Days or Average Units / Unit Service Type Unit Cost per Length Rate * Client of Stay Opioid Treatment Services-Vendor $4,194 (OTS-V) $11.00 Dose 365 $4,015 Methadone $18.00 Dose 365 $6,570 Buprenorphine $11.00 Dose 365 $4,015 Methadone (Specialized Female) $18.00 Dose 365 $6,570 Buprenorphine (Specialized Female) New Admission Health Screening Services Outpatient Visit - Health Screening, Consent, $40.27 Visit 1 $40.27 Immunization $40.21 1 $40.21 Chlamydia - Urine-Based Test $11.12 Event 1 $11.12 Diabetes - Glycosylated (A1C) Test $40.21 Event 1 $40.21 Gonorrhea - Urine-based Test $11.84 Event 1 $11.84 Hepatitis B - Surface Antigen Test $16.35 Event 1 $16.35 Hepatitis C - Antibody Test $10.18 Event 1 $10.18 HIV (Confirmatory) - Testing $27.60 Event 1 $27.60 HIV (Initial) - Testing $7.07 Event 1 $7.07 TB Testing Intradermal $33.27 Event 1 $33.27 Outpatient Visit Follow-up (Results / Linkages) – Comorbid Condition Services $55.87 Event 7 $391.09 Hepatitis C - Treatment Coordination $21.10 Event 1 $21.10 Hepatitis C - Confirmatory Test $38.65 Event 3 $115.95 Hepatitis C - Viral Load Quantification $113.91 Event 1 $113.91 Initial Interview for Diagnosis of Psychiatric Condition $44.66 Event 1 $44.66 Thirty-minute Physician Visit for Psychiatric Follow-up $60.34 Event 1 $60.34 Wound Care Management *Rates subject to change.
Service Type Unit Days or Units / Length of Stay Unit Rate * Average Cost per Client Opioid Treatment Services-Vendor (OTS-V) $4,194 Methadone Dose 365 $11.00 $4,015 Buprenorphine Dose 365 $18.00 $6,570 Methadone (Specialized Female) Dose 365 $11.00 $4,015 Buprenorphine (Specialized Female) Dose 365 $18.00 $6,570 New Admission Health Screening Services Outpatient Visit - Health Screening, Consent, Immunization Visit 1 $40.27 $40.27 Chlamydia - Urine-Based Test 1 $40.21 $40.21 Diabetes - Glycosylated (A1C) Test Event 1 $11.12 $11.12 Gonorrhea - Urine-based Test Event 1 $40.21 $40.21 Hepatitis B - Surface Antigen Test Event 1 $11.84 $11.84 Hepatitis C - Antibody Test Event 1 $16.35 $16.35 HIV (Confirmatory) - Testing Event 1 $10.18 $10.18 HIV (Initial) - Testing Event 1 $27.60 $27.60 TB Testing Intradermal Event 1 $7.07 $7.07 Outpatient Visit – Follow-up (Results / Linkages) Event 1 $33.27 $33.27 Comorbid Condition Services Hepatitis C - Treatment Coordination Event 7 $55.87 $391.09 Hepatitis C - Confirmatory Test Event 1 $21.10 $21.10 Hepatitis C - Viral Load Quantification Event 3 $38.65 $115.95 Initial Interview for Diagnosis of Psychiatric Condition Event 1 $113.91 $113.91 Thirty-minute Physician Visit for Psychiatric Follow-up Event 1 $44.66 $44.66 Wound Care Management Event 1 $60.34 $60.34 *Rates subject to change.
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