HomeMy WebLinkAboutItem 14 - Approve Agreement with Sunrise Multispecialist Medical Center for Non-Industrial Medical Services Human Resources
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Item # 14
City of Santa Ana
20 Civic Center Plaza, Santa Ana, CA 92701
Staff Report
August 2, 2022
TOPIC: Approve Agreement with Sunrise Multispecialist Medical Center for Non-
Industrial Medical Services
AGENDA TITLE:
Approve Agreement between the City of Santa Ana and William H. Nuesse M.D. and
Mary Ann Nuesse, D.O, a California Medical Corporation, Doing Business as Sunrise
Multispecialist Medical Center, for Non-Industrial Medical Services (Non-General Fund)
RECOMMENDED ACTION
Authorize the City Manager to execute an Aareement with William H. Nuesse M.D. and
Mary Ann Nuesse, D.O, a California medical corporation, doing business as Sunrise
Multispecialist Medical Center, to provide non-industrial medical services for a three-year
term (June 7, 2022 through June 30, 2025) with the option of one 1-year extension,
subject to non-substantive changes approved by the City Manager and City Attorney. The
agreement shall not exceed $200,000 over the term of the Agreement.
DISCUSSION
The City currently utilizes Sunrise Multispecialist Medical Center (“Sunrise”) to provide
the City's non-industrial medical services including, but not limited to, COVID-19 and
Department of Transportation (DOT)-mandated services, drug tests, respiratory fitness
tests, vision testing, post-accident testing, pre-employment examinations, fitness for
duty examinations, and similar medical services for employees or applicants (for City
employment).
In undertaking the performance of this Agreement, Sunrise represents that it remains
knowledgeable in the field and that any services provided under this Agreement will be
performed in compliance with such standards as may reasonably be expected from a
professional consulting firm in this field.
ENVIRONMENTAL IMPACT
There is no environmental impact associated with this action.
Approve Agreement with Sunrise Multispecialist Medical Center for Non-Industrial
Medical Services
August 2, 2022
Page 2
2
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FISCAL IMPACT
Prior to utilizing the services, staff will ensure sufficient funds are available in the
appropriate program budget and will track expenditures to ensure the City does not
exceed the aggregate $200,000 maximum total. The following accounts will be utilized
for this agreement.
Accounting
Unit-Account
No. (Project
No.)
Fund Description
Accounting Unit – Account No.
Description
08209052-
62300
Workers
Compensation
Fund
Safety Program, Contract Srvcs-Professional
08009052-
62300
Liability & Property
Ins Fund
Safety Program, Contract Srvcs-Professional
08009051-
62300
Liability & Property
Ins Fund
Liab. & Property Ins Fund, Contract Srvcs-
Professional
EXHIBIT(S)
1. Agreement For Consultant Services Between City Of Santa Ana And William H.
Nuesse M.D. and Mary Ann Nuesse, D.O, a California medical corporation, doing
business as Sunrise Multispecialist Medical Center
2. Sunrise Multispecialist Medical Center Price Sheet
Submitted By: Jason Motsick, Executive Dir Human Resources
Approved By: Kristine Ridge, City Manager
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AGREEMENT FOR MEDICAL SERVICES AND TESTING
THIS AGREEMENT is made and entered into this 7th day of June, 2022 by and between
William H. Nuesse, M.D. and Mary Ann Nuesse, D.O., a California medical corporation, doing
business as Sunrise Multispecialist Medical Center (“Consultant”), and the City of Santa Ana, a
charter city and municipal corporation organized and existing under t he Constitution and laws of
the State of California (“City”).
RECITALS
A.City desires to retain a consultant to provide non-industrial medical services including but
not limited to Department of Transportation (“DOT”) mandated services, drug tests,
respiratory fitness tests, vision testing, post-accident testing, pre-employment
examinations, fitness for duty examinations, COVID-19 testing and similar medical
services for employees or applicants for employment.
B.In undertaking the performance of this Agreement, Consultant represents that it employs a
licensed medical doctor and is knowledgeable in its field and that any services performed
by Consultant under this Agreement will be performed in compliance with such standards
as may reasonably be expected from a licensed professional.
NOW THEREFORE, in consideration of the mutual and respective promises, and subject
to the terms and conditions hereinafter set forth, the parties agree as follows:
1.SCOPE OF SERVICES
A.Consultant shall perform medical services including examinations and testing for
non-industrial medical services including but not limited to Department of
Transportation (“DOT”) mandated services, COVID-19 testing, post-accident
testing, pre-employment examinations, fitness for duty examinations, and similar
medical services for employees or applicants for employment. Each service request
will be confirmed in writing between City’s Human Resources Department and
Consultant prior to Consultant providing services pursuant to this Agreement.
Specifically, consultant’s services will include:
1)For prospective and current City employees to perform the duties of the
position for which they are being considered (pre-employment
assessments), using pre-determined medical protocols for each job
classification; such protocols may be modified by the physician, in
consultation with the City’s Executive Director of Human Resources, or
his/her designee, as is necessary to make a determination as to suitability
for employment;
2)For current City employees being considered for employment in
Department of Transportation (DOT) and non-DOT positions requiring pre-
placement or pre-assignment drug screens;
3)Fitness for Duty examinations (industrial and non-industrial), and provide
reports and recommendations regarding the suitability of current employees
EXHIBIT 1
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to continue to perform their duties;
4) Urine and breath specimen collection, laboratory analysis and Medical
Review Officer (MRO) responsibilities;
5) Department of Motor Vehicles (DMV) Driver’s License physical
examinations;
6) DOT-mandated drug and alcohol testing of employees considered ‘safety
sensitive’ as defined under DOT regulations and City policy. Consultant
shall ensure all such testing complies with DOT testing procedures as per
49 CFR, Part 40; such testing to include pre-employment and pre-
assignment; and
7) COVID-19 testing.
B. City shall be responsible for the organization, scheduling, and management of DOT
and non-DOT “reasonable suspicion” drug and alcohol testing, and DOT “random”
and “post-accident” drug and alcohol testing. Consultant shall facilitate evaluation
of the results of said testing by qualified personnel, in accordance with the
provisions of the Agreement and relevant laws and regulations.
C. Consultant shall ensure that clinics used for DOT-related drug and alcohol testing
maintain a current valid contract with a Substance Abuse and Mental Health
Services Administration (SAMSHA)-certified laboratory. Consultant shall ensure
turn-around time from specimen collection to obtained test results shall be a
maximum of three (3) working days for a negative test, and a maximum of five (5)
working days for a positive test.
D. As part of the medical services review program, Consultant shall:
1) Analyze current job classification specifications and make
recommendations for the City’s use in the medical examination and drug
testing process.
2) Provide training to Risk Management personnel in administration
procedures of Consultant’s medical services review process.
3) Communicate with City Risk Management staff regarding applicants’ or
employees’ progress throughout the medical services review process.
4) Communicate directly with applicants and City Risk Management staff
throughout the pre-employment or pre-assignment process in regard to
results and medical conditions as ascertained through the medical or
physical examinations.
5) Provide an electronic final report in a format established by City Risk
Management staff at its sole discretion, outlining each candidate’s pre-
employment placement medical evaluation and results.
6) Provide quarterly electronic activity reports, in a format established by Risk
Management in its sole discretion, on the nature and number of
examinations conducted, including but not limited to results and final
dispositions.
7) Provide a detailed quarterly explanation and summary of charges incurred.
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8) Provide all quarterly and annual summaries as required under the DOT;
9) Provide consultation as needed to Risk Management staff regarding medical
services provided and outlined in the Agreement.
10) Consultant solely shall review all pre-employment/pre-placement medical
evaluation services and maintain records, pursuant to the Agreement, in
accordance with State and Federal laws, or as otherwise reasonably required
by the City, and to the fullest extent permitted by law.
11) Consultant agrees to permit duly authorized agents and employees of the
City to review such records.
12) Consultant shall maintain all books, documents, papers, accounting records,
and other evidence pertaining to the fees paid under this Agreement.
Consultant will make materials available at their offices at reasonable times
and notice, during the period of the Agreement and for three (3) years after
date of final payment under the Agreement for inspection by the City or by
any other governmental entity or Department participating in the funding of
the Agreement, or any authorized agents thereof.
13) Consultant’s documents shall not be used, duplicated, or disclosed to any
other third party without written permission, unless such disclosure is
required by law. Consultant shall not be required to create or maintain books
and records not required in the ordinary course of Consultant’s business
operations, nor will the Consultant be required to disclose any information,
including but not limited to product cost or pricing data, which Consultant
considers confidential or proprietary.
14) Any Agreement changes, which are mutually agreed upon by and between
the parties, shall be incorporated in written amendments to the Agreement.
15) If the circumstances on a particular hearing and/or court proceeding warrant
the presence of a competent and knowledgeable representative of the
Consultant, the City may request and contractor shall provide such
representative, at the rates provided in Exhibit A and upon proper HIPAA
release.
16) Maintain a network of qualified and trained medical providers and medical
specialists for necessary exams; Orient City staff in the legal/medical/risk
management and human resources aspects of Consultant services;
17) Communicate directly with applicants to obtain the confidential medical
information that is needed for clearance for a particular job;
18) Manage all bill review functions for the medical exams performed by
clinics; and,
19) Provide access for City staff to Consultant’s tracking system.
E. Depending on job classification, pre-employment and pre-assignment medical
examination processes may include: job profile review; review of medical history;
check vital signs; detailed vision exam, including check of near/far/peripheral
vision, Ishihara 14 and primary color; audiogram (if classification has specific
occupational noise exposure or critical hearing demands); chest x-ray; EKG or
treadmill stress EKG; Spirometry; chem panel 20; CBC w/diff; dipstick UA, or UA
w/Micro (to lab); venipuncture & collection.
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2. COMPENSATION
a. City agrees to pay, and Consultant agrees to accept as total payment for its services
the rates and charges identified in Exhibit A. The total annual amount authorized
under this Agreement shall not exceed two hundred thousand dollars and zero cents
($200,000) during the term of this Agreement.
b. Payment by City shall be made within forty-five of days (45) days following receipt
of proper invoice evidencing work performed, subject to City accounting
procedures. Payment need not be made for work that fails to meet the standards of
performance set forth in the Recitals, which may reasonably be expected by City.
3. TERM
This Agreement shall commence on the date written above and terminate on June 30, 2025,
unless terminated earlier in accordance with Section 15, below.
4. INDEPENDENT CONSULTANT
Consultant shall, during the entire term of this Agreement, be construed to be an
independent Consultant and not an employee of the City. This Agreement is not intended nor shall
it be construed to create an employer-employee relationship, a joint venture relationship, or to
allow the City to exercise discretion or control over the professional manner in which Consultant
performs the services which are the subject matter of this Agreement; however, the services to be
provided by Consultant shall be provided in a manner consistent with all applicable standards and
regulations governing such services. Consultant shall pay all salaries and wages, employer's social
security taxes, unemployment insurance and similar taxes relating to employees and shall be
responsible for all applicable withholding taxes.
5. INSURANCE
Coverage shall be at least as broad as:
1. Commercial General Liability (CGL): Insurance Services Office
Form CG 00 01 covering CGL on an “occurrence” basis, including
products and completed operations, property damage, bodily injury
and personal & advertising injury with limits no less than
$2,000,000 per occurrence. If a general aggregate limit applies, either
the general aggregate limit shall apply separately to this
project/location (ISO CG 25 03 or 25 04) or the general aggregate
limit shall be twice the required occurrence limit.
2. Automobile Liability: Insurance Services Office Form Number CA
0001 covering, Code 1 (any auto), or if Consultant has no owned
autos, Code 8 (hired) and 9 (non-owned), with limit no less than
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$1,000,000 per accident for bodily injury and property damage. (Not
required if Consultant has no automobiles)
3. Workers’ Compensation insurance as required by the State of
California, with Statutory Limits, and Employer’s Liability
Insurance with limit of no less than $1,000,000 per accident for
bodily injury or disease.
4. Professional Liability (Errors and Omissions) Insurance
appropriates to the Consultant’s profession, with limit no less than
$2,000,000 per occurrence or claim, $2,000,000 aggregate.
If the Consultant maintains broader coverage and/or higher limits than the
minimums shown above, the City requires and shall be entitled to the
broader coverage and/or the higher limits maintained by the Consultant.
Any available insurance proceeds in excess of the specified minimum limits
of insurance and coverage shall be available to the City.
Other Insurance Provisions
The insurance policies are to contain, or be endorsed to contain, the
following provisions:
Additional Insured Status
The City, its officers, officials, employees, and volunteers are to be
covered as additional insureds on the CGL policy with respect to liability
arising out of work or operations performed by or on behalf of the
Consultant including materials, parts, or equipment furnished in connection
with such work or operations. General liability coverage can be provided in
the form of an endorsement to the Consultant’s insurance (at least as broad
as ISO Form CG 20 10 11 85 or both CG 20 10, CG 20 26, CG 20 33, or
CG 20 38; and CG 20 37 forms if later revisions used).
6. INDEMNIFICATION
Consultant agrees to and shall indemnify and hold harmless the City, its officers, agents,
employees, consultants, special counsel, and representatives from liability: (1) for personal injury,
damages, just compensation, restitution, judicial or equitable relief arising out of claims for
personal injury, including death, and claims for property damage, which may arise from the
negligent operations of the Consultant or its, subcontractors, agents, employees, or other persons
acting on their behalf which relates to the services described in section 1 of this Agreement; and
(2) from any claim that personal injury, damages, just compensation, restitution, judicial or
equitable relief is due by reason of the terms of or effects arising from this Agreement. This
indemnity and hold harmless agreement applies to all claims for damages, just compensation,
restitution, judicial or equitable relief suffered, or alleged to have been suffered, by reason of the
events referred to in this Section or by reason of the terms of, or effect s, arising from this
Agreement. The Consultant further agrees to indemnify, hold harmless, and pay all costs for the
defense of the City, including fees and costs for special counsel to be selected by the City,
regarding any action by a third party challenging the validity of this Agreement, or asserting that
personal injury, damages, just compensation, restitution, judicial or equitable relief due to personal
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or property rights arises by reason of the terms of, or effects arising from this Agreement. Cit y
may make all reasonable decisions with respect to its representation in any legal proceeding.
Notwithstanding the foregoing, to the extent Consultant Services are subject to Civil Code Section
2782.8, the above indemnity shall be limited, to the extent required by Civil Code Section 2782.8,
to claims that arise out of, pertain to, or relate to the negligence, recklessness, or willful misconduct
of the Consultant.
7. RECORDS
Consultant shall keep records and invoices in connection with the work to be performed
under this Agreement. Consultant shall maintain complete and accurate records with respect to
the costs incurred under this Agreement and any services, expenditures, and disbursem ents
charged to the City for a minimum period of three (3) years, or for any longer period required by
law, from the date of final payment to Consultant under this Agreement. All such records and
invoices shall be clearly identifiable. Consultant shall allow a representative of the City to
examine, audit, and make transcripts or copies of such records and any other documents created
pursuant to this Agreement during regular business hours. Consultant shall allow inspection of all
work, data, documents, proceedings, and activities related to this Agreement for a period of three
(3) years from the date of final payment to Consultant under this Agreement.
8. CONFIDENTIALITY
If Consultant receives from the City information which due to the nature of such
information is reasonably understood to be confidential and/or proprietary, Consultant agrees that
it shall not use or disclose such information except in the performance of this Agreement, and
further agrees to exercise the same degree of care it uses to protect its own information of like
importance, but in no event less than reasonable care. “Confidential Information” shall include all
nonpublic information. Confidential information includes not only written information, but also
information transferred orally, visually, electronically, or by other means. Confidential
information disclosed to either party by any subsidiary and/or agent of the other party is covered
by this Agreement. The foregoing obligations of non-use and nondisclosure shall not apply to any
information that (a) has been disclosed in publicly available sources; (b) is, through no fault of the
Consultant disclosed in a publicly available source; (c) is in rightful possession of the Consultant
an obligation of confidentiality; (d) is required to be disclosed by operation of law; or (e) is
independently developed by the Consultant without reference to information disclosed by the City.
10. CONFLICT OF INTEREST CLAUSE
Consultant covenants that it presently has no interests and shall not have interests, direct
or indirect, which would conflict in any manner with performance of services specified under this
Agreement.
11. BACKGROUND CHECK REQUIREMENTS
Consultant shall not assign any employee, agent, subcontractors or volunteer to provide
services pursuant to this Agreement, if that employee, agent, subcontractors or volunteer is
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required to register as a sex offender under California Penal Code Section 290 et seq, has a
conviction for any crime of moral turpitude, has a conviction for a violent felony as defined in
California Penal Code Section 667.5(c), or has a conviction for a serious felony as defined in
California Penal Code Section 1192.7(c). Failure to comply with this Section shall be grounds for
immediate termination of this Agreement.
12. NOTICE
Any notice, tender, demand, delivery, or other communication pursuant to this Agreement
shall be in writing and shall be deemed to be properly given if delivered in person or mailed by
first class or certified mail, postage prepaid, or sent by fax or other telegraphic communication in
the manner provided in this Section, to the following persons:
To City: Clerk of the City Council
City of Santa Ana
20 Civic Center Plaza (M-30)
P.O. Box 1988
Santa Ana, CA 92702-1988
Fax 714- 647-6956
With Courtesy Copy to:
Executive Director
Human Resources Agency
City of Santa Ana
20 Civic Center Plaza (M-34)
P.O. Box 1988
Santa Ana, California 92702
To Consultant:
William H. Nuesse, M.D. or
Mary Ann Nuesse, D.O.
Sunrise Multispecialist Medical Center
867 South Tustin Street
Orange, California 92866
Fax: 714-771-6918
A party may change its address by giving notice in writing to the other party. Thereafter,
any communication shall be addressed and transmitted to the new address. If sent by mail,
communication shall be effective or deemed to have been given three (3) d ays after it has been
deposited in the United States mail, duly registered or certified, with postage prepaid, and
addressed as set forth above. If sent by fax, communication shall be effective or deemed to have
been given twenty-four (24) hours after the time set forth on the transmission report issued by the
transmitting facsimile machine, addressed as set forth above. For purposes of calculating these
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time frames, weekends, federal, state, County or City holidays shall be excluded.
13. EXCLUSIVITY AND AMENDMENT
This Agreement represents the complete and exclusive statement between the City and
Consultant regarding the subject matter therein, and supersedes any and all other agreements, oral
or written, between the parties. In the event of a conflict between the terms of this Agreement and
any attachments hereto, the terms of this Agreement shall prevail. This Agreement may not be
modified except by written instrument signed by the City and by an authorized representative of
Consultant. The parties agree that any terms or conditions of any purchase order or other
instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not
bind or obligate Consultant or the City. Each party to this Agreement acknowledges that no
representations, inducements, promises or agreements, orally or otherwise, have been made by any
party, or anyone acting on behalf of any party, which are not embodied herein.
14. ASSIGNMENT
Inasmuch as this Agreement is intended to secure the specialized services of Consultant,
Consultant may not assign, transfer, delegate, or subcontract any interest herein without the prior
written consent of the City and any such assignment, transfer, delegation or subcontract without
the City's prior written consent shall be considered null and void. Nothing in this Agreement shall
be construed to limit the City’s ability to have any of the services, which are the subject to this
Agreement performed by City personnel or by other consultants retained by City.
15. TERMINATION
Except as otherwise specified herein, this Agreement may be terminated by the City upon
thirty (30) days written notice of termination. In such event, Consultant shall be entitled to receive
and the City shall pay Consultant compensation for all services performed by Consultant prior to
receipt of such notice of termination, subject to the following conditions:
a. As a condition of such payment, the Executive Director may require Consultant to
deliver to the City all work product completed, as of such date, and in such case,
such work product shall be the property of the City unless prohibited by law, and
Consultant consents to the City's use thereof for such purposes, as the City deems
appropriate.
b. Payment need not be made for work that fails to meet the standard of performance
specified in the Recitals of this Agreement.
16. NONDISCRIMINATION
Consultant shall not discriminate because of race, color, creed, religion, sex, marital status,
sexual orientation, gender identity, gender expression, gender, medical conditions, genetic
information, or military and veteran status, age, national origin, ancestry, or disability, as defined
and prohibited by applicable law, in the recruitment, selection, teaching, training, utilization,
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promotion, termination or other employment related activities or any services provided under this
Agreement. Consultant affirms that it is an equal opportunity employer and shall comply with all
applicable federal, state and local laws and regulations.
17. JURISDICTION - VENUE
This Agreement has been executed and delivered in the State of California and the validity,
interpretation, performance, and enforcement of any of the clauses of this Agreement shall be
determined and governed by the laws of the State of California. Both parties further agree that
Orange County, California, shall be the venue for any action or proceeding that ma y be brought or
arise out of, in connection with or by reason of this Agreement.
18. PROFESSIONAL LICENSES
Consultant shall, throughout the term of this Agreement, maintain all necessary licenses,
permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder
and required by the laws and regulations of the United States, the State of California, the City of
Santa Ana and all other governmental agencies. Consultant shall notify the City immediately and
in writing of its inability to obtain or maintain such permits, licenses, approvals, waivers, and
exemptions. Said inability shall be cause for termination of this Agreement.
19. MISCELLANEOUS PROVISIONS
a. Each undersigned represents and warrants that its signature herein below has the
power, authority and right to bind their respective parties to each of the terms of
this Agreement, and shall indemnify City fully, including reasonable costs and
attorney’s fees, for any injuries or damages to City in the event that such authority
or power is not, in fact, held by the signatory or is withdrawn.
b. All Exhibits referenced herein and attached hereto shall be incorporated as if fully
set forth in the body of this Agreement.
c. The parties agree that this Agreement can be signed in counter parts and that
electronic or fax signatures can be used in lieu of original wet signatures.
d. Consultant will comply with all applicable federal state and local laws including
the Health Insurance Portability and Accountability Act (“HIPAA”).
[This section intentionally left blank]
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IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and
year first above written.
ATTEST: CITY OF SANTA ANA
__________________________ _________________________
Daisy Gomez Kristine Ridge
Clerk of the Council City Manager
APPROVED AS TO FORM:
SONIA R. CARVALHO CONSULTANT:
City Attorney
By: _______________________ _________________________
Laura A. Rossini William H. Nuesse, M.D.
Chief Assistant City Attorney William H. Nuesse, M.D. and
Mary Ann Nuesse, D.O., a medical
corporation
Dba Sunrise Multispecialist Medical
Center
RECOMMENDED FOR APPROVAL:
__________________________
Jason Motsick
Executive Director
Human Resources Agency
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EXHIBIT A
RATES/CHARGES
Physicals:
Basic Employer Physical (includes UA dip, distance vision, basic color vision) $35.00
Annual Employer Physical (includes UA dip, distance vision, basic color vision) $35.00
Pre-Employment Physical (includes UA dip, distance vision, basic color vision) $35.00
Fit For Duty/Return to Work (MUST have copy of job description) $40.00
Commercial Driver Exams $55.00
Respiratory Fit Testing:
Respiratory Evaluation (includes: Mask Fit Test, OSHA questionnaire review, PFT) $90.00
PFT $40.00
OSHA Questionnaire Review $25.00
Mask Fit Test $25.00
Drug Screens:
Breath Alcohol Test $30.00
5 Panel Rapid $15.00
10 panel Rapid $20.00
9 Panel Non-Dot #1793N $25.00
10 Panel Non-Dot #6633N $30.00
DOT Drug Screen $25.00
MRO Interpretation of Positive Drug Screen $25.00
Drug Screen Collection Only (Not on Sunrise’s lab account) $15.00
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Vision Testing:
Ishihara $10.00
Near Vision $5.00
Jaeger $5.00
Snellen & Basic Color $5.00
Other Services:
Audiograms $15.00
Lift Test – Floor to Waist $5.00
Lift Test – Waist to Chest $5.00
EKG $30.00
TB/PPD Skin Test $28.00
Chest X-Ray (2 Views rule out TB) $30.00
Lumbar X-Ray (4 Views) $50.00
Jamar Grip Strength $5.00
Vaccines:
Tdap $95.00
Hepatitis B $70.00
Varicella $202.00
MMR $144.00
Flu Vaccine $30.00
Titers:
Hepatitis A #35604 $45.00
Hepatitis B #8475 $45.00
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Hepatitis C #8472 $21.00
MMR #802, #8624, and #964 $85.00
Varicella $45.00
Common Labs:
CBC with Diff #6399 $20.00
Lipid Panel #14852 $42.00
Comp Metabolic Panel #10231 $29.00
COVID-19:
Rapid AntigenTesting $99.00
PCR $150.00
William H. Nuesse, M.D. and Mary Ann Nuesse, D.O., a Medical Corporation
dba Sunrise Multispecialist Medical Center
Pricing as of May 10, 2022
Exhibit A
City of Santa Ana Non-Industrial Medical Services
Physicals:
Basic Employer Physical (includes UA dip, distance vision, basic color vision)$35.00
Annual Employer Physical (includes UA dip, distance vision, basic color vision)$35.00
Pre-Employment Physical (includes UA dip, distance vision, basic color vision)$35.00
Fit For Duty/Return to Work (MUST have copy of job description) $40.00
Commercial Driver Exams $55.00
Respiratory Fit Testing:
Respiratory Evaluation (includes: Mask Fit Test, OSHA questionnaire review, PFT)$90.00
PFT $40.00
OSHA Questionnaire Review $25.00
Mask Fit Test $25.00
Drug Screens:
Breath Alcohol Test $30.00
5 Panel Rapid $15.00
10 panel Rapid $20.00
9 Panel Non-Dot #1793N $25.00
10 Panel Non-Dot #6633N $30.00
DOT Drug Screen $25.00
MRO Interpretation of Positive Drug Screen $25.00
Drug Screen Collection Only (Not on Sunrise’s lab account) $15.00
Vision Testing:
Ishihara $10.00
Near Vision $5.00
Jaeger $5.00
Snellen & Basic Color $5.00
Other Services:
Audiograms $15.00
Lift Test – Floor to Waist $5.00
Lift Test – Waist to Chest $5.00
EKG $30.00
TB/PPD Skin Test $28.00
Chest X-Ray (2 Views rule out TB) $30.00
Lumbar X-Ray (4 Views) $50.00
Jamar Grip Strength $5.00
Vaccines:
Tdap $95.00
Hepatitis B $70.00
Varicella $202.00
MMR $144.00
Flu Vaccine $30.00
Titers:
Hepatitis A #35604 $45.00
Hepatitis B #8475 $45.00
Hepatitis C #8472 $21.00
MMR #802, #8624, and #964 $85.00
Varicella $45.00
Common Labs:
CBC with Diff #6399 $20.00
Lipid Panel #14852 $42.00
Comp Metabolic Panel #10231 $29.00
COVID-19:
Rapid AntigenTesting $99.00
PCR $150.00