Ala. Admin. Code r. 420-1-5-.08 – State Level Fees

Notwithstanding any rule provision previously adopted by the State Board of Health, pursuant to Code of Ala. 1975, §§22-11A-42 and 41-1-11, the Department of Public Health shall collect fees for the services as set out below.

(1) Bureau of Environmental Services
1. (a) Lead Hazard Reduction Contractor Certification
  1. 1. Initial Application Fee -- $300
  2. 2. Annual Renewal Fee -- $240
  3. 3. Replacement Certificate Fee -- $30
  4. 4. Project Fees:
    1. (i) Residential Dwelling Unit -- $120 per residential dwelling unit covered by the project notification for project of 1 to 5 dwelling units up to $600. For projects exceeding 5 residential dwelling units, the fee shall be $600 plus 2 percent (.02) of the contract (project) cost covered by the project notification but not to exceed $12,000.
    2. (ii) Child Occupied Facilities -- $300 for each child occupied facility plus 2 percent (.02) of the contract (project) cost covered by the project notification but not to exceed $12,000.
    3. (iii) Combined Mixed Use Project. (Project which contains both residential dwelling units and child occupied facilities): $120 per residential dwelling unit covered by the project notification for project of 1 to 5 dwelling units up to $600, $300 for each child occupied facility, plus 2 percent (.02) of the contract (project) cost covered by the project notification but not to exceed $12,000.
2. (b) Lead Renovation Contractor Certification
  1. 1. Initial Application Fee -- $300
  2. 2. Annual Renewal Fee -- $300
  3. 3. Replacement Certificate Fee -- $30
3. (c) Milk, Milk Products or Frozen Dessert Processing Plant Permit; Initial Application and Annual Renewal Fee -- $300
4. (d) Performance/Operational Permit for Cluster Wastewater Systems ytilizing a Certified Management Entity; Initial Application, Modification and 5-Year Renewal Fee -- $2,500

(2) Bureau of Health Provider Standards

(a) Health Care Facility License (excluding Assisted Living Facilities and Specialty Care Assisted Living Facilities):
1. 1. Initial Application and Annual Renewal Fee -- $240, plus a fee of $6 per bed for each bed over 10 beds.
2. 2. Increase in Bed Capacity during Calendar Year -- $240, plus $6 each for the net gain in beds.
(b) Assisted Living Facility and Specialty Care Assisted Living Facility Initial Application and Annual Renewal Fee -- $240, plus a fee of $18 for each bed.
(c) Late Penalty for Annual Renewal -- $300 or 100 percent of the renewal fee, whichever is greater.

(d) Health Care Facility Plan Review Fees:

1. Initial Fee Accompanying First Drawing Submittal -- $600

2. Total Fee:

Construction Cost	Fee (% of Construction Cost)
Up to $100,000	Greater of $600 or 1.44%
$100,001-$1,000,000	Greater of $1,440 or 0.6%
$1,000,001-$5,000,000	Greater of $6,000 or 0.24%
$5,000,001-$15,000,000	Greater of $12,000 or 0.12%
Over $15,000,000	$18,000

(3) Office of Emergency Medical Services
1. (a) Individual Emergency Medical Services Personnel 24-Month License (Initial Application and Renewal) -- $40
2. (b) Air or Ground Provider Service 12-Month License (Initial Application and Renewal) -- $100
(4) Bureau of Clinical Laboratories
Procedure CodeHybrid Name Test Name in Horizon Laboratory Information Management SystemRate0010U Infectious bacterial disease, whole genome sequencingEnteric Whole Genome Sequencing$640.8980048 80048 - Blood chemistry analysisBasic Metabolic Panel $16.5080051 80051 - Blood chemistry analysisElectrolyte Panel $12.0080053 80053 - Blood chemistry analysisComprehensive Metabolic Panel$18.0080061 80061 - Blood chemistry analysisLipid Panel $22.3280069 80069 - Blood chemistry analysisRenal Function Panel $14.4880076 80076 - Blood chemistry analysisHepatic Function Panel $13.6282040 82040 - Blood chemistry analysisAlbumin $8.2582150 82150 - Blood chemistry analysisAmylase $10.8082247 82247 - Blood chemistry analysisBilirubin, Total $8.3682248 82248 - Blood chemistry analysisBilirubin, Direct $8.3682310 82310 - Blood chemistry analysisCalcium $8.6082465 82465 - Blood chemistry analysisTotal Cholesterol $7.5082565 82565 - Blood chemistry analysisCreatinine $9.0082728 82728 - Blood chemistry analysisFerritin $22.7382947 82947 - Blood chemistry analysisGlucose $6.5682977 82977 - Blood chemistry analysisGGTP $12.0083540 83540 - Blood chemistry analysisIron $10.7983550 83550 - Blood chemistry analysisIBC (part of MAP Panel) $15.0083615 83615 - Blood chemistry analysisLDH $10.0783655 83655 - Lead Blood Lead $22.5083718 83718 - Blood chemistry analysisHDL Cholesterol $13.6583721 83721 - Blood chemistry analysisLDL Cholesterol $15.9084075 84075 - Blood chemistry analysisAlkaline Phosphate $9.0084100 84100 - Blood chemistry analysisPhosphorus $7.9184155 84155 - Blood chemistry analysisProtein, Total $6.1184436 84436- Blood chemistry analysisThyroxine, Total (part of Thyroid Panel)$11.4584443 84443 -Blood chemistry analysisTSH (part of Thyroid Panel)$34.4084450 84450 - Blood chemistry analysisAST (SGOT) $9.0084460 84460 - Blood chemistry analysisALT (SGTP) $10.5084478 84478 - Blood chemistry analysisTriglycerides $10.5084479 84479- Blood chemistry analysisT Uptake (part of Thyroid Panel)$10.7784520 84520 - Blood chemistry analysisBUN (Urea Nitrogen) $7.5084550 84550 - Blood chemistry analysisUric Acid $10.0885025 85025 - CBC with differentialCBC with Differential $15.0085027 85027 - CBC CBC $10.7786360 86360 - Blood lymphocyte countLymphocyte Subset (with or without %)$87.0086592 86592 - Syphilis qualitativeRPR Automated $7.5086593 86593 - Syphilis quantitativeRPR Dilution Automated $7.5086618 Lyme disease total antibodyBorrelia burgdorferi Antibody$28.3886701 86701 - HIV-1 HIV-1/2 Geenius $16.5086702 86702 - HIV-2 HIV-1/2 Geenius $25.5086706 86706 - HBsAb Hep B Surf Antibody $18.0086709 86709-Hepatitis A IGM AntibodyHepatitis A Antibody, IgM $21.0086780 86780 - TPPA Syphilis Screen $24.0086788 86788 - West Nile virus IgMWest Nile Virus $28.0886789 86789 - West Nile virus antibodyWest Nile Virus $23.9986790 Virus antibody, not otherwise specifiedChikungunya IgM $24.0086794 Zika virus IM antibodyZika IgM (and other flavivirus)$28.0886803 86803-Hepatitis C AB testHep C Antibody (Anti-HCV) $24.0087015 87015 - Concentration TB Smear and Culture $11.1387040 87040 - Aerobic bacterial cultureBordetella Culture $17.2187045 87045 - Aerobic isolation stoolEnteric Fecal Screen $16.5087046 87046 - Aerobic culture stoolE. coli O157 Confirmation, E. coli Screen$15.7487070 87070 - Isolate identificationLegionella Culture Screen, Positive Gonorrhea Culture$16.5087076 87076 - Anaerobic isolateAnaerobic Identification $15.0087077 87077 - Aerobic identificationBiochemicals (TB Biochemicals, Aerobic Identification, Bordetella Culture, E. coli O157 Confirmation, E. coli Screen, Haemophilus ducreyi, Haemophilus influenzae Confirmation, Legionella Culture Screen, Neisseria meningitidis, Positive Gonorrhea Culture, Salmonella, Shigella, ShigaToxin Screen & Isolation, Vibriosis Confirmation)$13.4687081 87081 - Culture Legionella Culture Screen $12.0087086 87086 - Culture with quantitative countUrine Culture (Streak) $15.0087088 87088 - Culture identificationUrine Culture (Isolation) $15.0087101 87101 - Culture of mold/yeastFungal Scalp $13.5087102 87102 - Culture of mold/yeastRoutine Mycology $14.0187103 87103 - Blood mycologyBlood Routine Mycology $30.6987106 87106 - Culture of fungi/yeastMycology Cultures $17.2187107 87107 - Culture of moldFungal Scalp $17.2187116 87116 - Mycobacteria, presumptive cultureTB Culture (negative growth)$18.0087118 87118 - Mycobacteria, confirmatory cultureTB Culture (positive growth), TB MALDI Assay$21.9287147 87147 - Immunologic methodE. coli O157 Confirmation, E. coli Screen, Haemophilus influenzae Confirmation, Neisseria meningitidis, Salmonella, General Micro Serotype, Shigella, Shiga Toxin Screen & Isolation$8.6387150 87150 - Nucleic acid amp probe, per culture/isolateBacillus PCR, Blood Parasites, Bordetella pertussis PCR, Brucella PCR, Burkholderia PCR, CRE/CRPA (GeneXpert Carba-R), Dengue, Francisella PCR, General PCR, Haemophilus influenza PCR (Tests for 7 types), Neisseria meningitidis PCR, Norovirus PCR, TB PCR, Yersinia PCR$58.4987152 Culture, pulse field gelPFGE $11.6187153 DNA/RNA Sequencing identification16S sequencing, Norovirus sequencing$192.2687172 87172 - Pinworm exam Pinworm $7.1387177 87177 - Parasites smear and identificationOva and Parasitology $14.8487186 87186 - Microdilution Urine Culture ID (Enterococci Sensitivity, Enterobacteriaceae, Non-enterococcal Strep Sens, Pseudomonas Sensitivity, Staphylococci)$14.4287187 Microbe susceptible microdilution/agar dilutionCRE/CRPA Susceptibility, Agar Diffusion $60.2687188 87188 - Macrobroth dilution sensitivityTB Sensitivity (AST) $12.0087190 87190 - Mycobacteria sensitivityTB Sensitivity (Direct/Indirect)$10.9787205 87205 - Smear/stain Gram Stain $7.5087206 87206 - Acid fast stainTB Smear and Culture, Kinyoun Stain, Bordetella Smear, FA Stain Microbiology, Ova and Parasitology $8.9987207 87207 - Parasites stain Blood Parasites $10.5087209 87209 - Complex stain Ova and Parasitology $29.9687210 87210 - Wet mount Mycology Cultures $8.7387230 Toxin assays Botulinum Toxin Mouse Bioassay (One per mouse; 2-10), Ricin TRF$32.9087340 87340 - HBsAg Hep B Surf Antigen $19.5087341 87341 - HBsAg neutralizationHepatitis Neutralization $17.2287389 87389 - HIV-1 Ag with HIV-1/2 AbHIV Screen Ag-Ab Bioplex $40.1387390 87390-HIV-1 AG IA HIV-1/2 Geenius $36.0987427 87427 - Shiga-like toxinEnteric Fecal Screen $19.9887501 Influenza DNA amplified probeInfluenza PCR (Tests for 2-8 types)$85.5387507 GI pathogens, multiplex amplified probe, 12-25 targetsGI Panel (BioFire) $694.6487522 87522-Hepatitis C RevrsHepatitis C Viral Load $71.4087535 87535 - HIV-1 amplified probeHIV-1 Conf of HIV-SCRN (HIV-1 RNA Qualitative Assay)$58.4987536 87536 - HIV-1 quantificationHIV Viral Load $141.8387550 87550 - Mycobacteria direct probeKansasii Probe, Gordonii Probe$37.5087555 87555 - Mycobacteria direct probeTB Probe $40.3287560 87560 - Mycobacteria avium probeAvium Probe $40.9487633 87633 - Respiratory virus amplified probeRespiratory Panel Biofire PCR$694.6487661 87661 - Nucleic acid amplified probeTV $58.4987797 Infectious Agent, nucleic acid direct probe, not otherwise specifiedVZV PCR $45.0587798 Infectious Agent, nucleic acid amplified probe, not otherwise specifiedBotulinum PCR (Tests for 7 types), Coxiella PCR, Ebola PCR, Middle Eastern Respiratory Syndrome Coronavirus (MERS-CoV), Non-variola orthopoxvirus PCR, Norovirus PCR (Test for 2 types), Orthopoxvirus PCR$58.4987801 87801 - Nucleic acid amplified probe, multiple organismsCT & GC, Arbovirus Trioplex PCR (Tests for 3 viruses), Bordetella PCR (Tests for 3 organisms), Plasmodium (Tests for 4 organisms)$116.9987901 87901 - HIV-1 reverse transcriptaseHIV Genotyping $429.0881220 81220 - NBS CFDNA $1,800.0081479 81479-Molecular Pathology Procedure-NBS-SCID $2,692.5082010 82010 - NBS Acetone serum quant $15.1482017 82017 - NBS Acylcarnitines quant $34.5282131 82131 - NBS Amino acids single quant $34.5282139 82139 - NBS Amino acids multi quant $34.5282261 82261 - NBS Biotinidase $34.5282379 82379 - NBS Carnitine total/free quant $34.5282775 82775 - NBS Galactosemia $43.1183021 83021 - NBS Hemoglobin Frac/Quant $36.9583498 83498 - NBS CAH $55.6183520 83520 - NBS IRT $26.4984437 84437 - NBS Thyroxine $13.2584443 84443 - NBS TSH $34.40

Author: P. Brian Hale

Statutory Authority: Code of Ala. 1975, §§22-11A-42, 41-1-11.

History: New Rule: Filed June 15, 2016; effective July 30, 2016. Amended: Published April 30, 2020; effective June 14, 2020. Amended: Filed January 19, 2023; effective May 15, 2023.