§ 41.005 FEE SCHEDULE.

   This fee schedule is hereby established and approved for the services and records provided by the Elkhart County Health Department.

   (A)   Environmental health services.

Service	Permit Fee if Obtained on Time	Permit Fee if Obtained Late
Retail food establishment permit (annual license)
Full service establishment (includes establishments that prepare or handle potentially hazardous foods)	$225	$675
Limited service establishment (includes establishments selling only pre-packaged food items or repackaging of only non-potentially hazardous foods)	$140	$420
Mobile food establishment permit - full service
Commissary	$225	$675
First mobile unit	$115	$345
Second and each subsequent mobile unit	$65 per unit	$ 195 per unit
Mobile food establishment permit - limited service
Commissary	$140	$420
First mobile unit	$65	$195
Second and each subsequent mobile unit	$35 per unit	$105 per unit
Outdoor food operation (as defined in 410 I.A.C. 7-26)	$115 each	$345 each
Vending establishment license (annual)
Commissary vending license - full service	$225	$675
Commissary vending license - limited service	$140	$420
Vending permit (1 - 30 machines)	$160	$480
Vending permit (31 - 50 machines)	$175	$525
Vending permit (51 - 100 machines)	$250	$750
Vending permit (101+ machines)	$325	$975
Vending involving on-site preparation	$225 each	$675 each
Not-for-profit (NFP) food service establishment licenses (annually)
Full service establishment (includes establishments that prepare or handle potentially hazardous foods)	$112.50	$337.50
Limited service establishment (includes establishments selling only pre-packaged food items or repackaging of only non-potentially hazardous foods)	$70	$210
NFP mobile food establishment permit - full service
Commissary	$112.50	$337.50
First mobile unit	$57.50	$172.50
Second and each subsequent mobile unit	$32.50 per unit	$97.50 per unit
NFP mobile food establishment permit - limited service
Commissary	$70	$210
First mobile unit	$32.50	$97.50
Second and each subsequent mobile unit	$17.50 per unit	$52.50 per unit
NPF outdoor food operation (as defind in 410 I.A.C. 7-26)	$57.50 each	$172.50 each
NFP vending establishment license (annual)
Commissary vending license - full service	$112.50	$337.50
Commissary vending license - limited service	$70	$210
Vending permit (1 - 30 machines)	$80	$240
Vending permit (31 - 50 machines)	$87.50	$262.50
Vending permit (51 - 100 machines)	$125	$375
Vending permit (101+ machines)	$162.50	$487.50
Vending involving on-site preparation	$112.50 each	$337.50 each
Replacement copy of food license	$10
Reinstatement of retail food establishment permit after suspension or revocation	$225	$675
Temporary food establishment permit with more than 10 days confirmed notice of intent to operate to Environmental Health:
1 2 day events	$55
3 7 day events	$75
8 14 day events	$125
Temporary food establishment license with between 2 and 10 days confirmed notice of intent to operate to Environmental Health:
1 - 2 day events	$110
3 - 7 day events	$150
8 - 14 day events	$250
Temporary food establishment license with less than 48 hours of confirmed notice of intent to operate to Environmental Health:
1 - 2 day events	$165
3-7 day events	$225
8 - 14 day events	$375
All temporary fees owed after at least two days confirmed notice of intent to operate is given must be paid to the Elkhart County Office of Environmental Health no later than 3:00 p.m. two business days prior to the event. If confirmed notice of intent to operate is given less than 48 hours in advance of the event, the applications and fees received must be immediately paid to the office at the time such notice is given. Fees paid after office hours must be paid by check or credit card. Licenses are NOT transferable. Fees are NOT refundable.
Retail food establishment construction/remodel and procedure plan review
Prior to construction	$200
After construction commences	$600
Retail food establishment procedure only plan review
Prior to procedure implementation	$100
After procedure implementation	$300
Commercial swimming pool licenses
Initial pool at one location	$150	$450
Second and each subsequent pool at same location	$90	$270
Not-for-profit organization pool license
Initial pool at one location	$75	$225
Second and each subsequent pool at same location	$45	$135
Commercial swimming pool plan review
Prior to construction	$200
After construction commences	$600
Replacement copy of pool license	$10
Peizometer studies (each)	$250
Septic or well evaluation (each)	$100
Well drinking water sample testing (E.coli, total coliforms, nitrates, and arsenic)	Cost of the test rounded to next highest dollar, plus a $5 processing fee
Septic system permits
Residential septic construction permit	$225	$675
Commercial septic construction permit	$225	$675
Repair of septic construction permit	$225	$675
Holding tank installation permit	$500	$1,500
ATU, TNI and septic component operating/maintenance permit (once per three years)	$50	$150
Holding tank operating/maintenance permit (annual permit)	$750	$2,250
All other septic system operating/maintenance permit (once every five years)	$25	$75
Septic professional registration	$40	$120
Water well construction permit	$100	$300
Lead
Comprehensive environmental lead investigation, not including laboratory analysis, per dwelling (initial)	$300
Comprehensive environmental lead investigation, not including laboratory analysis, per dwelling (follow-up)	$110
Radon test	Cost of the test rounded to the next nearest dollar, plus a $5 processing fee

 

   (B)   Healthy beginnings.

 

Service	Amount
Pregnancy testing	$5 per test
Dental fees - sliding scale: Refer to Sliding Fee Scale Policy for category explanation. Medicare will be billed according to federal law and dental clinic policies.

 

Code	Treatment	A	B	C	Full Fee
D0120	Periodic oral exam	$13.75	$27.50	$41.25	$55
D0140	1st oral exam - limited	$19	$38	$57	$76
D0150	1st oral exam - comprehensive	$21.75	$43.50	$65.25	$87
D1110	Prophylaxis (adult)	$24.50	$49	$73.50	$98
D1120	Prophylaxis (child)	$18.25	$36.50	$54.75	$73
D1206	Flouride treatment (varnish)	$10.50	$21	$31.50	$42
D1208	Flouride treatment (gel)	$10	$20	$30	$40
D1351	Sealant - per tooth	$14.25	$28.50	$42.75	$57
D0210	Intraoral complete series	$35.75	$71.50	$107.25	$143
D0220	Intraoral X-rays - periapical	$7.75	$15.50	$23.25	$31
D0230	Intraoral X-rays - periapical (each addt’l)	$6.25	$12.50	$18.75	$25
D0240	Intraoral X-rays - occlusal	$7.25	$14.50	$21.75	$29
D0270	Bitewing - 1 single film	$5	$10	$15	$20
D0272	Bitewing X-rays - 2 films	$12.25	$24.50	$36.75	$49
D0273	Bitewing X-rays - 3 films	$14.75	$29.50	$44.25	$59
D0274	Bitewing = 4 films	$17.50	$35	$52.50	$70
D0330	Panoramic series	$30.75	$61.50	$92.25	$123
D2140	Amalgam 1 surface - primary	$36.50	$73	$109.50	$146
D2150	Amalgam 2 surfaces - primary	$45.50	$91	$136.50	$182
D2160	Amalgam 3 surfaces - primary	$54.50	$109	$163.50	$218
D2161	Amalgam 4 surfaces - primary	$64.25	$128.50	$192.75	$257
D2140	Amalgam 1 surface - permanent	$36.50	$73	$109.50	$146
D2150	Amalgam 2 surfaces - permanent	$45.50	$91	$136.50	$182
D2160	Amalgam 3 surfaces - permanent	$54.50	$109	$163.50	$218
D2161	Amalgam 4 surfaces - permanent	$64.25	$128.50	$192.75	$257
D2930	Stainless steel crown - primary	$71	$142	$213	$284
D2931	Stainless steel crown - permanent	$84.25	$168.50	$252.75	$337
D3220	Pulpotomy	$5.25	$10.50	$15.75	$21
D2330	Resin based 1 surface	$43.50	$87	$130.50	$174
D2331	Resin based 2 surfaces	$53	$106	$159	$212
D2332	Resin based 3 surfaces	$64	$128	$192	$256
D2390	Anterior resin based comp. crown	$113.75	$227.50	$341.25	$455
D2920	Recement crowns	$28.75	$57.50	$86.25	$115
D2940	Sedative filling	$31.50	$63	$94.50	$126
D1510	Space maintainer - fixed (unilateral)	$82.25	$164.50	$246.75	$329
D1550	Space maintainer recement of fixed	$9.13	$18.25	$27.38	$36.50
D155	Space maintainer removal of fixed	$9.13	$18.25	$27.38	$36.50
D7140	Extraction	$47.50	$95	$142.50	$190
D9920	Behavioral management	$31.75	$63.50	$95.25	$127
D4355	Full mouth debridement	$46.75	$93.50	$140.25	$187
D1354	Silver diamine flouride	$13.75	$27.50	$41.25	$55
D9230	Inhalation of nitrous oxide	$22	$44	$66	$88
D7111	Extraction, coronal remnants - primary tooth	$33.75	$67.50	$101.25	$135
WIC Services		No charge

 

   (C)   Health education.

 

Service	Amount
Education programs at worksites	$50 per staff member per program for up to 4 hours
	$10 per staff member per hour after the initial 4 hours

 

   (D)   Community health nursing.

Service	Amount
Private purchase vaccine	Actual cost of the vaccine administered rounded up to the nearest dollar, plus $15 administration fee
Private purchase medications	Acquisition cost rounded up to nearest dollar
Tuberculosis skin tests	$25 per test
Vaccine for children and 317 vaccines	$15 administration fee per vaccine
Health screening and evaluation for previous tuberculosis skin test reactor	$25
Sexually transmitted infection clinic	$25 per episode
Venipuncture fee	$15 per blood draw
Miscellaneous laboratory fees	Actual cost of the laboratory test rounded up to the next dollar
Immigration clinic	$35 per visit plus applicable fees for other services provided
Physician visits for breast and cervical cancer screening	1.2 times the state established fee schedule
Other clinic visits	New Client	Returning Client
Level I	$40	$20
Level II	$60	$35
Level III	$90	$60
Level IV	$140	$90
Level V	$180	$120
	*A sliding scale will be in effect similar to the MCH grant contract
Pregnancy testing	$5 per test
Submission of animal heads to State Department of Health for rabies exam	$25 per head
Immunization certified record copy	$5
Certification training program	$25 per student for programs up to 2 hours plus the cost of supplies rounded up to the nearest dollar
	$45 per student for programs for 2–4 hours plus the cost of supplies rounded up to the nearest dollar
Lead
Case management each 15 minutes (lead)	$10 per unit

 

   (E)   Vital records services.

Service	Amount
Birth certificate	$15 each
Plastic pouch	$2
Death certificate	$15 each
Non-certified death certificate	$8
Large pouch	$5
Genealogy records
Genealogy records – non-certified	$8 each
Genealogy records – certified	$15 each
Paternity and legitimations	$75
Certified paternity affidavit	$5
Corrections to birth certificates
By notification	$15
Affidavit of amendment	$20

 

   (F)   Administrative services.

Service	Amount
Certification/notarization fee for out-of-country documents	$2
Copy fee
Black and white copy	Except for circumstances where a specific amount is provided by Indiana law, the costs for copies by the Health Department will match the amount in effect at the time pursuant to § 41.095
Color copy
No general admission may be charged to anyone attending a meeting in the Conference Center. Groups may, however, restrict meetings to their own members and make normal collection of the duties/fees from their own members. No buying or selling of products or services is permitted on the Health Department property, except in support of Health Department or county activities. The application and agreement for the use of the Conference Center needs to be completed and returned along with fees. The fee structure for the use of the Conference Center is as follows:
Use of the Conference Center	$150 per use
Use of Health Department equipment such as projectors, screens, etc.	$100 refundable deposit

 

   (G)   Sewer determination service requested under I.C. 13-26-5-2.5(b)(2).

 

Service/Expenses	Amount
Services performed by county employees to make its written determination.	$0.00
Reimbursement for out-of-pocket expenses incurred by the Health Department for goods used or services retained to make its written determination. Direct payment to third-party designees of the county to perform services to make a written determination.	If already incurred by the county, the property owner must reimburse the county at cost for such goods and services. If requested by the county, the property owner must pay the third-party designee directly in advance of services being performed. The total costs owed by a property owner for these reimbursable and direct pay expenses will not exceed $600. These costs are waived for property owners that completed installation of their new system, with a county permit, within three calendar years of requesting a written determination under I.C. 13-26-5-2.5(b)(2).
Cost necessary to return the property to a condition satisfactory to property owner.	The property owner is solely responsible for paying a third-party contractor for all applicable expenses necessary to return the property to a condition satisfactory to the property owner (See I.C. 13-26-5-2.5(b)(2)).

 

   (H)   Refunds. Please note that no refunds will be granted for any fees listed in the ECHD Fee Schedule.

(Prior Code, § 16-20-1-27) (Ord. 96-661, passed 7-15-1996, 96 COM REC 661–663; Ord. 97-802, passed 9-15-1997, 97 COM REC 801–809; Ord. 98-736, passed 12-21-1998, 98 COM REC 736-743; Ord. 2000-154, passed 3-27-2000, 2000 COM REC 151–160; Ord. 2000-782, passed 11-20-2000, 2001 COM REC 782–784; Ord. 2001-44, passed 2-5-2001, 2001 COM REC 44–45; Ord. 2002-422, passed 9-3-2002, 2002 COM REC 422–424; Ord. 2003-367, passed 7-21-2003, 2003 COM REC 367–369; Ord. 2003-526, passed 10-20-2003, 2003 COM REC 526–528; Ord. 2004-585, passed 12-20-2004, 2004 COM REC 585–588; Ord. 2006-303, passed 5-25-2006, 2006 COM REC 303–305; Ord. 2009-163, passed 4-6-2009; Ord. 2010-88, passed 2-15-2010; Ord. 2010-383, passed 11-22-2010; Ord. 2012-509, passed 12-31-2012; Ord. 2015-200, passed 6-29-2015; Ord. CO-2018-013, passed 4-30-2018; Ord. CO-2019-22, passed 6-24-2019; Ord. CO 2020-10, passed 3-16-2020; Ord. CO 2022-22, passed 10-24-2022; CO 2023-50, passed 10-30-2023)