UCI COEH - COST FILE
PROPOSED PRICING – HEALTH SCREENING SERVICES
*Please refer to the Scope of Services for details involving each type*
Service/Screening Type Cost Per Service / Per Person
1. Class 1 Examination
$ 335
2. Class 2 Examination
$ 435
3. Class 3 Examination
$ 984
4. Executive Management
Positions Evaluation
$ 984 with a treadmill and $750 without a treadmill*
5. Fitness for Duty Evaluation
$ 450/per hour
6. Annual Fire Department
Physical/Medical
Evaluation**
$ 1194
7. Skin Screening
$ 558 by referral to UCI
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ATTACHMENT C
COST FILE
8. Cardiac and Other Specialized
Tests
(including but not limited to Cardiac
Stress Tests; Magnetic Resonance
Imaging (MRI); or Computer Axial
Tomography (CT or CAT Scan)
8a. Physician Monitored Cardio Stress
Test
$ 394 by referral to UCI
8b. Complete Echo 2D M-Mode
$ 500 by referral to UCI
8c. Complete Echo Doppler
$ 450 by referral to UCI
8d. Complete Echo, Color Flow
$ 450 by referral to UCI
8e. ECG Tracing
$ 98
8f. ECG Report
$ 98
8g. Staff Monitored Stress Echo
Exercise, Exercise Stress
$ 680 by referral to UCI
8h. Stress Echo, Tracing Only, Without
lntrep & Report
$ 570 by referral to UCI
8i. Stress Echo, Interpretation &
Report Only
$ 350 by referral to UCIcc
8j. Treadmill Test- Fitness Assessment
$ 234
9. Lab Work
9a. Profile (CBC, CMP, LIPID
PROFILE)
$ 61
9b. Quantiferon-TB Gold
$ 82
9c. Varicella-Zoster AB, lgG
$ 142
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COST FILE
9d. Vitamin D 25 OH, Total
$ 30
9e. PSA
$ 48
9f. CRP
$ 7
9g. Iron
$ 7
9h. Iron Binding
$15
9i. TSH 3rd gen*
$ 18
9j. MMR
$ 87
9k. Venipuncture
$ 3
9l. Hepatitis B
$ 84
9m. Hepatitis C
$ 50
9n. PSA
$ 81
9o. RBC
$ 30
9p. C-Reactive
$ 7
9q. Hemoglobin A1c
$ 6
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COST FILE
10. Additional Miscellaneous Tests
10a. Farnsworth D-15 (Police Officers
additional color vision testing per
POST)
$83
10b. Titers:
Hepatitis B, varicella and MMR (if born
after 1956) if no documentation of
immunizations or illness (chickenpox);
Hepatitis C (Pre-placement for Police,
Firefighters, Career Lifeguard and
Rescue workers)
$38, $35, $53, $50
$ 176
10c. Tetanus Diphtheria booster or
Tetanus diphtheria acellular pertussis, if
not documented
$ 72 Tdap, $41 Tetanus
10d. Hepatitis B immunization (Post
Hire) $ 84
10e. Hepatitis A immunization (Post
hire).
$ 95
10f. MMR Immunization (Post hire).
$ 87
10g. Rabies Vaccination (Animal
Control Personnel).
$ 180
10h. Spirometry
$ 83
10i. DMV Physical
$ 210
10j. DOT Drug Screen
$ 56
10k. Respiratory Fit Testing
NOTE- Depending on Scheduling - Fit Testing maybe
available – we can discuss during negotiations.
COEH Can provide
Surveillance Questionnaires $55, with phone call add $55 additional
Additional: Flexible sigmoidoscopy
(individuals over fifty)
– without Biopsy $227 with Biopsy $272 by referral to
UCI
Note: Any service or procedure not specified above will be negotiated on a case-by-case basis
Price will be based on actual referral cost to the provider
*Treadmill will be deducted if not preformed
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COST FILE
Other Costs: In the space below, please indicate any other costs that may be associated with providing the requested services in this RFP that are not included in the table above, or any other tests/examinations that would be of benefit to the City’s needs. The costs provided in this section will not be used to assist in the determination of the contract award.
Should additional space be required, use a separate page(s) and attach as part of the Cost File.
The undersigned certifies that submission of this Proposal is made without prior understanding, arrangement, agreement, or connection with any corporation, firm or person submitting a Proposal for the same services and is in all respects fair and without collusion of fraud. The undersigned certifies that they have not entered into any arrangement or agreement with any City of Newport Beach public officer. The undersigned understands collusive practices are a violation of State and Federal law and can result in fines, prison sentences, and civil damage awards.
1/28/25
Proposer Signature Date
Bernadette Boden-Albala, Founding Dean, Wen Public Health Printed Name and Title
11-22