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RULE §73.54Fee Schedule for Clinical Testing and Newborn Screening

(a) Tests performed on clinical specimens, Austin Laboratory.

  (1) Biochemistry and genetics.

    (A) Newborn screening.

      (i) Newborn screening panel--$33.60. (Fees are based on the newborn screening specimen collection kit which is a department approved, bar-coded, FDA approved medical specimen collection device that includes a filter paper collection device, parent information sheet, specimen storage and use information, parent disclosure request form, demographic information sheet, and specimen collection directions with protective wrap-around cover for the specimen that should be used to submit a newborn's blood specimen for the first or second screen, repeat or follow-up testing and which includes the cost of screening.)

      (ii) Amino Acid Dietary Monitoring--$16.61.

      (iii) Phenylalanine/tyrosine--$16.61.

    (B) Clinical chemistry.

      (i) Antibody screen--$20.51.

      (ii) Blood typing ABO--$20.51.

      (iii) Cholesterol--$4.07.

      (iv) Glucose:

        (I) glucose fasting--$3.96;

        (II) glucose post prandial (1 hour)--$3.96;

        (III) glucose post prandial (2 hour)--$7.91;

        (IV) glucose random--$3.96;

        (V) glucose tolerance test 1 hour--$7.91;

        (VI) glucose tolerance test 2 hour--$11.87; and

        (VII) glucose tolerance test 3 hour--$15.82.

      (v) Hematocrit--$6.62.

      (vi) Hemoglobin--$1.53.

      (vii) Hemoglobin electrophoresis--$3.98.

      (viii) High-density lipoprotein (HDL)--$7.14.

      (ix) Lead--$3.47.

      (x) Lipid panel (consists of cholesterol, triglycerides, high density lipoprotein (HDL), and low density lipoprotein (LDL))--$10.57.

      (xi) Red blood cell antigens, other than ABO or Rh(D)--$260.70.

      (xii) RH typing--$20.51.

    (C) DNA Analysis.

      (i) Cystic fibrosis mutation panel--$147.22.

      (ii) Hemoglobin (Hb) DNA:

        (I) HbS, HbC, HbE, HbD or HbO-Arab--$186.84;

        (II) common beta-thalassemia mutation--$213.21; and

        (III) beta-globin gene sequencing--$783.42.

      (iii) Galactosemia common mutation panel--$383.21.

      (iv) Medium chain acyl-CoA dehydrogenase deficiency (MCAD), common mutation panel--$280.79.

      (v) Very long chain acyl-CoA dehydrogenase deficiency (VLCAD), full gene sequencing--$1596.93.

  (2) Microbiology.

    (A) Bacteriology. Charges for bacteriology testing will be based upon the actual testing performed as determined by suspect organisms, specimen type and clinical history provided.

      (i) Aerobic isolation from clinical specimen--$303.92.

      (ii) Anaerobic identification, pure culture--$146.70.

      (iii) Anaerobic isolation from clinical specimen--$118.39.

      (iv) Bacteriology pulsed field gel electrophoresis (PFGE)--$112.67.

      (v) Culture, stool--$158.07.

      (vi) Definitive identification:

        (I) bacillus--$175.88;

        (II) group B streptococcus (Beta strep)--$113.70;

        (III) Bordetella --$147.77;

        (IV) Bordetella pertussis, Parapertussis, and Bordetella holmesii detection by real-time polymerase chain reaction (PCR)--$213.79;

        (V) Campylobacter --$165.44;

        (VI) enteric bacteria--$243.97;

        (VII) Gonorrhea/Chlamydia (GC/CT):

          (-a-) GC/CT, amplified RNA probe--$20.28;

          (-b-) GC culture confirmation by amplified or direct probe--$37.66; and

          (-c-) GC screen--$44.54.

        (VIII) gram negative rod--$261.00;

        (IX) gram positive rod--$226.12;

        (X) Haemophilus --$242.23;

        (XI) Legionella --$265.57;

        (XII) Neisseria --$141.84;

        (XIII) pertussis--$287.98;

        (XIV) Staphylococcus --$188.88;

        (XV) Streptococcus --$258.91; and

        (XVI) Vibrio--$228.15.

      (vii) Enteric bacteria:

        (I) culture confirmation--$158.53;

        (II) Shigella serotyping--$120.38; and

        (III) Salmonella serotyping--$86.63.

      (viii) Enterohaemorrhagic Escherichia Coli (EHEC), shiga-like toxin assay--$38.60.

      (ix) Escherichia coli (E.coli) O157:H7, culture confirmation--$26.64.

      (x) Haemophilus :

        (I) culture confirmation, serological--$91.58; and

        (II) isolation from clinical specimen--$100.18.

      (xi) Neisseria meningitides, serotyping--$167.48.

      (xii) Shiga toxin producing E.coli. PCR--$36.60.

      (xiii) Toxic shock syndrome toxin I assay (TSST 1)--$125.25.

      (xiv) Vibrio cholera, serotyping--$32.73.

    (B) Emergency preparedness.

      (i) Biological threat agent analysis.

        (I) Definitive identification:

          (-a-) Bacillus anthracis --$420.73;

          (-b-) Brucella species--$669.70;

          (-c-) Burkholderia pseudomallei --$519.72;

          (-d-) Francisella tularensis --$534.55; and

          (-e-) Yersinia pestis --$485.23.

        (II) Culture:

          (-a-) all aerobes--$153.51; and

          (-b-) Botulinum (human)--$231.82.

        (III) Toxin Assay, Botulinum--$235.57.

        (IV) PCR:

          (-a-) Bacillus anthraci --$69.16;

          (-b-) Brucella abortus --$164.20;

          (-c-) Burkholderia pseudomallei --$50.88;

          (-d-) Coxiella burnetii --$229.31;

          (-e-) Francisella tularensis --$165.95;

          (-f-) Orthopox--$124.27;

          (-g-) Vaccinia--$165.78;

          (-h-) Variola--$165.78;

          (-i-) Varicella zoster virus--$221.72;

          (-j-) Yersinia pestis --$51.36; and

          (-k-) Unknown biological threat agent--$273.36.

      (ii) Chemical Threat agent Analysis.

        (I) Abrine/ricinine, LC/MS-MS--$62.25.

        (II) Arsenic/selenium in urine, ICP-DRC (Dynamic reaction cell)-MS--$176.62.

        (III) Cyanide in blood, gas chromatography/mass spectrometry (GC/MS)--$287.05.

        (IV) Lewisite metabolites in urine (2-chlorvinylarsonous acid (CVAA) and 2-chlorovinylarsonic acid (CVAOA), liquid chromatography, inductively coupled plasma mass spectrometry (LC-ICP-MS)--$157.59.

        (V) Metabolic Toxin Panel (monochloroacetate and monofluoro acetate in urine, LC/MS-MS)--$93.38.

        (VI) Metals in blood (mercury, lead, cadmium), inductively coupled plasma mass spectrometry (ICP/MS)--$194.64.

        (VII) Metals in urine (antimony, barium, beryllium, cadmium, cesium, cobalt, lead, molybdenum, platinum, titanium, tungsten, uranium), ICP/MS--$173.25.

        (VIII) Organophosphorus nerve agent, LC/MS-MS--$81.28.

        (IX) Tetramine, gas chromatography/mass selective detector (GC/MSD)--$183.05.

        (X) Tetranitormethane metabolite in urine (4-hydroxy-2-nitrophenylacetic acid (HNPAA)), liquid chromatography, tandem mass spectrometry (LC/MS-MS)--$62.21.

        (XI) Volatile organic compounds in blood, GC/MS--$124.85.

    (C) Mycobacteriology/mycology.

      (i) Acid fast bacilli (AFB).

        (I) Clinical specimen, AFB isolation and identification.

          (-a-) Blood culture--$138.97.

          (-b-) Culture, other than blood--$32.04.

          (-c-) Direct detection by high-performance liquid chromatography (HPLC)--$124.90.

          (-d-) Identification of AFB isolate.

            (-1-) HPLC--$66.26;

            (-2-) Accuprobe--$81.40;

            (-3-) biochemical, basic--$132.35; and

            (-4-) biochemical, complex--$472.84.

          (-e-) Nucleic acid amplification for Mycobacterium tuberculosis (M. tuberculosis) complex--$166.70.

          (-f-) Specimen concentration--$5.38.

          (-g-) Smear--$11.59.

        (II) Referred AFB isolate identification.

          (-a-) Identification, including HPLC--$133.88.

          (-b-) Biochemical identification:

            (-1-) basic--$132.35; and

            (-2-) complex--$472.84.

          (-c-) Isolate identification, Accuprobe--$81.40.

      (ii) Actinomycete, Aerobic:

        (I) Identification--$106.96; and

        (II) HPLC--$138.05.

      (iii) Fungi isolate identification:

        (I) yeast--$90.34;

        (II) mold--$65.98; and

        (III) mold by Accuprobe--$81.40.

      (iv) Mycobacterium Kansasii, Drug susceptibility, agar proportion drug, Rifampin--$185.96.

      (v) Mycobacterium tuberculosis (M. tuberculosis) complex drug susceptibility.

        (I) AGAR proportion drugs.

          (-a-) Capreomycin--$30.41.

          (-b-) Ethambutol--$30.41.

          (-c-) Ethionamide--$30.41.

          (-d-) Isoniazid--$30.41.

          (-e-) Kanamycin--$30.41.

          (-f-) Ofloxaxin--$30.41.

          (-g-) Rifabutin--$30.41.

          (-h-) Rifampin--$30.41.

          (-i-) Streptomycin--$30.41.

        (II) Primary drug, BACTEC.

          (-a-) Ethambutol--$37.40.

          (-b-) Isoniazid--$37.40.

          (-c-) Rifampin--$37.40.

          (-d-) Pyrazinamide (PZA)--$98.76.

        (III) Secondary drug, BACTEC.

          (-a-) Ethionamide--$23.24.

          (-b-) Kanamycin--$23.24.

          (-c-) Ofloxacin--$23.24.

          (-d-) Rifabutin--$23.24.

          (-e-) Streptomycin--$23.24.

        (IV) MGIT drug susceptibility test, primary panel--$115.05.

        (V) MGIT PZA susceptibility test--$77.17.

    (D) Parasitology.

      (i) Blood parasite examination, thick and thin Giemsa--$181.79.

      (ii) Fecal ova and parasite examination, concentration and trichrome stain--$67.41.

      (iii) Malaria identification, (PCR)--$141.79.

      (iv) Miscellaneous Parasite examination:

        (I) acid fast stain--$74.17;

        (II) chromotrope stain--$140.55;

        (III) Giemsa stain--$177.55;

        (IV) tissue preparation--$73.55;

        (V) trichrome stain--$96.98; and

        (VI) wet mount--$73.55.

      (v) Parasite identification, PCR--$141.79.

      (vi) Pinworm examination--$37.50.

      (vii) Urine ova and parasite exam--$56.36.

      (viii) Worm identification:

        (I) simple--$46.44; and

        (II) complex--$120.08.

    (E) Serology.

      (i) Arbovirus:

        (I) Immunoglobulin G (IgG) (includes: Dengue, St. Louis Encephalitis, West Nile Virus)--$147.78;

        (II) Immunoglobulin M (IgM) (includes: Dengue, St. Louis Encephalitis, West Nile Virus)--$82.45; and

        (III) PCR West Nile Virus (WNV)--$57.87.

      (ii) Brucella --$74.52.

      (iii) Cat scratch fever (Bartonella) --$171.30.

      (iv) Cytomegalovirus (CMV):

        (I) IgG--$23.23; and

        (II) IgM--$24.26.

      (v) Ehrlichia indirect fluorescent antibody (IFA)--$174.20.

      (vi) Hantavirus IgG/IgM--$362.05.

      (vii) Hepatitis A:

        (I) IgM--$44.04; and

        (II) total--$34.45.

      (viii) Hepatitis B:

        (I) core antibody--$36.06;

        (II) core IgM antibody--$44.75;

        (III) surface antibody (Ab)--$28.34; and


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