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William H. Nuesse, M.D. and Mary Ann Nuesse, D.O., a Medical Corporation <br />dba Sunrise Multispecialist Medical Center <br />Pricing as of May 10, 2022 <br />Exhibit A <br />City of Santa Ana Non-Industrial Medical Services <br />Physicals: <br />Basic Employer Physical (includes UA dip, distance vision, basic color vision)$35.00 <br />Annual Employer Physical (includes UA dip, distance vision, basic color vision)$35.00 <br />Pre-Employment Physical (includes UA dip, distance vision, basic color vision)$35.00 <br />Fit For Duty/Return to Work (MUST have copy of job description) $40.00 <br />Commercial Driver Exams $55.00 <br />Respiratory Fit Testing: <br />Respiratory Evaluation (includes: Mask Fit Test, OSHA questionnaire review, PFT)$90.00 <br />PFT $40.00 <br />OSHA Questionnaire Review $25.00 <br />Mask Fit Test $25.00 <br />Drug Screens: <br />Breath Alcohol Test $30.00 <br />5 Panel Rapid $15.00 <br />10 panel Rapid $20.00 <br />9 Panel Non-Dot #1793N $25.00 <br />10 Panel Non-Dot #6633N $30.00 <br />DOT Drug Screen $25.00 <br />MRO Interpretation of Positive Drug Screen $25.00 <br />Drug Screen Collection Only (Not on Sunrise’s lab account) $15.00 <br />Vision Testing: <br />Ishihara $10.00 <br />Near Vision $5.00 <br />Jaeger $5.00 <br />Snellen & Basic Color $5.00 <br />Other Services: <br />Audiograms $15.00 <br />Lift Test – Floor to Waist $5.00 <br />Lift Test – Waist to Chest $5.00 <br />EKG $30.00 <br />TB/PPD Skin Test $28.00