HomeMy WebLinkAboutAgenda 06-16-2026; 6-a - Approval of Fiscal Year 2026-27 Budget Ordinances and County Fee Schedule 1
ORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: June 16, 2026
Action Agenda
Item No. 6-a
SUBJECT: Approval of Fiscal Year 2026-27 Budget Ordinances and County Fee
Schedule
DEPARTMENT: County Manager
ATTACHMENT(S): INFORMATION CONTACT:
Attachment 1. Resolution of Intent to Travis Myren, (919) 245-2308
Adopt the FY 2026-27 Caitlin Fenhagen, (919) 245-2303
Orange County Budget Kirk Vaughn, (919) 245-2153
Attachment 2. FY 2026-27 Budget
Ordinances
Attachment 3. FY 2026-27 County Fee
Schedule
Attachment 4. Opioid Spending
Authorization Resolution
Attachment 5. Occupancy Tax Uses
Resolution
PURPOSE: To approve the Fiscal Year 2026-27 Budget Ordinances a n d County Fee
Schedule, and approve and authorize the Chair to sign the Opioid Settlement Fund Spending
Authorization Resolution and Occupancy Tax Uses Resolution.
BACKGROUND: At the June 4, 2026 budget work session, the Board of County
Commissioners made decisions regarding the County's FY 2026-27 budget. See the following
attachments related to those decisions:
• Attachment 1 — the Resolution of Intent to Adopt the FY 2026-27 Orange County Budget
outlines the actions approved by the Board of County Commissioners on June 4, 2026
• Attachment 2 —the FY 2026-27 Budget Ordinance is the legislation implementing the FY
2026-27 Annual Operating Budget for Orange County, including Grants Project
Ordinances
• Attachment 3 — the FY 2026-27 County Fee Schedule
• Attachment 4 — the spending authorization resolution for all Opioid Settlement Fund
activities that are included in the Approved Budget. This meets the State's memorandum
of understanding with the County on reporting spending in the Opioid Settlement Fund.
• Attachment 5 — a resolution defining the County's intended uses of Occupancy Taxes for
expenses in the Visitors Bureau Fund and General Fund.
FINANCIAL IMPACT: The financial impacts are as noted in the attachments.
2
ALIGNMENT WITH STRATEGIC PLAN: This item supports:
• MISSION STATEMENT — Orange County is a visionary leader in providing governmental
services valued by our community, beyond those required by law, in an equitable,
sustainable, innovative and efficient way.
• VISION STATEMENT — We are a diverse, inclusive, and healthy county working together
to strengthen our community and enhance the quality of life for all residents.
RECOMMENDATION(S): The Manager recommends the Board adopt the FY 2026-27 Budget
Ordinances and the FY 2026-27 County Fee Schedule, and approve and authorize the Chair to
sign the Opioid Settlement Fund Spending Authorization Resolution and Occupancy Tax Uses
Resolution, consistent with the parameters outlined in the Board's Resolution of Intent to Adopt
the FY 2026-27 Orange County Budget.
3
RES-2026-039 Attachment 1
Resolution of Intent to Adopt the FY2026-27
Orange County Budget
The items outlined below summarize decisions that the Board acted upon June 4, 2026 in approving the
FY2026-27 Orange County Annual Operating Budget and the FY2026-27 (Year 1) Capital Investment Plan
Budget.
WHEREAS, the Orange County Board of Commissioners has considered the Orange County FY2026-27
Manager's Recommended Budget and the FY2026-27 Manager's Recommended Capital Investment Plan
Budget; and
WHEREAS, the Commissioners have agreed on certain modifications to the Manager's Recommended
Budget as presented in the FY2026-27 County Manager's Recommended Budget on May 5, 2026; and to
the FY2026-27 Manager's Recommended Capital Investment Plan Budget as presented on April 7, 2026;
NOW THEREFORE BE IT RESOLVED, that the Orange County Board of Commissioners expresses its
intent to adopt the FY2026-27 Orange County Budget Ordinance on Tuesday, June 16, 2026, based on the
following stipulations:
1) Property Tax Rates
a) The ad valorem property tax rate shall be set at 68.05 cents per $100 of assessed valuation.
b) The Chapel Hill-Carrboro City Schools District Tax shall be set at 14.79 cents per$100 of
assessed valuation.
c) The Fire District and Fire Service District tax rates shall be set at the following rates (all rates are
based on cents per$100 of assessed valuation):
• Cedar Grove 7.54
• Greater Chapel Hill Fire Service District 11.50
• Damascus 11.50
• Efland 8.38
• Eno 10.71
• Little River 6.35
• New Hope 12.50
• Orange Grove 7.00
• Orange Rural 9.21
• South Orange Fire Service District 8.17
• Southern Triangle Fire Service District 11.50
• White Cross 14.00
Page 1 of 5
4
RES-2026-039 Attachment 1
2) County Employee Pay and Benefits Plan
Provide a County employee pay and benefits plan that includes:
a. 2% wage increase for permanent employees in active status on June 30, 2026. Continuation of
Merit Pay Program on employees' base salaries, payable in January 2027, at tiers of$572 for
proficient performance; $859 for superior performance or $1,144 for exceptional performance. Page
257
b. A change in the salary schedule recognizing $20.02 per hour as the living wage for permanent and
temporary employees and recognizing the 2% wage increase, effective July 1, 2026. Page 259 &
282
c. Increase the per pay period County contribution to non-law enforcement employees' supplemental
retirement accounts to $104 per paycheck, continue the mandated Law Enforcement Officer
contribution of 5.0% of salary. Page 277
d. Continue the County's required contribution to the Local Governmental Employees' Retirement
System (LGERS) for all permanent employees. For FY 2026-27, the Law Enforcement Officers'
(LEOs) rate increases from 16.10 to 17.10 percent of reported compensation, and all other
employees' rate increases from 14.35 to 15.10 percent of reported compensation. Page 276
e. Continue to provide medical, dental, vision plans, and current voluntary benefit plans to employees.
Page 279
Page 2 of 5
5
RES-2026-039 Attachment 1
3) Adjustments to Operating And Capital Budget
"A,,,d, "Sp,,s, MoDepartment 1EA-enMd-.nt General Fund Revenue General Fund Expense General Fund Impact
Remove operating expenses and
OP-S01 Staff 83 AMS Carrboro contribution for 2700 Homestead ($13,363) ($31,044) ($17,681)
Road
OP-SO2 Staff 232 DSS Increase Medicaid Revenue due to State $200,000 $0 ($200,000)
Medicaid Rebase bill
Human Decrease costs for Cyber Insurance due
OP-SO3 Staff 198 to effectiveness of county cybersecurity $0 ($100,000) ($100,000)
Resources investments
OP-SO4 Staff 232 DSS Reduce estimate for County Day Care $0 ($100,000) ($100,000)
based to FY 26 usage
Planning& Reduce Transfer to Inspection fund due to
OP-SO5 Staff 219&251 Transfers better revenue in FY 26.Use Inspection $0 ($166,925) ($166,925)
Fund Balance Instead
Economic Reduce Visitors Bureau Budget by$200k
OP-SO6 Staff 152 due to loss of Town of Chapel Hill $0 $0 $0
Development contritribution
Opioid Recognize authorizing$162,216 in
OP-807 Staff 215 Settlement community Opioid Fund grants as $0 $0 $0
approved by the Board on June 2nd
Non- Amend the Chapel Hill Library Funding
OP-130113 Greene 209 Departmental reduction to a 3 year phase-in,providing $0 $103,232 $103,232
total funding of$414,216 in FY 27*
OP-604 Greene 192 Housing Increase Funding for Community Home $0 $19,659 $19,659
Trust*
Increase Current Expense Funding to
OP-6056 Hamilton 159 Education 4.5%increase($6,290 Per Pupil) based $1,585,963 $2,200,548 $614,585
on State Bud et&Raise Taxes.47
Reduce spending in Visitor's Bureau Fund
to Redirect Occupancy Tax Funds to offset
OP-607A Hamilton 152 Visitors Bureau General Fund Expenses.Direct Manager $150,000 $0 ($150,000)
to make Visitors Bureau and Arts
Commission reductions.
Reduce DEAPR Budget by$200,000.
OP-1310 Hamilton 143 DEAPR Direct Manager to make operational $0 ($200,000) ($200,000)
reductions.
OP-B11 Hamilton 209 Non- Reduce Social Justice Reserve $0 ($50,000) ($50,000)
Departmental
OP-1313 Hamilton 209 Non- Eliminate Subsidies for Municipal Parks $0 ($125,108) ($125,108)
Departmental and Rees
OP-1316 Portie-Ascott&Carter& 209 Non- Restore Step Program $0 $400,000 $400,000
McKee Departmental
(Tied to CIP-B03)Reduce County Pay-
OP-B19 Bedford 251 Transfers Go for Seymour Showers drain and hot $0 ($35,000) ($35,000)
water heater
Portie-Ascott&Carter& County Design Workforce Housing Pilot for
OP-1320 McKee 129 Manager's County Employees $0 $20,000 $20,000
Office
OP-S99 Staff 40 Revenue By Increase Fund balance to Balance $12,762 $0 ($12,762)
Category
Grand Total $1,935,362 $1,935,362 i
Page 3 of 5
6
RES-2026-039 Attachment 1
Amendment# Sponsor CIP Budget Page Department Amendment Year 1 Impact 10 Year CIP Impact
($339,500) ($4,684,500)
CIP-S01 Staff 55 AMS Remove 2700 Homestead Road Project
$0 $0
CIP-SO2 Staff 66 AMS Add$18,057 in Carrboro Revenue for Staff Parking
Gate at Drakeford,reducing debt financing
CIP-1302 Bedford 75 AMS Utilize Med Max Balance to cover share of Whitted ($252,493) ($1,791,635)
HVAC project
Use$35,000 in Master Aging Plan Balance for $0 $0
CIP-603 Bedford 89 AMS Shower improvements at Seymour Center,Reducing
Pay-Go(Operating Impact on OP-B19
Reduce Scope of Twin Creek historic farmhouse ($193,000) ($193,000)
renovation to$132,000 for fence and structural
repairs only.
CIP-1304 Bedford 119 DEAPR Develop new concept plan options for County owned
property such as Twin Creek Parks, OCS
Elementary Land-Swap,and Revere Road.
CIP-607 McKee 134 Education Delay Estes Hills Elementary School 2 years. ($6,283,000) $0
Inflation to be absorbed within Major Projects budget
CIP-1309 McKee 74 AMS Delay Historic Court House 1 years,adding inflation ($371,243) $144,785
Delay 1 year Emergency Services Headquarters, ($3,900,000) $1,639,098
CIP-B11 McKee 104&56&58 AMS&ES along with Cedar Grove Storage and Convert existing
facility to Admin building
Delay Frank Porter Graham and Orange Middle $0 $0
CIP-1312 McKee 135&148 Education School Projects 1 year.Inflation to be absorbed in
Major Projects butl et.
CIP-613 McKee 111 DEAPR Delay Central Recreation 3 years,adding inflation $0 $1,957,563
CIP-1314 McKee 105 ES Delay 2nd ES substations 1 year,adding inflation. $0 $131,700
AMMIL-
4) Changes in County Staff Positions
Increases in FTE
Department Position Name Fund Start Date FTE
Transportation List Driver General Fund 7/1/2026 1.000
Health Deputy Director General Fund 7/1/2026 1.000
County Manager-Opioid Behavioral Health Director Opioid Fund 4/1/2027 1.000
Totals 3.00
Reduction in Force — In order to reduce the tax burden, the Manager recommends that the Orange County
Board of Commissioners declare that a reduction in force is necessary that will result in the deletion of one
position.
5) General Fund Appropriations for Local School Districts
The following FY2026-27 General Fund Appropriations for Chapel Hill-Carrboro City Schools
and Orange County Schools are approved:
a) Current Expense appropriation for local school districts totals $116,314,680 and equates to a
per pupil allocation of$6,290.
1) The Current Expense appropriation to the Chapel Hill-Carrboro City Schools is
$67,560,890
Page 4 of 5
7
RES-2026-039 Attachment 1
2) The Current Expense appropriation to the Orange County Schools is $48,753,790.
b) School Related Debt Service for local school districts totals $23,297,056.
c) Additional net County funding for local school districts totals $10,968,174
(1) School Resource Officers and School Health Nurses Contracts - total appropriation of
$4,248,550 to cover the costs of School Resource Officers in every middle and high
school, and a School Health Nurse in every elementary, middle, and high school in both
school systems.
(2) Recurring Capital —total pay-as-you-go funding of$6,683,624 to cover recurring capital
funding at both school districts and planning and design funds for bond projects.
(3) Enrollment Projections— total funding of$36,000 to contract with Carolina Demography
to provide enrollment projects for both districts. This is utilized in the annual SAPFO
process and is used to guide capital planning.
6) Capital Investment Plan Funding for FY2026-27 (Year 1)
The following FY2026-27 (Year 1) Capital Investment Plan Appropriations are approved:
a) Overall Total Capital Investment Plan Funding of$139,418,653
b) County Capital Projects Funding of$24,409,968
c) School Capital Projects Funding of$112,524,049
d) Solid Waste Project Funding of$544,636 and Sportsplex Project Funding of$1,940,000
7) County Fee Schedule
To adopt the County Fee Schedule to include changes in the FY2026-27 Manager's
Recommended Annual Operating Budget and approved by the Board of County Commissioners on
June 4, 2026.
Page 5 of 5
8
Attachment 2
ORD-2026-014
Fiscal Year 2026-27
Budget Ordinance
Orange County, North Carolina
Be it ordained by the Board of Commissioners of Orange County
Section I. Budget Adoption
There is hereby adopted the following operating budget for Orange County for this fiscal
year beginning July 1, 2026 and ending June 30, 2027, the same being adopted by fund
and activity, within each fund, according to the following summary:
Fund Current Interfund Fund Balance Total
Revenue Transfer Appropriated Appropriation
General Fund $319,754,250 $242,941 $7,068,892 $327,066,083
Emergency $433,577 $0 $0 $433,577
Telephone Fund
Employee Health $16,874,504 $4,531,640 $0 $21,406,144
and Dental Fund
Fire Districts Fund $12,162,693 $0 $0 $12,162,693
Housing Choice $9,041,000 $0 $0 $9,041,000
Voucher Fund
Visitors Bureau Fund $2,643,471 $0 $0 $2,643,471
Solid Waste
Operations $11,628,899 $0 $1,682,392 $13,311,291
Enterprise Fund
Sportsplex
Operations $5,952,738 $0 $0 $5,952,738
Enterprise Fund
Chapel Hill- Carrboro
City Schools District $30,149,797 $0 $0 $30,149,797
Tax Fund
Parks Capital
Reserve Fund $10,500 $0 $0 $10,500
OPC Retiree Health $25,000 $0 $0 $25,000
Fund
DSS Trust Fund $260,000 $0 $0 $260,000
Jail Inmate Trust $315,000 $0 $0 $315,000
Fund
4-H Fund $30,700 $0 $5,000 $35,700
Debt Service Fund $371,091 $40,494,842 $25,208 $40,891,141
Inspections Fund $1,616,351 $0 $166,925 $1,783,276
9
ORD-2026-014
Community Giving $90,000 $0 $0 $90,000
Fund
Total $411,359,571 $45,269,423 $8,948,417 $465,577,411
Section II. Appropriations
That for said fiscal year, there is hereby appropriated out the following:
Function Appropriation
General Fund
Community Services $17,345,343
General Government $13,810,456
Public Safety $45,161,826
Human Services $56,026,589
Education $121,654,739
Support Services $19,846,264
Transfer to Other Fund $53,220,866
Total General Fund $327,066,083
Emergency Telephone System Fund
Public Safety $433,577
Total Emergency Telephone System Fund $433,577
Employee Health and Dental Fund
Support Services $21,406,144
Total Employee Health and Dental Fund $21,406,144
Fire Districts
Cedar Grove $457,659
Greater Chapel Hill Fire Service District $331,044
Damascus $186,016
Efland $1,252,447
Eno $1,655,722
Little River/Caldwell $590,129
New Hoe $1,466,343
Orange Grove $1,134,224
Orange Rural $2,565,864
South Orange Fire Service District $891,351
Southern Triangle Fire Service District $508,197
White Cross $1,123,697
Total Fire Districts Fund $12,162,693
Housing Choice Voucher Fund
Human Services $9,041,000
Total Housing Choice Voucher Fund $9,041,000
Visitors Bureau Fund
Arts and Tourism $2,493,471
Transfer to Other Funds $150,000
Total Visitors Bureau Fund $2,643,471
Solid Waste Operations Enterprise Fund
Community Services - Solid Waste/Landfill Operations $13,311,291
2
10
ORD-2026-014
Total Solid Waste Operations Enterprise Fund $13,311,291
S orts lex Operations Enterprise Fund
Community Services $5,752,738
Transfer to Other Funds $200,000
Total S orts lex Operations Enterprise Fund $5,952,738
CHCCS District Tax Fund
Education $30,149,797
Total CHCCS District Tax Fund $30,149,797
Parks Capital Reserve Fund
Community Services $10,500
Total Parks Capital Reserve Fund $10,500
Orange-Person-Chatham Retiree Health Fund
Support Services $25,000
Total Orange-Person-Chatham Retiree Health Fund $25,000
DSS Trust Fund
Human Services $260,000
Total DSS Trust Fund $260,000
Jail Inmate Trust Fund
Public Safety $315,000
Total Jail Inmate Trust Fund $315,000
4-H Fund
Community Services $35,700
Total 4-H Fund $35,700
Debt Service Fund
Debt Service $40,891,141
Total Debt Service Fund $40,891,141
Inspections Fund
Community Services $1,783,276
Total Inspection Fund $1,783,276
Community Giving Fund
General Government $90,000
Total Community Giving Fund $90,000
Section III. Revenues
The following fund revenues are estimated to be available during the fiscal year beginning
July 1, 2026 and ending June 30, 2027, to meet the foregoing appropriations:
Function Appropriation
General Fund
Property Tax $231,885,287
Sales Tax $45,346,787
Licenses & Permits $212,000
Intergovernmental $23,145,082
Charges for Services $15,971,934
Investment Earnings $1,800,000
Miscellaneous $1,393,160
3
11
ORD-2026-014
Transfers from Other Funds $242,941
Appropriated Fund Balance $7,068,892
Total General Fund $327,066,083
Emergency Telephone System Fund
Charges for Services $433,577
Total Emergency Telephone System Fund $433,577
Employee Health and Dental Fund
General Government Revenue $16,874,504
From General Fund $4,531,640
Total Employee Health and Dental Fund $21,406,144
Fire Districts
Property Tax $12,145,593
Interest on Investments $17,100
Total Fire Districts Fund $12,162,693
Housing Choice Voucher Fund
Intergovernmental $9,026,000
Interest on Investments $15,000
Total Housing Choice Voucher Fund $9,041,000
Visitors Bureau Fund
Occupancy Tax $2,332,982
Sales & Fees $47,280
Intergovernmental $96,897
General Government Revenue $166,312
Total Visitors Bureau Fund $2,643,471
Solid Waste Operations Enterprise Fund
Sales & Fees $10,970,659
Intergovernmental $459,640
Miscellaneous $63,600
Interest on Investments $135,000
Appropriated Fund Balance $1,682,392
Total Solid Waste Operations Enterprise Fund $13,311,291
Sportsplex Operations Enterprise Fund
Charges for Services $5,952,738
Total S orts lex Operations Enterprise Fund $5,952,738
Chapel Hill-Carrboro City Schools District Tax Fund
Property Tax $30,149,797
Total Chapel Hill-Carrboro City Schools District Tax Fund $30,149,797
Parks Capital Reserve Fund
Miscellaneous $10,500
Total Parks Capital Reserve Fund $10,500
Orange-Person-Chatham (OPC) Retiree Health Fund
Interest on Investment $25,000
Total OPC Retiree Health Fund $25,000
DSS Trust Fund
General Government Revenue $260,000
Total DSS Trust Fund $260,000
4
12
ORD-2026-014
Jail Inmate Trust Fund
Miscellaneous $315,000
Total Jail Inmate Trust Fund $315,000
4-H Fund
General Government Revenue $15,700
Charges for Services $15,000
Appropriated Fund Balance $5,000
Total 4-H Fund $35,700
Debt Service Fund
Intergovernmental Revenue $371,091
From General Fund $40,494,842
Appropriated Fund Balance $25,208
Total Debt Service Fund $40,891,141
Inspections Fund
Charges for Services $1,616,351
Appropriated Fund Balance $166,925
Total Inspections Fund $1,783,276
Community Giving Fund
Donations $90,000
Total Community Giving Fund $90,000
Section IV. Tax Rate Levy
There is hereby levied for the fiscal year 2026-27 a general county-wide tax rate of 68.05
cents per $100 of assessed valuation. This rate shall be levied in the General Fund.
Special district tax rates are levied as follows:
Cedar Grove 7.54
Greater Chapel Hill Fire Service District 11.50
Damascus 11.50
Efland 8 38
Eno
10.71
Little River 6.35
New Hope 12.50
Orange Grove
7.00
Orange Rural 9.21
South Orange Fire Service District 8.17
Southern Triangle Fire Service District 11.50
White Cross 14.00
5
13
ORD-2026-014
Chapel Hill-Carrboro City School District I 14.79
Section V. General Fund Appropriations for Local School Districts
The following FY 2026-27 General Fund Appropriations for Chapel Hill-Carrboro
City Schools and Orange County Schools are approved:
a) Current Expense appropriation for local school districts totals $116,314,680 and
equates to a per pupil allocation of$6,290.
1) The Current Expense appropriation to the Chapel Hill-Carrboro City
Schools is $67,560,890.
2) The Current Expense appropriation to the Orange County Schools is
$48,753,790.
b) School Related Debt Service for local school districts totals $23,297,056.
c) Additional County funding for local school districts totals $10,968,174
• School Resource Officers and School Health Nurses Contracts - total
appropriation of$4,248,550 to cover the costs of School Resource Officers in
every middle and high school, and a School Health Nurse in every
elementary, middle, and high schools in both school systems.
• Pay-as-you-go Funding —total pay-as-you-go funding of$6,683,624 to cover
recurring capital funding at both school districts and planning and design
funds for bond projects.
• Enrollment Projections —total funding of$36,000 to contract with Carolina
Demography to provide enrollment projects for both districts. This is utilized in
the annual SAPFO process and is used to guide capital planning.
Section VI. Schedule B Privilege Licenses
In accordance with Schedule B of the Revenue Act, Article 2, Chapter 105 of the North
Carolina State Statutes, and any other section of the General Statutes so permitting, there
are hereby levied privilege license taxes in the maximum amount permitted on businesses,
trades, occupations or professions which the County is entitled to tax.
Section VII. Board of Commissioners' Compensation
The Board of County Commissioners authorizes that:
• For fiscal year 2026-27, the approved budget includes a 2% wage increase and
Merit Pay.
• The salaries for the positions of Chair, Vice-Chair and Commissioner, including the
2% wage increase are $31,784, $26,495 and $25,495 respectively.
• Annual compensation for County Commissioners will include the County
contribution for health insurance, dental insurance and life insurance that is
provided for permanent County employees, provided the Commissioners are
eligible for this coverage under the insurance contracts and other contracts
affecting these benefits.
• Merit Pay for County Commissioners is received as a one-time bonus each year
and payable in December.
6
14
ORD-2026-014
• County Commissioners' compensation includes eligibility to continue to participate
in the County health insurance at term end as provided below:
o If the County Commissioner has served less than two full terms in office
(less than eight years), the Commissioner may participate by paying the
full cost of such coverage. (If the Commissioner is age 65 or older,
Medicare becomes the primary insurer and group health insurance ends.)
o If the County Commissioner has served two or more full terms in office
(eight years or more), the County makes the same contribution for health
insurance coverage that it makes for an employee who retires from Orange
County after 20 years of consecutive County service as a permanent
employee. If the Commissioner is age 65 or older, Medicare becomes the
primary insurer and group health insurance ends. The County makes the
same contribution for Medicare Supplement coverage that it makes for a
retired County employee with 20 years of service.
o Annual compensation for Commissioners will include a County contribution
for each Commissioner to the Deferred Compensation (457) Supplemental
Retirement Plan that is the same as the County contribution for non-law
enforcement County employees in the State 401 (k) plan. For fiscal year
2026-27, the approved budget continues the County contribution of $104
per pay period.
• Commissioners are eligible for car, phone and internet allowances at $200, $85
and $75 per month respectively. Car Allowance covers all in-county travel for
commissioners. Commissioners may be reimbursed for out-of-county travel
according to the Orange County Travel Policy.
Reduction in Force—To avoid tax increases, the Manager recommends that the Orange
County Board of Commissioners declare that a reduction in force is necessary that will
result in the deletion of one position.
Section VIII. Budget Control
General Statutes of the State of North Carolina provide for budgetary control measures
to exist between a county and public school system. The statute provides:
Per General Statute 115C-429:
(c)The Board of County Commissioners shall have full authority to call for, and the
Board of Education shall have the duty to make available to the Board of County
Commissioners, upon request, all books, records, audit reports, and other
information bearing on the financial operation of the local school administrative
unit.
The Board of Commissioners hereby directs the following measures for budget
administration and review:
That upon adoption, each Board of Education will supply to the Board of County
Commissioners a detailed report of the budget showing all appropriations by
function and purpose, specifically to include funding increases and new program
funding. The Board of Education will provide to the Board of County
Commissioners a copy of the annual audit, monthly financial reports, copies of all
7
15
ORD-2026-014
budget amendments showing disbursements and use of local moneys granted to
the Board of Education by the Board of Commissioners.
The Board of Commissioners hereby approves the following financial policies:
• The County will initiate measures to recoup sales tax proceeds on school capital
projects through the conveyance of school property to the County, with the
disposition of such property determined in accordance with applicable
agreements and County policy.
• The County will ensure that all monthly general ledger postings occur by the 10th
work day of each month.
• The County will ensure that monthly financial reports are available by the 15th
work day of each month.
• The County will not issue debt for a project until a bid award date and
construction start date is established.
• Whereas, it is a best practice for governments to account for capital assets
separate from their operating funds, and; Whereas, enterprise funds generally
establish Renewal and Replacement Capital Funds to account for the acquisition
of capital assets; Therefore,
a. The Solid Waste Renewal and Replacement Capital Fund is established
to account for sources of income earmarked to fund the County Capital
Investment Plan. Sources of income including debt financing proceeds,
pay-as-you-go funds, and any other sources earmarked to finance
acquisition of capital assets.
b. The Sportsplex Renewal and Replacement Capital Fund is established to
account for sources of income earmarked to fund the County Capital
Investment Plan. Sources of income including debt financing proceeds,
pay-as-you-go funds, and any other sources earmarked to finance
acquisition of capital assets.
• Whereas, the County intends to undertake Capital Projects as approved in Year
1 (FY 2026-27) of the Capital Investment Plan, will use its own funds to pay initial
Project costs, and then reimburse itself from financing proceeds for these early
expenditures. The expected primary type of financing for the Projects is
installment financing under Section 160A-20. The financing may include more
than one installment financing, and may include installment financings with
equipment vendors and installment financings that include the use of limited
obligation bonds. The Manager and Finance Officer have advised the Board that
it should adopt this resolution to document the County's plans for reimbursement,
in order to comply with certain federal tax rules relating to reimbursement from
financing proceeds.
• The Community Loan Fund will issue no interest loans to recipients in this
program.
• The County has adopted a policy to fund no interest loans to Non-Profit
organizations that meet certain financial criteria, as adopted on September 20,
2018.
• The Governmental Accounting Standards Board (GASB) established GASB
Statement Number 87 for Leases and GASB 96 for Subscription-Based
Information Technology Arrangements (SBITAs). The purpose of these two
statements are to provide uniform accounting and financial reporting on
government entities' financial statements.
• To effectively comply with GASB 87 and 96, the County will establish a
capitalization threshold for Leases and SBITAs of$50,000 or higher. Leases and
SBITAs at $50,000 and higher will be reported on the County's financial
statements to meet the GASB requirements.
8
16
ORD-2026-014
Section IX. Internal Service Fund - Health and Dental Insurance Fund
The Health and Dental Insurance Fund accounts for receipts of premium payments from
the County and its employees, employees for their dependents, all retirees and the
payment of employee and retiree claims and administration expenses. Projected receipts
and fund reserves from the County and employees for fiscal year 2026-27 will be
$21,406,144 and projected expenses for claims and administration for fiscal year 2026-27
will be $21,406,144.
Section X. Other Post Employment Benefits Fund
Orange County, North Carolina
Other Post-Employment Benefits (OPEB) Investment and Funding Policy
• Each fiscal year the County funds its OPEB benefits coming due to current retires on
a pay-as—you-go (PAYGO) basis from the Health and Dental Fund.
• The Finance Officer will regularly evaluate the appropriate allocation of such OPEB
investments between Equities, Long-term Bonds and Shorter-term investments and
make adjustments as necessary.
Section XI. Custodial Funds
Custodial Funds are used to report any fiduciary activities not reported in Investment
Trust or Private-Purpose Trust Funds. In North Carolina, examples of Custodial Funds
are the Jail Inmate Fund, and the property taxes collected by the County on behalf of a
municipality (the Chapel Hill-Carrboro City Schools District Tax Fund).
Section XII. Encumbrances
Operating funds encumbered by the County as of June 30, 2026 are hereby
reappropriated to this budget.
Section XIII. Capital Projects & Grants Fund
The County Capital Improvements Fund, Schools Capital Improvements Fund, Proprietary
Capital Funds, and the Grant Projects Fund are hereby authorized. Appropriations made
for the specific projects or grants in these funds are hereby appropriated until the project
or grant is complete.
a. The County Capital Projects Fund FY 2026-27 budget, with anticipated fund
revenues of $24,409,968 and project expenditures of $24,409,968 is hereby
adopted in accordance with G.S. 159 by Orange County for the fiscal year
beginning July 1, 2026, and ending June 30, 2027, and the same is adopted by
project.
b. The Proprietary Capital Funds FY 2026-27 budget, consisting of Water and Sewer
Utilities, Solid Waste, and Sportsplex, with anticipated fund revenues of
$2,484,636 and project expenditures of $2,484,636 is hereby adopted in
accordance with G.S. 159 by Orange County for the fiscal year beginning July 1,
2026, and ending June 30, 2027, and the same is adopted by project.
i. The Solid Waste Renewal and Replacement Capital Fund FY 2026-27 budget,
with anticipated sources of income of $544,636 and anticipated expenditures
9
17
ORD-2026-014
of$544,636 is hereby adopted in accordance with G.S. 159 by Orange County
for the fiscal year beginning July 1, 2026, and ending June 30, 2027.
ii. The Sportsplex Renewal and Replacement Capital Fund FY 2026-27 budget,
with anticipated sources of income of $1,940,000, and anticipated
expenditures of$1,940,000 is hereby adopted in accordance with G.S. 159 by
Orange County for the fiscal year beginning July 1, 2026, and ending June 30,
2027.
c. The School Capital Projects Fund FY 2026-27 budget, with anticipated fund
revenues of $112,524,049, and project expenditures of $112,524,049 is hereby
adopted in accordance with G.S. 159 by Orange County for the fiscal year
beginning July 1, 2026, and ending June 30, 2027, and the same is adopted by
project.
Revenues
Function Appropriation
Article 43 Sales Tax Proceeds $300,000
Article 46 Sales Tax Proceeds $3,422,783
Contributions from Other Infrastructure Partners $130,057
Debt Financing $22,031,775
Debt Financing - Bond Proceeds $96,100,000
Debt Financing - School Improvements $4,608,678
Debt Financing - Solid Waste $544,636
Debt Financing - Sportsplex $1,740,000
Grant Funding $349,335
Lottery Proceeds $1,807,908
Partner Funding - County Capital $418,588
Register of Deeds Fees $80,000
Sportsplex Funds $200,000
Transfer from General Fund $7,649,893
Transfer from Other Funds $35,000
Total Capital Funds $139,418,653
Appropriations
Function Appropriation
County
County Assets and Community Centers $21,782,731
Information Technology $197,128
Parks, Open Space, and Trail Development $531,000
Public Safety $1,899,109
County Total $24,409,968
Proprietary
Solid Waste $544,636
Sportsplex $1,940,000
Proprietary Total $2,484,636
10
18
ORD-2026-014
School
Chapel Hill-Carrboro City Schools $55,889,071
Orange County Schools $55,634,978
Project Management $1,000,000
School Total $112,524,049
Total Capital Funds $139,418,653
The County Grant Projects Fund FY 2026-27 budget, with anticipated fund revenues of
$284,500, and project expenditures of $284,500, is hereby adopted in accordance with
G.S. 159 by Orange County for the fiscal year beginning July 1, 2026, and ending June
30, 2027, and the same is adopted by project.
Revenues
Function Appropriation
Intergovernmental $184,500
Donations $100,000
Total Grants Fund, $284,500
Appropriations
Function Appropriation
Master Aging Plan (Department on Aging) $65,000
Transfer to County Capital $35,000
Local Reentry Council Grant (Criminal Justice $150,000
Resource Department)
Drug Treatment Court (Criminal Justice Resource $34,500
Department)
Total Grants Fund, $284,500
The Article 46 Sales Tax Fund FY 2026-27 budget, with anticipated fund revenues of
$6,647,678 and project expenditures of$6,647,678, is hereby adopted in accordance with
G.S. 159 by Orange County for the fiscal year beginning July 1, 2026, and ending June
30, 2027, and the same is adopted by project.
Revenues
Function Appropriation
Sales Tax $6,647,678
Total Article 46 Fund $6,647,678
Appropriations
Function Appropriation
Transfer to School Capital Fund $3,323,839
Transfer to County Capital Fund $98,944
Economic Development $3,224,895
11
19
ORD-2026-014
Total Article 46 Fund $6,647,678
The Community Development Fund FY 2026-27 budget, with anticipated fund revenues
of $1,595,360 and project expenditures of $1,595,360, is hereby adopted in accordance
with G.S. 159 by Orange County for the fiscal year beginning July 1, 2026, and ending
June 30, 2027, and the same is adopted by project.
Revenues
Function Appropriation
Intergovernmental $1,067,563
Transfer from General Fund $514,491
Program Income $13,306
Total Community Development Fund $1,595,360
Appropriations
Function Appropriation
Human Services $1,595,360
Total Community Development Fund $1,595,360
The Opioid Settlement Fund FY 2026-27 budget, with anticipated fund revenues of
$1,002,082 and project expenditures of$1,002,082, is hereby adopted in accordance
with G.S. 159 by Orange County for the fiscal year beginning July 1, 2026, and ending
June 30, 2027, and the same is adopted by project.
Revenues
Function Appropriation
Intergovernmental $1,002,082
Total Opioid Settlement Fund $1,002,082
Appropriations
Function Appropriation
Lantern Project $209,859
Freedom House $85,907
NC FIT $37,059
Post-Overdose Response Team $369,185
Harm Reduction Coordinator $68,425
CJRD Clinical Coordinator $114,861
EI Futuro $66,310
UNC Student Wellness $10,000
Behavioral Health Director $39,964
Unallocated $512
Total Opioid Settlement Fund $1,002,082
Any capital project or grant budget previously adopted, the balance of any anticipated,
but not yet received, revenues and any unexpended appropriations remaining on June
30, 2026, shall be reauthorized in the FY 2026-27 budget.
12
20
ORD-2026-014
Section XIV. Contractual Obligations, Settlement, and Disposal of Property
The County Manager is hereby authorized to approve contracts and execute contractual
documents and dispose of property under the following conditions:
a. The Manager may approve and execute contracts for construction or repair projects
that do not require formal competitive bid procedures, and which are within budgeted
departmental appropriations, for which the amount to be expended does not exceed
$250,000.
b. The Manager may approve and execute contracts for general and/or professional
services which are within budgeted departmental appropriations, for purchases of
apparatus supplies and materials or equipment which are within the budgeted
departmental appropriations, and for leases of property for a duration of one year or less
and within budgeted departmental appropriations for which the amount to be expended
does not exceed $90,000.
c. The Manager is authorized to execute contracts, their amendments and extensions, in
amounts otherwise reserved for Board approval and execution by the Chair, up to the
Board-approved budgetary amount for a project or service that has been approved by
the Board of County Commissioners in the current year budget. This section does not
apply to projects in which the Board must approve and award a bid.
d. Contracts executed by the Manager shall be pre-audited by the Chief Financial Officer
and reviewed by the County Attorney to ensure compliance in form and sufficiency with
North Carolina law.
e. The Manager may sign intergovernmental grant agreements regardless of amount as
long as no expenditure of County matching funds, not previously budgeted and
approved by the Board, is required. Subsequent budget amendments will be brought to
the Board of County Commissioners for revenue generating grant agreements not
requiring County matching funds as required for reporting and auditing purposes.
f. Upon the Manager's determination that certain property is surplus the Manager may
dispose of County personal property consisting of one item or a group of similar items
having a value of less than $30,000. In disposing of the property the Manager may
utilize any lawful method of disposal including and not limited to private or public sale,
exchange, auction, etc. The Manager shall seek fair market value for the property.
Consideration may consist of items and things other than currency. The Manager shall
keep a record of all property sold under this section and that record shall generally
describe the property sold or exchanged, to whom it was sold, or with whom exchanged,
and the amount of money or other consideration received for each sale or exchange.
g. The Manager is authorized to approve and execute leases of County property for a
term not exceeding one year. Such leases of County property may not be extended
beyond one year except by action of the Board of Commissioners.
h. The County Manager is authorized to accept personal property donations to the
County valued at $10,000 or less without requiring Board of Commissioners approval.
Donations exceeding this threshold shall be reviewed and approved by the Board.
i. The Manager may approve and execute the settlement of lawsuits, claims, and legal
disputes having a dollar value that does not exceed $25,000. The Manager may, with
concurrence of the County Attorney, approve and execute the settlement of lawsuits,
13
21
ORD-2026-014
claims, and legal disputes having a dollar value between $25,000 and $100,000. If the
County Attorney does not concur with any settlement the County Attorney and County
Manager shall consult with the Board of Commissioners on such settlements.
Regardless of the preceding delegation of authority, the Board of Commissioners
reserves unto itself the exclusive authority to settle any action having a dollar value in
excess of$100,000.
Section XV. Micro-purchase Threshold
a. In accordance with 2 C.F.R. § 200.320(a)(1)(iv) and the applicable provisions of North
Carolina law, the County hereby self-certifies the following micro-purchase thresholds,
each of which is a "higher threshold consistent with State law" under 2 C.F.R. §
200.320(a)(1)(iv)(C) for the reasons set forth in the recitals to this resolution:
1. $30,000, for the purchase of"apparatus, supplies, materials, or equipment";
and
2. $30,000, for the purchase of"construction or repair work"; and
3. $50,000, for the purchase of services not subject to competitive bidding under
North Carolina law; and
4. $50,000, for the purchase of services subject to the qualifications-based
selection process in the Mini-Brooks Act; provided that such threshold shall apply
to a contract only if the County has exercised an exemption to the Mini-Brooks Act,
in writing, for a particular project pursuant to G.S. 143-64.32. If the exemption is
not authorized, the micro-purchase threshold shall be $0.
b. The self-certification made herein shall be effective as of the date hereof and shall be
applicable until June 30, 2026.
c. In the event that the County receives funding from a federal grantor agency that adopts
a threshold more restrictive than those contained herein, the County shall comply with the
more restrictive threshold when expending such funds.
d. The County shall maintain documentation to be made available to a Federal awarding
agency, any pass-through entity, and auditors in accordance with 2 C.F.R. § 200.334.
e. For purchases made with federal grant or federal program funds, the County follows
the federal procurement requirements established in 2 CFR Part 200 and the Federal
Acquisition Regulation (FAR).
The Federal Simplified Acquisition Threshold (SAT) is the dollar amount below which a
streamlined purchasing process may be used. Effective October 1, 2025, the Federal SAT
was increased from $250,000 to $350,000.
For purchases of$350,000 or less,the County may use small purchase procedures, which
generally require obtaining price or rate quotes from an adequate number of qualified
vendors to ensure competition and reasonable pricing. For purchases exceeding
$350,000, the County must use a formal competitive procurement process, such as sealed
bidding or competitive proposals, in accordance with applicable federal regulations.
f. The Chief Financial Officer of the County is hereby authorized to revise the Purchasing
Policy of the Unit to reflect the increased micro-purchase thresholds specified herein as
necessary, and to take all such actions to carry into effect the purpose and intent of the
foregoing resolution.
14
Countywide Fees
22
Countywide Fees
Division/Program Description Current Fee Last
Revision
Credit Card Usage Fee 3%of transaction cost 2024
3%of gross receipts
derived from rental of
Occupancy Tax Rate 2008
accommodations in the
County
FY 2026-27 Commissioner Approved Fee Schedule Orange Page 3
Asset Management
23
Asset Management
Division/Program Description Current Fee Last
Revision
Events held for public
County Events spaces/Community Center purposes: $40.00/Hour2026
Private Events (Staffing
Included):$65.00/Hour
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 4
Orange County Public Transportation
24
Orange County Public Transportation
Division/Program Description Current Fee Last
Revision
Transportation
Vehicle lease $6.86 per mile (van) 2026
Planning
Transit Operations Driver lease $34.00/hour 2026
Driver&Vehicle Lease $133.00/hour 2026
Additional $15.00/hour
2026
Afterhours/Weekends
Additional $15.00/hour
2026
Holidays
Demand Response—Elderly and Disabled
$3.00 door to door 2026
Transportation Assistance Program (EDTAP)
Demand Response—Rural General Public Program
(job interviews, human services,social services,
$3.00 door to door 2026
medical, pharmacy,with orgin or destination in the
rural area)
Demand Response—Employment and
Transportation Assistance Program (EMPL) and Work $0.00 door to door 2026
First Program
Mobility on Demand $5.00 door to door 2026
Public Shuttle $0.00 per one-way trip 2025
in-town
$0.00 per one-way trip
for the elderly or 2025
disabled
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 5
Department on Aging
25
Department on Aging
Division/Program Description Current Fee Last
Revision
Senior Programs Classes Instructor Cost+10- 2026
30%Admin
Senior Games $25.00 per participant 2025
Senior Games (Non Resident) $30.00 per participant 2026
Senior Games-Early Bird $20.00 Early Bird Rate 2025
per registrant
Senior Games (Non-Resident)-Early Bird $25.00 Early Bird Rate 2026
per registrant
Fit Feet Service Fit Feet Service (Resident) $25.00 2026
Fit Feet Service (Non-Resident) $40.00 2026
Fitness Studio
Seymour Center Membership Fees 2026
Annual Rate—Paid Lumpsum
Individual $153.00 2026
Couple $255.00 2026
Semi-Annual Rate—Paid at sign-up and 6-month
intervals
Individual $90.00 2026
Couple $150.00 2026
Quarterly Rate—Paid in Jan,Apr,Jul,Oct
Individual $45.00 2026
Couple $75.00 2026
Monthly Rate—Paid by the 10th of each month
Individual $15.00 2026
Couple $25.00 2026
Non-County residents(NR) may join at the following
rates:
NR Montly rate
Individual $28.00 2026
Couple $35.00 2026
NR Annual rate
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 6
Department on Aging
26
Division/Program Description Current Fee Last
Revision
Individual $286.00 2026
Couple $357.00 2026
Great Hall or Ballroom (Senior Centers), includes
Senior Center $150.00 per hour 2026
onsite personnel
Meeting room Use Fee includes onsite personnel fees
$70.00 per hour 2026
for non-business hours reservations.
Class 6 Use Fee; includes use, kitchen fee,and on-site
personnel fees (when required for non-business hours
$45.00 per hour 2017
reservations,or as otherwise required by Orange
County)
Kitchen Use (senior centers only) $50.00 2017
Cleaning/lock up/utility fee $25.00 per hour 2017
For events larger than 100 persons and additional
$25.00 per hour 2026
staff person is required
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 7
Board of Elections
27
Board of Elections
Division/Program Description Current Fee Last
Revision
Mandate
Filing Fees State&County Offices 1%of Annual Salary
d #
Municipal Offices CH -$5.00 Mayor and 1980
Council
Car- $15.00 Mayor
1980
$10.00 Council
Hills- $10.00 Mayor and 1980
Council
CH 50%and Car 50%of
Municipal Elections Precinct Officals Cost. Hills-100%of 1980
Cost
Ballots
All municipalities 100%
1980
of Cost
All municipalities 100%
Advertisements 1980
of Cost
Other Charges Computer printouts $.10 per page 2009
Special Select $.10 per page 2009
One-Precint $.10 per page 2009
Computer labels $.30 per page 2009
Computer Tapes/CD's $10.00 per CD 2009
Specialized Programming $10.00 per CD 2009
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 8
DEAPR
28
DEAPR
Division/Program Description Current Fee Last
Revision
Natural &Cultural Resources
Local Landmark Program $100.00 2010
Parks& Recreation
Athletics Youth Athletics $65.00 Base 2024
Adult Basketball
League Fee:$500.00
Adult Volleyball Fee:
Adult Athletics $250.00 2026
Athletic Instructional
Classes Base Fee:
$50.00-$70.00
Summer Camps Base
Fee:$80.00/week
Afterschool:
General Programs Youth/Teen Programs $165.00/month 2025
Preschool:
$190.00/month
Recreational
Instructional Classes
Adult Programs Base Fee: 2026
$50.00-$70.00 per
class
Special events/equipment purchase for:Adult and Youth
Athletics, Instructional and Recreational Classes,Summer 100%of cost 2024
Camps,and Afterschool
Special Events $15.00 2024
Special Event Parking $5.00 per car 2025
Administration Special Event Alcohol Application Fee $250.00 2026
Other Programs Concerts Varies 2009
Resident:$50.00 per
hour
Facility Rentals Gyms-Group Rentals 2023
Non-Resident:$75.00
per hour
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 9
DEAPR
29
Division/Program Description Current Fee Last
Revision
Resident:$40.00 per
Athletic Fields hour 2023
Non-Resident:$60.00
per hour
$60.00/hr.for resident;
Athletic Fields-Tournaments $80.00/hr.for non- 2026
resident
Resident$350.00 per
Soccer.com -Tournaments hour; 2026
Non-Resident$525.00
per hour
Athletic Field Lighting $35.00 per hour 2016
Tennis/Basketball Court Rental $10.00 per hour 2022
Tennis/Basketball Court Rental w/lights $15.00 per hour 2022
Tournament Vending Permit Fee $100.00 per day 2013
Special Event Vending $25.00/booth per day 2024
Picnic Shelter- Resident $40.00- Half Day; 2026
$60.00-Al I Day
Picnic Shelter- Non-Resident $55.00 - Half Day; 2026
$75.00 -Al I Day
Group Camping $30.00 per group of 6
2009
30
Parks Open Space permit fee (not court,shelter or $20.00/hour or
2024
athletic field) $75.00/day
Blackwood Amphitheater Use Fee- Small Event-/Half $150.00/4hrs; $50.00/1
2022
Day or Per Hr up to 4 hr
Blackwood Amphitheater Use Fee- Large Event- Full Use
$2,500.00 2022
-All Day
Large Shelter at Blackwood Farm Park<4 hours Resident:$75.00 2026
Non-Resident: $100.00
Large Shelter at Blackwood Farm Park>4 hours Resident:$100.00 2026
Non-Resident: $150.00
Large Scale Festivals Negotiated fee 2022
Special Event Over 500 People $265.00-Non Profit/ 2024
$500.00 Business
Special Use Rental -Wedding/Reception $300.00 2025
FY 2026-27 Commissioner Approved Fee Schedule)Orange Page 10
DEAPR
30
Division/Program Description Current Fee Last
Revision
Farmer's Market Pavilion - Resident $30.00- Half Day; 2025
$45.00 All Day
Farmer's Market Pavilion - Non-Resident $40.00- Half Day; 2026
$60.00-All Day
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 11
Land Records
31
Land Records
Division/Program Description Current Fee Last
Revision
Fax $1.00 per page 1994
GIS Property Map -81/2 x 11 $3.00;additional copy 1994
$2.00
GIS Ortho- Property Map-81/2 x 11 $5.00;additional copy 1994
$3.00
GIS Property Map -11 x 17 (B-size) $5.00 1994
GIS Ortho- Property Map-11 x 17 (B-size) $10.00 1994
GIS Property Map-17 x 22 (C-size) $10.00 1994
GIS Ortho- Property Map-17 x 22 (C-size) $20.00 1994
GIS Property Map-22 x 34(D-size) $15.00 1994
GIS Ortho- Property Map-22 x 34(D-size) $25.00 1994
GIS Property Map-34 x 44 (E-size) $25.00 1994
GIS Ortho- Property Map-34 x 44 (E-size) $35.00 1994
Custom GIS Map E-size (Original Inventory) $30.00 1994
Custom GIS Map E-size (Original) $30.00 per hour 1994
Computer Report Land Data $.02 per item 1994
Computer Labels-Owners �$.02 per item 1994
Plot Land Description $20.00 each 1994
FY 2026-27 Commissioner Approved Fee Schedule)Orange Page 12
Library
32
Library
Division/Program Description Current Fee Last
Revision
Photocopies $.15 cents per page after 2022
Microfilm copies $.15 cents per page after 2022
5
Fax $1.00 flat fee 2022
--- Printouts (from internet) $.15 cents per page after 2022
5
Processing Fee $5.00 2010
Kindle Replacement Fee Replacement cost 2022
Photocopies-Color $.25 cents per page 2022
after 5
Out of County Card Fee (Counties outside of Alamance,
$25.00 2018
Caswell,Chatham, Durham,and Person Counties
Library Card Replacement $1.00 2018
Hot Spot Replacement I Replacement cost 2023
FY 2026-27 Commissioner Approved Fee Schedule)Orange Page 13
Register of Deeds
33
Register of Deeds
Division/Program Description Current Fee Last
Revision
$64.00 (up to 35 pgs);
Deeds of Trust or Mortgage $4.00 each additional 2025
page
$26.00 (up to 15 pgs);
Deeds $4.00 each additional 10/1/2011
page.
$26.00 (up to 15 pgs);
Other Instruments $4.00 each additional 10/1/2011
page.
$26.00 (up to 15 pgs);
Assumed names, POA,etc. $4.00 each additional 10/1/2011
page.
Additional subsequent instruments index ref. $5.00 each added to 2025
recording fee
Multiple documents $10.00 each additional 2002
document
Certified Copies $5.00 (1st pg); $2.00 2002
each additional page
Non-standard document fee $25.00 in addition to 2002
regular recording fee
Notice of Satisfaction No Fee 2002
Plats $21.00 2002
Right-of-Way Plans/Highway Maps $21.00;$5.00 each 2002
additional
Plat copy (uncertified) $3.00 2002
Certified copy of plats $5.00 2002
$38.00, $45.00 if more
LICCs than 2 pgs+$2.00/page 2001
over10 pgs
$2.00 per$1000.00
Excise/Revenue Stamps based on purchase 1992
price
Conformed Copy $5.00 2002
Marriage License $60.00 2009
Marriage License Corrections $10.00 2002
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 14
Register of Deeds
34
Division/Program Description Current Fee Last
Revision
Process Delayed Marriages $20.00 2002
Certified Copies, Births, Deaths, Marriages Certificates $10.00 2002
Process Amendments Births/Deaths $10.00+$15.00 to NC 2002
Vitals Records
Process Legitimation $10.00 2002
Delayed Birth Registration $20.00 2002
Notary Public Qualification $10.00 2002
Notarization per Signature $5.00 2002
Notary Certification $3.00 per document 2002
Copy Work $.15 cents per page 2010
Mylar plat copy $5.00 Early
1980s
Duplicate Marriage License $10.00 2000
Historical Records $0.15 2025
CRT print-out $.15 cents per page 2010
Computer tapes $10.00 per tape 1997
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 15
Planning
35
Planning
Division/Program Description Current Fee Last
Revision
Current Planning Fees
$650.00 staff review
Comprehensive Plan Text Amendment fees,$2,000.00 Legal 2026
Advertisement
$650.00+$50.00/acre of
impacted property,area
staff review fee,
$2,000.00 Legal
Advertisement,
Future Land Use Map Amendment $30.00 sign posting fee 2026
per sign per posting
event,$1.00 first class
mail fee applied per
parcel per mailing
event
$650.00 staff review fee,
Unified Development $2,000.00 Legal
Text Amendments 2026
Ordinance advertisement (i.e.
newspaper ads)
$550.00 staff review fee,
$2,000 Legal
Advertisement,$30.00
sign posting fee per
Zoning Atlas sign per posting event,
Amendment- Rezone to Conventional District- Residential $1.00 first class mail fee 2024
Rezoning applied per parcel per
mailing event.All
subdivision and/or site
plan fees shall also
apply
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 16
Planning
36
Division/Program Description Current Fee Last
Revision
$2,250.00 plus an
additional $100.00 per
acre of proposed
disturbed area -staff
review fee,$2,000.00
Legal Advertisement,
$30.00 sign posting fee
Rezone to Conventional District- Nonresidential per sign per posting 2025
event,$1.00 first class
mail fee applied per
parcel per mailing
event.All
subdivision and/or site
plan fees shall also
apply
$2,500.00 plus an
additional $100.00 per
acre of proposed
disturbed area staff
review fee,$2,000.00
Rezone to Conditional District Legal Advertisement, 2026
$30.00 sign posting fee
per sign per posting
event,$1.00 first class
mail fee applied per
parcel per mailing
event.
$1,000.00 plus$100.00
Zoning Fees: per acre of the
Zoning Compliance Permits for Administratively
Telecommunication Approved New Towers proposed disturbed 2025
Towers area plus$1,000.00
consultant review fee
Telecommunication Antenna Collocation/Eligible
$200.00 2015
Facilities Request
Zoning Permit Review Fee-Telecommunication
$2,500.00 2018
Tower Class A
Zoning Permit Review Fee-Telecommunication Tower $1,500.00 2025
SUP
Consultant Review Fee
Consultant Fee $7,000.00 2025
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 17
Planning
37
Division/Program Description Current Fee Last
Revision
Co-Location Fee:
Co-Location Fee $1,000.00 consultant
2026
review plus$150.00 staff
review fee
$400.00 staff review fee,
Board of Adjustment Appeal of Interpretation and Variance- residential $1.00 first class mail fee2024
applied per parcel per
mailing event.
$600.00 staff review fee,
Appeal of Interpretation and Variance- non-residential $1.00 first class mail fee 2024
applied per parcel per
mailing event.
$600.00 staff review fee,
$30.00 sign posting fee
per sign per posting
Special Use Permits event,$1.00 first class 2024
mail fee applied per
parcel per mailing
event.
Subdivision Concept Plan $150.00 staff review fee, 2024
plus$25.00 per lot
Final Plat $200.00 staff review fee,
2024
plus$25.00 per lot
Re-approval $250.00 staff review fee 2024
Exempt Plat $50.00 Staff Review Fee 2024
$700.00 staff review fee,
plus$75.00 per lot,
$30.00 sign posting fee
Major Subdivision Concept Plan per sign per posting 2026
event,$1.00 first class
mail fee applied per
parcel per mailing
event.
$500.00 staff review fee
plus$75.00/lot.The lot
review fee shall be
Preliminary 2026
waived for lots
dedicated for affordable
housing
FY 2026-27 Commissioner Approved Fee Schedule Orange Page 18
Planning
38
Division/Program Description Current Fee Last
Revision
$600.00 staff review fee
plus$50.00/lot.The lot
review fee shall be
Final 2026
waived for lots
dedicated for affordable
housing
Re-approval $500.00 staff review fee 2011
$500.00 staff review fee,
$30.00 sign posting fee
Modification of approved subdivision - preliminary or per sign per posting
final plat event,$1.00 first class 2025
mail fee applied per
parcel per mailing
event.
Zoning Compliance
Zoning Compliance Permits for single family/duplex
Permits and Site Plan $55.00 2025
residential structure(s)
Approvals
$600.00 staff review fee
plus$50.00 per
Residential site plan associated with Conditional dwelling. Dwelling unit
2024
District approval fee waived for each unit
dedicated for affordable
housing
$1,000.00 staff review
Nonresidential uses fee plus$125.00 per 2026
acre of the proposed
disturbed area.
Home Occupation Plan Review $200.00 2024
$1,000.00 staff review
EDD Site Plan fee plus$125.00 per 2026
acre of the proposed
disturbed area.
Sign permit application $50.00 + $2.00/sq.ft. 2024
Major Modification to approved site plan (new $500.00 plus$100.00
construction,engineering modifications to the site per acre of the 2025
plan,stormwater revisions,etc.) proposed disturbed
area
Minor Modification to approved site plan (changes in
$250.00 2024
use,site improvement without building additions)
Administrative approvals, including one-year
$250.00 2001
extensions to approved site plans
FY 2026-27 Commissioner Approved Fee Schedule)Orange Page 19
Planning
39
Division/Program Description Current Fee Last
Revision
Residential: $50.00;
Miscellaneous Re-Inspection Fee for failed inspection Non-Residential: 2018
$150.00
$250.00 in addition to
Review of Traffic Impact study associated with project established project 2011
review fee, if any
$125.00 staff review fee,
$2,000.00 legal
advertisement,$30.00
Abandonment of rights-of-way/release of easements sign posting fee per
2024
per abandonment or release (includes advertising) sign per posting event,
$5.00 certified mailing
fee applied per parcel
per mailing event.
Payment-in-Lieu of
Community Park $422.00/lot 1996
Parkland Dedication
District Park $455.00/lot 1996
Hire outside consultants Cost+15% 2001
Other 2030 Comprehensive Plan $25.00 B&W;$125.00 2011
Color
Unified Development Ordinance (UDO) $40.00 B&W; $200.00 2011
Color
Technology Fee 3% per permit Fee 2025
Custom Map,Zoning Report,Zoning Verification Letter $30.00 2026
Erosion Control/Stormwater Management
Erosion and
Sedimentation
Buffer Authorization Certificate (BAC) $250.00 2024
Control Plan Review
and Inspection Fees
Floodplain Development Permit (FDP) $250.00 2024
a.
Floodplain No Rise Certificate Review $250.00 per No Rise 2025
Certificate
Residential and Non-Residential development $306.00+$306.00/ac 2026
Erosion Control Plan Revisions $459.00+$459.00/ac 12026
Skimmer Basin Sediment,Trap,and/or Diversion Ditch
$202.00 2026
Review
FY 2026-27 Commissioner Approved Fee Schedule)Orange Page 20
Planning
40
Division/Program Description Current Fee Last
Revision
Land Disturbing Subdivisions and/or Common Plan of Development
$100.00 2026
(Grading) Permits SFRs<1 acre lots
7 Less than 10 acres $612.00+$612.00/ac 2026 I
7 Greater than 10 acres but less than 25 acres $1,224.00/ac 2026 —�
Greater than 25 acres $1,836.00/ac 2026 �I
Initial disapproval no
Plan Re-Review Fee for>1 disapproval 2nd subsequent fee;subsequent
2024
disapprovals disapproval 50%of the
initial plan review fee
Unscheduled Site Re-Inspection for Single Family $255.00 per re- 2026
House (SFH) inspection
Unscheduled Site Re-Inspection for Subdivision, $510.00 per re- 2026
Commercial, Industrial inspection
Unpermitted Land Disturbance:Single Family House
$510.00 2026
(SFH)
Unpermitted Land Disturbance:Subdivision,
$1,020.00 2026
Commercial, Industrial
Storm water Management Plans Traditional (SCM) $1,500.00 2026
Storm water Management Plan Review (LID) single
$510.00 2026
family lot
Storm water Management Plan Review (LID) multi-lot
$1,000.00 2026
subdivisions
Re-Inspection of Stormwater Control Measure (SCM)
$255.00 2026
associated with a failed SCM inspection report
Inspection of Stormwater Control Measure (SCM)
$255.00 2026
associated with a Notice of Violation (NOV)
Recurring 5-Year Inspection of Stormwater Control
$765.00 2026
Measure (SCM)
At cost for legal ad and
notifications to
Appeal of Land Disturbing (Grading) Permit process if appealed to 2021
Public Hearing per UDO
2.26.8&9
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 21
Planning
41
Division/Program Description Current Fee Last
Revision
Stream Origin and
Intermittent/Perennial
Determinations:
Surface Water Identification (SWID) field work. 2025
$300.00/determination
Stop Work Order/Notice of Violation for Single Family
$510.00 per order 2026
House (SFH)
Stop Work Order/Notice of Violation for Subdivision,
$1,020.00 per order 2026
Commercial, Industrial
Re-Application Fee $204.00 per re- 2026
application
Watershed Boundary Amendment $250.00 per 2025
amendment submittal
Engineering
Plan Review $510.00 regardless of 2026
project size
Utility Construction Observation $102.00 per hour 2026
50%of(Original LDP
Land Disturbance Permit (LDP) Renewal rate) x (area disturbed 2024
and or remaining area
to be disturbed)
Express EC&SW plan Review $5,100.00 2026
Technology Fee 3% per permit Fee 2025
Inspections
15%to all permits issued
Policy Fee Town of Hillsborough Permit Fee i for properties located in 2026
TO H
$60.00 minimum
(subject to increased
adjustment for the
Permit Change Fee extent and complexity 2026
of presented changes,
up to a maximum of
$125.00)
Change of Contractor Fee $35.00 2026
FY 2026-27 Commissioner Approved Fee Schedule)Orange Page 22
Planning
42
Division/Program Description Current Fee Last
Revision
$161.00 minimum
(subject to increased
adjustment for extent
and complexity of
review, up to the
Plans Review-Amendment Fee Commercial maximum of the 2026
original plans review
fee),assessed when
previously reviewed
plans are submitted
with significant
revisions.
$125.00 minimum
(subject to increased
adjustment for extent
and complexity of
review, up to a
Plans Review-Amendment Fee Residential maximum of$350.00), 2026
assessed when
previously reviewed
plans are submitted
with significant
revisions.
Schedule New Residential (1&2 family) $0.487/sq.ft.(all trades 2026
included)
Building $0.194/sq.ft./$134.00 2026
Min
Electrical $0.093/sq.ft./$134.00 2026
Min
Plumbing $0.093/sq.ft./$134.00 2026
Min
Mechanical $0.107/sq.ft./$134.00 2026
Min
Plans Review $0.0235/sq.ft./$166.00 2026
Min.
I
Progressive Residential Policy Fee-Tier 1.Applies to Calculated permit fee
Policy Tier 1 plus 15% 2026
dwellings 2,501 sq.ft.thru 6,000 sq.ft.
administration fee
Schedule B Residential renovation,additions and accessory
structures
Building $0.35/sq.ft. 2026
Electrical $134.00 t2026
FY 2026-27 Commissioner Approved Fee Schedule)Orange Page 23
Planning
43
Division/Program Description Current Fee Last
Revision
Plumbing $134.00 2026
Mechanical $134.00 2026
Plans Review $0.0235/sq.ft./$166.00
2026
Min.
Progressive Residential Policy Fee-Tier 2.Applies to Calculated permit fee
Policy Tier 2 plus 25% 2026
dwellings over 6,000 sq.ft.
administration fee
Schedule C Mobile/Modular Homes
Singlewide
Building $134.00 2026
Electrical $86.00 2026
Plumbing $59.00 2026
Mechanical $59.00 2026
Doublewide
Building $198.00 2026
Electrical $86.00 2026
Plumbing $59.00 2026
Mechanical $59.00 2026
Triplewide
Building $241.00 2026
Electrical $86.00 2026
Plumbing $86.00 2026
Mechanical $86.00 2026
Quadwide
Building $268.00 2026
Electrical $86.00 2026
Plumbing $86.00 2026
Mechanical $86.00 2026
Schedule D New Commercial-per square foot
Residential(apartments)Group-R
Building-per square foot $0.31 2026
Electrical-per square foot $0.13 2026
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 24
Planning
44
�
Division/Program Description Current Fee Last
Revision
Plumbing-per square foot $0.13 2026
Mechanical-per square foot $0.11 2026
Storage Group S
Building-per square foot $0.11 2026
Electrical-per square foot $0.09 2026
Plumbing-per square foot $0.09 2026
Mechanical-per square foot $0.11 2026
Assembly Group A
Building-per square foot $0.23 2026
Electrical-per square foot $0.12 2026
Plumbing-per square foot $0.12 2026
Mechanical-per square foot $0.11 2026
Institutional Group I
Building-per square foot $0.43 2026
Electrical-per square foot $0.21 2026
Plumbing-per square foot $0.21 2026
Mechanical-per square foot $0.22 2026
Business Group B
Building-per square foot $0.31 2026
Electrical-per square foot $0.14 2026
Plumbing-per square foot $0.14 2026
Mechanical-per square foot $0.13 2026
Mercantile Group M
Building-per square foot $0.21 2026
Electrical-per square foot $0.10 2026
Plumbing-per square foot $0.10 2026
Mechanical-per square foot $0.10 2026
Hazardous Group H
Building-per square foot $0.17 2026
Electrical-per square foot $0.07 2026
Plumbing-per square foot $0.07 2026
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 25
Planning
45
Division/Program Description Current Fee Last
Revision
Mechanical-per square foot $0.10 2026
Factory/Industrial Group F
Building-per square foot $0.17 2026
Electrical-per square foot $0.07 2026
Plumbing-per square foot $0.07 2026
Mechanical-per square foot $0.10 12026
Educational Group E
Building-per square foot $0.31 2026
Electrical-per square foot $0.14 2026
Plumbing-per square foot $0.14 2026
Mechanical-per square foot $0.13 2026
Utility and Miscellaneous/Shell Building Group U
Building-per square foot $0.11 2026
Electrical-per square foot $0.09 2026
Plumbing-per square foot $0.09 2026
Mechanical-per square foot $0.11 2026
$0.0429 per square foot
Commercial Plan Review project<5,000 sq ft 2026
($202.00 minimum)
$0.0352 per square foot 2026
15,000-20,000 sq ft
$0.0264 per square foot 2026
20,000-150,000 sq ft
$0.0168 per square foot 2026
>150,000 sq ft
Building $213.00+
$0.443/sq.ft. Electrical
Commercial Renovations and Alterations $144.00; Plumbing 2026
$144.00; Mechanical
$144.00
Building $213.00+
$0.443/sq.ft and
Commercial Renovations and Alterations. Primarily $0.05/sq.ft.for each
2026
trade construction work. involved trade
(minimum $144.00 for
each involved trade)
FY 2026-27 Commissioner Approved Fee Schedule)Orange Page 26
Planning
46
Division/Program Description Current Fee Last
Revision
Schedule E Miscellaneous Bldg Inspections
--- Moving Building Commercial:$213.00 2026
Residential: $144
Building Demolition Commerical:$144.00 2026
Residential: $144
Change of Occupancy/Use $144.00 2026
7 Swimming Pools
Commercial: $144.00
Commercial 2026
Residential: $144.00
Residential Commercial:$144.00 2026
Residential:$144.00
Woodstove/Fireplace
Commercial $69.00 each appliance 2026
Residential $69.00 each appliance 2026
Prefabricated Utility Bldgs.
Commercial Utility Occupancy,
Schedule D
Residential $144.00 2026
Sign Permits $144.00 2026
Electrical Inspections
Schedule F Miscellaneous Electrical
Temporary Sery 60 amp Commercial:$69.00 2026
Residential: $69.00
Temporary Sery 60A-100A Commercial:$69.00 2026
Residential: $69.00
Commercial:$144.00
Sign Inspections 2026
Residential: $69.00
Gasoline Pumps $69.00,+$25.00 each
2026
additional pump
Miscellaneous Inspections Commercial: $144.002026
Residential: $144.00
$155.00 first unit +
Electrical vehicle charging station/receptacle $75.00 each additional 2026
unit
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 27
Planning
47
Division/Program Description Current Fee Last
Revision
Electrical $155.00 +
minimum for each
Generator,fuel fired 2026
additional trade
involved
Photovoltaic roof mount,ground mount Roof Mount:$155.00 2026
Ground Mount:$275.00
Electrical ONLY work associated with a bona fide farm
(no building permit) $295.00 2026
Schedule G Electrical Service Changes
Single Phase
60-100A Commercial: $144.00 2026
Residential: $134.00
125-200A Commercial:$179.00 2026
Residential: $166.00
400A Commercial:$213.00 2026
Residential: $198.00
Three Phase
150-200A Commercial:$213.00 2026
Residential: $213.00
400 A Commercial:$283.00 2026
Residential: $283.00
Schedule H Electrical Service
Single Phase:$64.00
30 60A 2026
Three Phase:$166.00
Single Phase:$166.00
70-100A 2026
Three Phase:$179.00
125A Single Phase:$198.00 2026
Three Phase:$213.00
150A Single Phase:$231.00 2026
Three Phase:$283.00
200A Single Phase:$236.00 2026
Three Phase:$318.00
300A Single Phase:$243.00 2026
Three Phase:$318.00
400A Single Phase:$318.00 2026
Three Phase:$421.00
FY 2026-27 Commissioner Approved Fee Schedule Orange Page 28
Planning
48
Division/Program Description Current Fee Last
Revision
600A Single Phase:$421.00 2026
Three Phase:$491.00
800A Single Phase:$491.00 2026
Three Phase:$670.00
1000A Single Phase:$670.00 2026
Three Phase:$878.00
1200A Single Phase:$878.00 2026
Three Phase:$988.00
1400A Single Phase:$947.00 2026
Three Phase:$1,265.00
1600A Single Phase:$988.00 2026
Three Phase:$1,681.00
Over 1600A $202.00/100A 2026
Plumbing Fees
Based on square
Schedule I New Construction footage,see schedule A
and B
Water Heater Installation Commercial:$144.00 2026
Residential: $134.00
Mechanical Inspections
Schedule) Residential Mechanical
Installation ea addt'I system $69.00 2026
Replacement of one system $198.00 2026
Schedule K Non-residential/Commercial
Commercial Cooling
First unit $214.00 2026
Each additional Unit $69.00 2026
Replacement of System $213.00 2026
Commercial Heating
First Unit $213.00 2026
Each additional Unit $69.00 2026
Replacement of System $213.00 2026
Commercial Heat/Cool Combine
First Unit $213.00 2026
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 29
Planning
49
Division/Program Description Current Fee Last
Revision
Each additional Unit $75.00 2026
Replacement of System $213.00 2026
Commercial Ventilation/Exhaust
One System $213.00 2026
Each additional $69.00 2026
Hood fan comm.cooking equip $144.00 12026
Commercial Cooking (one) $213.00 2026
Each additional $75.00 2026
General
Miscellaneous Refunds $58.00 2026
Issue Certificate of Occupancy $23.00 2026
Permit Renewal $69.00 2026
Day Care Permits (existing building new occupancy) $144.00 2026
Day Care Reinspection $144.00 2026
Sprinkler system $283.00 2026
Temporary Electrical Final Inspection - Residential $144.00 2026
Temporary Electrical Final Inspection -Commercial $162.00 2026
Fire Alarm system $283.00 2026
Archive research (per project) $29.00 2026
Grease trap installation $144.00 2026
Critical event permit fee waiver(3) $0.00 2021
SII First re-inspection free
(one).Additional re-
inspections will be
assessed $144.00 fee.
Inspections that fail for
a second or more times
Reinspection fee (no charge for lst rejection of a (same trade inspection)
will be assessed an 2026
project.All subsequent rejections will result in a fee.
additional $110.00 fee
added to the re-
inspection fee ($144.00),
compounded for each
additional re-inspection
for that same trade
inspection.
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 30
Planning
50
Division/Program Description Current Fee Last
Revision
Application Fee $64.00 2026
Technology Fee 3%of total permit fees 2026
i
Work started with no permits are charged double fees 1986
Temporary Certificate of Compliance application fee $118.00 2026
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 31
Emergency Services
51
Emergency Services
Division/Program CODE Description Current Fee Last
Revision
Emergency Medical
200%of Current CMS
BLS E
A0429 Basis Life Support (Emergency) Allowable Rate. (FY26 2026
Rate:$885.24)
200%of Current CMS
ALS E
A0427 Advanced Life Support-1 (Emergency) Allowable Rate. (FY26 2026
Rate:$1,051.22)
Ambulance Response and Treatment, No
$150.00 2005
Transport
200%of Current CMS
ALS 2 Advanced Life Support-2 (Emergency) Allowable Rate. (FY26 2026
A0433
Rate:$1,521.50)
Advanced Life Support-2 (Non-Transport) $225.00 2005
EMS Franchise Application Fee $1,275.00 2011
EMS Franchise Compliance Fee $300.00 2011
EMS Franchise Renewal Fee $150.00 2011
200%of Current CMS
Mileage Allowable Rate. (FY26 2026
Rate:$21.92)
Special Event Coverage
Additional EMT Standby $45.00/hour (3 hour 2026
minimum)
Paramedic Standby $60.00/hour (3 hour 2023
minimum)
Ambulance Standby w/2 EMTs $210.00/hour (3 hour 2026
minimum)
Ambulance Standby w/1 Paramedic and 1 EMT $220.00/hour (3 hour 2026
minimum)
Telecom municator Standby $50.00/hour (3 hour 2026
minimum)
Clerical Staff Standby $30.00/hour (3 hour 2026
minimum)
EM Senior Officer Standby $60.00/hour (3 hour 2026
minimum)
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 32
Emergency Services
52
Division/Program CODE Description Current Fee Last
Revision
EMS Physician Standby $85.00/hour (3 hour 2005
minimum)
EMS Command Staff $60.00/hour (3 hour 2023
minimum)
Fire and Life Safety
Fire Inspections Schedule (by facility type)
Assembly Every Year 2018
Business Every 3Years 2018
Church/Assembly Every Year 2018
Daycare facility Every Year 2018
Educational, private Every 2 Years 2018
Foster Care Home Every 2 Years 2018
Hazardous Every Year 2018
Industrial Every 2 Years 2018
Institutional Every Year 2018
Mercantile Every 3Years 2018
Residential(Common Areas) Every Year 2018
Storage Every 3 Years 2018
Fire Inspections(by square footage) 2021
Up to 999 sf $63.00 2026
1,000 to 2,499 sf $80.00 2026
2,500 to 10,000 sf $116.00 2026
10,001 to 50,000 sf $187.00 2026
50,001 to 100,000 sf $367.00 2026
100,001 to 300,000 sf $786.00 2026
300,001 and greater $1,048.00 2026
1st Re-Inspection:
Re-Inspection Fee 2026
$100.00
2nd Re-Inspection:
2026
$200.00
3rd Re-Inspection:
2026
$200.00
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 33
Emergency Services
53
�
Division/Program CODE Description Current Fee Last
Revision
Fees below are to cover the cost of Mandatory
and Optional Permits under the 2009 NC Fire
Code (5310-435299), including staff hours to
review plans, issue permits,and inspect
locations for compliance.
Aerosol products $55.00 2026
Amusement Buildings $165.00 2026
Aviation Facilities $55.00 2026
Battery Systems $55.00 2026
Carbon Dioxide Systems used in beverage
$55.00 2026
dispensing applications
Carnivals&Fairs $165.00 2026
Cellulose nitrate film $55.00 2026
Combustible Dust $55.00 2026
Combustible Fibers $55.00 2026
Compressed Gas $55.00 2026
Covered Mall Bldg $55.00 2026
Cryogenic Fluids $55.00 2026
Cutting &Welding $55.00 2026
Dry Cleaning $55.00 2026
Exhibit/Trade Show $165.00 2026
Explosives/Blasting $385.00 2026
30 day Renewal for Explosives/Blasting $55.00 2026
Flammable/Combustible $55.00 2026
Tank Install/Removal $220.00 2026
Tank Install/Removal per additional tank $27.50 2026
Floor Finishing $55.00 2026
Fruit and crop ripening $55.00 2026
Fumigation/Thermal Fog $55.00 2026
Hazardous Materials $55.00 2026
High-Piled Storage $55.00 2026
Hot work operations $55.00 2026
Industrial Ovens $55.00 2026
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 34
Emergency Services
54
Division/Program CODE Description Current Fee Last
Revision
Liquid Fuel Vehicle in Building $110.00 2026
LP Gas $55.00 2026
Lumber yards and woodworking plants $55.00 2026
Magnesium $55.00 2026
Motor Fuel dispensing activities $55.00 2026
Open Burning $55.00 2026
Open Flame/Torches $55.00 2026
Open Flame/Candles $55.00 2026
Organic Coatings $55.00 2026
Places of Assembly $55.00 2026
Private Fire Hydrant $55.00 2026
Pyrotechnics/Fireworks $192.50/per location 2026
Pyroxylin Plastics $55.00 2026
Refrigeration Equipment $55.00 2026
Repair Garage/FCL Disp. $55.00 2026
Rooftop Heliports $55.00 2026
Spraying/Dipping $55.00 2026
Scrap Tire Storage $55.00 2026
Temp.Tents/Canopy(per) $55.00 2026
Tire-Rebuilding Plants $55.00 2026
Waste Handling $55.00 2026
Wood Products $55.00 2026
Mulch Pile $55.00 2026
Out of Service Exit/Emergency Light $55.00 2026
Blocked Exit $275.00 2026
Out of Service Fire Alarm System $275.00; Follow-up visit 2026
non-compliant$550.00
Out of Service Sprinkler System $275.00; Follow-up visit 2026
non-compliant$550.00
Out of Service Kitchen Suppression $275.00; Follow-up visit 2026
non-compliant$550.00
Out of Service Clean Agent Suppression $275.00; Follow-up visit 2026
System non-compliant$550.00
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 35
Emergency Services
55
Division/Program CODE Description Current Fee Last
Revision
Nuisance Fire Alarms $110.00 2026
Stop Work Order Fine $275.00 2026
Failure to obtain proper permit 1st violation:$825.00 2026
2nd Violation:$1,650.00 2026
3rd and Subsequent
2026
violations:$2,750.00
Public Education &Orange County Facilities $amount per square2018
footage
Fees below are to cover the cost of Required
Construction Permits under the 2009 NC Fire
Code (5310-435299) including staff hours to
review plans, issue permits,and inspect
locations for compliance.
$0.017 per sq ft.gross
Auto Fire Extinguishing System floor area for each 2026
system
Alternative Fire Extinguishing Systems $165.00 2026
Battery Systems $165.00 2026
Fire Pump $550.00 2026
Industrial Ovens $165.00 2026
Spraying/Dipping $165.00 2026
Compressed Gas $165.00 2026
Cryogenic Fluids $165.00 2026
Flammable/Combustible $192.50 2026
LP Gas $55.00 2026
Standpipe Systems $220.00 2026
Fire Alarm/Detect. Install $0.017 per sq.ft.gross 2026
area for each system
Hazardous Materials $55.00 2026
Private Fire Hydrant $165.00 2026
Tents/Membranes $110.00/Additional Tent 2026
$27.50 each
Gates and barricades across fire apparatus
$165.00 2026
access roads
Fire Extinguisher Class $22.00 2026
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 36
Emergency Services
56
Division/Program CODE Description Current Fee Last
Revision
Fit Testing $55.00 2026
ABC Permit Inspections Based on Square Foot 2018
Hazardous Materials Mitigation Fee Charged at Hourly2018
Rate
Life Safety Plan Review $220.00 2026
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 37
Social Services
57
Sheriff
Division/Program Description Current Fee Last
Revision
Social Services Pre-Placement Assessment $1,300.00 2026
Update to Pre-Placement Assessment $650.00 2026
Pre-Placement Assessment w/monitoring and Report
$1,500.00 2026
of Proposed Adoption (DSS-1808)
Update to Pre-Placement Assessment w/monitoring $850.00 2026
Report of Proposed Adoption (DSS-1808) $200.00 2026
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 38
Sheriff
58
Sheriff
Division/Program Description Current Fee Last
Revision
Out of State Officer Fee $100.00 2006
Instate Officer $30.00 2012
�l Work Release $25.00 2012
Forensic Cell Phone Extraction $50.00 per extraction 2026
Polygraph Fee—Other Law Enforcement Agencies $200.00 per 2026
examination
Fingerprint Cards $20.00 2012
Laminating $5.00 1986
Concealed Weapons Permits $80.00 ($35.00 state 2012
$45.00 county)
Concealed Weapons Permits- Renewal $75.00 2012
Federal Inmates $66.00 2012
State Inmates $14.50 per day
Commission on executions 5%1st$500.00 and 2.5% 1968
on balance
Weekenders $25.00 2012
--- Driver History Requests $10.00 2023
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 39
Animal Services
59 -
Animal Services
Division/Program Description Current Fee Last
Revision
Animal Control
Civil Penalties/Fines
Failure to vaccinate $200.00 2008
Mistreatment $200.00 2008
Failure to wear rabies tag $50.00 2011
Violating Dangerous Animal Requirements $500.00 2026
Declaring an Animal Dangerous $100.00 2026
Failure to Pay Civil Penalty(Generally) $25.00 2026
Failure to Pay Civil Penalty for No Rabies Vacc $100.00 2016
Public Nuisance Violation $100.00,$200.00, 2016
$400.00
Failure to Allow a Kennel Inspection $25.00 2016
Violation of Restrictions for Display Wild Animal $250.00 2016
Violation of Restrictions for Keeping Wild Animal $250.00,$500.00 2026
Inspections for Dangerous Animals $50.00 2026
Kennel Permits $100.00 2018
Animal Shelter
Adoption Fees
Cat Adoption Fees $110.00 2020
Kitten Adoption Fees(5 mo.and under) $130.00 2020
Multiple Cat Adoption-Peak Season $0.00 2015
Special Event Cat Adoption Fee $0.00-$130.00 2020
Senior Citizen Cat Adoption Fee $0-25.00 2026
Dog Adoption Fee $125.00 2020
Puppy Adoption Fee (5 mo.and under) $175.00 2020
Small Dog Adoption Fee $125.00 2026
Special Event Dog Adoption Fee $0.00-$175.00 2020
Senior Citizen Dog Adoption Fee $0-25.00 2026
Veteran Fee $0.00 2026
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 40
Animal Services
60
Division/Program Description Current Fee Last
Revision
Veterinary Exam (injuries and illnesses) $50.00
Care of Medical Condition $25.00 -$125.00 2019
Daily Medication Administration $5.00 2012
Boarding Fee for stray animals $15.00/day 2025
Protective Custody
Protective Custody Board Fee Board Fee Including 2017
Homeless Individuals-
Board Fee--$0.00
Protective Custody
Shelter Redemption
Protective Custody Shelter Redemption Fee Fee Including Homeless 2017
Individuals-Board Fee-
-$0.00
Boarding Fee for Euthanized Quarantine Animals $0.00 2015
Bite Quarantines $15.00 per day 12018
Rabies Shots (shelter) $10.00 2007
Rabies Shots (low-cost clinics) $10.00 2010
Daily Board-cruelty/seizure/court hold $18.00 2017
Varies on Type of
Small and Other Animals Animal ($5.00 to 2011
$250.00)
Large animal trailer transport $35.00 2010
Field Surrenders $25.00 2017
Redemption for Impoundment Sterilized $25.00,$50.00,$100.00, 13/1/2016
$200.00
Redemption for Impoundment Reproductive $50.00,$100.00, 3/1/2016
$200.00,$400.00
Out of County Animal Surrender Fee $100.00 2018
Elective Microchip Fee $35.00 per Microchip 2017
Engraved Tag $5.00-$7.00 2026
Sale of Goods-Cat Carriers $5.00 2014
Livestock Daily Board Fee (Horses and other Large
$25.00 2017
Animals)
Leashes $5.00 2026
Collars $5.00 12026
FY 2026-27 Commissioner Approved Fee Schedule(Orange Page 41
Animal Services
61
�
Division/Program Description Current Fee Last
Revision
Leash/Collar Combo $8.00 2026
Clinic- Exam Fee $45.00 2026
Clinic- Dog Neuter $120.00-$175.00 based
2026
on weight
Clinic- Dog Spay $150.00-$175.00 based
2026
on weight
Clinic-Cat Neuter $70.00 2026
Clinic-Cat Spay $85.00 2026
Clinic- Rabbit Neuter $120.00 2026
Clinic- Rabbit Spay $150.00 2026
Clinic-Open Umbilical Hernia $25.00 2026
Clinic-Cryptochild $50.00 2026
Clinic- Brachycephalic $25.00 2026
Clinic- Rabies Vaccine $10.00 2026
Clinic- DHPP (Canine Distemper/Parvo Vaccine) $15.00 2026
Clinic- FVRCP (Feline Distemper/Parvo Vaccine) $15.00 2026
Clinic- Bordetella Vaccine $15.00 2026
Clinic-Canine Heartworm Test $20.00 2026
Clinic- Feline Leukemia/FIV Test $40.00 2026
Clinic- Microchip $35.00 2026
Clinic- Flea/Tick Prevention $10.00 2026
Clinic- Pyrantel Dewormer $10.00 2026
Clinic- Heartworm Prevention $15.00 2026
Clinic- Medications $0-$30 2026
Clinic-Other Surgical Procedures $0-$500 2026
Clinic- Fee Waived $0 2026
Add-on Fel/V/FIV Test $40.00 2026
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 42
Health
62
Health
Division/Program CODE Description Current Fee Last
Revision
I
Environmental Health
Credit Card Usage Fee At Cost 2023
Review of Building Permit by Environmental $0.01 per square foot 2024
Health ($25 min)
Soil Analysis/Improvement Permit
Residential Improvement Permit $1.00 per gallon per day 2022
($360.00 min.)
Fee increases by 50%
Non-domestic WW over the total permit fee 2006
of a comparably sized
domestic WW system
Authorization to construct WWsystem
Residential Construction Authorization $1.00 per gallon per day 2022
($360.00 min.)
Double fee for
Non-domestic WW comparably sized 2006
domestic WW system
Other Misc.Activities
Appeal of a Permit Condition or Denial with
$100.00 2026
new site plan
Construction Authorization - Repair for $1.00 per gallon per day 2026
systems installed as private option permits ($360.00 min)
Construction Authorization for Type>/=IIIb $200.00 Additional Fee 2022
Any Application Revision with Field Visit $200.00 2022
Any Application Revision without Field Visit $50.00 2022
Existing System Inspection(requiring a field
$200.00 2021
visit)
Existing System Authorizations (Office
$50.00 2022
authorization, no field visit required)
Existing System Inspection (Wastewater $300.00 2025
System Type>= IIIb)
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 43
Health
63
Division/Program CODE Description Current Fee Last
Revision
Existing System Authorization for systems
$300.00 2026
installed as private option permits
Septic Tank Manufacturer Yard Inspection $200.00/yard visit 2023
+$10.00 per tank
Septic Tank Contractor Registration Fee-
New contractor (one time) $280.00 2017
Denial of Septic Operation
$100.00 2024
Perm it/Rei nspection
Septic Tank Contractor Education Class Fee $50.00 2006
Operation Permit Revision/Renewal $500.00 2025
WTMp
Follow-up inspection $100.00 2022
Wells and Water Samples
Well permits $500.00 2023
Denial of Well Construction
$100.00 2024
Permit/Reinspection
Well Repair with a Full Sample $250.00 2022
Permit Site Review Revisions (IP,CA,Well) $140.00 2015
Microbiology Total Cloiform P/A $128.90 2026
Total Cloiform MPN $128.90 2026
Fecal Coliform $128.90 2026
Enterococcus, MPN $128.90 2026
Iron Bacteria $134.00 2026
Sulfur/Sulfate- Reducing $145.00 2026
Pseudomonas-MTF or MPN $128.90 2026
Heterotrophic Plate Count $128.90 2026
Total Suspended/Dissolved Solids Analyses $100.00 2024
Inorganic Chemistry Full Inorganic Panel $170.25 2026
Specialty Inorganic Panel $163.00 2026
Hexavalent Chromium $158.25 2026
Coal Ash Panel $174.00 2026
Metals Panel $100.00 2016
Individual Metals $85.00 2016
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 44
Health
64
Division/Program CODE Description Current Fee Last
Revision
Anions- FI,CI,Sulf $148.00 2026
Disinfection By-products $148.00 2026
Fluoride- Physician, Dentist request $148.00 2026
Nitrate/Nitrite $173.00 2026
Arsenic Speciation $148.00 2026
Organic Chemistry Pesticides $174.00 2026
Herbicides $174.00 2026
Petroleum Products $174.00 2026
Volitile Organic Chemicals $174.00 2026
New Well Full Well Panel included in well permit 2015
Existing Well Full Well Panel $174.00 2026
Tattoo Parlors
Tattoo Artist Annual Permit fee $350.00 2019
Temporary Tattoo Permit (<30days) $100.00 2020
Swimming Pools
Swimming Pool Inspection $310.00 2017
Plan Review-Swimming Pools $450.00 2023
Swimming Pool Permit Denial/Reinspection
$200.00 2024
Fee
Annual/Year Round Pool/Spa Permit $450.00 2023
Seasonal Public Pool Permit $400.00 2023
Food Service
Plan review and permit fee-Temporary Food
$75.00 2010
Establishment
Plan Review- Food Service Establishment $250.00 2010
Shared Kitchen/Mobile Food Unit $100.00 2018
Reinspection of Food Service Establishment
$50.00 2026
or Plan Review Revisions
Transitional Permit Plan Review $100.00 2018
Mobile Food Unit Plan Review $200.00 2023
ADA
Dental Health
CODE
D0120 Periodic Oral Evaluation $68.00 2026
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 45
Health
65
�
Division/Program CODE Description Current Fee Last
Revision
D0140 Limited Oral Evaluation $99.00 2026
D0150 Comprehensive Oral Evaluation $117.00 2026
D0170 Re-evaluation-limited, problem $91.00 2026
D0210 Full Mouth Series w BWX $168.00 2026
D0220 1st Intraoral PA Film $40.00 2026
D0230 Additional PA Film $34.00 2026
D0240 Intraoral Occulusal Film $51.00 2025
D0270 BWX 1 Film $37.00 2026
D0272 BWX 2 Films $59.00 2026
D0273 Bitewings-three films $69.00 2026
D0274 BWX 4 Films $81.00 2026
D0330 Panoramic Film $145.00 2026
D0470 Study Models $157.00 2026
D1110 Prophy/Adult age 13 and up $117.00 2026
D1120 Prophy/Child underage 13 $86.00 2026
Topical Fluoride varnish;therapeutic
D1206 application for moderate to high caries risk $52.00 2026
patients
D1351 Sealant/Newly Erupted Teeth $69.00 2026
D1354 SDF-Interim Caries Arresting Medicament $69.00 2026
D13SS Caries Preventive Medicament Application - $69.00 2026
pertooth
D2140 Amal One Surface Prim/Perm $186.00 2026
D2150 Amal Two Surface Prim/Perm $233.00 2026
D2160 Amal Three Surface Prim/Perm $285.00 2026
D2161 Amal Four Surface Prim/Perm $341.00 2026
D2330 Resin One Surface Anterior $217.00 2026
D2331 Resin Two Surface Anterior $260.00 2026
D2332 Resin Three Surface Anterior $333.00 2026
D2335 Resin Four Surface Anterior $415.00 2026
D2390 Resin Comp.Crown Ant. Prim $575.00 2026
D2391 Resin Comp.lsur.Post-Prim/Perm $232.00 2026
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 46
Health
66
�
Division/Program CODE Description Current Fee Last
Revision
D2392 Resin Comp.2sur.Post-Prim/Perm $296.00 2026
D2393 Resin Comp.3sur.Posterior Perm $362.00 2026
D2394 Resin Com p.4+sur.Posterior Perm $426.00 2026
D2920 Recement Crown NOT cov. by MA $150.00 2026
D2930 SSC Primary Tooth $336.00 2026
D2931 SSC Permanent Tooth $404.00 2026
D2940 Sedative Filling $167.00 2026
D3110 Pulp Cap-direct exp. Pulp MED $101.00 2026
D3120 Pulp Cap-indirect nearly exposed $101.00 2026
D3220 Pulpotomy $244,00 2026
D3310 Root Canal Therapy Anterior $944.00 2026
D3320 Root Canal Therapy Bicuspid $1,076.00 2026
D3330 Root Canal Therapy Molar $1,314.00 2026
D4341 Scale Root Planing 4>teeth p/q $318.00 2026
D4342 Scale/Root Planing 1-3 teeth p/q $242.00 2026
D4346 Scaling in presence of generalized moderate $212.00 2026
or severe gingival inflammation
D4355 Full mouth Debridement $233.00 2026
D4910 Periodontal Maintenance $170.00 2026
D5411 Adjust Complete Denture- lower $114.00 2026
D6930 Recement Bridge $224.00 2026
D7111 Ext.cornal remnants deciduous $183.00 2026
D7140 Ext. Erupted Tooth Prim/Perm $244.00 2026
D7210 Extraction Surgical -100+ $358.00 2026
D7230 Removal of Impacted Tooth-Complete Bony $402.00 2026
D7251 Coronectomy $329.00 2026
Alveloplasty not in conjunction with
D7321 $461.00 2026
extraction 1-3 tooth spaces per quadrant
D9110 Palliative Treatment $166.00 2026
D9910 Application of Desensitizing Medicament $76.00 2026
MED Band & Loop/Quadrant Impress $0.00 2013
IVIED Fixed Bilateral Impress $0.00 2013
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 47
Health
67
Division/Program CODE Description Current Fee Last
Revision
Oral evaluation for a patient under 3 years of
D0145 $87.00 2026
age and counseling with primary caregiver
D1352 Reapplication of sealant $44.00 2026
Office Visit- Minimum charge for dental visit
$40.00 2024
(sliding fee)
Removal of Impacted Tooth-Soft Tissue $358.00 2026
Removal of Impacted Tooth- Partially Bony $374.00 2026
CPT
Personal Health
CODE
0001U RBC DNA HEA 35 AG 11 BLD GRP (UNC Lab) $655.20 2025
0130U HERED COLON CA DO MBNA PNL(UNC Lab) $532.26 2025
0131U HERED BRST CA RLTD DO PNL13 (UNC Lab) $646.10 2025
0132U HERED OVA CA RLTD DO PNL 17 (UNC Lab) $674.89 2025
0133U HERED PRST8 CA RLTD DO 11 (UNC Lab) $628.16 2025
0134U HERED PAN CA MBNA PNL 18 GEN (UNC Lab) $681.03 2025
0135U HERED GYN CA MBNA PNL 12 GEN (UNC Lab) $637.51 2025
0138U BRCAI BRCA2 MRNA SEQ ALYS (UNC Lab) $426.18 2025
0162U HERED COLON CA TRGT MRNA PNL(UNC $442.75 2025
La b)
0209U CYTOG CONSTALYS INTERROG (UNC Lab) $716.31 2025
0225U NF DESCRIPTION BEGIN DATE/COVERAGE $298.60 2025
EFFE
Surrogate Viral Neutralization Test (Svnt),
Severe Acute Respiratory Syndrome
0226U Coronavirus 2 (Sarscov-2) (Coronavirus $42.28 2025
Disease [Covid-19]), Elisa, Plasma,Serum
(UNC Lab)
0230U AR FULL SEQUENCE ANALYSIS (UNC Lab) $274.23 2025
I
0234U MECP2 FULL GENE ANALYSIS (UNC Lab) $480.36 2025
0238U ONC LNCH SYN GEN DNA SEQ ALY(UNC Lab) $532.26 2025
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 48
Health
68
Division/Program CODE Description Current Fee Last
Revision
Infectious Disease (Viral Respiratory Tract
Infection), Pathogen-Specific Rna,3 Targets
(Severe Acute Respiratory Syndrome
0240U Coronavirus 2 [Sars-Cov-2], Influenza A, $142.63 2025
Influenza B), Upper Respiratory Specimen,
Each Pathogen Reported As Detected Or Not
Detected (UNC Lab)
Infectious Disease (Viral Respiratory Tract
Infection), Pathogen-Specific Rna,4 Targets
(Severe Acute Respiratory Syndrome
Coronavirus 2 [Sars-Cov-2], Influenza A,
0241 U $142.63 2025
Influenza B, Respiratory Syncytial Virus [Rsv]),
Upper Respiratory Specimen, Each Pathogen
Reported As Detected Or Not Detected (UNC
La b)
10060 Drainage of Skin Abscess $117.00 2009
10061 Drainage of Skin Abscess $200.00 2009
10080 Drainage of Pilonidal Cyst $195.00 2009
10120 Remove Foreign Body $133.00 2009
10140 Drainage of Hematoma/Fluid $147.00 2009
10160 Puncture Drainage of Lesion $94.00 2008
11000 Debride Infected Skin $56.00 2009
11055 Paring of corn/callus (1 lesion) $46.00 2009
11104 Biopsy of Skin Lesion (UNC Lab) $102.54 2025
11105 Biopsy of Skin Lesion-Additional (UNC Lab) $50.44 2025
11200 Remove Skin Tags $89.00 2007
11720 Debride Nail 1-5 $33.00 2008
11730 Avulsion of Nail Plate $97.00 2011
11740 Drain Blood from Under Nail $56.00 2009
11765 Excision of Nail Fold,Toe $92.37 2025
11981 Insertion, non-biodegradable drug $250.00 2012
11982 Removal, non-biodegradable drug $154.00 2009
11983 Removal,with reinsertion, non- $234.00 2009
biodegradable drug
12001 Repair Superficial Wound(s) 2.5cm or less $171.00 2008
12002 Repair Superficial Wound(s) 2.6-7.5cm $184.00 2009
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 49
Health
69
�
Division/Program CODE Description Current Fee Last
Revision
16000 Initial Burn(s)Treatment $84.00 2009
16020 Dsg and/or debridement,small $97.00 2009
17000 Destroy Benign/Premal Lesion $72.00 2009
17003 Destroy Lesions,2-14 $18.00 2009
17110 Destruct Lesion(s),1-14 $109.00 2009
17250 Chem.Caut of granulation tissue $79.00 2009
17280 Destruction Malig Face, Nose, Lip<0.6cm $147.57 2022
11765 Excision of Nail Fold,Toe $92.37 2024
20550 Inject Single Tendon-Ligament-Cyst $72.00 2009
20551 Inject Single Tendon Orgin? Insertion $67.00 2009
20552 Inject Single-Multi Trigger Pts,1-2 Muscles $67.00 2008
20553 Inject Single-Multi Trigger Pts,3+ Muscles $78.00 2009
20600 Drain/Inject,Small Joint or Bursa $67.00 2008
20605 Drain/Inject, Intermediate Joint or Bursa $72.00 2007
20610 Drain/Inject, Major Joint or Bursa $84.00 2009
26010 Drain Finger Abscess,Simple $329.00 2009
29130 Apply Finger Splint,Static $44.00 2009
30300 Remove foreign body intranasal $244.00 2009
30901 Control Nosebleed $123.00 2009
36415 Lab:Venipuncture $18.00 2009
Self-Pay Only 36415L Lab:Venipuncture (Minimum Fee for Primary $15.00 2016
U Care Labs Only) (OCHD Lab)
36416 Capillary Puncture $15.00 2012
46083 Incise External Hemmorrhoids $184.00 2009
46600 Diagnostic Anoscopy $100.00 2009
51701 Insertion of non-dwelling bladder cath $94.00 2009
54050 Destroy Lesion (Male) $315.00 2012
54056 Destruction of Lesion (Male) Simple $150.00 2018
Cryosurgery
54060 Treatment of Lesion (Male) $155.00 2018
54065 Destruction of Lesion (Male) Extensive $210.00 2018
56405 Incision/Drainage of Vulva or Perineum $140.00 2009
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 50
Health
70
Division/Program CODE Description Current Fee Last
Revision
56420 Incision/Drainage of Gland Abscess $173.00 2009
56501 Destroy Lesions (Female) $260.00 2012
57170 Diaphragm Fit $95.00 2009
57452 Colposcopy of the cervix (without biopsy) $160.00 2012
574521
Self Pay Only U Minimum Fee-Colposcopy of the Cervix $32.00 2020
Colposcopy of the cervix,with biopsy and
57454 $208.00 2012
endocervical curettage
57454L Minimum Fee-Colposcopy of the Cervis
Self Pay Only $42.00 2020
U w/Biopsy and Endocervical Curettage
57455 Colposcopy of the cervix,with biopsy $193.00 2012
57455L Minimum Fee-Colposcopy of the Cervix
Self Pay Only $39.00 2020
U w/Biopsy
Colposcopy of the cervix,with endocervical
57456 $183.00 2012
curettage
57456L Minimum Fee-Colposcopy of the Cervix
Self Pay Only $37.00 2020
U w/Endocervical curettage
58100 Endometrial Biopsy $85.88 2018
58300 Insert Intrauterine Device (IUD) $160.00 2012
58301 IUD Removal $200.00 2012
59025 Fetal Non Stress $90.00 2012
59425 Antepartum package 4-6 visits $1,900.44 2014
59426 Antepartum package 7+visits $3,408.75 2014
59430 Postpartum care only $180.00 2024
64435 Paracervical Block $176.00 2008
65205Remove Foreign Body from External Eye $67.00 2007
69200 Remove Foreign Body from Outer Ear Canal $140.00 2006
69210 Remove Ear Wax $67.00 2006
76801- Ultrasound, Pregnant Uterus, Real Time with
$50.00 2020
26 Image Documentation
76801- Ultrasound, Pregnant Uterus, Real Time with
$70.00 2020
TC Image Documentation
FY 2026-27 Commissioner Approved Fee Schedule)Orange Page 51
Health
71
Division/Program CODE Description Current Fee Last
Revision
Ultrasound, Pregnant Uterus, Real Time with
76801 $120.00 2020
Image Documentation
76805- Ultrasound, Pregnant Uterus, B-Scan and/or $90.00 2020
TC Real Time with Image Documentation
Ultrasound, Pregnant Uterus, B-Scan and/or
76805 $135.00 2020
Real Time with Image Documentation
76817- Ultrasound, Pregnant Uterus, Real Time with $40.00 2020
26 Image Documentation,Transvaginal
76817- Ultrasound, Pregnant Uterus, Real Time with $55.00 2020
TC Image Documentation,Transvaginal
Ultrasound, Pregnant Uterus, Real Time with
76817 $95.00 2020
Image Documentation,Transvaginal
76830 Ultrasound,Transvaginal $120.00 2020
80048 Metabolic Panel, Basic (UNC Lab) $10.19 2025
80047 Basic Metabolic Panel (Calcium, Ionized) $9.93 2025
(UNC Lab)
80053 Comprehensive Metabolic Panel (UNC Lab) $10.74 2025
80061 Lipid Panel (Fasting) - (UNC Lab) $17.04 2025
80069 Renal Function Panel (UNC Lab) $10.19 2025
80076 Hepatic Function Panel (UNC Lab) $10.19 2025
80151 Measurement of Amiodarone (UNC Lab) $16.96 2025
80163 Assay of Digoxin Free (UNC Lab) $16.44 2025
80167 Measurement of Felbamate (UNC Lab) $16.96 2025
80178 Lithium Level (UNC Lab) $8.41 2025
80181 Measurement of Flecainide (UNC Lab) $16.96 2025
80195 Sirolimus(UNC Lab) $17.09 2025
80204 Measurement of Methotrexate (UNC Lab) $18.30 2025
80306 Urine Toxicology Screen (UNC Lab) $18.51 2025
80307 Drug Test (UNC Lab) $72.63 2025
81000 Urinalysis, By Dip Stick or Tablet Reagent for $4.03 2025
Bilirubin,Glucose, Hemoglobin
81002 Urinalysis Routine Without Microscopy(UNC $3.25 2025
La b)
81003 Ua, By Dip Stick or Tablet,Automated,Wo $2.86 2025
Micro
FY 2026-27 Commissioner Approved Fee Schedule l Orange Page 52
Health
72
Division/Program CODE Description Current Fee Last
Revision
81005 Urine Tests(UNC Lab) $2.76 2025
81007 Urinalysis; Bacteriuria Screen, Except By $3.27 2025
Culture Or Dipstick(UNC Lab)
81015 Microscopic Urine Exam (UNC Lab) $3.86 2025
81025 Ua Preg Test—Color Comparison Method $8.04 2025
81105 HPA-1 GENOTYPING (UNC LAB) $111.22 2025
81106 HPA-2 GENOTYPING (UNC LAB) $111.22 2025
81107 HPA-3 GENOTYPING (UNC LAB) $111.22 2025
81108 HPA-4 GENOTYPING (UNC LAB) $111.22 2025
81109 HIDA-5 GENOTYPING (UNC LAB) $111.22 2025
81110 HIDA-6 GENOTYPING (UNC LAB) $111.22 2025
81111 HIDA-9 GENOTYPING (UNC LAB) $111.22 2025
81112 HPA-15 GENOTYPING (UNC LAB) $111.22 2025
81120 IDHI COMMON VARIANTS (UNC LAB) $175.86 2025
81121 IDI-12 COMMON VARIANTS (UNC LAB) $269.17 2025
81161 Dmd (Dystrophy) (UNC LAB) $253.89 2025
81163 BRCA 1&2 GENE FULL SEQ ALYS (UNC LAB) $425.88 2025
81164 BRCA1&2 GEN FUL DUP/DELALYS (UNC LAB) $531.65 12025
81165 BRCA1 GENE FULL SEQALYS (UNC LAB) $257.42 2025
81166 BRCA1 GENE FULL DUP/DELALYS (UNC LAB) $274.23 2025
BRCA2 GEND FULL DUP/DELALYS (UNC
81167 $257.42 2025
LAB)
81171 AFF2 GEN ALY DETC ABNL ALLEL(UNC LAB) $124.67 2025
81172 AFF2 GEN ALYS CHARAC ALLELES (UNC LAB) $250.10 2025
81173 AR GENE FULL GENE SEQUENCE (UNC LAB) $274.23 2025
81174 AR GENE KNOWN FAMIL VARIANT(UNC LAB) $168.53 2025
81175 ASXL 1 FULL GENE SEQUENCE (UNC LAB) $615.62 2025
81176 ASXL 1 GENE TARGET SEQ ALYS (UNC LAB) $220.13 2025
81191 NTRK 1 TRANSLOCATION ANALYSIS (UNC $188.65 2025
LAB)
81192 NTRK 2 TRANSLOCATION ANALYSIS (UNC $188.65 2025
LAB)
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 53
Health
73
Division/Program CODE Description Current Fee Last
Revision
NTRK 3 TRANSLOCATION ANALYSIS (UNC
81193 $188.65 2025
LAB)
81194 NTRK TRANSLOCATION ANALYSIS (UNC LAB) $471.63 2025
81200 ASPA GENE (UNC LAB) $43.00 2025
81201 APC GENE FULL SEQUENCE (UNC LAB) $709.80 2025
81202 APC GENE KNOWN FAMIL VARIANTS (UNC $254.80 2025
LAB)
81203 APC DUP/DELET VARIANTS (UNC LAB) $182.00 2025
81204 AP GENE CHARAC ALLELES (UNC LAB) $124.67 2025
81206 BCR/ABL1 GENE MAJOR BP (UNC LAB) $149.20 2025
81207 BCR/ABL1 GENE MINOR BP (UNC LAB) $131.80 2025
81208 BCR/ABL 1 GENE OTHER BP (UNC LAB) $195.30 2025
81210 BCR/ABL 1 GENE OTHER BP (UNC LAB) $159.61 2025
Gene Analysis(Breast Cancer 1 and 2) Full
81212 Sequence/Analysis For Dup Or Deletion $400.40 2025
Variants (UNC LAB)
Gene Analysis(Breast Cancer 1) For Known
81215 $341.48 2025
Familial Variant (UNC LAB)
81216 BRCA 2 GENE FULL SEQ ALYS (UNC LAB) $168.46 2025
Gene Analysis(Breast Cancer 2) For
81217 Dup/Deletion Variant (UNC LAB) $341.48 2025
81218 CEBPA GENE FULL SEQUENCE (UNC LAB) $220.13 2025
81219 CALK GENE COM VARIANTS (UNC LAB) $110.68 2025
81220 Cftr Gene Com Variants (UNC LAB) $506.51 2025
81221 Cftr Gene Known Fam Variants (UNC LAB) $88.47 2025
81222 Cftr Gene Dup/Delet Variants (UNC LAB) $395.91 2025
81223 Cftr Gene Full Sequence (UNC LAB) $454.09 2025
81224 CFTR GENE INTRON POLY (UNC LAB) $153.56 2025
81228 Cytog Alys Chrml Abnr Cgh (UNC LAB) $819.00 2025
81233 BTK GENE COMMON VARIANTS (UNC LAB) $159.61 2025
i
81235 EGFR GENE COM VARIANTS(UNC LAB) $295.37 2025
81236 EZH2 GENE FULL GENE SEQUENCE (UNC $257.42 2025
LAB)
81237 EZH2 GENE COMMON VARIANTS (UNC LAB) $159.61 2025
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page S4
Health
74
�
Division/Program CODE Description I Current Fee Last
Revision
81240 LA(Prothrombin,Coagulation Factor li) (UNC $61.00 2025
81241 F5 Coagulation Factor V Anal Leiden Variant $75.75 2025
(UNC LAB)
81242 FANCC GENE (UNC LAB) $33.32 2025
81243 Fmr1 Gene Detection (UNC LAB) $51.91 2025
81244 Fmr 1 Gene Charac Alleles (UNC LAB) $40.85 2025
81245 FLT3 GENE (UNC LAB) $150.61 2025
81246 FLT 3 GENE ANALYSIS (UNC LAB) $75.53 2025
81251 GBA GENE (UNC LAB) $43.00 2025
81255 HEXA GENE (UNC LAB) $46.82 2025
Hfe (Hemochromatosis) (Eg, Hereditary He)
81256 $81.03 2025
(UNC LAB)
81257 HBA 1/HBA 2 GENE (UNC LAB) $93.06 2025
81258 HBA 1/HBA 2 GENE FAM VRNT(UNC LAB) $341.48 2025
81259 HBB 1/HBA 2 FULL GENE SEQUENCE (UNC $546.00 2025LAB)
81269 HBA1/HBA 2 DUP/DEL VRNTS (UNC LAB) $184.18 2025
81270 JAK 2 GENE (UNC LAB) $83.41 2025
81271 HTT GENE DETC ABNOR ALLELES (UNC LAB) $124.67 2025
81272 KIT GENE TARGETED SEQ ANALYS (UNC LAB) $299.85 2025
81274 HTT GENE CHARAC ALLELES (UNC LAB) $250.10 2025
81279 JLAAB)GENE TRGT SEQUENCE ALYS (UNC $168.53 2025
81287 LAB) GENE PRMTR MTHYLTN ALYS (UNC $113.42 2025
81288 MLH 1 GENE (UNC LAB) $175.01 2025
81291 MTHFR GENE (UNC LAB) $59.46 2025
81292 MLHI GENE FULL SEQ(UNC LAB) $614.61 2025
81293 MLH1 GENE KNOWN VARIANTS (UNC LAB) $301.21 2025
81294 MLHI GENE DUP/DELETE VARIANT(UNC $184.18 2025
LAB)
81295 MSH2 GENE FULL SEQ(UNC LAB) $347.35 2025
81296 MSH2 GENE KNOWN VARIANTS (UNC LAB) $307.33 2025
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 55
Health
75
�
Division/Program CODE Description Current Fee Last
Revision
81297 LAB) GENE DU VARIANT(UNC $194.10 2025
A
81298 MSH6 GENE FULL SEQ(UNC LAB) $584.08 2025
81299 MSH6 GENE KNOWN VARIANTS (UNC LAB) $280.28 2025
81300 MSH6 GENE DUP/DELETE VARIANT(UNC $216.58 2025
LAB)
81301 MICROSATELLITE INSTABILITY(UNC LAB) $317.19 2025
81302 MECP2 GENE FULL SEQ(UNC Lab) $480.36 2025
81303 MECP2 GENE KNOWN VARIANT(UNC Lab) $109.20 2025
81304 MECP2 GENE DUP/DELET VARIANT(UNC $136.50 2025
La b)
81307 PALB2 GENE FULL GENE SEQ (UNC Lab) $615.62 2025
81308 PALB2 GENE KNOWN FAMIL VRNT(UNC Lab) $274.23 2025
81309 PIK3CA GENE TRGT SEQ ALYS (UNC Lab) $250.10 2025
81310 NPMI GENE (UNC Lab) $224.33 2025
81311 NRAS GENE VARIANTS EXON 2&3 (UNC Lab) $269.17 2025
81315 PML/RARALPHA COM BREAKPOINTS (UNC $188.65 2025
La b)
81316 PML/RARALPHA 1 BREAKPOINT(UNC Lab) $188.65 2025
81317 PMS2 GENE FULL SEQ ANALYSIS (UNC Lab) $615.62 2025
81318 PMS2 KNOWN FAMILIAL VARIANTS (UNC $301.21 2025
La b)
81319 PMS2 GENE DUP/DELET VARIANTS (UNC $185.19 2025
La b)
81320 PLCG2 GENE COMMON VARIANTS (UNC Lab) $265.14 2025
81329 SMNI Gene DOS/Deletion ALYS (UNC Lab) $124.67 2025
81331 Snrpn/Ube3A Gene (UNC Lab) $46.47 2025
81332 SERPINAI GENE (UNC Lab) $39.72 2025
81334 RUNXI GENE TARGETED SEQ ALPS (UNC Lab) $299.85 2025
81336 SMNI GENE FULL GENE SEQUENCE (UNC $274.23 2025
La b)
81337 SMNI GENE NOWN FAMIL SEQ VRNT(UNC $168.53 2025
Lab)
81339 MPL GENE SEQ ALYS EXON 10 (UNC Lab) $168.53 2025
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 56
Health
76
�
Division/Program CODE Description Current Fee Last
Revision
81345 TERT GENE TARGETED SEQ ALYS (UNC Lab) $168.53 2025
81347 SF3131 GENE COMMON VARIANTS (UNC Lab) $175.86 2025
81348 SRSF2 GENE COMMON VARIANTS (UNC Lab) $159.61 2025
TP53 GENE FULL GENE SEQUENCE (UNC
81351 $584.08 2025
Lab)
81352 TP53 GENE TRGT SEQUENCE ALYS (UNC Lab) $299.85 2025
81353 TP53 GENE KNOWN FAMIL VRNT (UNC Lab) $280.28 2025
81357 HEREDTRY NURONDCRN TUM DSRDR (UNC $175.86 2025
La b)
81360 ZRSR2 GENE COMMON VARIANTS (UNC Lab) $175.86 2025
81361 HBB GENE COM VARIANTS (UNC Lab) $159.08 2025
81362 HBB GENE KNOWN FAM VARIANT(UNC Lab) $341.48 2025
81363 HBB GENE DUP/DEL VARIANTS (UNC Lab) $184.18 2025
81364 HBB FULL GENE SEQUENCE (UNC Lab) $295.37 2025
81417 EXOME RE-EVALUATION (UNC Lab) $291.20 2025
81420 Fetal Chrmoml Aneuploidy(UNC Lab) $690.74 2025
81422 FETAL CHRMOML MICRODELTJ (UNC Lab) $690.74 2025
81432 HRDTRY BRST CA-RLATD DSORDRS (UNC $617.94 2025
La b)
81433 HRDTRY BRST CA-RLATD DSORDRS (UNC $399.43 2025
La b)
I
81435 HEREDITARY COLON CA DSORDRS (UNC $532.26 2025
La b)
81436 HEREDITARY COLON CA DSORDRS (UNC $532.26 2025
La b)
81437 HEREDTRY NURONDCRN TUM DSRDR (UNC $399.43 2025
La b)
81438 HEREDTRY NURONDCRN TUM DSRDR (UNC $399.43 2025
La b)
SO GSAP DNA CPY NMBR&MCRSTL(UNC
81458 $317.19 2025
Lab)
81463 SO GSAP CL FR CPY NMBR&MCRST(UNC $317.19 2025
La b)
81507 Fetal Aneu ploidy Trisom Risk(UNC Lab) $723.45 2025
81508 FTL CGEN ABNOR TWO PROTEINS (UNC Lab) $49.41 2025
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 57
Health
77
�
Division/Program CODE Description Current Fee Last
Revision
81510 FTL CGEN ABNOR THREE ANAL(UNC Lab) $50.54 2025
81511 FTL CGEN ABNOR FOUR ANAL(UNC Lab) $139.69 2025
81512 FTL CGEN ABNOR FIVE ANAL(UNC Lab) $63.26 2025
81528 Oncology Colorectal Scr (UNC Lab) $463.07 2025
82017 Acylcarnitines;Quantitative, Each Specimen $21.45 2025
(For Carnitine,See 82379) (UNC Lab)
82040 Albumin Serum (UNC Lab) $6.30 2025
Urine Microalbumin/Creatinine Ratio (UNC
82043 $7.36 2025
Lab)
82044 Urine Micro-Albumin (UNC Lab) $7.36 2025
82105 Quad Screening (UNC Lab) $21.33 2025
82120 Amines,Vaginal Fluid,Qualitative (UNC Lab) $4.78 2025
Amino Acids,6 Or More Amino Acids,
82139 $21.45 2025
Quantitative, Each Specimen (UNC Lab)
82150 Amylase (UNC Lab) $8.24 2025
82239 Bile Acid Test (UNC Lab) $20.71 2025
82247 Total Bilirubin (UNC Lab) $6.39 2025
82248 Direct Bilirubin (UNC Lab) $6.39 2025
82261 Biotinidase, Each Specimen (UNC Lab) $21.45 2025
82270 Hemoccult (UNC Lab) $4.13 2025
82271 Blood,Occult, By Peroxidase Activity (UNC $4.05 2025
La b)
82274 Fecal Immunochemical Test (UNC Lab) $20.22 2025
82306 Vitamin D 25 (UNC Lab) $37.64 2025
82310 Ca (UNC Lab) $6.55 2025
82374 CO2 (UNC Lab) $6.22 2025
82435 CL(UNC Lab) $5.84 2025
82465 Total Cholesterol (UNC Lab) $5.53 2025
82550 Assay of CK (UNC Lab) $8.28 2025
82565 CREAT(UNC Lab) $6.52 2025
82570 24 Hour Urine Creatinine (UNC Lab) $6.58 2025
82607 B12 (UNC Lab) $19.16 2025
82610 Cystatin C (UNC Lab) $16.94 2025
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 58
Health
78
�
Division/Program CODE Description Current Fee Last
Revision
82668 Assay of Erythropoietin $23.90 2024
82670 Assay of Total Estradiol (UNC Lab) $30.28 2025
82677 Assay of Estriol (UNC Lab) $30.75 2025
82681 Direct Measurement of Free Estradiol $25.43 2025
(Hormone) (UNC LAB)
82728 Ferritin (UNC Lab) $17.32 2025
82746 Folate (UNC Lab) $18.69 2025
82760 Galactose (UNC LAB) $14.23 2025
82775 Galactose-1-Phosdhate Uridyl Transferase; $26.78 2025
Qual (UNC LAB)
82784 Iga (UNC Lab) $11.82 2025
82947 GLU (UNC Lab) $5.00 2025
82952 GTT3 HR (OCHD Lab) $25.00 2018
82962 Glucose Blood Test (UNC Lab) $3.00 2023
82977 GTT(OCHD Lab) $11.00 2018
83001 FSH (UNC Lab) $23.63 2025
83002 Luteinizing Hormone (UNC Lab) $23.55 2025
83020 Hemo. Elect (UNC Lab) $16.00 2025
83021 Hemoglobin/Thalassemia Profile (UNC Lab) $22.96 2025
83036 Hemoglobin A1C (OCHD Lab) $12.34 2025
83498 Assay of Progesterone 17-D (UNC Lab) $34.53 2025
83516 Ttg (UNC Lab) $14.57 2025
Immunoassay Analyte; Not Otherwise
83520 $16.46 2025
Specified (UNC Lab)
83540 Iron Profile (FE): IBC (UNC Lab) $8.24 2025
83550 Iron Binding Test (UNC Lab) $11.11 2025
83615 LDH (UNC Lab) $7.68 2025
83630 Lactoferrin, Fecal;Qualitative (UNC Lab) $25.56 2025
83655 Blood Lead (UNC Lab) $15.39 2025
83690 Lipase (UNC Lab) $8.75 2025
83695 Lipoprotein (A) (UNC Lab) $16.13 2025
83700 Lipoprotein, Blood; Electrophoretic Sepa $14.02 2025
(UNC Lab)
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 59
Health
79
Division/Program CODE Description I Current Fee Last
Revision
83701 Lipoprotein, Blood; High Resolution Frac 30.93 2025
(UNC Lab) $
83704 Lipoprotein Bld Quan Part(UNC Lab) $34.68 2025
83718 Lipid Panel (Non-Fasting) HDL(UNC Lab) $10.41 2025
83721 LDL(UNC Lab) $12.13 2025
83735 Assay of Magnesium (UNC Lab) $8.52 2025
83876 Myeloperoxidase (Mpo) (UNC LAB) $16.67 2025
83930 Assay of Blood Osmolality(UNC Lab) $8.41 2025
83935 Assay of Urine Osmolality(UNC Lab) $8.66 2025
83951 Oncoprotein; Des-Gamma-Carboxy- $83.87 2025
Prothromb
r
83970 Assay of Parathormone (UNC Lab) $52.48 2025
83993 Calprotectin, Fecal (UNC Lab) $24.45 2025
9439 Protein Electrophoresis (UNC LAB) $13.60 2025
84075 Assay Alkal Phosphatase $6.58 2024
84080 ALK PHOS (UNC Lab) $18.80 2025
84100 Assay of Inorganic Phosphorus (UNC Lab) $6.03 2025
84132 K(UNC Lab) $5.84 2025
84144 Assay of Progesterone $26.53 2024
84146 Prolactin (UNC Lab) $24.64 2025
84152 Assay of PSA Complexed (UNC Lab) $23.39 2025
84153 PSA Screen (UNC Lab) $23.39 2025
84154 PSA Diagnostic (UNC Lab) $23.39 2025
84155 TP-Serum (UNC Lab) $4.66 2025
84156 Urine protein ratio (UNC lab) $4.66 2025
84165 Protein E-Phoresis,Serum $15.20 2024
84166 Protein; Electrophoretic Fractionation And $2268 2025
Quantitation,Other Fluids (UNC Lab)
Protein;Western Blot,W Report&Interp
84181 $14.95 2025
(UNC Lab)
Protein; Immuno Probe For Band Id, Each
84182 $14.95 2025
(UNC Lab)
84295 NA(UNC Lab) $6.12 2025
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 60
Health
80
Division/Program CODE Description Current Fee Last
Revision
84300 Assay of Urine Sodium (UNC Lab) $6.18 2025
84431 Thromboxane Metabolite(S) (UNC LAB) $16.53 2025
84432 Assay of Thyroglobulin (UNC Lab) $20.42 2025
84436 Thyroxine (T4) - (UNC Lab) 33 2025
Thyroxine; Requiring Elution (Eg, Neonatal)
84437 $8.23 2025
(UNC LAB)
84439 T4-Thyroid (UNC Lab) $11.47 2025
84443 TSH (UNC Lab) $20.72 2025
84450 SGOT,AST(UNC Lab) $6.57 2025
84460 SGPT,ALT(UNC Lab) $6.73 2025
84466 Iron Prof ile/Tranferri n:%Saturation (UNC $16.23 2025
La b)
84478 TRIG (UNC Lab) $7.32 2025
84479 T3 U (UNC Lab) $7.58 2025
84480 T3-Total (UNC Lab) $18.03 2025
84481 T3 - Free (UNC Lab) $21.54 2025
84520 BUN (UNC Lab) $5.01 2025
84550 Uric Acid (UNC Lab) $5.74 2025
84681 Assay of C-Peptide (UNC Lab) $19.80 2025
84702 Gonadotropin Chorionic Quantitative (UNC $11.12 2025
La b)
Gonadotropin Chorionic Qualitative (UNC
84703 $9.55 2025
Lab)
84704 Gonadotropin,Chorionic (Hcg); Free Beta $10.90 2025
(UNC Lab)
85013 Blood Count;Spun Microhematocrit (UNC $3.01 12025
La b)
85014 Hematocrit (UNC Lab) $3.00 2025
85018 Hemoglobin $3.01 2025
85025 CBC with Diff(UNC Lab) $9.88 2025
85027 CBC w/o Diff(UNC Lab) $8.23 2025
85046 Reticyte/hgb concentrate (UNC Lab) $7.10 2025
85060 Blood Smear, Peripheral, Interp By Physician $18.76 2025
(UNC LAB)
FY 2026-27 Commissioner Approved Fee Schedule)Orange Page 61
Health
81
Division/Program CODE Description I Current Fee Last
Revision
Bone Marrow,Smear Interpretation (UNC
85097 $70.48 2025
LAB)
85300 Antithrombin III activity(UNC lab) $15.06 2025
85303 Clot Inhib Protein C,Activ(UNC Lab) $17.58 2025
85306 Clot Inhib Protein S, Free (UNC Lab) $18.17 2025
Fibrinolysins Or Coagulopathy Screen,
85390 $6.57 2025
Interpretation And Report (UNC LAB)
Clotting function activity not otherwise
85397 $30.86 2023
specified (UNC lab)
85397 Coagulation and Firbrinolysis, Functional $29.88 2025
(UNC LAB)
85576 Platelet;Aggregation (In Vitro), Each Agent $2731 2025
(UNC LAB)
85610 INR (UNC lab) $4.90 2025
85611 Prothrombin Time (UNC Lab) $4.91 2025
85651 SED Rate (UNC Lab) $4.51 2025
85652 RBC Sedimentation Rate,Auto $3.43 2024
85660 Sickle Cell (UNC Lab) $7.02 2025
86003 Allergen Specific Ige (UNC Lab) $6.64 2025
86008 Allg Spec Ige Recomb Ea (UNC LAB) $20.15 2025
86038 ANA(anti-nuclear antibody) titer (UNC Lab) $15.37 2025
86039 Confirmation,if ANA+ (UNC Lab) $14.20 2025
86077 Blood Bank Services; Evaluation Of Irregular $40.86 2025
Antib (UNC Lab)
Blood Bank Irregular Antib Investigation Of
86078 $41.44 2025
Transf(UNC Lab)
I
Blood Bank Authorization For Deviation
86079 Stand Proce (UNC Lab) $41.72 2025
86147 Cardiolipin Antibody(UNC Lab) $25.00 2023
86160 Complement,Antigen, Each Component $15.27 2025
(UNC Lab)
86200 Cyclic Citrullinated Peptide (Ccp),Anti (UNC $16.13 2025
LAB)
86225 DNA Antibody, Nat V-2 Stand (UNC Lab) $17.47 2025
86235 Nuclear Antigen Antibody(UNC Lab) $22.34 2025
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 62
Health
82
Division/Program CODE Description Current Fee Last
Revision
86255 Fluorescent Noninfectious Agent Antibody; $15.32 2025
Screen, Each Antibody(UNC Lab)
86256 FluorescentAnti body Titer(UNC Lab) $15.32 2025
86258 Dgp Antibody Each IG Class (UNC Lab) $10.97 2025
86308 MONO Spot (UNC Lab) $6.58 2025
86320 Immunoelectrophoresis;Serum (UNC Lab) $28.50 2025
Immunoelectrophoresis;Other Fluids (Eg,
86325 $28.43 2025
Urine,Cerebrospinal Fluid) (UNC Lab)
Immunoelectrophoresis Serum Each
86327 $28.27 2025
Specimen (UNC Lab)
86328 la Nfct Ab Sarscov2 Covid19 (UNC Lab) $45.23 2025
86334 Immunofixation Electrophoresis (UNC Lab) $28.40 2025
86335 Immunofixation Electrophoresis;Other Fluids $37.31 2025
With Concentration (Eg, Urine,Csf) (UNC Lab)
86336 Inhibin a (UNC Lab) $20.95 2025
86341 Islet Cell Antibody(UNC Lab) $16.74 2025
86355 B Cells,Total Count(UNC Lab) $47.00 2025
86356 Mononuclear Cell Antigen,Quantitative (UNC $33.36 2025
La b)
86357 Natural Killer (Nk) Cells,Total Count (UNC $47.00 2025
La b)
86364 Tiss Trnsgltmnase Ea Ig Clas(UNC Lab) $10.49 2025
86367 Stem Cells (le,Cd34),Total Count (UNC Lab) $47.00 2025
86376 Microsomal Antibody(UNC Lab) $17.62 2025
86382 Polio Titer (UNC Lab) (bill as 2 units) $22.00 2025
86403 Particle agglut antibody screen (UNC Lab) $13.00 2025
86408 NEUTRLZG ANTB SARSCOVE SCR (UNC Lab) $42.13 2025
86409 Neutrizg Antb Sarscov2 Titer (UNC Lab) $79.61 2025
86413 Covid-19 Antibody,Quantitative (UNC Lab) $51.43 2025
86430 RA Factors-Qual (UNC Lab) $7.22 2025
86431 RA Factors-Quan (UNC Lab) $7.22 2025
86480 TB Blood Test (UNC Lab) $79.00 2025
86485 Skin Teat;Candida (UNC Lab) $6.20 2025
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 63
Health
83
Division/Program CODE Description Current Fee Last
Revision
86486 Skin Test; Unlisted Antigen, Each (UNC Lab) $3.78 2025
86490 Sensitivity Test Coccidioidomycosis (UNC Lab) $5.19 2025
86580 PPD (OCHD Lab) $17.00 2012
86592 Syphilis Qualitative (UNC Lab) $5.42 2025
86593 Syphilis Quantative (UNC Lab) $5.61 2025
86631 Antibody;Chlamydia (UNC Lab) $15.03 2025
86632 Antibody;Chlamydia, Igm (UNC Lab) $16.14 2025
86644 CMV Antibody(UNC Lab) $18.27 2025
86645 CMV Antibody, IGM (UNC Lab) $18.45 2025
86651 Antibody; Encephalitis,California (UNC Lab) $16.77 2025
86652 Antibody; Encephalitis, Eastern Equine(UNC $16.77 2025
La b)
86653 Antibody; Encephalitis St, Louis (UNC Lab) $16.77 2025
86654 Antibody; Encephalitis Western Equine (UNC $16.77 2025
La b)
86666 Ehrlichia IGG Titers (UNC Lab) $13.00 2025
86677 H. Pyloric (UNC Lab) $18.45 2025
Htiv I,Antibody Detection;Confirmatory Test
86689 $24.62 2025
(UNC Lab)
86694 Antibody; Herpes Simplex, Non-Specific Type $18.27 2025
Test (UNC Lab)
86695 Herpes Simplex Antibodies Type 1 (UNC Lab) $16.77 2025
86696 Herpes Simplex Antibodies Type 2 (UNC Lab) $24.62 2025
86701 Antibody; Hiv-1 (UNC Lab) $11.29 2025
86702 Antibody; Hiv-2(UNC Lab) $14.95 2025
86703 Antibody; Hiv-1 & Hiv-2,Single Assay(UNC $14.95 2025
La b)
86704 Hep B Core Antibody Total (UNC Lab) $15.00 2025
86705 Hep B Core Antibody Igm (UNC Lab) $15.00 2025
86706 Hepatitis B Surface Antibody(UNC Lab) $13.66 2025
86707 Hepatitis B e Antibody(UNC lab) $14.71 2025
86708 Hepatitis A Antibody(Haab),Total (UNC LAB) $15.75 2025
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 64
Health
84
Division/Program CODE Description Current Fee Last
Revision
86709 Hepatitis A Antibody(UNC Lab) $14.31 2025
Analysis for Antibody to John Cunningham
86711 $17.61 2025
(UNC LAB)
86735 Mumps Virus AB IGG (UNC Lab) $16.59 2025
86747 Parvovirus (UNC Lab) $15.00 2023
86757 RMSF (Convalescent) (UNC Lab) $24.62 2025
86762 Rubella (UNC Lab) $18.27 2025
86765 Rubeola (measles)AB IGG (UNC Lab) $16.38 2025
86769 Sars-Cov-2 Covid-19 Antibody(UNC LAB) $42.13 2025
86777 Toxoplasma Antibody(UNC Lab) $18.27 2025
86778 Toxoplasma Antibody, IGM (UNC Lab) $18.31 2025
86780 Treponema Pallidum (UNC LAB) $17.26 2025
86787 Varicella Immune Status Test (UNC Lab) $16.38 2025
86788 Antibody;West Nile Virus, Igm (UNC Lab) $18.45 2025
86789 Antibody;West Nile Virus (UNC Lab) $18.27 2025
86790 Rabies Titer (UNC Lab) $16.38 2025
86803 Hep C Antibody(UNC Lab) $18.15 2025
86804 Hepatitis C RIBA (UNC Lab) $15.00 2023
86825 Human Leukocyte Antigen (H[a) Crossmatch $102.60 2025
(UNC Lab)
86826 Human Leukocyte Antigen (Hla) Crossmatch $34.20 2025
(UNC Lab)
86828 Assessment Of Antibody To Human Leukocyt $48.51 2025
(UNC Lab)
86829 Assessment Of Antibody To Human Leukocyt $36.39 2025
(UNC Lab)
86830 Assessment Of Antibody To Human Leukocyt $98.25 2025
(UNC Lab)
86831 Assessment Of Antibody To Human Leukocyt $84.22 2025
(UNC Lab)
86832 Assessment Of Antibody To Human Leukocyt $154.41 t2025
(UNC Lab)
86833 Assessment Of Antibody To Human Leukocyt $140.37 2025
(UNC Lab)
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 65
Health
85
Division/Program CODE Description Current Fee Last
Revision
Assessment Of Antibody To Human Leukocyt
86834 $435.15 2025
(UNC Lab)
86835 Assessment Of Antibody To Human Leukocyt $393.04 2025
(UNC Lab)
86850 Antibody Identification (UNC Lab) $14.81 2025
Antibody Id, Each Panel For Each Serum
86870 $26.15 2025
Technique (UNC Lab)
86900 ABO Group (UNC Lab) $3.79 2025
86901 PH Type (UNC Lab) $3.79 2025
Culture, Bacterial; Feces,With Isolation And
87045 $11.99 2025
Preliminary Examination (Eg, Kia,
Culture, Bacterial;Stool,Additional
87046 Pathogens, Isolation And Preliminary(UNC $11.99 2025
La b)
87070 Other Bacterial Culture (UNC Lab) $11.00 2025
Culture, Bacterial;Quantitative,Aerobic With
87071 $11.99 2025
Isolation And Presumptive (UNC Lab)
87077 Culture Aerobic Identify(UNC Lab) $10.27 2025
87081 Culture Screen Only(UNC Lab) $7.33 2025
87086 Urine Culture (UNC Lab) $10.26 2025
Culture, Fungal Dermatology Screen (UNC
87101 $9.80 2025
Lab)
87102 Culture Fungi Isolation Other Source (UNC $10.68 2025
La b)
87106 Culture Fungi-Identif(UNC Lab) $13.12 2025
87107 Culture, Fungi, Definitive Identification, Each $13.12 2025
Organism; Mold (UNC Lab)
87110 Culture,Chlamydia,Any Source (UNC Lab) $24.91 2025
87116 Culture,Tubercle Or Other Acid-Fast Bacilli $13.74 2025
(Eg,Tb,Afb, Mycobacteria)Any(UNC Lab)
Culture,Typing; Immunofluorescent Method,
87140 $7.09 2025
Each Antiserum (UNC Lab)
87143 Culture,Typing;Gas Liquid Chromatography $15.93 2025
(Glc) Or High Pressure Liquid (UNC Lab)
Culture,Typing; Immunologic Method,Other
87147 $6.58 2025
Than Immunofluorescence (UNC Lab)
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 66
Health
86
Division/Program CODE Description Current Fee Last
Revision
87149 Culture,Typing; Identification By Nucleic $25.50 2025
Acid Probe (UNC Lab)
Culture,Typing; Identification By Nucleic
87153 Acid Sequencing Method, Each Isolate (UNC $77.12 2025
La b)
87158 Culture Typing Other Methods (UNC Lab) $6.65 2025
87164 Darkfield Examination (UNC Lab) $8.05 12025
87166 Sputums (UNC Lab) $14.36 2025
Homogenization,Tissue for Culture (UNC
87176 $7.48 2025
Lab)
87177 Ova and Parasites (UNC LAB) $11.31 2025
87181 Antibiotic Sens,Agar Diffusn, Ea (UNC Lab) $6.04 2025
87184 Microbe Susceptible Disk (UNC Lab) $8.76 2025
87186 Antibiotic Sens, Mic, Each (UNC Lab) $11.00 2025
I
87188 Susceptibility Studies,Antimicrobial Agent; 8.44 2025
Macrobroth Dilution Method, Each (UNC Lab)
Susceptibility Studies,Antimicrobial Agent;
87190 $7.19 2025
Mycobacteria, Proportion Method (UNC Lab)
87205 STAT Male Smear (UNC Lab) $5.42 2025
87206 Fungal Direct Test (FDIR) (UNC Lab) $6.83 2025
Smear, Primary Source With Interpretation;
87207 $7.62 2025
Special Stain For Inclusion Bodies (UNC Lab)
87209 Smear, Primary Source with Interp (UNC LAB) $22.39 2025
Smear, Primary Source With Interpretation;
87210 $4.85 2025
Wet Mount For Infectious Agents (UNC Lab)
87220 Skin KOH (UNC Lab) $5.42 2025
--- Virus Isolation;Tissue Culture Inoculation,
87252 $20.71 2025
Observation,And Presumptive (UNC Lab)
87255 Herpes Simplex Culture (UNC Lab) $34.00 2023
87265 Infectious Agent Antigen Detection By Direct $14.57 2025
Fluorescent Antibody Technique (UNC Lab)
87269 Parasitology Test#9807-Giardia (UNC Lab) 2025
Infectious Agent Antigen Detection By Direct
87270 $14.57 2025
Fluorescent Antibody Technique; (UNC Lab)
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 67
Health
87
Division/Program CODE Description Current Fee Last
Revision
Parasitology Test#9807-Cryptosporidium
87272 $14.57 2025
(UNC Lab)
Infectious Agent Antigen Detection By
87273 Immunofluorescent Technique; Herpes (UNC $14.57 2025
La b)
Infectious Agent Antigen Detection By
87274 Immunofluorescent Technique; Herpes (UNC $14.57 2025
La b)
Infectious Agent Antigen Detection By Direct
87278 $14.57 2025
Fluorescent Antibody Technique; (UNC Lab)
Infectious Agent Antigen Detection By Direct
87285 $14.57 2025
Fluorescent Antibody Technique; (UNC Lab)
Infectious Agent Antigen Detection By Direct
87290 $14.57 2025
Fluorescent Antibody Technique; (UNC Lab)
Infectious Agent Antigen Detection By
87299 Immunofluorescent Technique; Not (UNC $14.57 2025
La b)
87305 Aspergillus Ag la (UNC Lab) $14.28 2025
Infectious Agent Antigen Detection By
87320 Enzyme Immunoassay Technique,Qualitative $14.57 2025
(UNC Lab)
87324 Clostridium Difficile Toxin (UNC Lab) $14.57 2025
Infectious Agent Antigen Detection By
87328 Enzyme Immunoassay Technique,Qualitative $14.57 2025
(UNC Lab)
Infectious Agent Antigen Detection By
87329 Enzyme Immunoassay Technique,Qualitative $14.57 2025
(UNC Lab)
87338 IAAD/A H. Pylori/Stool (UNC Lab) $17.92 2025
87340 H BsAG (UNC Lab) $11.83 2025
i
87341 Hep B Surface Ag Eia (UNC Lab) $11.83 2025
87350 Hepatitis B e Antigen (UNC lab) $14.07 2025
87389 HIV-1 Ag with HIV-1 and HIV-2 AB (UNC Lab) $30.54 2025
Infectious Agent Antigen Detection By
87390 Enzyme Immunoassay Technique,Qualitative $22.43 +2025
(UNC Lab) I
FY 2026-27 Commissioner Approved Fee Schedule(Orange Page 68
Health
88
Division/Program CODE Description Current Fee Last
Revision
Infectious Agent Antigen Detection By
87391 Enzyme Immunoassay Technique,Qualitative $22.43 2025
(UNC Lab)
87420 RSV Antigen Screen (UNC Lab) $14.57 2025
DETECTION TEST BY IMMUNOASSAY
87426 TECHNIQUE FOR SEVERE ACUTE $38.13 2025
RESPIRATORY SYNDROME CORONAVIRUS
(UNC Lab)
Infectious Agent Antigen Detection By
87427 Enzyme Immunoassay Technique,Qualitative $14.57 2025
(UNC Lab)
Infectious Agent Antigen Detection By
Immunoassay Technique, (Eg, Enzyme
Immunoassay[Eia], Enzyme-Linked
Immunosorbent Assay[Elisa], Fluorescence
87428 $63.59 2025
Immunoassay[Fia],
Immunochemiluminometric Assay[Imca])
Qualitative Or Semiquantitative;Severe Acute
Respiratory Syndrome Coronavirus (UNC Lab)
Infectious Agent Detection by Enzyme
87449 $14.57 2023
Immunoassay Tech,Qualitative (UNC Lab)
Infectious Agent Detection By Nucleic Acid
87480 $25.50 2025
(Dna Or Rna);Candida Species, (UNC Lab)
Infectious Agent Detection By Nucleic Acid
87490 (Dna Or Rna);Chlamydia Trachomatis, (UNC $25.50 2025
La b)
Infectious Agent Detection By Nucleic Acid
87491 (Dna Or Rna);Chlamydia Trachomatis, (UNC $31.18 2025
La b)
Infectious Agent Detection By Nucleic Acid
87492 (Dna Or Rna);Chlamydia Trachomatis(UNC $41.41 2025
La b)
87498 Detection Test For Enterovirus (UNC Lab) $30.56 2025
87500 Infectious Agent Detection By Nucleic (UNC $30.56 2025
La b)
Infectious Agent Detection By Nucleic Acid
87501 (Dna Or Rna); Influenza Virus, Reverse
$36.68 2025
Transcription And Amplified Probe
Technique, Each Type Or Subtype (UNC Lab)
87502 Influenza Test (UNC Lab) $96.00 2023
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 69
Health
89
Division/Program CODE Description Current Fee Last
Revision
87505 Microbilogy Stool-GI Panel 3-4 Targets (UNC $100.00 2025
La b)
87506 ladna-Dna/Rna Probe Tq 6-11 (UNC Lab) $134.33 2025
87507 Microbiology Stool-GI Panel-12-25 Targets $270.00 2025
(UNC Lab)
Infectious Agent Detection By Nucleic Acid
87510 (Dna Or Rna);Gardnerella Vaginalis, (UNC $25.50 2025
La b)
87517 Hep B, DNA,Quantitative PCR Test (UNC Lab) $41.41 2025
Infectious Agent Detection By Nucleic Acid
87521 (Dna Or Rna); Hepatitis C,Amplified (UNC $31.18 2025
La b)
87522 Hep C Viral (UNC Lab) $43.00 2023
Infectious Agent Detection By Nucleic Acid
87528 (Dna Or Rna); Herpes Simplex Virus, (UNC $25.50 2025
La b)
Infectious Agent Detection By Nucleic Acid
87529 (Dna Or Rna); Herpes Simplex Virus, (UNC $31.18 2025
La b)
Infectious Agent Detection By Nucleic Acid
87530 (Dna Or Rna); Herpes Simplex Virus, (UNC $41.41 2025
La b)
87534 Infectious Agent Detection By Nucleic Acid $25.50 2025
(Dna Or Rna); Hiv-1, Direct Probe (UNC Lab)
Infectious Agent Detection By Nucleic Acid
87535 (Dna Or Rna); Hiv-1,Amplified Probe (UNC $31.18 2025
La b)
Infectious Agent Detection By Nucleic Acid
87536 $67.59 2025
(Dna Or Rna); Hiv-1,Quantification (UNC Lab)
87537 Infectious Agent Detection By Nucleic Acid $25.50 2025
(Dna Or Rna); Hiv-2, Direct Probe (UNC Lab)
Infectious Agent Detection By Nucleic Acid
87538 (Dna Or Rna); Hiv-2,Amplified Probe (UNC $31.18 2025
La b)
Infectious Agent Detection By Nucleic Acid
87539 $41.41 2025
(Dna Or Rna); Hiv-2,Quantification (UNC Lab)
Detection Of Mycoplasma Genitalium By Dna
87563 $25.50 2025
Or Rna Probe (UNC Lab)
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 70
Health
90
Division/Program CODE Description Current Fee Last
Revision
Infectious Agent Detection By Nucleic Acid
87590 $25.50 2025
(Dna Or Rna); Neisseria Gonorrhoeae,
Infectious Agent Detection By Nucleic Acid
87591 (Dna Or Rna); Neisseria Gonorrhoeae (UNC $31.18 2025
La b)
GC NAAT- Bill Together with 87491(Durham
87591 $35.00 2023
Co. Lab)
Infectious Agent Detection By Nucleic Acid
87592 (Dna Or Rna); Neisseria Gonorrhoeae, (UNC $41.41 2025
La b)
87593 ORTHOPDXVIRUS AMP PPB EACH (UNC Lab) $51.31 2025
Detection Test For Human Papillomavirus
87623 $31.18 2025
(Hpv) (UNC Lab)
Detection Test For Human Papillomavirus
87624 $31.18 2025
(Hpv) (UNC Lab)
87631 Resp Virus 3-5 Targets (UNC Lab) $87.77 2025
87632 Resp Virus 6-11 Targets (UNC Lab) $132.97 2025
Detection Test By Nucleic Acid For Multiple
87633 Types Of Respiratory Virus, Multiple Types Or $250.98 2025
Subtypes,12-25 Targets (UNC Lab)
87634 RSV DNA/RNA AMP Probe (UNC Lab) $70.00 2023
ADNA SAPS-COV-2/COVIDI9 Amplified Probe
87635 $51.31 2025
TQ (UNC Lab)
(ADNA SarsCov2& Flu A&B Multi Amplified
87636 $142.63 2025
Prob TQ (UNC Lab)
Infectious Agent Dection by DNA or RNA for
87637 SAPS- COV-2 and Influenza Virus Types A& B $142.63 2023
and RSV(UNC Lab)
Infectious Agent Detection By Nucleic Acid
(Dna Or Rna);Severe Acute Respiratory
Syndrome Coronavirus 2 (Sars-Cov-2)
87637 (Coronavirus Disease [Covid-19]), Influenza $142.63 2025
Virus Types A And B,And Respiratory
Syncytial Virus, Multiplex Amplified Probe
Technique (UNC Lab)
87640 Infectious Agent Detection By Nucleic Ac $30.56 2025
(UNC Lab)
Infectious Agent Detection By Nucleic Ac
87641 $30.56 2025
(UNC Lab)
FY 2026-27 Commissioner Approved Fee Schedule[Orange Page 71
Health
91
Division/Program CODE Description Current Fee Last
Revision
Infectious Agent Detection By Nucleic Ac
87653 $30.56 2025
(UNC Lab)
Infectious Agent Detection By Nucleic Acid
87660 (Dna Or Rna);Trichomonas Vaginalis, (UNC $25.50 2025
La b)
IADNA Trichomonis Vaginalis Amplified
87661 $29.84 2025
Probe
87563 Mycoplasma Genitalium (UNC Lab) $35.09 2023
87798 Infectious Agent Detection By Nucleic Acid $31.18 2025
(Dna Or Rna), Not Otherwise (UNC Lab)
87800 Detection Test for Multiple Organisms (UNC $51.00 2025
La b)
Infectious Agent Detection By Nucleic Acid
87801 $62.35 2025
(Dna Or Rna), Multiple Organisms; (UNC Lab)
87802 Strep B (UNC Lab) $14.57 2025
87804 Influenza A& B (UNC Lab) $30.53 2025
87806 Detection Test For Hiv-1 (UNC Lab) $30.53 2025
Infectious Agent Antigen Detection By I
87808 $14.28 2025
(UNC Lab)
Infectious Agent Antigen Detection By I
87809 $14.28 2025
(UNC Lab)
Infectious Agent Detection By Immunoassay
87810 $14.57 2025
With Direct Optical Observation; (UNC Lab)
87811+A Infectious Agent Detection by Enzyme
A31:A10 Immunoassay w/Direct Optical Observation $41.38 2025
0 (UNC Lab)
Infectious Agent Detection By Immunoassay
87850 $14.57 2025
With Direct Optical Observation; (UNC Lab)
87880 Strep A (UNC Lab) $17.00 2023
Infectious Agent Detection By Immunoassay
87899 $14.57 2025
With Direct Optical Observation (UNC Lab)
Infectious Agent Drug Susceptibility (UNC
87900 $101.49 2025
Lab)
Infectious Agent Genotype Analysis (UNC
87902 $97.26 2025
Lab)
87910 Analysis Test For Cytomegalovirus (UNC Lab) $95.67 2025
�I 87912 Analysis Test For Hepatitis B Virus (UNC Lab) $95.67 2025
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 72
Health
92
Division/Program CODE Description Current Fee Last
Revision
Cytopathology,Fld,Wash Or Brush, Excpt Cery
88104 $49.40 2025
Or Vag (UNC Lab)
Cytopthlgy,Fld,Wash Or Brush,Expt Cer Or
88106 $61.22 2025
Vag Fltme (UNC Lab)
Cytopathology,Concentration Technique,
88108 $58.05 2025
Smears And Interpretation (UNC Lab)
Cytopathology,Selective Cellular
88112 Enhancement Technique With Interpretation $82.86 2025
(UNC Lab)
Cytopathology, In Situ Hybridization (Eg,
Fish), Urinary Tract Specimen With
88120 $377.61 2025
Morphometric Analysis,3-5 Molecular Probes,
Each Specimen; Manual (UNC Lab)
Cytopathology, In Situ Hybridization (Eg,
Fish), Urinary Tract Specimen With
88121 Morphometric Analysis,3-5 Molecular Probes, $318.92 2025
Each Specimen; Using Computer-Assisted
Technology(UNC Lab)
88125 Cytopathology, Forensic (UNC Lab) $17.44 2025
88130 Buccal Smear (UNC Lab) $19.13 2025
88140 Sex Chromatin Ident Periph Blood Smear $10.16 2025
(UNC Lab)
88141 Pap Smear with Dr. Interpretation (Wake Med $80.00 2016
La b)
88142 Cytopath Cer/Vag Thin Layer (UNC Lab) $25.76 2025
88143 Cytopathology,Cervical Or Vaginal (Any $25.76 2025
Reporting System) (UNC Lab)
Cytopathology Smears,Cervical Or Vaginal;
88147 Screening By Automated System Under (UNC $13.43 2025
La b)
Cytopathology Smears,Cervical Or Vaginal;
88148 Screening By Automated System With (UNC $13.43 2025
La b)
Cytopathology,Slides,Cervical Or Vaginal;
88150 $13.43 2025
Manual Screening Under Physician
88152 Cytopathology,Slides,Cervical Or Vaginal; $13.43 2025
With Manual Screening And (UNC Lab)
Cytopathology,Slides,Cervical Or Vaginal;
88153 $13.43 2025
With Manual Screening And (UNC Lab)
L
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 73
Health
93
Division/Program CODE Description Current Fee Last
Revision
88155 Cytopathology,Slides,Cervical Or Vaginal, $7.62 2025
Definitive Hormonal Evaluation (UNC Lab)
88160 Cytopathology,Smears,Any Other Source; $41.76 2025
Screening And Interpretation (UNC Lab)
Cytopathology,Any Othr Source; Prep,Screen
88161 $43.49 2025
&Inter (UNC Lab)
_ I.
88162 Cytopathology, Extend Stdy Involv OverSSlid $63.04 2025
&/Ormu (UNC Lab)
88164 Cytopathology,Slides,Cervical Or Vaginal $13.43 2025
(The Bethesda System); Manual (UNC Lab)
Cytopathology,Slides,Cervical Or Vaginal
88165 (The Bethesda System);With Manual (UNC $13.43 2025
La b)
Cytopathology,Slides,Cervical Or Vaginal
88166 (The Bethesda System);With Manual (UNC $13.43 2025
La b)
Cytopathology,Slides,Cervical Or Vaginal
88167 (The Bethesda System);With Manual (UNC $13.43 2025
La b)
Cytopathology, Evaluation Of Fine Needle
88172 Aspirate; Immediate Cytohistologic (UNC $42.57 2025
La b)
Eval Fn Ndl Sspir W/Wo Prep Sm; Interpret&
88173 $107.89 2025
Report(UNC Lab)
Cytopathology,Cervical Or Vaginal (Any
88174 Reporting System),Collected In Preserva $27.16 2025
(UNC Lab)
88175 Pap Thin Prep (Wake Med Lab) $33.00 2025
88177 Cytopathology, Evaluation Of Fine Needle $22.85 2025
(UNC Lab)
88182 Cell Cycle Or Dna Analysis (UNC Lab) $81.92 2025
Tissue Culture For Non-Neoplastic Disease
88230 $148.12 2025
(UNC Lab)
88233 Tissue Culture,Skin (UNC Lab) $178.93 2025
88235 Tissue Culture, Placenta $187.22 2025
88237 Tissue Culture For Neoplastic Disorders; Bone $160.59 2025
Marrow, Blood Cells (UNC Lab)
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 74
Health
94
Division/Program CODE Description I Current Fee Last
Revision
Tissue Culture For Neoplastic Disorders;Solid
88239 $187.57 2025
Tumor (UNC Lab)
Chromosome Analysis For Breakage
88245 Syndromes; Baseline Sister Chromated $189.26 2025
Exchange (UNC Lab)
Chromosome Analysis For Breakage
88248 Syndromes; Baseline Breakage,Score 50-100 $220.18 2025
(UNC Lab)
88249 CHROMOSOME ANALYSIS 100 (UNC Lab) $157.58 2025
Chromosome Analysis;Count 5 Cells,1
88261 $224.71 2025
Karyotype,With Banding (UNC Lab)
88262 Chromosome Analysis,Option Iii (UNC Lab) $158.47 2025
88263 Chromosome Analysis(UNC Lab) $191.07 2025
88264 Chromosome Analysis;Analyze 20-25 Cells $158.47 2025
(UNC Lab)
Chromosome Analysis,Amniotic Fluid Or
88267 Chorioic Villus,15 Cells (UNC Lab) $228.56 2025
88269 Chromosome Analysis,Amniotic Fluid (UNC $211.47 2025
La b)
88271 Molecular Cytogenetics; Dna Probe, Each (Eg, $18.40 2025
Fish) (UNC Lab)
88272 Molecular Cytogenetics; In Situ Hybridization, $34.04 2025
Analyze 3-5 Cells (UNC Lab)
88273 Molecular Cytogenetics; In Situ Hybridization, $40.85 2025
Analyze 10-30 Cells(UNC Lab)
88274 Molecular Cytogenetics; Interphase In Situ $44.25 2025
Hybridization,Analyze 25-99 Cells(UNC Lab)
Molecular Cytogenetics; Interphase In Situ
88275 Hybridization,Analyze 100-300 Cells (UNC $51.06 2025
La b)
88280 Chrom Analysis Additional Karotyping (UNC $31.91 2025
La b)
88283 Banding For Chromosome Analysis (UNC $24.49 2025
La b)
Chromosome Analysis,Additional Cells
88285 $24.15 2025
Counted, Each Study(UNC Lab)
High Resolution For Chromosome Analysis
88289 $43.12 2025
(UNC Lab)
Y
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 75
Health
95
Division/Program CODE Description Current Fee Last
Revision
88300 Level I-Surgical Pathology,Gross Exam Only $18.46 2025
(UNC Lab) I J
Level Ii-Surgical Pathology,Gross&Micro I
88302 $38.68 2025
Exam (UNC Lab)
Level Iii -Surgical Pathology,Gross And
88304 $49.28 2025
Microscopic Examination (UNC Lab) Y
Level Iv-Surgical Pathology,Gross And
88305 $84.18 2025
Microscopic Examination (UNC Lab)
Level V-Surgical Pathology,Gross And
88307 $168.75
Microscopic Examination (UNC Lab) 2025
88309 Level Vi-Surgicla Pathology,Gross&Micro $255.05 2025
Exam (UNC Lab)
88311 Decalcification Procedure(UNC Lab) $14.80 2025
88312 Special Stains,Group 1 (UNC Lab) $22.13 2025
Group Ii,All Other, Excpt Immunocytochem
88313 $57.48 2025
&Immunope (UNC Lab)
Group Ii, Histochemical Staining W/Frozen
88314 $70.49 2025
Section (UNC Lab)
Determinative Histochemistry Or
88319 $109.89 2025
Cytochemistry/Enzyme/Each (UNC Lab)
Consult& Report On Referred Mat' Req.Prep
88323 $116.70 2025
Of Sld (UNC Lab)
88331 Pathology Consultation During Surgery; First $73.01 2025
Tissue Block,With Frozen (UNC Lab)
Pathlgy Consult Dur.Surg; Ea Add Tis Blk
88332 $32.74 2025
W/Frz Sc (UNC Lab)
88333 Pathology Consultation During Surgery(UNC $73.26 2025
La b)
88334 Pathology Consultation During Surgery(UNC $44.28 2025
La b)
88341 Immunohisto Antb Addl Slide (UNC Lab) $52.73 2025
88342 Immunocytochemistry Each Antibody(UNC $7998 2025
La b)
88344 Immunohisto Antibody Slide (UNC Lab) $91.87 2025
88346 Immunofluorescent Stdy, Ea.Antibody; Direct $80.29 2025
Method (UNC Lab)
88348 Electron Microscopy Diagnostic (UNC Lab) $496.11 2025
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 76
Health
96
�
Division/Program CODE Description Current Fee Last
Revision
88350 Immunofluor Antb Addl Stain (UNC Lab) $62.47 2025
Morphometric Analysis Skeletal Muscle (UNC
88355 $192.06 2025
Lab)
88356 Morphometric Analysis Nerve (UNC Lab) $234.33 2025
88358 Morphometric Analysis Of Tumor (UNC Lab) $62.69 2025
Morphometric Analysis,Tumor
88360 Immunohistochemistry(Eg, Her-2/Neu, $96.73 2025
Estrogen (UNC Lab)
Morphometric Analysis;Tumor
88361 Immunohistochemistry(Eg, Her-2/Neu, $121.49 2025
Estrogen (UNC Lab)
88362 Nerve Teasing Preparation (UNC Lab) $211.08 2025
88364 Insitu Hybridization (Fish) (UNC Lab) $76.17 2025
88365 Tissue In Situ Hybridization, Interpretation $125.79 2025
And Report (UNC Lab)
88366 Insitu Hybridization (Fish) (UNC Lab) $117.72 2025
88367 Morphometric Analysis, In Situ Hybridization, $191.73 2025
(Quantitative Or(UNC Lab)
88368 Morphometric Analysis, In Situ Hybridization, $169.18 2025
(Quantitative Or (UNC Lab)
88369 M/Phmtrc Alysishquant/Semiq (UNC Lab) $57.93 2025
88371 Protein Analysis Of Tissue By Western Blot, $18.45 2025
Interp And Report(UNC Lab)
88372 Protein Analysis Of Tissue By Western Blot, $14.95 2025
Immunological Probe (UNC Lab)
88373 M/Phmtrc Alys Ishquant/Semiq (UNC Lab) $47.22 2025
88374 M/Phmtrc Alys Ishquant/Semiq (UNC Lab) $160.19 2025
88377 M/Phmtrc Alys Ishquant/Semiq (UNC Lab) $168.35 2025
Machroscopic Examination, Dissection,And
Preparation Of Tissue For Non-Microscopic
88387 Analytical Studies (Eg, Nucleic Acid-Based $25.19 2025
Molecular Studies); Each Tissue Preparation
(Eg,A Single Lymph Node) (UNC Lab)
Macroscopic Examination, Dissection,And
88388 $14.75 2025
(UNC Lab)
Hemoglobin,Quantitative,Transcutaneous
88740 $6.54 2025
(UNC Lab)
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 77
Health
97
Division/Program CODE Description I Current Fee Last
Revision
Hemoglobin,Quantitative,Transcutaneous
88741 $6.54 2025
(UNC Lab)
Caffeine Halothane Contracture Test (UNC I
89049 $164.77 2025
Lab)
89310 Semen Analysis (UNC Lab) $10.66 2025
90380 RSV, monoclonal antibody,seasonal dose,0.5 $595.06 2026
mL dosage for intramuscular- Beyfortus
90381 RSV, monoclonal antibody,seasonal dose,1.0 $595.06 2026
mL dosage for intramuscular- Beyfortus
90471 Admin Fee (1 vaccine) $20.45 2022
90472 Admin Fee (2+vaccines) $20.45 2022
90473 Immunization Adm.- Intranasal/Oral $20.45 2022
90474 Immunization Adm.- Intranasal/Oral $20.45 2022
Additional
90480 COVID-19 Administration Fee $44.95 2024
90611 Jynneos (Mpox/Smallpox)Vaccine privately $269.57 2026
owned -single dosage
90619 Meningococcal conjugate vaccine, $150.96 2026
serogroups ACYW-MENQUADFI
Meningococcal recombinant protein and
90620 outer membrane vesicle vaccine,serogroup At acquisition cost 2026
B (MenB-4C),2 dose schedule- BEXSERO
906205 Meningococcal recombinant protein and
Medicaid Only L outer membrane vesicle vaccine,serogroup $0.00 2019
B (MenB-4C),2 dose schedule- BEXSERO
Meningococcal recombinant lipoprotein
90621 vaccine,serogroup B,2 or 3 dose schedule- $227.92 2026
TRUMENBA
90632 Hepatitis A vaccine,adult dose- HAVRIX $76.63 2026
906325
Medicaid Only L Hepatitis A vaccine,adult dose- HAVRIX $0.00 2019
90633S Hepatitis A vaccine, pediatric/adolescent
Medicaid Only $0.00 2019
L dose,2 dose- HAVRIX
90633 Hepatitis A vaccine, pediatric/adolescent $32.73 2026
dose,2 dose- HAVRIX
906365 Hepatitis A and Hepatitis B recombinant
Medicaid Only $0.00 2019
L vaccine,3 doses-TWINPIX
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 78
Health
98
�
Division/Program CODE Description Current Fee Last
Revision
Hepatitis A and Hepatitis B recombinant
90636 $121.32 2026
vaccine,3 doses-TWIN RIX
90647 Hemophilus Influenzae B vaccine (Hib), PRP- $30.72 2025
OMP conjugate,3 dose- PedVaxHIB
Medicaid Only 90647S Hemophilus Influenzae B vaccine (Hib), PRP- $0.00 2019
L OMP conjugate,3 dose- PedVaxHIB
90648 Hemophilus Influenzae B vaccine (Hib), PRP- $12.23 2026
T conjugate,4 dose-ActHIB
90648S Hemophilus Influenzae B vaccine (Hib), PRP-
Medicaid Only $0.00 2019
L T conjugate,4 dose-ActHIB
Human Papillomavirus vaccine types 6,11,16,
90651 18,31,33,45,52,58, nonava lent (HPV),2 or 3 At acquisition cost 2026
dose-GARDASIL 9
906515 Human Papillomavirus vaccine types 6,11,16,
Medicaid Only L 18,31,33,45,52,58, nonavalent (HPV),2 or 3 $0.00 2019
dose-GARDASIL 9
90670 Pneumococcal conjugate vaccine,13 valent $224.92 2026
(PCV13) - PREVNAR 13
90670S Pneumococcal conjugate vaccine,13 valent
Medicaid Only $0.00 2019
L (PCV13) - PREVNAR 13
90675 Rabies Vaccine- IMOVAX RABIES At acquisition cost 2026
Pneumococcal 20 valent conjugate vaccine-
90677 At acquisition cost 2026
PREVNAR 20 adults 18 years and older
ABRYSVO (Respiratory Syncytial Virus
vaccine, preF,subunit, bivalent,for
90678 At acquisition cost 2026
intramuscular use) 0.5 mL solution for
intramuscular injection
Rotavirus vaccine, pentavalent (RV5),3 dose-
90680 $93.18 2026
ROTATEQ
90680S Rotavirus vaccine, pentavalent (RV5),3 dose-
Medicaid Only $0.00 2019
L ROTATEQ
Rotavirus vaccine, human,attenuated (RV1),
90681 At acquisition cost 2026
live,oral,2 dose- ROTARIX
906815 Rotavirus vaccine, human,attenuated (RVI),
Medicaid Only $0.00 2019
L live,oral,2 dose- ROTARIX j
90682 FLUBLOK $62.27 2026 'I
Influenza vaccine (IIV4),quadrivalent, 1
90685 preservative free,6 to 35 months- FLUZONE $19.00 2026
PEDS
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 79
Health
99
Division/Program CODE Description Current Fee Last
Revision
90685S Influenza vaccine (IIV4),quadrivalent,
Medicaid Only L preservative free,6 to 35 months- FLUZONE $0.00 2019
PEDS
Influenza vaccine (IIV4),quadrivalent,
90686 preservative free,3 years and above- $18.49 2026
FLUZONE
90686S Influenza vaccine (IIV4),quadrivalent,
Medicaid Only L preservative free,3 years and above- $18.63 2026
FLUZONE
906865 Influenza vaccine (IIV4),quadrivalent,
Medicaid Only L preservative free,3 years and above- $0.00 2019
FLUZONE
Diphteria,tetanus toxoid,and acellular
pertussis vaccine and inactivated poliovirus
90696 $57.03 2026
accine (DTaP-IPV),for 4 to 6 years of age-
KINRIX
Diphteria,tetanus toxoid,and acellular
906965 pertussis vaccine and inactivated poliovirus
Medicaid Only $0.00 2019
L accine (DTaP-IPV),for 4 to 6 years of age-
KINRIX
Diphteria,tetanus toxoid,and acellular
906965 pertussis vaccine and inactivated poliovirus
Medicaid Only $0.00 2019
L accine (DTaP-IPV),for 4 to 6 years of age-
QUADRACEL
Diphteria,tetanus toxoids,acellular pertussis
vaccine, haemophilus influenza Type B,and
90698 $57.62 2026
inactivated poliovirus vaccine (DTaP-IPV/Hib)
- PENTACEL
Diphteria,tetanus toxoids,acellular pertussis
90698S vaccine, haemophilus influenza Type B,and
Medicaid Only $0.00 2019
L inactivated poliovirus vaccine (DTaP-IPV/Hib)
- PENTACEL
Diphteria,tetanus toxoids,and acellular
90700 pertussis vaccine (DTaP),for 7 years or $26.72 2026
younger- DAPTACEL
907005 Diphteria,tetanus toxoids,and acellular
Medicaid Only L pertussis vaccine (DTaP),for 7 years or $0.00 2019
younger- INFANRIX
907005 Diphteria,tetanus toxoids,and acellular
Medicaid Only L pertussis vaccine (DTaP),for 7 years or $0.00 2019
younger- DAPTACEL
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 80
Health
100
Division/Program CODE Description Current Fee Last
Revision
Measles, mumps,and rubella virus vaccine
90707 At acquisition cost 2026
(MMR), live- M-M-R II
90707S Measles, mumps,and rubella virus vaccine
Medicaid Only $0.00 2019
L (MMR), live- M-M-R II
90710 MMR and VARICELLA(PROQUAD) $262.36 2026
90713 Poliovirus vaccine (IPV), inactivated - IPOL At acquisition cost 2026
90713S
Medicaid Only L Poliovirus vaccine (IPV), inactivated - IPOL $0.00 2019
Tetatus and diphteria toxoids (Td) adsorbed,
90714 preservative free,for 7 years or older- At acquisition cost 2026
TEN IVAC
90714S Tetatus and diphteria toxoids (Td) adsorbed,
Medicaid Only L preservative free,for 7 years or older- $0.00 2019
TENIVAC
Tetanus,diphtheria toxoids and acellular
90715 pertussis vaccine (Tdap),for to 7 years or At acquisition cost 2026
older- BOOSTRIX
907155 Tetanus,diphteria toxoids and acellular
Medicaid Only L pertussis vaccine (Tdap),for to 7 years or $0.00 2019
older-ADACEL
90716 Varicella virus vaccine (VAR), live-VARIVAX At acquisition cost 2026
Medicaid Only 907165L Varicella virus vaccine (VAR), live-VARIVAX $0.00 2019
Diphteria,tetanus toxoids,acellular pertussis
vaccine, Hepatitis B,and inactivated
90723 $73.42 2025
poliovirus vaccine (DTaP- Hep B-IPV) -
PEDIARIX
Diphteria,tetanus toxoids,acellular pertussis
Medicaid Only 907235 vaccine, Hepatitis B,and inactivated $0.00 2019
L poliovirus vaccine (DTaP-Hep B-IPV) -
PEDIARIX
Pneumococcal polysaccharide vaccine,23-
90732 valent (PPSV23),adult or immunosuppressed $117.08 2026
patient dosage,when administered to 2 years
or older- PN EUMOVAX 23
Pneumococcal polysaccharide vaccine,23-
90732S valent (PPSV23),adult or immunosuppressed
Medicaid Only $0.00 2019
L patient dosage,when administered to 2 years
or older- PN EUMOVAX 23
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 81
Health
101
Division/Program CODE Description Current Fee Last
Revision
Meningococcal conjugate vaccine,
90734 serogroups A,C,Y and W-135 quad (MenACWY $130.92 2024
or MCV4) - MENVEO
Meningococcal conjugate vaccine,
Medicaid Only 907345 serogroups A,C,Y and W-135 quad (MenACWY $0.00 2019
or MCV4) - MENVEO
Meningococcal conjugate vaccine,
Medicaid Only 907345 serogroups A,C,Y and W-135 quad (MenACWY $0.00 2019
or MCV4) - MENACTRA
90739 Hepatitis B vaccine (Hep B),adult dosage,2 $95.23 2026
dose- HEPLISAV
Medicaid Only 907395 Hepatitis B vaccine (Hep B),adult dosage,2 $0.00 2019
L dose- HEPLISAV
Hepatitis B vaccine (Hep B),
90744 pediatric/adolescent dosage,3 dose- At acquisition cost 2026
ENGERIX PEDS
907445 Hepatitis B vaccine (Hep B),
Medicaid Only L pediatric/adolescent dosage,3 dose- $0.00 2019
ENGERIX PEDS
90744S Hepatitis B vaccine (Hep B),
Medicaid Only L pediatric/adolescent dosage,3 dose- $0.00 2019
RECOMBIVAX HB PEDS
Hepatitis B vaccine (Hep B),adult dosage-
90746 At acquisition cost 2026
ENGERIX-B
90746S Hepatitis B vaccine (Hep B),adult dosage-
Medicaid Only $0.00 2019
L ENGERIX-B
90750 Zoster Vaccine recombinant,adjuvanted,50 $183.41 2026
years or older-SHINGRIX
90750S Zoster Vaccine recombinant,adjuvanted,50
Medicaid Only $0.00 2019
L years or older-SHINGRIX
90772 Therapeutic prophylactic/diagonostic $23.00 2008
injection
Interactive Complexity (add-on code for
90785 $45.17 2025
psychiatric services)
90791 Integrated Biopsychosocial Assessment $206.16 2025
90832 Psychotherapy,30 min $74.01 2025
90834 Psychotherapy,45 min $97.83 2025
90846 Psychotherapy, Family,w/o Patient $94.08 2025
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 82
Health
102
Division/Program CODE Description Current Fee Last
Revision
90847 Psychotherapy, Family, (Conjoint) W/Pt $98.10 2025
Present
90853 Psychotherapy,Group $32.00 2009
91321 Moderna, mRNA-LNP,25 mcg/0.25 mL $115.28 2026
dosage (ages 6 months-11 years)
Moderna (Spikevax), mRNA-LNP,50 mcg/0.5
91322 $127.01 2026
mL dosage (ages 12+years)
92551 Audiometry $18.00 2008
92587 OAE (Limited) $100.00 2012
93000 Electrocardiogram,Complete $33.00 2009
93005 Electrocardiogram,Tracing Only $22.00 2009
94150 Peak Flow $18.00 2024
94640 Airway Inhalation Treatment $22.00 2009
94664 Aerosol Inhalation Treatment-Teaching $22.00 2009
94760 Pulse Oxygen $8.00 2009
96110 Developmental Test $23.00 2012
96125 ASQ- Developmental $80.00 2024
96127 Social-emotional Screens $6.00 2017
96152 Health &Behavior Intervention $55.00 2015
96158 Health Behavior Ivntj Indiv1st30 minutes $56.94 2023
96159 Health Behavior Ivntj Indiv Each Additional 15 $19.86 2023
96160 Adolescent Risk&Strength Screening $9.20 2017
96161 Maternal Depression Screening $9.20 2017
96372 Ther/Proph/Diag inj/SC/IM $60.00 2012
97802 Medical Nutrition Therapy/Initial 15 min. Unit $34.00 2015
97803 Medical Nutrition Therapy/Re-Assess 15 min. $34.00 2016
Unit
97804 Medical Nutrition Therapy-Group (2 or more) $16.00 2025
97804u MDPP Fee $25.00 2017
d
99000 Lab: Handling Fee $11.00 2009
99070 Special Supplies $18.00 2009
99080 Screening Form Completion $0.00 2018
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 83
Health
103
Division/Program CODE Description Current Fee Last
Revision
99173 Vision $8.27 2025
99175 Induction of Vomiting $67.00 2009
99195 Therapeutic Phlebotomy(UNC LAB) $54.94 2025
99202 New Office/Outpt Tx Expanded Prob Focused $165.00 2009
E&M
99203 New Office/Outpt Tx Detailed E&M $200.00 2009
99204 New Office/Outpt Tx Moderate Complex E&M $335.00 2009
99205 New Office/Outpt Tx High Complex E&M $405.00 2009
99211 Estab Offic/Outpt Tx Brief E&M $60.00 2012
99212 Estab Office/Outpt Tx Prob Focused E&M $100.00 2012
99213 Estab Office/Outpt Tx Expanded Focused $150.00 2012
E&M
99214 Estab Office/Outpt Tx Detailed E&M $225.00 2012
99215 Estab Office/Outpt Tx Comprehensive E&M $305.00 2012
99381 Preventive/New Pt<1 yr. $255.00 2012
99382 Preventive/New Pt 1-4 yrs. $270.00 2012
99383 Preventive/New Pt 5-11 yrs. $275.00 2012
99384 Preventive/New Pt 12-17 yrs. $235.00 2012
99385 Preventive/New Pt 18-39 yrs. $235.00 2012
99386 Preventive/New Pt 40-64 yrs. $267.00 2009
99387 Preventive/New Pt 65+yrs. $242.00 2008
99391 Preventive/Estab Pt<1 yr. $225.00 2012
99392 Preventive/Estab Pt 1-4 yrs. $225.00 2012
99393 Preventive/Estab Pt 5-11 yrs. $200.00 2012
99394 Preventive/Estab Pt 12-17 yrs. $205.00 2012
99395 Preventive/Estab Pt 18-39 yrs. $225.00 2012
99396 Preventive/Estab Pt 40-64 yrs. $220.00 2012
99397 Preventive/Estab Pt 65+yrs. $212.00 2004
99401 Covid Counseling-Preventive Medicine $45.00 2022
Counseling,15 min.
99403 Preventive Medicine Counseling,45 min $70.00 2025
99406/ Tobacco Use Cessation Counseling - (3-10 $13.00 2015
G0436 min)
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 84
Health
104
Division/Program CODE Description Current Fee Last
Revision
99407/
Tobacco Use Cessation Counseling - (10+ min) $32.00 2015
G0437
99408/ ETOH &Substance Abuse Screening (15-30
$35.00 2018
G0396 min)
99409/ ETOH &Substance Abuse Screening (30+
$67.00 2018
G0397 min)
99417 Prolonged Outpatient E/M Service-15 mins. $82.03 t2025
99449 Telephone Evaluation 31+ mins. $60.00 2025
99499 DOT Physical $100.00 2019
99501 Home Visit Postpartum $200.00 2015
99502 Home Visit Newborn $200.00 2015
D0145 Oral Evaluation <3 yrs with counseling $55.00 2012
D1206 Topical Fluoride Appl $47.00 2012
G0008 Admin. Influenza Vaccine- Medicare $18.00 2009
G0009 Admin. Pneumococcal Vaccine- Medicare $18.00 2009
G0010 Hep B.-Admin.- Medicare $18.00 2015
2015 DSME Minimum Fee $20.00 2015
DSME/DSMT Individual Assessment-
G0108 $52.00 2015
Medicare
G0109 DSME/DSMT Group Class- Medicare $17.00 2015
Additional MD requested MNT indiv-
G 0270 $25.00 2010
Medicare
Additional MD requested MINT group-
G0271 $13.00 2010
Medicare
Colorectal Cancer Screening; Fecal Occult
G 0328 $19.96 12025
(UNC Lab)
G0416 PROSTATE BIOPSY,ANY MTHD (UNC Lab) $346.05 2025
G9919 Screening Performed and Positive $47.17 2024
G9920 ACE Screening Performed and Negative $45.17 2025
ACE Screening Incomplete or Positive with
G9921 $45.17 2025
No Pec
H0001 Alcohol and/or drug assessment X20.00 2015
H0031 Mental health assessment, by non-physician $22.00 2015
— J0696 lCeftriaxone Sodium/Rocephin per 250mg $22.00 2008
FY 2026-27 Commissioner Approved Fee Schedule(Orange Page 85
Health
105
Division/Program CODE Description Current Fee Last
Revision
Medroxyprogesterone acetate,1 mg (150
J1050 At acquisition cost 2023
units)
J1050u Medroxyprogesterone acetate,1 mg (150
Medicaid Only At acquisition cost 2023
d units)
J1200 Diphenhydramine HCL/Benadryl up to 50mg $6.00 2009
Injection hydroxyprogesterone caproate,1
J1725 $3.00 2015
mg (250 units)
J1885 Ketorolac IM Injection, per 15mg (Toradol) At acquisition cost 2023
J2550 Promethazine_mg $8.00 2009
J2790 Rhogam Injection $88.00 2012
J3420 B-12 Injection $6.00 2009
J7300 Paragard IUD At acquisition cost 2023
Medicaid Only J7300ud Paragard IUD At acquisition cost 2023
J7296 Kyleena IUD At acquisition cost 2023
--- J7296u
Medicaid Only d Kyleena IUD At acquisition cost 2023
J7301 Skyla IUD At acquisition cost 2023
J7301u
Medicaid Only d Skyla IUD At acquisition cost 2023
J7297 Liletta IUD At acquisition cost 2023
J7297u
Medicaid Only d Liletta IUD At acquisition cost 2023
J7298 Mirena IUD $249.00 2019
Medicaid Only Jd7298u Mirena IUD $249.00 2019
J7303 Nuvaring (3 pack) At acquisition cost 2023
--- J7303u
Medicaid Only d Nuvaring (3 pack) At acquisition cost 2023
J7307 TNexplanon At acquisition cost 2023
J7307u
Medicaid Only d Nexplanon At acquisition cost 2023
FY 2026-27 Commissioner Approved Fee Schedule)Orange Page 86
Health
106
Division/Program CODE Description Current Fee Last
Revision
Injection,tixagevimab and cilgavimab,for
the pre-exposure prophylaxis only,for certain
adults and pediatric individuals (12 years of
age and older weighing at least 40kg)with
no known sars-cov-2 exposure,who either
have moderate to severely compromised
M0220 immune systems or for whom vaccination $150.50 2025
with any available covid-19 vaccine is not
recommended due to a history of severe
adverse reaction to a covid-19 vaccine(s)
and/or covid-19 vaccine component(s),
includes injection and post administration
monitoring (UNC Lab)
Medicaid Only S0280 PMH Risk Screening $50.00 2015
Medicaid Only S0281 Postpartum Risk Screening $150.00 2015
Self-Pay Only S4993 Oral Contraceptive Pills $5.00 2012
S5000 Prescription Drug Dispensing $4.00 2021
59465 Diabetic management program,dietitian $35.00 2011
visit
59470 Nutritional counseling,dietitian visit $35.00 2011
59442 Birthing classes $8.69/1 hr block 2013
S5001 Plan B/Ella Emergency Contraception At acquisition cost 2023
T1002 RN Services up to 15 min. $21.00 2005
00001 2019- Ncov Diagnostic P (UNC Lab) $35.91 2025
00002 Covid-19 Lab Test Non-Cdc (UNC Lab) $51.31 2025
HC COVID-19 High Throughput (UNC Lab Add
U 0005 $0.00 2022
on Payment)
Examination for admission to educational
202.0 $40.00 2024
institution
**UNC and State Lab Fees are established by reference lab and not by OCHD
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 87
Miscellaneous
107 -
Miscellaneous
Division/Program Description Current Fee Last
Revision
Regulatory Business License
Practitioner License $0.00 2016
Business/Owner License $75.00 1996
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 88
Solid Waste- Enterprise Fund
108
Solid Waste
Division/Program Description Current Fee Last
Revision
Solid Waste Programs Fee-Orange County $142.00 2026
Solid Waste Programs Fee-City of Mebane $94.74 2026
Recycling 8 Yard -Scheduled $65.00 2025
Sanitation 6 Yard -Scheduled $75.00 2025
6 Yard - Unscheduled $85.00 2025
8 Yard -Scheduled $65.00 2025
8 Yard - Unscheduled $85.00 2025
30 Yard Week Rental and 1 pickup* $300.00 2025
30 Yard Additional Pickup* $150.00 2025
40 Yard Week Rental and 1 pickup* $450.00 2025
40 Yard Additional Pickup* $230.00 2025
*= plus double tip fee for contaminated loads (not
2019
following OC RRMO)
Landfill Construction &Demo $45.00/ton 2025
Clean Wood/Vegetative Waste $30.00/ton 2025
30 Yard Additional Pickup* $150.00 2025
40 Yard Week Rental and 1 pickup* $450.00 2025
40 Yard Additional Pickup* $230.00 2025
Conventional Yard Waste Mulch $40.00/3cubic yard 2025
scoop
Bag of Premium Compost-1 cubic foot $8.00 2025
Mulch on Sale $20.00/a scoop of 2025
mulch =3 Cubic yard
Stumps&Land Clearing Waste $45.00/ton 2025
Disposal of Mobile Homes $450.00/unit 2025
Tires (stockpiles tires/no state certification) $200.00/ton 2025
C&D Small Truck/Trailer $25.00 2026
C&D Car $7.00 2026
Vegetative Waste Small Truck/Trailer $10.00 2026
Vegetative Waste Car $5.00 2026
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 89
Solid Waste- Enterprise Fund
109
Division/Program Description Current Fee Last
Revision
Bulk Compost $45.00 2026
Mulch Delivery Fee>10 Miles From Landfill $75.00 2025
Mulch Delivery Fee>20 Miles From Landfill $95.00 2025
*= plus double tip fee for contaminated loads (not
2019
following OC RRMO)
Environmental
Support Appliances (White Goods) No charge
Scrap Metal No charge
Cardboard No charge
Regulated Recyclable Materials Facility Certification $300.00/application 2025
License of Haulers $45.00 per vehicle 2025
Compost Bin (Yard) $65.00 2025
Countertop Compost Bin $7.00 2025
7 Gallon Countertop Compost Bin $20.00 2025
Cart (Additional) � 5.00 2025
12%
Regulated Recyclable Materials Permit-Carrboro of assessed building202S
permit fee
Regulated Material Permit-Town of Chapel Hill 10%of Applicable 2025
Building Permit Fees
Regulated Material Permit- Orange County 7%of Applicable 2025
Building Permit Fees
FY 2026-27 Commissioner Approved Fee Schedule)Orange Page 90
Sportsplex
11�
Sportsplex
Division/Program Description Current Fee Last.
Revision
Fitness Memberships Individual $49.99/mo 2018
Parent& Dependent $59.99/mo 2018
Couple $69.99/mo 2018
Family $79.99/m o 2018
Student $29.99/mo 2018
Platinum Individual $66.99/mo 2018
Platinum Parent&Dependent $74.99/mo 2018
Platinum Couple $79.99/mo 2018
Platinum Family $96.99/mo 2018
Senior Individual Resident (semi-platinum,incl.
Pickleball/Basketball $26.99/mo 2018
Senior Individual Non-Resident $39.99/mo 2018
Senior Couple (semi-platinum, incl.
Pickleball/Basketball) $36.99/mo 2018
Senior Couple Non-Resident $49.99/mo 2018
Fitness Walk-in $10.00 2018
Fitness Walk-In With Member $9.00 2026
County Employee $12.50/mo 2018
County Empl: Parent+Child $15.00/mo 2018
County Empl:Couple/Parent+2 children $17.50/mo 2018
County Empl:Family $20.00/mo 2018
County Employee Platinum $17.50/mo 2018
County Empl: Parent+Child Platinum $18.75/mo 2018
County Empl:Couple/Parent+2 children Platinum $20.00/mo 2018
County Empl:Family Platinum $24.25/mo 2018
Note: Membership Discounts (Seniors:50%;OC
Employees:75%; Hills/Chapel Hill empl:30%;OC/Ch-
Hill/Carb.School empl.40%; NC Govt.
empl/Military/Veterans/Clergy:30%)
Kidsplex Preschool
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 91
Sportsplex
111
Division/Program Description Current Fee Last
Revision
2-Year-Old/2 days Member$195.00/mo 2026
Non-Member
2026
$227.00/mo
2-Year-Old/3 days Member$276.00/mo 2026
Non-Member
$323.00/m o 2026
2-Year-Old/5days Member$430.00/mo 2026
Non-Member
$503.00/mo 2026
3-Year-Old/2 days Member$231.00/mo 2026
Non-Member
$269.00/mo 2026
3-Year-Old/3 days Member$329.00/mo 2026
Non-Member
$386.00/mo 2026
3-Year-Old/5days Member$515.00/mo 2026
Non-Member
$573.00/m o 2026
4/5-Year-Old/3days Member$373.00/mo 2026
Non-Member
$438.00/mo 2026
4/5-Year-Old/5 days Member$542.00/mo 2026
Non-Member
$637.00/mo 2026
After School
3 Days Member$220.00/mo 2026
Non-Member
$260.00/mo 2026
4 Days Member$285.00/mo 2026
Non-Member
$335.00/mo 2026
5 Days Member$355.00/mo 2026
Non-Member
$420.00/mo 2026
FY 2026-27 Commissioner Approved Fee Schedule Orange Page 92
Sportsplex
112
Division/Program Description Current Fee Last
—I Revision
Daily Flat Rate $22.10 Member/$26.00 2026
Non-Member
Summer Camp $297.00/week 2016
Summer Camp-Specialty Camps $315.00/week 2026
Summer Camp - Preschool Camps (half-day) $211.00/week 2026
School Year Camp $65.50/day 2026
Poo/ Public Swimming Adult$7.00/Child 2018
$6.00/Senior$5.00
Group Swim Admission $4.00/swimmer 2018
Group Swim Lessons Members: $178.50/8 2026
class session
Non-Members:
$210.00/8 class session 2026
Members:
Swim Team $90.00-$230.00/mo 2026
based on age
Non-Members:
$110.00-$250.00/mo 2026
based on age
Lane Rental $22.00/lane/hr 2026
Orange County High School Lane Rental $13.00/lane/hr 2026
$350.00/hr,$775.00 Set
Swim Meet Facility Charge Up Fee,$2.50 per 12026
swimmer fee
Timing System $400.00/day 2026
Baby Pool Drain and Seating $500.00/meet 2026
Child $9.00/(no change
Ice Rink Public Skating 2026
to others)
Group Ice Skate 20 (or more) $8.00/skater incl. ice 2026
skate rental
Ice Rental $410.00/hr 2026
Adult Hockey Leagues $432.00/per 16 game 2026
season
Learn to Skate School $192.50/7 class session 2026
Learn to Play Hockey $192.50/7 class session 2026
Hockey Tots $122.50/7 class session 2026
FY 2026-27 Commissioner Approved Fee Schedule Orange Page 93
Sportsplex
113
Division/Program Description Current Fee Last
Revision
Field House Member Soccer/Flag Football/Lacrosse $650.00 per team/per2018
season
Non-Member Soccer/Flag Football/Lacrosse $800.00 per team/per2018
season
Youth Soccer/Flag Football Clinic $11.00 per class 2026
Member Basketball/Volleyball $650.00 per team/per 12018
season
Non-Member Basketball/Volleyball $800.00 per team/per 12018
season
Youth Basketball/Volleyball Clinic $11.00 per class 2026
Weekday daytime: Free
Senior Pickleball 2018
for Members/Passmore I
Open Pickleball Leagues (prime time) $3.00 per game/league 122018
fee tbd
i
Open Pickleball Admission $7.00 2026
Open Turf/Court Admission $7.00 2026
Tots Clinics (Soccer, basketball,tumbling) $11.00 per class 2026
Court Rental $85.00/hr Flat Rate 2026
Field Rental $110.00/hr Flat Rate 12026
FY 2026-27 Commissioner Approved Fee Schedule(Orange Page 94
Disclosures
114-
Disclosures
14Disclosures
(1)The county has the discretion to waive fees that are being charged internally to county departments.
(2) Pursuant to the North Carolina Sediment Act under G.S.113A-60(a),as amended with Session Law 2021-121 HB 489
for approved subdivisions and/or common plan of development with single-family lots less than 1 acre,the erosion
control fee for the single-family lot shall be set at no more than one hundred dollars ($100.00) per lot/acre developed.
The remainder of the erosion control fee (i.e.additional land disturbance areas outside of the single-family lots such as
roads and common areas) shall be calculated per the applicable erosion control land basis rates as listed in published
Erosion Control,Stormwater and Engineering Fee Schedule.
(3)The Planning and Inspection Director has the discretionary authority to waive building permitting fees associated
with critical events including natural causes.Only work associated with repairing the immediate damage would be
subject to waiver.
FY 2026-27 Commissioner Approved Fee Schedule I Orange Page 95
RES-2026-042 Attachment 4 115
A RESOLUTION BY THE COUNTY OF ORANGE,NORTH CAROLINA
TO DIRECT THE EXPENDITURE OF OPIOID SETTLEMENT FUNDS
WHEREAS Orange County, North Carolina has joined national settlement agreements
with companies engaged in the manufacturing,distribution, and dispensing of opioids, including
settlements with drug distributors Cardinal, McKesson, and AmerisourceBergen,and the drug
maker Johnson & Johnson and its subsidiary Janssen Pharmaceuticals;
WHEREAS the allocation, use,and reporting of funds stemming from these national
settlement agreements and certain bankruptcy resolutions ("Opioid Settlement Funds") are
governed by the Memorandum of Agreement Between the State of North Carolina and Local
Governments on Proceeds Relating to the Settlement of Opioid Litigation ("MOA");
WHEREAS Orange County has received Opioid Settlement Funds pursuant to these
national settlement agreements and deposited the Opioid Settlement Funds in a separate special
revenue fund as required by section D of the MOA;
WHEREAS section E.6 of the MOA states:
E.6. Process for drawingfrom om special revenue funds.
a. Budget item or resolution required. Opioid Settlement Funds can be used for a purpose
when the Governing Body includes in its budget or passes a separate resolution
authorizing the expenditure of a stated amount of Opioid Settlement Funds for that
purpose or those purposes during a specified period of time.
b. Budget item or resolution details. The budget or resolution should(i)indicate that it is an
authorization for expenditure of opioid settlement funds; (ii) state the specific strategy or
strategies the county or municipality intends to fund pursuant to Option A or Option B,
using the item letter and/or number in Exhibit A or Exhibit B to identify each funded
strategy, and(iii) state the amount dedicated to each strategy for a stated period of time.
NOW,THEREFORE BE IT RESOLVED, in alignment with the NC MOA, Orange County,
authorizes the expenditure of opioid settlement funds as follows:
1. First strategy authorized
a. Name of strategy: Recovery SuM12ort Services
b. Strategy is included in Exhibit A (Exhibit A.Exhibit B)
c. Item letter and/or number in Exhibit A or Exhibit B to the MOA: Strategy 3
d. Amounted authorized for this strategy: $209.859
e. Period of time during which expenditure may take place:
Start date July 1.2026 through End date June 30. 2028
f. Description of the program, project, or activity:
The Lantern Project is a collaboration between the Criminal Justice Resource
Department and subcontractor Freedom House Recovery Center. The mission is to
support justice-impacted individuals with substance use disorder through evidence-
based strategies, interventions and programming designed to reduce their vulnerability
to overdose, death, and recidivism. The mission is to light the path to recovery through
harm reduction, diversion, reentry support and treatment.
[Type here] [Type here] [Type here]
116
g. Provider: Criminal Justice Resource Department
2. Second authorized strategy
a. Name of strategy: Post-Overdose Response Team
b. Strategy is included in Exhibit A (Exhibit A.Exhibit B)
c. Item letter and/or number in Exhibit A or Exhibit B to the MOA: Strategy
d. Amounted authorized for this strategy: $369,185
e. Period of time during which expenditure may take place:
Start date July 1. 2026 through End date June 30, 2028
f. Description of the program, project, or activity:
Development and implementation of a PORT within the geographic constraints of
Orange County,NC; funds will support staff salary, supplies and needed software.
PORTS are specialized teams that respond to opioid overdoses in real time or within
24-72 hours of the overdose event. The OC-EMS PORT will meet individuals where
they are at in their addiction by providing harm reduction resources, linkage to
treatment services, and medication-assisted treatment(MAT) induction and
administration.
This service will be available to all eligible individuals that OC-EMS interfaces with
during EMS incidents and will be provided as a referral for collaborating
departments, emergency departments, organizations, and the community at-large.
PORTS have become the standard of care in post-overdose services nationally and
locally, with 41 North Carolina counties currently having an active PORT in place.
g. Provider: Orange County Emergency Services
3. Third authorized strategy
a. Name of strategy: Collaborative Strategic Planning
b. Strategy is included in Exhibit A (Exhibit A.Exhibit B)
c. Item letter and/or number in Exhibit A or Exhibit B to the MOA: Strategy I
d. Amounted authorized for this strategy: $68.425
e. Period of time during which expenditure may take place:
Start date July 1. 2026 through End date June 30, 2028
f. Description of the program,project, or activity:
The Orange County Opioid Program Manager(Harm Reduction Coordinator)will be
responsible for overseeing the development, administration,budget, grant
management, and reporting for Orange County's Opioid Settlement Program. This
position will work with closely with Orange County staff and community partners
involved in community overdose prevention, education, harm reduction, treatment
opportunities and recovery support. They will ensure all reporting requirements are
met for the Opioid Settlement Fund and pursue additional resources to advance this
work.
g. Provider: Orange County Health Department
4. Fourth Authorized Strategy
a. Name of strategy: Reentry Programs
b. Strategy is included in Exhibit A (Exhibit A.Exhibit B)
[Type here] [Type here] [Type here]
117
c. Item letter and/or number in Exhibit A or Exhibit B to the MOA: Strategy 12
d. Amounted authorized for this strategy: $37.059
e. Period of time during which expenditure may take place:
Start date July 1. 2026 through End date June 30, 2028
f. Description of the program,project, or activity:
The NC FIT Program is a comprehensive reentry program that focuses on unmet
health needs for people released from incarceration.NC FIT provides connections to
primary care, behavioral health, and substance use disorder treatment. All NC FIT
Community Health Workers have personal histories of incarceration. The NC FIT
Program is based on the Transitions Clinic Network Model which is an evidence-
based program that complies with Strategy A in the settlement MOU.
Funding will support .5 FTE of a Community Health Worker that has been hired by
the OC Health Department. CHW position will focus on assisting people being
released from the Detention center with a diagnosis of Opioid Use Disorder. This
FIT CHW position will work closely with efforts supported by the Lantern Project
run through the CJRD.
The NC FIT Program will continue to provide regular support and technical
assistance to Orange County supporting the Orange County FIT Program, Jail-based
MAT at the Detention Center, collaboration with the CJRD and linkages to
Piedmont Health Services.
g. Provider: NC FIT
5. Fifth Authorized Strategy
a. Name of strategy: Criminal Justice Diversion Programs
b. Strategy is included in Exhibit A (Exhibit A.Exhibit B)
c. Item letter and/or number in Exhibit A or Exhibit B to the MOA: Strategy I
d. Amounted authorized for this strategy: $114.861
e. Period of time during which expenditure may take place:
Start date July 1, 2026 through End date June 30, 2028
f. Description of the program,project, or activity:
Funds for a clinical coordinator position that supports pre-trial service programs that
connect individuals involved or at risk of becoming involved in criminal justice
system to addiction treatment,recovery support,harm reduction services, primary
healthcare,prevention, or other services or supports they need, or that provide any
of these services or supports.
g. Provider: Criminal Justice Resource Department
6. Sixth Authorized Strategy
a. Name of strategy: Collaborative Strategic Planning
b. Strategy is included in Exhibit A (Exhibit A.Exhibit B)
c. Item letter and/or number in Exhibit A or Exhibit B to the MOA: Strate'2y 1
d. Amounted authorized for this strategy: $39.964
e. Period of time during which expenditure may take place:
Start date July 1. 2026 through End date June 30, 2028
f. Description of the program,project, or activity:
[Type here] [Type here] [Type here]
118
Initial funding for a Behavioral Health Director position for Orange County.
Responsibilities include operational oversight of the Crisis Diversion Facility,
integration of services and partners for the CDF, management of the Opioid
Settlement funds, quality assurance, contract management and close oversight for all
county behavioral health funding including MOE and outside agencies, data
collection, strengthening the crisis continuum of care and ensuring gaps and needs
addressed, enhancing communication, and collaboration with community and
provider stakeholders to improve equitable access to behavioral health resources.
g. Provider: County Manager's Office
7. Seventh Authorized Strateav
a. Name of strategy: Reentry Programs
b. Strategy is included in Exhibit A (Exhibit A.Exhibit B)
c. Item letter and/or number in Exhibit A or Exhibit B to the MOA: Strategy 12
d. Amounted authorized for this strategy: $85.907
e. Period of time during which expenditure may take place:
Start date July 1. 2026 through End date June 30, 2028
f. Description of the program,project, or activity:
Freedom House connects with individuals screened in the Orange County Detention
Center who have a history of Opioid Use Disorder. The Peer Support Specialist
assists individuals with getting to treatment, court appearances, linkage to community
resources and other needs to curb recidivism. Funds would cover salary/benefits, cell
phone service, mileage and training for a Peer Support Specialist.
g. Provider: Freedom House Recovery Center
8. Eight Authorized Strategy
a. Name of strategy: Early Intervention
b. Strategy is included in Exhibit A (Exhibit A.Exhibit B)
c. Item letter and/or number in Exhibit A or Exhibit B to the MOA: Strategy 6
d. Amounted authorized for this strategy: $66.310
e. Period of time during which expenditure may take place:
Start date July 1. 2026 through End date June 30, 2028
f. Description of the program,project, or activity:
El Futuro will build upon last year's programming preventing and addressing
substance use disorders (SUD), including opioid use disorder(OUD) and co-
occurring mental health conditions among economically disadvantaged youth and
young adults among historically marginalized Latino individuals in Orange County.
Strengthening early intervention efforts, reducing stigma, and strengthening
community coordination will improve outcomes for Latino youth,young adults, and
their caregivers.
This initiative will train CMHWs in Screening,Brief Intervention and Referral to
Treatment(SBIRT) and Motivational Interviewing (MI) to strengthen early
intervention efforts and expand access to culturally and linguistically appropriate
services.
g. Provider: El Futuro
[Type here] [Type here] [Type here]
119
9. Ninth Authorized Strategy
a. Name of strategy: Naloxone Distribution
b. Strategy is included in Exhibit A (Exhibit A.Exhibit B)
c. Item letter and/or number in Exhibit A or Exhibit B to the MOA: Strategy 7
d. Amounted authorized for this strategy: $10,000
e. Period of time during which expenditure may take place:
Start date July 1. 2026 through End date June 30, 2028
£ Description of the program,project, or activity:
UNC—Student Wellness aims to increase the availability of naloxone to expand their
campus-wide opioid overdose prevention education and naloxone distribution
program. This program aims to increase the availability of naloxone in high-traffic
areas on campus. Funding would provide naloxone supply for use in distribution.
g. Provider: UNC— Student Wellness
The total dollar amount of Opioid Settlement Funds appropriated across the above named and
authorized strategies is $1,001,570.00.
Originally adopted the 16`h day of June 2026.
Jean Hamilton, Chair
Orange County Board of Commissioners
ATTEST:
Laura Jensen, Clerk to the Board
COUNTY SEAL
120
RES-2026-040 Attachment 5
ORANGE COUNTY BOARD OF COMMISSIONERS
RESOLUTION
A Resolution Regarding the Use of Occupancy Tax for Tourism Related
Expenditures
WHEREAS, the county has been authorized to collect Occupancy Taxes on hotel and
short-term rental stays since 1991,
WHEREAS, tourism is a vital part of Orange County's economy, generating revenue that
supports the county,
WHEREAS, it is important for Orange County to continue to invest in future tourism that
will enable the County to recruit, retain, grow, and generate businesses and jobs that are
desirable;
NOW, THEREFORE, BE IT RESOLVED the Orange County Board of Commissioners
hereby states its intent to use Occupancy Tax to reinvest into initiatives that support the
tourism industry; and,
NOW, THEREFORE, BE IT RESOLVED the Orange County Board of Commissioners
hereby considers the following examples as investments the County has made to support
the tourism industry: the Orange County/Chapel Hill Visitors Bureau, the arts and arts
festivals, capital investments in parking and other amenities that serve visitors, athletic
and recreation facilities and programs that attract visitors as well as other investments
intended to encourage or support tourism and the hospitality industry in Orange County.
This the 16th day of June, 2026.
Jean Hamilton, Chair
Orange County Board of Commissioners
Laura Jensen, Clerk to the Board