1582 Expanded Panel

City of El Mirage — Regular Meeting (2020-04-21)

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1582 Extended Panel - Comprehensive Medical Exam "Exhibit B"
This “all-inclusive” NFPA 1582 Compliant Exam has promotional pricing (through FY2020) for your 
consideration includes the On-Site Mobile Fee.  Our exams are conducted onsite on your Department’s Battalion 
Shifts.  We can provide contract pricing and timeline commitments to fit your Department needs. 
As required in NFPA 1582, we use only licensed physicians for your evaluations. Our competitor(s) use mid-
level providers, such as nurse practitioners or physician assistants for your member evaluations which does not 
fulfill the NFPA standard. 
1582 Extended Panel 
Laboratory Blood / Urine Testing:
1582 
Extended Panel 
Complete Blood Count w/ Differential 
Included 
Comprehensive Metabolic Panel 
Included 
Fasting Lipid Panel (LDL, HDL, Trig, Cholesterol)
Included 
Urinalysis (with Micro if indicated) 
Included 
Diabetes Screening - Fasting Blood Glucose / Hemoglobin A1C 
Included 
Thyroid Panel with TSH 
Included 
Hemoccult Test (at age 40+) 
Included 
CA-125 (female fighters only) 
Included 
Prostate Specific Antigen Screening (male firefighters only) 
Included 
Occupational Health Testing 
Audiogram (OSHA Rated Hearing Booth) 
Included 
Biometric Screening (BMI or Calipers Skinfold) 
Included 
Spirometry (Pulmonary Function Test) 
Included 
Vital Signs 
Included 
Vision Screening 
Included 
Blood Pressure Monitoring 
Included 
Resting EKG 
Included 
Cardiopulmonary / Fitness Evaluation (Chapter 8) 
 Stress EKG, WFI Protocol 
(Chapter 8.2.2.1 - An evaluation of aerobic capacity shall be performed after appropriate medical evaluation)
Included 
Physician Exam - (NFPA 1582 Compliant) 
Physical Examination (as outlined in Chapter 7.6) 
Included 
Medical History Review 
Included 
Skin Cancer Assessment 
Included 
Health Promotion Counseling 
Included 
Sleep Disturbance Apnea Questionnaire 
Included 
Cardiac Risk Stratification 
Included 
Behavioral Health / Mental Health Screening 
Included 
OSHA Resp. Questionnaire / Clearance Letter 
Included 
Firefighter Medical Clearance – 1582 Tiers 
Included 
Ultrasound Screening Component 
Carotid Artery Ultrasound Screening* 
Included 
  Abdominal Aortic Aneurysm Screening* 
Included 
Thyroid Ultrasound Screening* 
Included 
   $525.00 
Total Cost per Fire Member 
Minimum of 40 appointments at this rate, El Mirage pricing is exempt from min.40 exams, 1st year only  
Expanded Tests, Services and Panels are also available 
*Ultrasound Screening is non-diagnostic screening test only

Optional Services 
 Price  
  
  
Expanded Ultrasound Screening Panel* 
 $        75.00  
Echocardiogram (Heart Ultrasound)* 
  
Liver, Bladder, Gall Bladder, Spleen and Kidney Ultrasound* 
  
Optional: External Pelvic Ultrasound (Females)* 
  
Optional: Prostate Ultrasound (Males)* 
  
Optional: Testicular Ultrasound (Males)* 
  
* denotes this is a non-diagnostic screening only 
  
  
  
Chapter 8 - Muscular Strength, Endurance & Flexibility  
 $        50.00  
  
  
Lab Testing 
  
Hepatitis A Titer 
 $        30.00  
Hepatitis B Titer 
 $        30.00  
Measles, Mumps, Rubella (MMR) Titer 
 $        80.00  
Meningococcal Titer 
 $        30.00  
Polio Titer 
 $        50.00  
Tetanus Diphtheria Titer 
 $        45.00  
Varicella Titer 
 $        45.00  
Testosterone Blood Test 
 $        35.00  
C Reactive Protein (Cardiac) 
 $        45.00  
NMR Lipoprotein 
 $        75.00  
Heavy Metal (24 Hour Urine Occupational Exposure – Hazmat Testing) 
 $       125.00  
Cholinesterase (Hazmat) 
 $        76.00  
Infectious Disease Screening 
  
Hepatitis A Virus Screening Test 
 $        35.00  
Hepatitis B Virus Screening Test 
 $        35.00  
Hepatitis C Virus Screening Test 
 $        35.00  
Hepatitis Profile Screening (Immunization and Infection Hep A,B,C) 
 $        80.00  
HIV Screening 
 $        40.00  
PPD TB Skin Test 
 $        20.00  
QuantiFERON Gold TB Blood Test  
 $        75.00  
Infectious Disease Management 
  
Flu Vaccine 
 $        25.00  
Hepatitis A Vaccination Shot (Series of Two) 
 $        75.00  
Hepatitis B Vaccination Shot (Series of Three) 
 $        60.00  
Meningococcal Vaccine 
 $       150.00  
MMR 
 $        80.00  
TDaP (Tetanus Diphtheria Pertussis) Vaccine 
 $        80.00  
TwinRix Vaccination Shot (Series of Three) 
 $       105.00  
Varicella Vaccine 
 $       120.00  
Polio Vaccine Booster 
 $       125.00  
Additional Services 
  
Two View Chest X-Ray (PA and LAT) with Overread  
 $        65.00  
Quantitative Fit Test (Porta count) 
 $        35.00  
CDL Paperwork (if bundled with 1582 Physical) 
 $        30.00  
DOT CDL Examination and Paperwork (Standalone) 
 $        80.00