cart/Mobile Food Unit Plan Review
$150.00
Restaurants/Foodservice - Environmental Health
Temporary Event Fee
$75.00
Restaurants/Foodservice - Environmental Health
Modify Plot Plan (residential or commercial)
New Septic System (commercial) *Includes all required permits &
Inspections
New Septic System (commercial) *Includes Soil test & Improvement
Permit ONLY. Additional $400 required for system installation.
$100.00
$850.00
Septic - Environmental Health
Septic - Environmental Health
$450.00
Septic - Environmental Health
New Septic System (residential) *Includes all required permits &
Inspections
New Septic System (residential) *Includes Soil test & Improvement Permit
ONLY. Additional $400 required for system installation.
$650.00
Septic - Environmental Health
$250.00
Septic - Environmental Health
Septic System Alteration (residential or commercial)
HIV post test results
HIV pretest counseling
New Tattoo Artist Permit Annual Fee
Tattoo Renewal Annual Fee
Chest x-ray
Record TB Screening
Tuberculin Skin Test (Employment Assessment Skin test)
Birth Amendment - Preparation
Birth Amendment - Preparation of Legitimation
Birth Amendment/Legitimation
Birth Amendment/Legitimation (copy from State)
Birth Amendment/Legitimation (State Fee)
Birth Amendment/Notary - to County
Certified Birth Certificate
$300.00
$0.00
$0.00
$225.00
$125.00
$61.00
$20.00
$22.00
$10.00
$10.00
$15.00
$24.00
$15.00
$3.00
$10.00
Septic - Environmental Health
STD
STD
Tattoo - Environmental Health
Tattoo - Environmental Health
TB
TB
TB
Vital Records
Vital Records
Vital Records
Vital Records
Vital Records
Vital Records
Vital Records
11
Mecklenburg County Health Department Fee Schedule, 2016
Certified Death Certificate
Copies
Wallet Certificates - laminated
Wallet Certificates - laminated (2 or more)
-First Draw Lead
-Pesticides
-Volatile Organic Compounds
Additional Analysis that may be added to option 1, 2, or 3
Community and NTNC Well Registration
Option #1 - Bacteria Analysis (includes total coliform bacteria)
Option #2 - Bacteria and Nitrate/Nitrate Analysis (includes total coliform
bacteria, Nitrate)
Option #3 - Bacteria Nitrate/Nitrate and Inorganic Analysis
Private Well - Additional (2) site visits for sampling
Private Well - Major Repair
Private Well - Retained Fee if request is denied
Private Well –New (includes 2 site visits for sampling)
Transient Non-Community Well - Annual Registration
Transient Non-Community Well (New)
Transient Non-Community Well- Major Repair
Optional Site Evaluation
Use Existing System (residential or commercial)
$10.00
$1.00
$7.50
$5.00
$40.00
$74.00
$74.00
12
$100.00
$75.00
$100.00
Vital Records
Vital Records
Vital Records
Vital Records
Wells - Environmental Health
Wells - Environmental Health
Wells - Environmental Health
Wells - Environmental Health
Wells - Environmental Health
Wells - Environmental Health
Wells - Environmental Health
$160.00
$100.00
$100.00
$100.00
$550.00
$150.00
$550.00
$100.00
$100.00
$100.00
Wells - Environmental Health
Wells - Environmental Health
Wells - Environmental Health
Wells - Environmental Health
Wells - Environmental Health
Wells - Environmental Health
Wells - Environmental Health
Wells - Environmental Health
Wells/Septic - Environmental Health
Wells/Septic - Environmental Health