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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--$55.24. (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) Cholesterol--$5.18.

      (ii) Glucose:

        (I) glucose fasting--$4.30; and

        (II) glucose random--$4.30.

      (iii) Hemoglobin--$1.53.

      (iv) Hemoglobin electrophoresis--$3.98.

      (v) High-density lipoprotein (HDL)--$6.02.

      (vi) Lead--$3.47.

      (vii) Lipid panel (consists of cholesterol, triglycerides, high density lipoprotein (HDL), and low density lipoprotein (LDL))--$15.04.

    (C) DNA Analysis.

      (i) Cystic fibrosis mutation panel--$175.19.

      (ii) Hemoglobin (Hb) DNA:

        (I) HbS, HbC, HbE, HbD or HbO-Arab--$255.72;

        (II) common beta-thalassemia mutation--$287.66; and

        (III) beta-globin gene sequencing--$1,054.24.

      (iii) Galactosemia common mutation panel--$529.03.

      (iv) Medium chain acyl-CoA dehydrogenase deficiency (MCAD), common mutation panel--$374.95.

      (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--$165.27;

        (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 --$166.88;

        (VI) 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.

        (VII) gram negative rod--$261.00;

        (VIII) gram positive rod--$226.12;

        (IX) Haemophilus --$107.64;

        (X) Legionella --$265.57;

        (XI) Neisseria --$141.84;

        (XII) pertussis--$287.98;

        (XIII) Staphylococcus --$188.88;

        (XIV) Streptococcus --$258.91; and

        (XV) Vibrio--$228.15.

      (vii) Diphtheria screen--$62.65.

      (viii) Enteric bacteria:

        (I) culture confirmation--$158.53;

        (II) Shigella serotyping--$120.38; and

        (III) Salmonella serotyping--$86.63.

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

      (x) Escherichia coli (E. coli), serotyping--$25.71.

      (xi) Group B streptococcus screen--$48.32.

      (xii) Haemophilus:

        (I) Influenzae serotyping--$79.64; and

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

      (xiii) Kirby Bauer--$9.92.

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

      (xv) Shiga toxin producing E. coli, PCR--$117.90.

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

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

      (xviii) Whole Genome Sequencing:

        (I) Gram Negative--$318.64; and

        (II) Gram Positive--$329.37.

    (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-) Clostridium botulinum --$104.69;

          (-e-) Coxiella burnetii --$140.90;

          (-f-) Ebola zaire --$229.97;

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

          (-h-) Orthopox--$124.27;

          (-i-) Vaccinia--$165.78;

          (-j-) Variola--$165.78;

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

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

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

      (ii) Chemical Threat agent Analysis.

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

        (II) Arsenic in urine, ICP-DRC-MS (Dynamic reaction cell) --$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, (ICP/MS)--$194.64.

        (VII) Metals in urine, ICP/MS--$176.25.

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

        (IX) Tetramine, gas chromatography/mass selective detector (GC/MS) --$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-) Culture, other than blood--$32.04.

          (-b-) Direct detection by high-performance liquid chromatography (HPLC)--$66.26.

          (-c-) Identification of AFB isolate.

            (-1-) HPLC--$124.90;

            (-2-) Accuprobe--$81.40;

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

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

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

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

          (-f-) 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-) Isonaizid, 0.2 mcg/ml--$30.41.

          (-e-) Isoniazid, 1.0 mcg/ml--$30.41.

          (-f-) Kanamycin--$30.41.

          (-g-) Ofloxacin--$30.41.

          (-h-) Rifabutin--$30.41.

          (-i-) Rifampin--$30.41.

          (-j-) Streptomycin--$30.41.

        (II) MGIT drug susceptibility test:

          (-a-) primary panel (includes Isoniazid 0.1mcg/ml and 0.4 mcg/ml, Ethambutol, and Rifampin)--$115.05; and

          (-b-) Individual MGIT primary drugs:

            (-1-) Isoniazid, 0.1 mcg/ml--$28.76.

            (-2-) Isoniazid, 0.4 mcg/ml--$28.76.

            (-3-) Ethambutol--$28.77.

            (-4-) Rifampin--$28.76.

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

    (D) Parasitology.

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

      (ii) Cyclospora identification, (PCR)--$141.79.

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

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

      (v) Microfilariae identification-- $46.52.

      (vi) Miscellaneous Parasite examination:

        (I) acid fast stain--$74.17;

        (II) chromotrope stain--$140.55;

        (III) Giemsa stain--$177.55;

        (IV) trichrome stain--$96.98; and

        (V) wet mount--$73.55.

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

      (viii) Pinworm examination--$37.50.

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

      (x) Worm identification--$46.44.

    (E) Serology.

      (i) Arbovirus:

        (I) Immmunoglobulin G (IgG) EIA:

          (-a-) Dengue--$72.15;

          (-b-) St. Louis Encephalitis--$77.26; and

          (-c-) West Nile--$77.26.

        (II) Immunoglobulin M (IgM) EIA:

          (-a-) Dengue--$58.11;

          (-b-) St. Louis Encephalitis--$107.84; and

          (-c-) West Nile--$107.84.

        (III) Immunoglobulin M (IgM) MIA (includes: St. Louis Encephalitis and West Nile Virus)--$158.20.

      (ii) Brucella IgG--$44.10.

      (iii) Cat scratch fever (Bartonella) IgG, indirect fluorescent antibody (IFA)--$95.19.

      (iv) Chagas, IgG--$27.68.

      (v) Chikungunya, IgM--$74.72.

      (vi) Cytomegalovirus (CMV):

        (I) IgG--$23.23; and

        (II) IgM--$24.26.

      (vii) Ehrlichia IFA--$131.31.

      (viii) Emerging Disease, IgM--$74.72.

      (ix) Francisella tularensis:

        (I) IgG--$61.15; and

        (II) IgM--$122.30.

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

      (xi) Hepatitis A:

        (I) IgM--$44.04; and

        (II) total--$34.45.

      (xii) Hepatitis B:

        (I) core antibody--$36.06;

        (II) core IgM antibody--$44.75;

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

        (IV) surface antigen (Ag)--$18.47.

      (xiii) Hepatitis C (HCV)--$25.68.

      (xiv) Human immunodeficiency virus (HIV):

        (I) serum, confirmation--$83.74; and

        (II) HIV Combo Ag/Ab EIA--$7.90.

      (xv) Human immunodeficiency virus-1 (HIV-1):


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