Laboratory Tests and Fees

BACTERIOLOGY

Bacteriology Tests and Fees
TEST PERFORMED TEST   # PERFORMED FEE SPECIMEN COLLECTION
& TRANSPORT
REQUISITION CPT CODE
Aeromonas-Plesiomonas culture 2310 Daily $36.00 17, 17A 100 87046
Antibiotic susceptibility testing, urine culture isolate 2600 Daily $38.00 21 100 87184
Bacteriology primary culture 2025 Daily $75.00   100 87070
Bacteriology isolate identification (No fee for N. gonorrhoeae, N. meningitis Listeria or other pathogens of public health interest) 2085 Daily $122.00   100 87077
Campylobacter culture 2240 Daily $35.00 17, 17A 100 87046
E coli shigatoxin-producing culture 2250 Daily $38.00   100 87046
E coli shigatoxin-producing, isolate confirmation 2080 Daily $115.00     87070
Gram stain 2035 Daily $29.00   100 87205
Neisseria gonorrhoeae culture 2050 Daily $23.00 11 100 87850
Neisseria gonorrhoeae culture confirmation 2040 Daily $122.00   100 87077
Salmonella culture 2220 Daily $29.00 17, 17A 100 87045
Shigella culture 2230 Daily $41.00 17, 17A 100 87045
Streptococcus Culture 2015 Daily $32.00   100 87081
Yersinia enterocolitica culture 2270 Daily $43.00 17, 17A 100 87046
Urine culture with colony count 2065 Daily $49.00 21 100 87086
Vibrio culture 2260 Daily $39.00 17, 17A 100 87046
Shigatoxin 2290 Daily $67.00 17, 17A 100 87427
Stool culture isolate identification 2280 Daily $115.00   100 87045
PANEL TEST # FEE     CPT
Standard Stool Culture: 2200 $91.00   100  
Salmonella culture         87045
Shigella culture         87045
Campylobacter culture         87046
Shigatoxin-producing E coli culture         87046
PANEL TEST # FEE     CPT
Comprehensive Stool Culture: 2300 $223.00   100  
Salmonella culture         87045
Shigella culture         87045
Campylobacter culture         87046
Shigatoxin-producing E coli culture         87046
E coli, shigatoxin-producing         87046
Yersinia enterocolitica culture         87046
Aeromonas-Plesiomonas culture         87046
Vibrio culture         87046
Shigatoxin Enzyme-immunoassay         87427

FOOD TESTING

Food Testing Tests and Fees
DESCRIPTION
Note: These tests are performed in specific circumstances and can only be submitted by authorized personnel.
TEST # FEE REQUISITION
Enteric pathogens culture Food 3010 $145.00 100 (or chain of custody)
Direct microscopic exam Food 3005 $132.00 100 (or chain of custody)

MOLECULAR AMPLIFICATION TESTING

Molecular Amplification Tests and Fees
TEST PERFORMED TEST # PERFORMED FEE SPECIMEN COLLECTION & TRANSPORT REQUISITION CPT CODE
Bordetella (pertussis) PCR 2110 Daily $131.00 6, 6A 100 87798
Chlamydia amplified assay * 2750 Daily $45.00 2 100 87491
Gonorrhea amplified assay * 2770 Daily $45.00 2 100 87591
Trichomonas amplified assay* 2850 Daily $64.00 2 100 87661
Enterovirus RT-PCR 6300 Mon-Wed-Fri $131.00 23 100 87798
Influenza virus RT-PCR 50000 Mon-Wed-Fri $131.00 6, 6A 100 87501
Measles Virus PCR (Rubeola) 6180 Daily $131.00 28, 28A 100 87798
M.tuberculosis amplification (MTD-RIF) 3530 Daily $97.00 15, 16 100 87556
Mumps Virus PCR 6170 Daily $131.00 31, 31A 100 87798
Norovirus RT-PCR 6100 Daily $131.00 17, 17A 100 87798
Poxvirus PCR Call for Information Daily $131.00 13 100 87798
Respiratory PCR Panel (RP):

Influenza A, H3, H1, Influenza B, Human Metapneumovirus (hMPV) Parainfluenza 1, 2, 3, 4, Respiratory Syncytial Virus Types A and B, Adenovirus, Enterovirus/Rhinovirus, Coronaviruses, B pertussis, Chlamydophila pneumoniae and Mycoplasma pneumoniae. Adenovirus, Corona viruses 228E, HKU1, NL63, OC43, Human Metapneumovirus (hMPV) Parainfluenza 1, 2, 3, 4,  Respiratory Syncytial Virus, Enterovirus/Rhinovirus, Bordetella pertussis, Chlamydophila pneumonia, Mycoplasma pneumonia.

6310 Daily $193.00 6, 6A 100 87633
Varicella-Zoster virus PCR 6190 Daily $131.00 23 100 87798
Gastrointestinal PCR Panel (GP):

Rotavirus A, Norovirus G1/GII, Sapovirus, Astrovirus, Adenovirus 40/41, Diarheagenic E coli, Entertoxigenic E. coli (ETEC), Enteropathogenic E coli (EPEC), Enterotoxigenic E coli (ETEC), Escherichia coli 0157, Shigatoxin-producing E coli(stx1/stx 2) (STEC), Enteroinvasive E coli (EIEC), Salmonella, Shigella, Campylobacter, Clostridium difficile Toxin A/B, LT/ST, ,), Giardia lamblia, Cyclospora, Cryptosporidium, Entamoeba histolytica , Vibrio spp, Vibrio Cholerae, Yersinia enterocolitica.

6500 Daily $221.00 17, 17A 100 87502
*Test volume-based pricing is available
**For specimen collection and transporting refer to SLOPHLAB Collection Instructions

MYCOBATERIOLOGY and MYCOLOGY TESTING

MYCOBATERIOLOGY and MYCOLOGY TESTING, Tests and Fees
TEST PERFORMED TEST # PERFORMED FEE SPECIMEN COLLECTION
& TRANSPORT
REQUISITION CPT CODE
M. tuberculosis amplification (MTB-RIF) 3530 Daily $97.00 15, 16 100 87556
M. tuberculosis complex probe 3571 Thurs $78.00   100 87555
M. avium complex probe 3575 Thurs $78.00   100 87560
M. kansasii probe 3581 Thurs $78.00   100 87550
M. gordonae probe 3585 Thurs $78.00   100 87550
Mycobacterial isolate identification 3555 Daily $124.00   100 87118
TB culture & identification (plus concentration*) 3545 Daily $81.00 3 100 87116
TB fluorescent smear (urgent) 3526 Daily $157.00 15, 16 100 87206
TB fluorescent smear 3535 Daily $33.00 15, 16 100 87206
Quantiferon** 7700 Wed $61.00 14 100 86480
Mycology culture & identification 3905 Daily $117.00 7 100 87101
Mycology direct exam 3900 Daily $39.00 7 100 87220
Mycology isolate identification 3910 Daily $124.00 7 100 87106
Coccidioides Probe 3915 Thurs $83.00     87149
*Concentration 9900 Daily $22.00   100 87015
 
*Specimen must be received by 2:00 pm for testing
**Test volume-based pricing available

PARASITOLOGY TESTING

PARASITOLOGY TESTING, Tests and Fees
TEST PERFORMED TEST   # PERFORMED FEE SPECIMEN COLLECTION
& TRANSPORT
REQUISITION CPT CODE
Ova and Parasites 4025 Daily $76.00 18 100 87177
Parasite identification- Trichrome stain 4010 Daily $51.00 18 100 87209
Wet prep vaginal 4055 Daily $52.00 22 100 87210
Cryptosporidium-Giardia DFA (with concentration*) 4030 Daily $59.00 18 100 87272, 87269, 87015
Parasite special direct exam 4000 Daily $51.00 18 100 87207
Parasite wet mount, feces 4050 Daily $55.00 17, 17A 100 87177
Helminth-Arthropod identification 4020 Daily $43.00     87169
Tick Identification
Anyone may request this test
4015 Daily $30.00 29   87168
Cyclospora direct exam 4045 Daily $84.00   100 87206, 87015
Microsporidia special direct exam 4060 Daily $72.00 18 100 87206, 87015
Isospora special direct exam 4065 Daily $72.00 18 100 87206, 87015
Parasite blood smear exam 4040 Daily $45.00 5 100 86750
Pinworm prep 4005 Daily $38.00 12 100 87172
 
Standard Parasitology Panel 4025 Daily $202.00 18 100  
Ova & Parasites concentration & exam           87177
Trichrome stain & exam           87209
 
Comprehensive Parasitology Panel: 4300 Daily $220.00 18 100  
Ova & Parasites concentration & exam           87177
Trichrome stain & exam           87209
Cryptosporidium DFA           87272
Giardia DFA           87269
 
*Concentration     $22.00     87015

SEROLOGY TESTING

SEROLOGY TESTING, Tests and Fees
TEST PERFORMED TEST   # PERFORMED FEE SPECIMEN
COLLECTION
& TRANSPORT
REQUISITION CPT CODE
RPR, serum 5035 Tues & Thurs $26.00   100 86592
RPR, serum, titer 5040 Tues & Thurs $47.00   100 86593
Treponema pallidum particle agglutination test (TP-PA, syphilis conf.) 5065 Tues & Thurs $60.00   100 86780
HIV 1,2  antibody, EIA, serum * 5500 Tues & Thurs $32.00   100 87389
HIV 1 antibody, EIA, oral fluid * 5600 Tues & Thurs $29.00   100 86701
HIV antibody differentiation test 5700 day after screen $79.00   100 86689
Varicella-Zoster (VZV) antibody 5100 Mon & Thurs $50.00   100 86787
VDRL, CSF 5060 Tues & Thurs $34.00   100 86593
 
*Test volume-based pricing available
 

SEXUALLY-TRANSMITTED DISEASE (STD) TESTING

SEXUALLY-TRANSMITTED DISEASE (STD) TESTING, Tests and Fees
TEST PERFORMED TEST   # PERFORMED FEE SPECIMEN COLLECTION
& TRANSPORT
REQUISITION CPT CODE
N. gonorrhoeae culture 2050 Daily $23.00 11 100 87081
VDRL, CSF 5060 Daily $34.00   100 86593
RPR, serum 5035 Daily $26.00   100 86592
RPR, serum, titer 5040 Daily $47.00   100 86593
Treponema pallidum particle agglutination (TP-PA, syphilis confirmation.) 5065 Day after screen $60.00   100 86780
Herpes Virus culture 6010 2-5 da $76.00 30 100 87252
Herpes virus fluorescent antibody confirmation/typing 6015 Daily $65.00 30 100 87273
HIV 1 antibody, EIA, serum * 5500 Tues-Thurs $32.00     86701
HIV 1 antibody, EIA, oral fluid* 5600 Tues-Thurs $29.00   100 86701
HIV antibody differentiation test 5700 day after screen $79.00   100 87389
HIV antibody, Western blot, oral fluid (HIV antibody confirmation test) 5030 day after screen $229.00   100 86689
Chlamydia amplified assay * 2750 Daily $45.00 2 100 87491
Gonorrhea amplified assay * 2770 Daily $45.00 2 100 87591
Trichomonas amplification 2850 Daily $64.00 2 100 87661
*Test volume-based pricing available

SPECIAL SERVICES

SPECIAL SERVICES, Tests and Fees
DESCRIPTION FEE REQUISITION
Urgent Charge—Per Episode (testing done outside regularly scheduled hours) $153.00 NA
Miscellaneous Testing Per Hour $139.00 NA
Non-Diagnostic General Health Assessment, Single Event Program $85.00 NGHA Application
Non-Diagnostic General Health Assessment, Multiple Event Program $125.00 NGHA Application
TEST PERFORMED TEST # PERFORMED FEE SPECIMEN
COLLECTION
& TRANSPORT
REQUISITION CPT CODE
Blood Lead 9150 Daily $33.00 4 100 83655

VIROLOGY TESTING

VIROLOGY TESTING, Tests and Fees
TEST PERFORMED TEST   # PERFORMED FEE SPECIMEN COLLECTION & TRANSPORT REQUISITION CPT CODE
Hantavirus Testing 9000 Daily Call 25 100 NA
Herpes Virus culture 6010 Daily $76.00 30 100 87252
Herpes virus fluorescent antibody confirmation/typing 6015 Daily $65.00   100 87253
Influenza virus RT-PCR 6030 Mon-Wed-Fri $131.00 9 100 87798
Measles virus PCR (Rubeola) 6180 Daily $131.00 28, 28A 100 87798
Mumps virus PCR 6170 Daily $131.00 31, 31A 100 87798
Norovirus RT-PCR 6100 Daily $131.00   100 87798
Respiratory Virus Agent PCR Panel (RP):

Influenza A, H3, H1, Influenza B, Adenovirus, Corona viruses 228E, HKU1, NL63, OC43, Human Metapneumovirus (hMPV) Parainfluenza 1, 2, 3, 4,Respiratory Syncytial Virus, Enterovirus/Rhinovirus, Bordetella pertussis, Chlamydophila pneumoniae, Mycoplasma pneumonia.

6310 Daily $193.00 6 100

87501

87502

87503 X 2

87798 X 8
Varicella-Zoster virus PCR 6190 Daily $131.00 23 100 87798
VZV antibody 5100 Mon $50.00     86787
Gastrointestinal PCR Panel (GP):

Rotavirus A, Norovirus G1/GII, Sapovirus, Salmonella, Plesiomonas, Campylobacter,Clostridium difficile Toxin A/B,  Enteropathogenic E coli, Enteroaggregative E coli, Entertoxigenic E. coli (ETEC) LT/ST, Escherichia coli 0157, Shigella/Enteroinvasive E coli, Shigatoxin-producing E coli(stx1/stx 2), Giardia lamblia, Cryptosporidium, Cyclospora cayetensis, Adenovirus 40/41Astrovirus, Entamoeba histolytica , Vibrio spp,Vibrio cholera,  Yersinia enterocolitica

6500 Daily $221.00 17, 17A 100 82507
Rabies DFA 6000 Daily $120.00   300 N/A
Zika 9000 Daily Call 24 100 NA

WATER and SHELLFISH TESTING

WATER and SHELLFISH TESTING, Tests and Fees
TEST PERFORMED TEST # PERFORMED FEE SPECIMEN
COLLECTION
& TRANSPORT
REQUISTION METHOD
Enterococci, MPN 8010 Daily, 1 da $28.00   200 SM 9230
Fecal coliforms, water 8020 Daily 3-4 da $59.00   200 DM 9221E
Fecal coliforms, water, A1 method 8910 Daily 1 da $59.00   200 DM 9221E
Heterotrophic Plate Count 8045 Daily 2 da $50.00   200 DM9215B
Pseudomonas Count 8050 Daily 1 da $36.00   200 chromogenic
Total coliforms-E coli MPN (Quantitray) 8025 Daily 1 da $29.00   200 SM 9223
Total coliforms-E coli, Presence/Absence* 8040 Daily 1 da $26.00 61, 62, 63 200 SM 9223
Salinity 8069 Daily 1 da $7.00   200 refractometry
Total and fecal coliforms MPN 8400 Daily 3-4 day $59.00   200 SM 9221E
Fecal coliforms, shellfish meat 8070 scheduled, 3-4 da $158.00   200 FDA
Domoic acid, shellfish meat 9005 scheduled, 2 da $173.00   200 EIA
 
*Drinking water samples accepted Mon thru Fri; Call 805-781-5508 to schedule testing for other water testing
*Test volume -based pricing is available

Reference

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