SEC. 128. PATIENT RATES.

   The Board of Supervisors of the City and County of San Francisco does hereby determine and fix the proper reasonable amounts to be charged to persons for services furnished by the Department of Public Health as follows, which rates shall be effective for services delivered as of July 1, 2022, through June 30, 2024.

TYPE OF SERVICE	UNIT	AMOUNT
		2023-24	2024-25
San Francisco Health Network
The San Francisco Health Network is the Department of Public Health’s system of care, which includes Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and the network of Community Primary Care Clinics. Patient Rates listed under this section, labeled “San Francisco Health Network,” apply to all providers that fall under the San Francisco Health Network.
Supplies & Drugs	Special Price Lists are located at 1001 Potrero Avenue, ZSFG, incorporated into this provision by reference as if specifically set forth herein. Such rates are subject to change by the Director of Health based on increases or decreases to procurement cost of the individual supplies and medications. These Special Price Lists are posted on the California Department of Health Care Access and Information website (https://hcai.ca.gov).
General Clinic
Initial Patient
Evaluation & Management (E/M) Expanded Exam	Visit	677	697
E/M Detailed Exam	Visit	773	795
E/M Comprehensive Exam	Visit	1,034	1,064
E/M Complex Exam	Visit	1,291	1,328
Established Patient
E/M Brief Exam	Visit	315	324
E/M Focused Exam	Visit	374	385
E/M Expanded Exam	Visit	493	507
E/M Detailed Exam	Visit	699	719
E/M Comprehensive Exam	Visit	1,090	1,122
Consultation
E/M Focused Consult	Visit	356	366
E/M Expanded Consult	Visit	656	675
E/M Detailed Consult	Visit	736	757
E/M Comprehensive Consult	Visit	972	1,000
E/M Complex Consult	Visit	1,152	1,185
Zuckerberg San Francisco General Hospital and Trauma Center (ZSFG)
Diagnostic Radiology Clinical Lab Anatomic Pathology All Other Special Services	Special Price Lists are located at 1001 Potrero Avenue, ZSFG, incorporated into this provision by reference as if specifically set forth herein. Such rates are subject to change by the Director of Health. These Special Price Lists are posted on the California Department of Health Care Access and Information website (https://hcai.ca.gov).
In-Patient Care
Medical Surgical	Day	9,769	9,769
Intensive Care	Day	22,460	22,460
Intensive Care - Trauma	Day	22,460	22,460
Coronary Care	Day	22,460	22,460
Stepdown Units	Day	14,103	14,103
Pediatrics	Day	9,343	9,343
Obstetrics	Day	7,645	7,645
Nursery
New Born	Day	4,177	4,177
Semi-Intensive Care	Day	14,901	14,901
Intensive Care	Day	22,459	22,459
Labor/Delivery Hours of Stay	Hour	363	363
Psychiatric Inpatient	Day	7,645	7,645
Psychiatric Forensic Inpatient - 7L	Day	7,645	7,645
Security Unit - 7D	Day	7,645	7,645
Skilled Nursing Facility	Day	3,059	3,059
Mental Rehab Unit	Day	2,528	2,528
Adult Residential Facility	Day	510	510
Respiratory Therapy
O2 Therapy	per 24 hours	393	404

 

TYPE OF SERVICE	UNIT	AMOUNT
		2023-24	2024-25
Surgical Services
Minor Surgery I (Come & Go)	1st Hour	7,244	7,454
Minor Surgery I (Come & Go)	Add’l ½ Hour or portion	3,622	3,727
Minor Surgery II	1st Hour	7,908	8,137
Minor Surgery II	Add’l ½ Hour or portion	3,954	4,069
Major Surgery I	1st Hour	11,910	12,255
Major Surgery I	Add’l ½ Hour or portion	4,760	4,898
Major Surgery II	1st Hour	13,410	13,799
Major Surgery II	Add’l ½ Hour or portion	5,370	5,526
Major Surgery III	1st Hour	14,924	15,357
Major Surgery III	Add’l ½ Hour or portion	5,971	6,144
Surgery (3 Teams)	1st Hour	24,606	25,320
Surgery (3 Teams)	Add’l ½ Hour or portion	9,844	10,129
Major Trauma I	1st Hour	14,028	14,435
Major Trauma I	Add’l ½ Hour or portion	5,614	5,777
Recovery Room	1st Hour	4,613	4,747
Recovery Room	Each Add’l Hour or portion	2,306	2,373
Anesthesia	1st Hour	10,363	10,664
Anesthesia	Add’l ½ Hour or portion	5,172	5,322
Trauma Care
Trauma Activation - 900	Visit	29,924	29,924
Trauma Activation - 911	Visit	17,602	17,602
Trauma Critical Care	1st 1-74 minutes	9,371	9,371
Trauma Critical Care	Each add’l 30 min. or portion	2,342	2,342
ED Level 5 Team Trauma	Visit	17,602	17,602
Emergency Clinic
Level I	Room	556	556
Level II	Room	1,665	1,665
Level III	Room	3,563	3,563
Level IV	Room	5,869	5,869
Level V	Room	11,846	11,846
Resuscitation		8,208	8,208

 

TYPE OF SERVICE	UNIT	AMOUNT
		2023-24	2024-25
Psychiatric Emergency Services
Psych Crisis – Level 1 ER Room	Room	1,135	1,135
Psych Crisis – Level 2 ER Room	Room	2,637	2,637
Psych Crisis – Level 3 ER Room	Room	4,143	4,143
Psych Crisis – Level 4 ER Room	Room	5,648	5,648
Psych Crisis – Level 5 ER Room	Room	7,156	7,156
Psych Crisis – Level 6 ER Room	Room	8,662	8,662
Medication Svs/Min.	per minute	27	27
Community Primary Care
Dental Services
Initial Complete Exam	Visit	202	208
Periodic Exam	Visit	202	208
Prophylaxis - Adult	Visit	279	287
Prophylaxis - Child	Visit	265	273
Extract Single Tooth	Visit	401	413
One Surface, Permanent Tooth	Visit	323	332
Home Health Services
Skilled Nursing	Visit	702	722
Home Health Aide Services	Visit	372	383
Medical Social Services	Visit	968	996
Physical Therapy	Visit	770	792
Occupational Therapy	Visit	770	792
Speech Therapy	Visit	770	792

 

TYPE OF SERVICE	UNIT	AMOUNT
		2023-24	2024-25
Laguna Honda Hospital
In-Patient Care
Regular Hospital Rates
Acute	Day	7,047	7,047
Rehabilitation	Day	7,047	7,047
Skilled Nursing Facility	Day	1,508	1,508
All-Inclusive Rates
Acute	Day	9,248	9,248
Rehabilitation	Day	8,057	8,057
Skilled Nursing Facility	Day	1,756	1,756
Community Behavioral Health Services
Outpatient Mental Health and Drug Medi-Cal Organized Delivery System
Psychiatrist/Contracted Psychiatrist/Physician	Hour	1,984.78	2,084.02
Physician’s Assistant	Hour	890.16	934.67
Nurse Practitioner	Hour	986.98	1,036.33
Registered Nurse	Hour	806.19	846.50
Certified Nurse Specialist	Hour	986.98	1,036.33
Alcohol and Drug Counselor	Hour	428.46	449.88
Licensed Vocational Nurse	Hour	423.51	444.69
Pharmacist	Hour	950.06	997.57
Licensed Psychiatric Technician	Hour	363.07	381.22
Psychologist/Pre-licensed Psychologist	Hour	798.21	838.12
Licensed Practitioner of the Healing Arts (MFT, LCSW, LPCC)/Intern or Waivered Licensed Practitioner of the Healing Arts (MFT, LCSW, LPCC)	Hour	516.55	542.37
Occupational Therapist	Hour	687.60	721.98
Mental Health Rehabilitation Specialist	Hour	388.63	408.06
Peer Recovery Specialist	Hour	408.06	428.46
Other Qualified Providers	Hour	388.63	408.06
Interactive Complexity	Occurrence	16.50	17.33
Sign Language or Oral Interpretive Services	Per 15 minutes	30.00	31.50
Mobile Crisis
Mobile Crisis	Per encounter	2,958.46	3,106.38
Transportation, mileage	Per mile	0.65	0.68
Transportation, staff time
Psychiatrist/Contracted Psychiatrist/Physician	Per 15 minutes	496.19	521
Physician’s Assistant	Per 15 minutes	222.54	233.67
Nurse Practitioner	Per 15 minutes	246.74	259.08
Registered Nurse	Per 15 minutes	201.55	211.62
Certified Nurse Specialist	Per 15 minutes	246.74	259.08
Alcohol and Drug Counselor	Per 15 minutes	107.12	112.47
Licensed Vocational Nurse	Per 15 minutes	105.88	111.17
Pharmacist	Per 15 minutes	237.52	249.39
Licensed Psychiatric Technician	Per 15 minutes	90.77	95.31
Psychologist/Pre-licensed Psychologist	Per 15 minutes	199.55	209.53
Licensed Practitioner of the Healing Arts (MFT, LCSW, LPCC)/Intern or Waivered Licensed Practitioner of the Healing Arts (MFT, LCSW, LPCC)	Per 15 minutes	129.14	135.59
Occupational Therapist	Per 15 minutes	171.90	180.49
Mental Health Rehabilitation Specialist	Per 15 minutes	97.16	102.01
Peer Recovery Specialist	Per 15 minutes	102.01	107.11
Other Qualified Providers	Per 15 minutes	97.16	102.01
Mental Health
24-Hour Service
Hospital Inpatient	Day	7,645	7,645
Skilled Nursing	Day	285.13	299.39
Adult Crisis Residential	Day	700.74	735.78
Adult Residential	Day	534.82	561.56
Therapeutic Foster Care (TFC) Service Model	Day	596.85	626.69
Day Services
Day Rehabilitation	Day	353.83	371.52
Day Rehabilitation	Half Day	235.89	247.68
Day Treatment Intensive	Day	758.44	796.36
Day Treatment Intensive	Half Day	505.63	530.91
Day Treatment Intensive (Children)	Day	758.44	796.36
Day Treatment Intensive (Children)	Half Day	505.63	530.91
Crisis Stabilization	Hour	341.64	358.72
Socialization	Hour	143.20	150.36

 

TYPE OF SERVICE	UNIT	AMOUNT
		2023-24	2024-25
Opioid Replacement Therapy (OTP)/Narcotic Treatment Program (NTP)
Methadone	Daily	36.34	38.16
Buprenorphine–Naloxone Combo	Daily	49.16	51.62
Buprenorphine Mono	Daily	48.62	51.05
Disulfiram –Perinatal	Daily	13.16	13.82
Buprenorphine Injectable (Sublocade)	Monthly	8,468.55	8,891.97
Naltrexone Injectable (Vivitrol)	Monthly	6,747.09	7,084.44
Naloxone HCL –2 pack (Generic)	Per pack of 2	106.07	111.37
Naloxone HCL –2 pack (Narcan)	Per pack of 2	144.76	152
SUD Residential Treatment
Level 3.2 Residential Withdrawal Management	Day	201.25	211.31
Level 3.1 Residential	Day	311.67	327.25
Level 3.3 Residential	Day	185.69	194.97
Level 3.5 Residential	Day	201.78	211.87

 

TYPE OF SERVICE	UNIT	AMOUNT
		2023-24	2024-25
Population Health & Prevention
Vital Records
Birth Certificate	Per Certificate	Rates Per California Health and Safety Code Section 103650
Death Certificate	Per Certificate	Rates Per California Health and Safety Code Section 103650
Permit-Disposition of Human Remains	Per Permit	Rates Per California Health and Safety Code Section 103650
Out-of-County Cross File Fee	Per Certificate	Rates Per California Health and Safety Code Section 103650
Letter of Non-Contagious Disease	Per Letter	15	15
Expedited Registration of Vital Event	Per Event	Rates Per California Health and Safety Code Section 103650
Expedited Documents	Per Delivery	30	30
After Hours Registration of Vital Event	Per Event	42	42
Reproduction of Documents	Per Page	2	2
Medical Marijuana
Medical Marijuana ID	Card	100	100

 

TYPE OF SERVICE	UNIT	AMOUNT
		2023-24	2024-25
Adult Immunization Clinic
Vaccines
Clinic Visits
Travel Health Visit (THV1)	Per Visit	60	70
Travel Health Visit (THV2) – Under Age 18 with Parent THV1	Per Visit	60	70
Registered Nurse Visit – Off-Site Location	Per Visit	200	200
Other Vaccines	Per Injection	Special Price List is located at 101 Grove Street, Adult Immunization and Travel Clinic, incorporated into this provision by reference as if specifically set forth herein, and not subject to change except by amendment to this provision. This Special Price List is posted on the San Francisco Department of Public Health Communicable Disease and Control Prevention website (https://www.sfcdcp.org/aitc/aitc-regular-prices-low-cost-or-free-vaccines/).
Public Health Laboratory
Lab Testing	Per Specimen	Rates Per the Medicare Outpatient Fee-For-Service Reimbursement Rate

 

(Added by Ord. 313-96, App. 8/8/96; amended by Ord. 332-97, App. 8/19/97; Ord. 278-98, App. 8/28/98; Ord. 236-99, File No. 991389, App. 8/27/99; Ord. 20-00, File No. 000043, App. 2/11/2000; Ord. 218-00, File No. 001337, App. 9/8/2000; Ord. 13-01, File No. 002148, App. 1/26/2001; Ord. 173-01, File No. 011220, App. 8/10/2001; Ord. 151-02, File No. 021073, App. 7/12/2002; Ord. 34-03, File No. 030167, App. 3/13/2003; Ord. 189-03, File No. 030986, App. 7/25/2003; Ord. 185-04, File No. 040748, App. 7/22/2004; Ord. 178-05, File No. 050985, App. 7/29/2005; Ord. 197-06, File No. 060782, App. 7/21/2006; Ord. 195-07, File No. 070810, App. 8/3/2007; Ord. 164-08, File No. 080761, App. 7/30/2008; Ord. 153-09, File No. 090701, App. 7/15/2009; Ord. 177-10, File No. 100719, App. 7/23/2010; Ord. 157-11 , File No. 110708, App. 8/1/2011, Eff. 8/31/11; Ord. 167-12 , File No. 120604, App. 7/27/2012, Eff. 8/26/2012; Ord. 93-13 , File No. 130261, App. 5/31/13, Eff. 6/30/13 [retroactive]; Ord. 172-13 , File No. 130547, App. 8/2/2013, Eff. 9/1/2013; Ord. 170-14 , File No. 140628, App. 7/31/2014, Eff. 8/30/2014; Ord. 86-15 , File No. 150184, App. 6/18/2015, Eff. 7/18/2015 [retroactive]; Ord. 145-15 , File No. 150570, App. 8/6/2015, Eff. 9/5/2015; Ord. 152-16 , File No. 160635, App. 8/1/2016, Eff. 8/31/2016; Ord. 173-17, File No. 170681, App. 7/27/2017, Eff. 8/26/2017, Retro. 7/1/2017; Ord. 186-18, File No. 180586, App. 8/1/2018, Eff. 9/1/2018, Retro. 7/1/2017 and 7/1/2018*; Ord. 180-20, File No. 200844, App. 10/1/2020, Eff. 11/1/2020; Ord. 124-21, File No. 210646, App. 8/4/2021, Eff. 9/4/2021; Ord. 185-22, File No. 220686, App. 8/4/2022, Eff. 9/4/2022; Ord. 177-23, File No. 230662, App. 7/28/2023, Eff. 8/28/2023)

CODIFICATION NOTE

1.   So in Ord. 177-23.

*Editor’s note:

   Section 3(b) of Ord. 186-18 states: “new rates established in this ordinance for Fiscal Year 2017-2018 shall be retroactive to July 1, 2017, and new rates established in this ordinance for Fiscal Year 2018-2019 shall be retroactive to July 1, 2018.”