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h. MILEAGE BASE TREATMENT NO BASED ON 90% OF AMBULANCE COST NEW RATES: RATE TRANSPORT DESCRIPTION FALCON HEIGHTS $300.00 $150.00 INSURANCE $765.00 LAUDERDALE $345.00 $175.00 DEPRECIATION $7,845.00 NON- RESIDENTS $355.00 $180.00 BUDGETED REPAIR $1,800.00 MILEAGE 54.50 MOTOR FUEL $550.00 IV CHARGE $25.00 OXYGEN $30.00 $10,960.00 EKG MONITORING SUPPLIES $30.00 90% $9,864.00 EKG DEFIBRILATION $50.00 MILES /YEAR 2,700 SUCTION SUPPLIES $10.00 ESOPHAGEAL AIRWAY $65.00 COST PER MILE $3.65 AMBU BAG $40.00 POCKET MASK $30.00 OTHER VARIABLE CHARGES: BURN PACKS (EACH) $27.00 BANDAGES (EACH) $5.00 IV COSTS OB KIT $20.00 LARGE ARMBOARD $1.44 STAIR CHAIR $15.00 4X4 STERILE RESTRAINTS $25.00 GAUZE $.09 EXTRACTION DEVICE $25.00 6 GLOVES $.60 MAST /SHOCK TROUSERS $15.00 1V ADMIN. SETS: LIMB SPLINTS $20.00 BLOOD-SOL COMB TRACTION SPLINT $30.00 Y-TYPE $4.30 SPINE BOARD $5.00 EXTENSION SET $.53 CERVICAL COLLAR $20.00 IV JELCO CATH $.64 EYE WASH KIT $10.00 IV L RINGER $.80 POISON KIT $25.00 SWABS $1.98 DIABETIC $5.00 TRANSPORE TAPE $.75 COLLECTION FEE $10.00 2 2X2 TEGADERM $.68 LATE FEE 1% TOURNIQUET 5.15 IV COSTS $11.96 BASE RATE CALACULATION DESCRIPTION FALCON HEIGHTS OTHER OXYGEN COSTS: OXYGEN CYLINDER $29.43 100% OF PERSONNEL COSTS $34,215.00 $34,215.00 2 PATIENTS 85% RESCUE SUPPLIES $2,040.00 $2,040.00 PER CYLINDER $14.72 100% POSTAGE CLOTHING $850.00 $850.00 EXTENSION TUBE $.26 100% OTHER SERVICES MASK $1.32 CHARGES (EQUIPMENT REPAIR, REGULATOR EQUIP DEPRECIATION, VEHICLE 5189.50/180 $1.06 INSURANCE) $5,158.00 $5,158.00 10% OF AMBULANCE COST $1,096.00 $1,096.00 OXYGEN COSTS $17.36 100% BUILDING COSTS $.00 $2,803.00 AMBU BAG COSTS: TOTAL COSTS $43,359.00 $46,162.00 ESTIMATED OF CALLS 180 180 DISPOSABLE MASK $27.62 COST PER CALL $240.88 $256.46 ROUND TO $245.00 $260.00 POCKET MASKS COSTS: BASE RATE PLUS UNCOLLECTABLE RATE: POCKET MASK 516.96 FALCON HEIGHTS 20% 5294.00 LAUDERDALE 30% $338.00 NON- RESIDENTS 35% $351.00