Table 3.
Cost of Screening a Single Donor for Fecal Transplanta
| Screening Tests | Cost per Person in Canada (USD) | Cost per Person in United States (USD) |
|---|---|---|
| Stool Tests | ||
| Ova, cysts, and parasites | $21.00 | $138.84 |
| Microscopy and culture | $13.50 | NAb |
| Rotavirus | NAc | $97.94 |
| Norovirus | NAc | $108.70 |
| Adenovirus | NAc | $78.02 |
| Clostridium difficile toxin GDH and toxin | $30 | $100.09 |
| Vancomycin-resistant Enterococcus | $2.63 | NAb |
| Fecal Giardia antigen | $10.88 | $88.15 |
| Fecal Cryptosporidium antigen | $10.88 | $86.10 |
| Helicobacter pylori | NAc | $169.69 |
| Extended spectrum β-lactamase-producing Enterobacteriaceae | NAc | $77.49 |
| Microsporidia | NAc | $72.11 |
| Blood Tests | ||
| Complete blood count | $6.20 | $42.18 |
| Electrolytes | $7.77 | $39.69 |
| Urea | $1.94 | $49.04 |
| Creatinine | $1.94 | $46.64 |
| Alanine aminotransferase | $1.94 | $19.03 |
| Alkaline phosphatase | $1.94 | $49.04 |
| Total bilirubin | $1.94 | $19.03 |
| Albumin | $1.94 | $41.16 |
| Fasting lipids | $10.48 | $147.35 |
| HbA1c | NAc | $71.39 |
| Glucose | $1.94 | $34.80 |
| Anti-TTG antibody (for celiac disease) | $11.95 | $156.68 |
| HIV type 1 and 2 | NAc | $110.85 |
| Hepatitis A virus IgM | $15.00 | $96.86 |
| Hepatitis B virus surface antigen | $17.25 | $398.44 |
| Hepatitis B virus core antibody IgM and IgG | $14.42 | $107.63d |
| Hepatitis B virus surface antibody | $15.46 | $52.28 |
| Hepatitis C virus antibody | $15.14 | $66.73 |
| Human T-cell lymphotropic virus 1 and 2 | NAc | $110.85 |
| Epstein-Barr virus IgM | $26.25 | $75.34 |
| Cytomegalovirus IgM | $30.00 | $76.41 |
| Strongyloides stercoralis serology | NAc | $145.29 |
| Entamoeba histolytic serology | NAc | $96.86 |
| H pylori serology | NAc | NAb |
| Treponema pallidum screening cascade | NAc | $75.78 |
| Listeria | NAc | $127.00 |
| Swabs | ||
| Gonorrhea | NAc | $150.68 |
| Chlamydia | NAc | $75.24 |
| MRSA | $15.00 | $159.60 |
| Carbapenem-resistant Enterobacteriaceae | NAc | $171.12 |
| Total per person (laboratory testing) | $287.39 | $3772.49 |
| Other Costs | ||
| Administrative fee | $56.25 | NA |
| Doctor’s visit | $90.00 | NA |
| Advertising | $4.88 | NA |
| Total per person | $438.52 | NA |
Abbreviations: GDH, glutamate dehydrogenase; HIV, human immunodeficiency virus; MRSA, methicillin-resistant Staphylococcus aureus; NA, not available; TTG, tissue transglutaminase; USD, United States dollar.
aCanadian costs include the fixed cost of advertising, supply costs of materials used, and time spent scheduling and screening donors. American costs include the supply costs of materials used and labor.
bNot available because same test is not offered by diagnostic service.
cNot available because cost was not publically available in Canada by the provincial public health laboratory.
dIgM only.