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 |
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 |
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 |
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 |
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 |
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)