Tests and Fees

Tests by Category

TEST PERFORMED TEST # PERFORMED TEST FEE SPECIMEN COLLECTION
& TRANSPORT
REQUISITION # CPT CODE
Aeromonas-Plesiomonas culture 2310 Daily $87 17, 17S 100 87046
Antibiotic susceptibility testing, urine culture isolate 2600 Daily $56 21 100 87184
Bacteriology primary culture 2025 Daily $95   100 87070
Bacteriology isolate identification, set-up (No fee for pathogens of public health interest) 2085 Daily $89   100 87077
Campylobacter culture 2240 Daily $84 17, 17S 100 87046
Carba-R assay (carbapenem resistance) 2350 Daily No fee 39 100 87150
E. coli shiga toxin-producing culture 2250 Daily $129   100 87046
E. coli shiga toxin-producing, isolate confirmation 2080 Daily No fee     87070
Gram stain 2035 Daily $40   100 87205
Legionella urinary antigen 2400 Daily $77 67 100 87426
MALDI-TOF MS Bacterial ID 2460, 2470 Daily $80   100 87077
Neisseria gonorrhoeae culture 2050 Daily $46 11 100 87081
Neisseria gonorrhoeae culture confirmation 2040 Daily $89   100 87077
Salmonella culture 2220 Daily $109 17, 17S 100 87045
Shigella culture 2230 Daily $108 17, 17S 100 87045
Shiga toxin EIA 2290 Daily $247 17, 17S 100 87427

Stool culture isolate identification

2280 Daily $88   100 87045
Streptococcus culture 2015 Daily $46 19 100 87081
Urine culture with colony count 2065 Daily $54 21 100 87086
Vibrio culture 2260 Daily $86 17, 17S 100 87046
Yersinia enterocolitica culture 2270 Daily $87 17, 17S 100 87046
Bacteriology Panels
Bacteriology Panel Test # Performed Test Fee Specimen Collection & Transport       Requisition # CPT
Comprehensive Stool Culture 

 

for Salmonella, Shigella, Campylobacter, Shiga toxin-producing E. coli, Vibrio species, Aeromonas species, and Plesiomonas shigelloides

2300  Daily $628      17, 17S 100                                        87045, 87046
Gastrointestinal PCR Panel (GP)

includes common bacteria, parasites, and viruses

6500 Daily $258 17, 17S 100  87507
Standard Stool Culture 

 

for Salmonella, Shigella, Campylobacter, and Shiga toxin-producing E. coli

2200 Daily $322        17, 17S 100          87045, 87046

These specialized tests for biothreat agents are performed in specific circumstances and can only be submitted by authorized personnel after consultation with the lab. Additional information can be found at: Laboratory Biothreat Testing.

DESCRIPTION
Note: These tests are performed in specific circumstances and can only be submitted by authorized personnel.
TEST # FEE REQUISITION
Direct microscopic exam 3005 $162 100 (or chain of custody)
Enteric pathogens culture 3010 $179 100 (or chain of custody)
TEST PERFORMED TEST # PERFORMED TEST FEE    SPECIMEN COLLECTION
& TRANSPORT
REQUISITION CPT CODE
Bordetella (pertussis) NAAT 2120 Daily $125 6 100 87798
Chlamydia NAAT 2750 Daily $34 2 100 87491
Enterovirus RT-PCR 6300 Mon-Wed-Fri No charge (surveillance) 23 100 87798
Gonorrhea NAAT 2770 Daily $34 2 100 87591
Herpes Simplex Virus NAAT 6840 Daily $126 35 100 87798
Influenza/SARS-CoV-2 NAAT (CDC Method) 51000, 51010 Daily $128 6 100 87635
Influenza/SC2 NAAT with RP reflex 51015 Daily

$128

(+$233 if RP performed)

6 100 87798
Influenza virus RT-PCR 51005 Mon-Wed-Fri

$128

(no charge for surveillance)

6 100 87501
Mycoplasma genitalium NAAT 2870 3x weekly $69                                                                                  100 87563
Measles Virus PCR (Rubeola) 6180 Daily $142 28, 28A 100 87798
MTB complex NAAT (Xpert) 3530 Daily $144 15,16 100 87556
Mumps Virus PCR 6170 Daily $142 20 100 87798
Norovirus RT-PCR 6100 Daily $142 17, 17S 100 87798
Poxvirus PCR Call for Information Daily $142 13 100 87798
SARS-CoV-2/Flu/RSV NAAT 52000, 52030 Daily $151 6 100 87637, 87635
SARS-CoV-2 nucleic acid amplification test (NAAT) 6860 Daily $66 6 100 87635
Trichomonas NAAT 2850 3x weekly $64 2 100 87661
Varicella-Zoster Virus NAAT 6900 Daily $126 35 100 87798
Multiplex Tests and Panels
Test Performed Test # Performed Test Fee Specimen Collection & Transport Requisition # CPT
Gastrointestinal PCR Panel (GP)

(includes common bacteria, parasites, and viruses)

 6500 Daily $258 17, 17S 100    87507

Influenza/SARS-CoV-2 NAAT (CDC Method)

51000, 51010

Daily

$128

6

100

87635, 87636

Respiratory Pathogen PCR Panel (RP)

(includes common viruses, bacteria, and atypical bacteria)

6310 Daily $233  6  100 87633

SARS-CoV-2/Flu/RSV NAAT

52000, 52030

Daily

$151

6

100

87637, 87635

TEST PERFORMED TEST # PERFORMED FEE SPECIMEN COLLECTION
& TRANSPORT
REQUISITION CPT CODE
Acid-fast bacilli (AFB) concentration 9900 Daily $45   100 87015
AFB culture (without concentration)* 3545 Daily $100 3 100 87116
AFB fluorescent smear 3535 Daily $52 15, 16 100 87206
AFB isolate identification (set-up) 3555 Daily $87   100 87118
AFB tissue homogenization 3540 Daily $58   100 87176
MTB complex NAAT (Xpert) 3530 Daily $144 15, 16 100 87556
Quantiferon Plus 8800 Wed $99 14 100 86480
MALDI-TOF MS Mycobacterial ID 3660 Weekly $108   100 87118
MALDI-TOF MS Mold ID 3960 Weekly $94   100 87107
MALDI-TOF MS Yeast ID 3950 Weekly $80   100 87106
Mycology culture: primary specimen 3905 Daily $126 7 100 87101
Mycology direct exam 3900 Daily $54 7 100 87220
Mycology identification (procedure) 3980 Daily $94   100 87107
Mycology isolate identification (set-up) 3910 Daily $111 7 100 87106
 
*Specimen must be received by 12:00 pm for testing
TEST PERFORMED TEST # PERFORMED FEE SPECIMEN COLLECTION
& TRANSPORT
REQUISITION CPT CODE
Cyclospora direct exam 4045 Daily $113 18 100 87206, 87015
Helminth-Arthropod identification 4020 Daily $51     87169
Isospora special direct exam 4065 Daily $101 18 100 87206, 87015
Microsporidia special direct exam 4060 Daily $77 18 100 87206, 87015
Ova and Parasites (concentration & exam) 4025 Daily $98 18 100 87177
Parasite blood smear exam 4040 Daily $57 5 100 86750
Parasite identification- Trichrome stain 4010 Daily $71 18 100 87209
Parasite special direct exam 4000 Daily $92 18 100 87207
Pinworm prep 4005 Daily $48 12 100 87172
TEST PERFORMED TEST   # PERFORMED FEE SPECIMEN
COLLECTION
& TRANSPORT
REQUISITION CPT CODE
Blood Lead 9150 Daily $44 4 100 83655
HIV antigen & antibody immunoassay, serum 5500 Tues & Thurs $80

            34

100 87389
HIV antibody differentiation test 5700 Day after screen $103             34 100 86689
RPR, serum 5035 Mon, Tues,  Thurs $36 32 100 86592
RPR, serum, titer 5040 Mon, Tues, Thurs $49 32 100 86593
Treponema pallidum particle agglutination test (TP-PA, syphilis conf.) 5065 Mon, Tues, Thurs $89 32 100 86780
Varicella-Zoster (VZV) antibody 5100 Mon $110 33 100 86787
VDRL, CSF 5060 Tues & Thurs $45   100 86593
TEST PERFORMED TEST # PERFORMED FEE     SPECIMEN COLLECTION
& TRANSPORT
REQUISITION CPT CODE
Tick Identification
 
4015 Daily $37         29 300 87168
Tick Lyme Disease Testing ---- Referred $28.60 68 301 -----
TEST PERFORMED TEST   # PERFORMED FEE SPECIMEN COLLECTION
& TRANSPORT
REQUISITION CPT CODE
Chlamydia NAAT 2750 Daily $34 2 100 87491
Gonorrhea NAAT 2770 Daily $34 2 100 87591
Herpes Simplex Virus NAAT 6840 Daily $126 35 100 87798
HIV antigen & antibody immunoassay, serum 5500 Tues-Thurs $80 34 100 87389
HIV antibody differentiation test 5700 Day after screen $103 34 100 86689
Mycoplasma genitalium NAAT 2870 3x weekly $69 2 100 87563
N. gonorrhoeae culture 2050 Daily $47 11 100 87081
RPR, serum 5035 Mon, Tues, Thurs $36 32 100 86592
RPR, serum, titer 5040 Mon, Tues, Thurs $49 32 100 86593
Treponema pallidum particle agglutination (TP-PA, syphilis confirmation) 5065 Mon, Tues, Thurs $89 32 100 86780
Trichomonas NAAT 2850 3x weekly $64 2 100 87661
VDRL, CSF 5060 Tues, Thurs $45   100 86593
DESCRIPTION FEE REQUISITION
Bioterrorism Agent Testing None  
Suspected Ebola Patient Specimen Protocol None 100
Reference Testing (Commercial) At cost  
Urgent Charge—Per Episode (testing done outside regularly scheduled hours) $174  
Non-Diagnostic General Health Assessment, Single Event Program $85 NGHA Application
Non-Diagnostic General Health Assessment, Multiple Event Program $125 NGHA Application
TEST PERFORMED TEST # PERFORMED FEE SPECIMEN COLLECTION AND TRANSPORT REQUISITION CPT CODE
Hantavirus Testing 9000 Referred Referred 25 100 NA
Herpes Simplex Virus NAAT 6840 Daily $126 35 100 87798
Influenza virus RT-PCR 51005 Mon-Wed-Fri $128 (No charge for surveillance) 6 100 87798
Influenza/SC2 NAAT with RP reflex 51015 Daily $128 (+$233 if RP performed) 6 100 87798
Measles virus PCR (Rubeola) 6180 Daily $142 28, 28A 100 87798
Mumps virus PCR 6170 Daily $142 20 100 87798
Norovirus RT-PCR 6100 Daily $142 17, 17S 100 87798
Rabies DFA 6000 Daily $170 69 500 N/A

SARS-CoV-2 nucleic acid amplification test (NAAT)

6860

Daily

$66

6

100

87635
Varicella-Zoster Virus NAAT 6900 Daily $126 35 100 87798
VZV antibody 5100 Mon $110     86787
Zika 9000 Daily Call 24 100 NA
Multiplex Tests and Panels
Test Performed Test # Performed Test Fee Specimen Collection & Transport Requisition # CPT
Gastrointestinal PCR Panel (GP)

(includes common bacteria, parasites, and viruses

 6500 Daily $258 1717S 100    87507

Influenza/SARS-CoV-2 NAAT (CDC Method)

51000, 51010

Daily

$128

6

100

87635, 87636

Respiratory Pathogen PCR Panel (RP)

(includes common viruses, bacteria, and atypical bacteria)

6310 Daily $233  6  100 87633

SARS-CoV-2/Flu/RSV NAAT

52000, 52030

Daily

$151

6

100

87637, 87635

Drinking Water

TEST PERFORMED TEST # PERFORMED FEE SPECIMEN
COLLECTION
& TRANSPORT
REQUISITION
Total coliforms & E. coli Presence-Absence 8040 Daily (1-day test) $40 61, 62, 63 200
Total coliforms & E. coli MPN, Undiluted 8350 Daily (1-day test) $44 61, 62, 63 200
Heterotrophic plate count 8045 Daily (2-day test) $80 61, 62, 63 200

 

Ambient (Recreational and Ocean) Water

TEST PERFORMED TEST # PERFORMED FEE SPECIMEN
COLLECTION
& TRANSPORT
REQUISITION
Total coliforms & E. coli MPN, Undiluted 8350 Daily (1-day test) $44 66 200
Total coliforms & E. coli MPN, 1:10 dilution 8025 Daily (1-day test) $44 66 200
Enterococci MPN, undiluted 8110 Daily (1-day test) $48 66 200
Enterococci MPN, 1:10 dilution 8010 Daily (1-day test) $48 66 200
Thermotolerant (fecal) coliforms MPN, A-1 8910 By appointment $122 66 200

 

Spa and Swimming Pool Water

TEST PERFORMED TEST # PERFORMED FEE SPECIMEN
COLLECTION
& TRANSPORT
REQUISITION
Pseudomonas count 8050 Daily (1-day test) $57 61, 62 200
Heterotrophic plate count 8045 Daily (2-day test) $80 61, 62 200

 

Shellfish and Shellfish Growing Waters

TEST PERFORMED TEST # PERFORMED FEE SPECIMEN
COLLECTION
& TRANSPORT
REQUISITION
NSSP Thermotolerant (fecal) coliforms, A-1, growing water 8710 By appointment $122 64 200
NSSP Total coliforms, process water 8720 By appointment $108 65 200
NSSP Thermotolerant (fecal) coliforms, ocean shellfish 8770 By appointment $254   200
NSSP Thermotolerant (fecal) coliforms, process shellfish 8780 By appointment $244   200
Domoic acid, shellfish meat 9005 Scheduled (2-Day Test) $191   200