- ALCOHOL...................................$229
Liquid serum samples (3 mL) for analysis of ethanol
- With two Reporting forms.......$240
- 5 challenges per testing event
- AMMONIA, SERUM...................................$98
Liquid serum samples (3 mL) for analysis of ammonia
- With two Reporting forms.......$113
- 2 challenges per testing event
- BLOOD GASES.........................$295
Aqueous samples (3 mL) for analysis of the following analytes
- Blood pH
- pCO2
- pO2
- Chloride
- Ionized Calcium
- Potassium
- Sodium
- With two Reporting forms.......$310
- 5 challenges per testing event
- BNP...................................$173
Lyophilized plasma samples (to make 1 mL) compatible BNP and pro-BNP methods.
- With two Reporting forms.......$188
- 5 challenges per testing event
- BASIC CHEMISTRY................$185
Liquid serum samples (5 mL) for analysis of the following analytes
- Albumin
- Bicarbonate
- Bilirubin, Total
- Calcium
- Chloride
- Cholesterol, Total
- Creatinine
- Glucose
- Phosphorus
- Potassium
- Pregnancy, Serum (Qualitative hCG)
- Sodium
- Total Protein
- Triglycerides
- Urea Nitrogen
- Uric Acid
- With two Reporting forms.......$200
- 5 challenges per testing event
- CARDIAC MARKERS / ISOENZYMES.................................$172
Liquid samples (1 mL) for analysis of the following analytes
- CK-2 (CK-MB)
- Myoglobin (quantitative/qualitative)
- Troponin I (quantitative/qualitative)
- Troponin T (quantitative/qualitative)
Samples are not compatibile with the Biosite Triage.
- With two Reporting forms.......$187
- Extra vials (1 mL)......................$35
- 5 challenges per testing event
- CARDIAC MARKERS / ISOENZYMES, Plasma.................................$246
Fresh frozen plasma based samples (1 mL) for analysis of the following analytes
- CK-2 (CK-MB)
- Myoglobin (quantitative/qualitative)
- Troponin I (quantitative/qualitative)
- Troponin T (quantitative/qualitative)
Compatibile with the Biosite Triage.
- With two Reporting forms.......$261
- Extra vials (1 mL)......................$123
- 5 challenges per testing event
- COMPREHENSIVE CHEMISTRY.................$198
Liquid serum samples (5 mL) for analysis of the following analytes
- Alanine Aminotransferase (ALT / SGPT)
- Alkaline Phosphatase
- Amylase
- Aspartate Aminotransferase (AST / SGOT)
- Creatine Kinase (CK / CPK)
- Cortisol
- Gamma Glutamyltransferase (GT / GGT)
- Human Chorionic Gonadotropin (hCG)
- Iron
- Lactate Dehydrogenase (LD / LDH)
- Lipase
- Magnesium
- Thyroid Stimulating Hormone (TSH)
- Thyroxine, Free (FT4)
- Thyroxine, Total (TT4)
- Triiodothyronine (Total T3)
- TUptake
- With two Reporting forms.......$213
- 5 challenges per testing event
- BASIC & COMPREHENSIVE CHEMISTRY...............$295
Liquid serum samples (5 mL) for analysis
of analytes listed under Basic & Comprehensive Chemistry Surveys
- With two Reporting forms.......$310
- 5 challenges per testing event
- EXTRA CHEMISTRY VIALS.................................$84
An extra set of 5 mL vials of Chemistry (Basic & Comprehensive) samples for those
laboratories requiring additional material to complete testing
- 5 vials per testing event
- CHEMISTRY, URINE................$126
Liquid urine samples (10 mL) for analysis of the following analytes
- Amylase
- Calcium
- Chloride
- Creatinine
- Glucose
- Osmolality
- Phosphorus
- Potassium
- Sodium
- Total Protein
- Urea Nitrogen
- Uric Acid
- With two Reporting forms.......$141
- 2 challenges per testing event (NO CMS reporting)
- DIRECT BILIRUBIN...................................$53
Lyophilized serum samples (to make 1 mL) for analysis of direct bilirubin
- With two Reporting forms.......$68
- 2 challenges per testing event
- FERTILITY ENDOCRINOLOGY..............................$151
Liquid serum samples (3 mL) for analysis of the following analytes
- DHEA-S
- Estradiol
- Follicle Stimulating Hormone (FSH)
- Luteinizing Hormone (LH)
- Progesterone
- With two Reporting forms.......$166
- 2 challenges per testing event
- FRUCTOSAMINE.............................$98
Liquid serum samples (1 mL) for analysis of fructosamine
Samples are not compatible with the LXN Duet.
- With two Reporting forms.......$113
- 2 challenges per testing event
- GLYCOHEMOGLOBIN......................$126
Liquid samples (1 mL) for analysis of glycohemoglobin (GHb, HbA, HbA1c)
- With two Reporting forms.......$141
- 2 challenges per testing event
- LIPIDS
Liquid samples (1.2 mL) for analysis of the following analytes.
- HDL Cholesterol
- LDL Cholesterol (Direct)
- Apolipoprotein A1
- Apolipoprotein B
- Lipoprotein (a)
- (with B or C Chemistry).............................................$25
- With B or C Chemistry and two Reporting forms.......$40
- (without B or C Chemistry).......................................$98
- Without B or C Chemistry and with two Reporting forms.......$113
- 5 challenges per testing event
- SPECIAL CHEMISTRY.......................$139
Liquid samples (5 mL) for analysis of the following analytes
- Ferritin
- Folate
- Homocysteine
- Prolactin
- Prostate-specific Antigen (PSA)
- T3, Free
- Testosterone
- Vitamin B12
- With two Reporting forms.......$154
- 2 challenges per testing event
- PREGNANCY,SERUM or URINE......................$114
Liquid samples (1 mL) for qualitative hCG. The samples are compatible with all serum and urine pregnancy kits.
- With two Reporting forms.......$129
- 5 challenges per testing event
- PTH / INSULIN / C-PEPTIDE..................................$139
Liquid samples (5 mL) for analysis of the following analytes
- 2 challenges per testing event
- THERAPEUTIC DRUG MONITORING.............$185
Liquid serum samples (5 mL) for analysis of the following analytes
- Acetaminophen
- Carbamezapine
- Digoxin
- Gentamicin
- Lithium
- Phenobarbital
- Phenytoin
- Primidone
- Procainamide
- Procainamide N-Acetyl (NAPA)
- Quinidine
- Salicylates
- Theophylline
- Tobramycin
- Valproic Acid
- Vancomycin
- With two Reporting forms.......$200
- 5 challenges per testing event
- TIBC/UIBC
Lyophilized serum samples (to make 5 mL) for analysis of the following analytes
- TIBC (Total Iron Binding Capacity)
- UIBC (Unsaturated Iron Binding Capacity)
- (with B or C Chemistry).............................................$25
- With B or C Chemistry and two Reporting forms.......$40
- (without B or C Chemistry).......................................$98
- Without B or C Chemistry and with two Reporting forms.......$113
- 2 challenges per testing event
- TUMOR MARKERS..................................$175
Liquid samples (5 mL) for analysis of the following analytes
- Beta 2 microglobulin
- CA-125
- CEA
- Free PSA
- 2 challenges per testing event
- URINALYSIS..................................$53
Liquid samples (10 mL) for analysis of the following analytes
- Bilirubin
- Blood (Hemoglobin)
- Creatinine
- Glucose
- Ketones
- Leukocyte Esterase
- Nitrite
- pH
- Protein
- Specific Gravity
- Urine Sediment (Photomicrograph; 5 challanges)
- With two Reporting forms.......$68
- One challenge per testing event
- URINE DRUG SCREENING............$174
Liquid samples (10 mL) for analysis of the following analytes
- Alcohol (Ethanol)
- Amphetamines
- Barbiturates
- Benzodiazepines
- Cannabinoids
- Cocaine Metabolite
- MDMA (Ecstasy)
- Methadone
- Methadone Metabolite (EDDP)
- Methaqualone
- Methamphetamine
- Opiates
- Phencyclidine (PCP)
- Propoxyphene
- Tricyclic Antidepressants
- With two Reporting forms.......$189
- 2 challenges per testing event
- URINE MICROALBUMIN/CREATININE
Liquid samples (3 ml) for qualitative and quantitative analysis of microalbumin and creatinine
- With Urine Chemisrty...................$18
- With Urine Chemisrty & two Reporting forms.........$33
- Without Urine Chemisrty...............$53
- Without Urine Chem, with two Reporting forms.......$68
- 2 challenges per testing event
- WHOLE BLOOD GLUCOSE, BASIC
These programs are NOT designed to meet
the federal proficiency testing requirements for whole blood glucose monitors and thus
include only two challenges per testing event.
Single Site.....................................$58
For reporting one value per specimen
- 2 challenges per testing event
- Multiple Site................................$132
For reporting up to 20 values per specimen for any combination of operators and/or monitors
- 2 challenges per testing event
- WHOLE BLOOD GLUCOSE, COMPREHENSIVE
These programs are designed to meet the federal proficiency testing requirements of
five challenges per testing event for whole blood glucose monitors.
Single Site...................................$114
For reporting one value per specimen
- 5 challenges per testing event
- Multiple Site................................$225
For reporting up to 20 values per specimen
for any combination of operators and/or monitors
- 5 challenges per testing event
These samples are NOT compatible with the Roche Accu-Check Easy.
CLINICAL MICROSCOPY
- CLINICAL MICROSCOPY..............$24
Photomicrograph for the following analytes:
- KOH Skin Prep
- Nasal Eosinophils
- Stool Leukocytes
- Vaginal Wet Mount
- 1 challenge per testing event
- FECAL OCCULT BLOOD...................................$88
Simulated stool samples (1mL) for analysis of fecal occult blood
- 2 challenges per testing event
COAGULATION
- ACTIVATED CLOTTING TIME..............$210
Samples are compatible with Actalyke, I-Stat, ITC, MedTronic and Quest instruments.
- 2 challenges per testing event
- COAGULATION, PLASMA...................$120
Lyophilized samples (1 mL) for analysis of the following analytes:
- Activated Partial Thromboplastin Time (APTT)
- Fibrinogen
- INR
- Prothrombin Time (PT)
- 5 challenges per testing event
- COAGUCHEK PROTHROMBIN TIME
Lyophilized samples for analysis of whole blood PT and INR. This program is ONLY for the Roche CoaguChek and Roche CoaguChek S and XS
instruments.
- Comprehensive - 5 challenges per testing event.........$190
- Basic- 2 challenges per testing event.............$120
- D-DIMER....................$120
Liquid plasma samples (1mL) for qualitative and quantitative analysis of D-Dimer
- 2 challenges per testing event
- WHOLE BLOOD PROTHROMBIN TIME....................$200
Lyophilized samples for analysis of whole blood PT and INR. This program is ONLY for the Abbott i-STAT, Roche CoaguChek Plus, CoaguChek Pro,
Biotrak and Coumatrak instruments.
- 5 challenges per testing event
EMBRYOLOGY & ANDROLOGY
Two testing events per year
- ANTISPERM ANTIBODIES..........$198
Liquid serum samples for qualitative IgG evaluation
- 2 challenges per testing event
- IVF EMBRYO CULTURE MEDIA...$291
Two vials of culture media and one vial
of human serum albumin per shipment to determine their suitability for in vitro embryo culture.
- 2 challenges per testing event
- SPERM COUNT.........................$208
Liquid samples of stabilized sperm for quantitative and qualitative analysis.
- 2 challenges per testing event
SPERM MORPHOLOGY........................$208
Unstained semen smears on glass slides. Samples are not compatible with Testsimplets.
- 2 challenges per testing event
SPERM VIABILITY.................................$198
Eosin-Nigrosin stained slides
- 2 challenges per testing event
FETAL FIBRONECTIN (fFN)..........$254
Liquid simulated cervicovaginal specimens (1 mL).
- 2 challenges per testing event
HEMATOLOGY
- BLOOD CELL IDENTIFICATION.........................$24
- Photomicrographs for Cell ID
- 5 challenges per testing event
The following instruments have NO compatible differential program and should enroll in regular Hematology:
Bayer H1, H2 and H3 and Advia 60 and 120.
- HEMATOLOGY.........................$175
- Erythrocyte Count
- Hematocrit
- Hemoglobin
- Leukocyte Count
- Platelet Count
- 5 challenges per testing event
- HEMATOLOGY w/DIFF A...........$199
- Automated Differential (3 Part)
- Hemoglobin
- Erythrocyte Count
- Leukocyte Count
- Hematocrit
- Platelet Count
Survey A is compatible with the following instruments:
- Abbott Cell-Dyn 610, 1200, 1400, 1500, 1600, 1700, 1800
- ABX Argos, Helios, Minos, Stx/Stel/Stex
- Careside Elan HemaCount
- Coulter Ac*Tseries excluding Ac*T-5 and 8 series (enroll in Diff G), J series, MD series, Onyx, S Plus series, ST series, T series
- DANAM/Infolab - all 2-part diff models
- Drew Evolution
- Nova Celltrak
- 5 challenges per testing event
- HEMATOLOGY w/DIFF B...........$264
- Automated Differential (5 Part)
- Hemoglobin
- Erythrocyte Count
- Leukocyte Count
- Hematocrit
- Platelet Count
Survey B is compatible with the following instruments:
- Abbott Cell-Dyn 3000, 3200, 3500, 3700, 4000, Saphire, Ruby
- Danam Excell 22
- 5 challenges per testing event
- HEMATOLOGY w/DIFF C...........$264
- Automated Differential (5 Part)
- Hemoglobin
- Erythrocyte Count
- Leukocyte Count
- Hematocrit
- Platelet Count
Survey C is compatible with the following instruments:
- Coulter Gen-S, HMX, LH750, MAXM, STKS (the VCS series)
- 5 challenges per testing event
- HEMATOLOGY w/DIFF D............$199
- Automated Differential (3 Part)
- Hemoglobin
- Erythrocyte Count
- Leukocyte Count
- Hematocrit
- Platelet Count
Survey D is compatible with the following instruments:
- Sysmex E series, F-800, K series (excluding the KX-21), Poochi
- 5 challenges per testing event
- HEMATOLOGY w/DIFF E............$264
- Automated Differential (5 Part)
- Hemoglobin
- Erythrocyte Count
- Leukocyte Count
- Hematocrit
- Platelet Count
Survey E is compatible with the following instruments:
- Sysmex NE series, SE series, SF series, XE series, XS series, XT series
- 5 challenges per testing event
- HEMATOLOGY w/DIFF F............$199
- Automated Differential (3 Part)
- Hemoglobin
- Erythrocyte Count
- Leukocyte Count
- Hematocrit
- Platelet Count
Survey F is compatible with the following instruments:
- ABX - all 3-part diff models excluding Argos, Helios, Minos, Stx/Stel/Stex (see w/Diff A)
- 5 challenges per testing event
- HEMATOLOGY w/DIFF G............$264
- Automated Differential (5 Part)
- Hemoglobin
- Erythrocyte Count
- Leukocyte Count
- Hematocrit
- Platelet Count
Survey G is compatible with the following instruments:
- ABX Pentra 60 C+, 80, 120, Coulter Ac*T 5 and 8
- 5 challenges per testing event
- CENTRIFUGAL HEMATOLOGY..............................$249
This module is ONLY for the Becton Dickinson QBC instruments.
- Automated Differential (2 Part)
- Hematocrit
- Leukocyte Count
- Hemoglobin
- Platelet Count
- 5 challenges per testing event
- ERYTHROCYTE SEDIMENTATION RATE..........$102
Specimens for manual and automated systems.
- 2 challenges per testing event
- ERYTHROCYTE SEDIMENTATION RATE - Rapid..........$102
Specimens are for rapid ESR systems only (Sedimat 15 Pro-Sed Auto S or equivalent).
- 2 challenges per testing event
- RETICULOCYTE COUNT...........$174
Specimens for manual and automated instruments.
Samples are compatible with the following instruments:
- Abbott Cell-Dyn 3500, 3700, 4000
- Beckman Coulter XL, STKS, MAXM, LH
- Becton Dickinson FACS series
- 2 challenges per testing event
IMMUNOHEMATOLOGY
- BASIC IMMUNOHEMATOLOGY.............$109
- Blood Group (ABO) and Rh(D)
- 5 challenges per testing event
- COMPREHENSIVE IMMUNOHEMATOLOGY...........$206
- Blood Group (ABO) and Rh(D)
- Unexpected Antibody Detection
- Unexpected Antibody Identification
- Compatibility Testing
- 5 challenges per testing event
- EXTRA UNEXPECTED ANTIBODY VIALS........................$20
An extra set of 1 mL vials for those labs requiring additional material to complete testing. Available only in combination with Comprehensive Immunohematology.
- 5 challenges per testing event
- DIRECT ANTIGLOBULIN TESTING................................$146
Suspension of red blood cells for direct antiglobulin testing.
- 2 challenges per testing event
IMMUNOLOGY
- ANTINUCLEAR ANTIBODY ............$129
Liquid serum samples (0.5 mL)for qualitative evaluation of ANA, anti-DNA, anti-DNP or anti-ENA.
- 5 challenges per testing event
ANTISTREPTOLYSIN O.....................$89
Liquid serum samples (0.5 mL) for qualitative evaluation.
- 5 challenges per testing event
- C-REACTIVE PROTEIN......................$36
Liquid serum samples (0.5 mL) for qualitative and quantitative evaluation.
- One challenge per testing event
- high sensitivity C-REACTIVE PROTEIN......................$74
Liquid serum samples (0.5 mL) for quantitative evaluation.
- Two challenges per testing event
- HELICOBACTER PYLORI ANTIBODY.........................$117
Liquid serum samples (0.5 mL) for qualitative evaluation
- 2 challenges per testing event
- HEPATITIS MARKERS............................$139
Liquid serum samples (1.5 mL) for qualitative evaluation of the following analytes
- anti-HCV
- anti-HBc (IgG+IgM or IgM)
- anti-HBs
- HBeAg
- HBsAg
- 5 challenges per testing event
- HIV MARKERS............................$162
Liquid serum samples (1 mL) for qualitative evaluation of the following analytes
- anti-HIV-1 and/or 1/2 (Screening)
- anti-HIV-1 and/or 2 (Confirmation)
- 5 challenges per testing event
- IMMUNOPROTEINS........................$156
Liquid serum samples (1.5 mL) for quantitative evaluation of the following analytes
- 5 challenges per testing event
- INFECTIOUS MONONUCLEOSIS..........................$89
Liquid serum samples (0.5 mL) for qualitative IgG or IgM evaluation
- 5 challenges per testing event
- LYME DISEASE.................................$123
Liquid serum samples (0.25 mL) for qualitative evaluation
- 2 challenges per testing event
- ORAL FLUID HIV ANTIBODIES.........$189
Oral fluid samples for qualitative evaluation
- 5 challenges per testing event
- RHEUMATOID FACTOR....................$89
Liquid serum samples (0.5 mL) for qualitative IgG or IgM evaluation
- 5 challenges per testing event
- RUBELLA........................................$120
Liquid serum samples (0.5 mL) for qualitative IgG or IgM evaluation
- 5 challenges per testing event
- SYPHILIS SEROLOGY......................$157
Liquid serum samples (0.6 mL) for qualitative and semi-quantitative evaluation.
Procedures for which results are preformatted include: RPR Card, RST, TRUST, VDLR, USR, FTP-ABS, FTP-ABS DS, MHA-TP, and EIA.
- 5 challenges per testing event
MICROBIOLOGY
- ACID-FAST SMEARS..................$135
Simulated sputum for the preparation of smears for acid-fast staining (Two testing events per year)
- 5 challenges per testing event
- AFFIRM MICROCIAL SCREEN..................$319
Lypholized cultures for analysis of the following vaginal pathogens:
- Candida albicans
- Gardnerella vaginalis
- Trichomonal vaginilis
- 5 challenges per testing event
- C. DIFFICILE TOXIN ANTIGEN DETECTION..................$264
Lyophilized vials for the detection of C. Difficile toxin
- 5 challenges per testing event
CHLAMYDIA/GC/STREP GROUP B ANTIGEN SCREEN.....................$302
Antigen suspensions for Chlamydia trachomatis, Neisseria
gonorrhoeae and Streptococcus sp., Group B antigen screens. These specimens cannot be cultured.
- Extra Vials...................$35
- 5 challenges per testing event
- CRYPTOSPORIDIUM / GIARDIA IMMUNOASSAY....................$85
Formalinized fecal specimens for analysis of Cryptosporidium and Giardia
- 5 challenges per testing event
- GRAM STAIN...........................$126
Bacterial smears on slides for staining
- 5 challenges per testing event
- STREP GROUP A ANTIGEN SCREEN.......................................$132
Preinoculated swabs for antigen screening only. These specimens cannot be cultured or stained.
- 5 challenges per testing event
- VIRAL ANTIGEN SCREEN.......................................$269
Lyophilized vials for the detection of:
- Influenza A
- Influenza B
- Respiratory syncytial virus (RSV) antigen
- Rotavirus antigen
- 5 challenges per testing event
- BACTERIOLOGY.......................$235
Pure and mixed cultures will be included for identification, antigen screen and/or Gram stain.
Sources will vary. One of the five specimens per testing event will be for antimicrobial susceptibility*.
- 5 challenges per testing event
- * Antimicrobial Appricability As requested in CMS requirements, participants enrolled in a Microbiology program who perform antimicrobial testing will be flagged for inappropriate agents per NCCLS Guidelines M2-A8 and M7-A6. Inappropriate responses, as indicated by the CLSI guidelines, will be flagged.
- GC CULTURE...........................$235
Pure and mixed cultures will be included for identification, antigen screen and/or Gram stain.
- 5 challenges per testing event
- THROAT CULTURE...................$235
Pure and mixed cultures will be included for identification, antigen screen and/or Gram stain.
- 5 challenges per testing event
- THROAT/URINE CULTURE...............................$235
Testing events will consist of three urine
and two throat cultures. Pure and mixed cultures will be included for identification,
antigen screen and/or Gram stain. One urine specimen per testing event will be for
antimicrobial susceptibility*.
- 5 challenges per testing event
- URINE CULTURE......................$235
Pure and mixed cultures will be included for identification and/or Gram stain. One specimen per event will be for antimicrobial susceptibility*.
- 5 challenges per testing event
- PARASITOLOGY......................$194
Specimens will include fecal specimens (formalinized with PVA replicates), blood smears, and/or photomicrographs.
- 5 challenges per testing event