Table 5.
Cost of donor and/or recipient screening
| Infectious agent | Assay | CPT codes | Cost (per patient per time point) |
|---|---|---|---|
| Blood | |||
| Cytomegalovirus (CMV) | CMV IgG | 86644 | 25.00 |
| Epstein Barr virus (EBV) | EBV IgG and IgM | 866650000, 866650000 | 27.86 |
| Entameba histolytica | E. histolytica IgG | 867530000 | 143.00 |
| Hepatitis A virus (HAV) | HAV total antibody (anti-HAV IgM and IgG) | 86708 & 86709 | 42.00 |
| Hepatitis B virus (HBV) | HBV surface antibody | 86706 | 18.00 |
| Hepatitis B virus (HBV) | HBV surface antigen | 87340 | 18.00 |
| Hepatitis B virus (HBV) | HBV core antibody | 86704 | 21.00 |
| Hepatitis C virus (HCV) | Hepatitis C antibody | 86803 | 25.00 |
| Herpes simplex virus (HSV) type 1 (HSV-1) | HSV-1 IgG | 86694 and 86695 | 31.95 |
| Herpes simplex virus (HSV) type 2 (HSV-2) | HSV-2 IgG | 86696 | 34.00 |
| Human herpesvirus 6 (HHV-6) | HHV-6 IgG | 875320000 | 511.00 |
| Human polyomavirus 2 (JC virus) | JC virus IgG | 877980000 | 46.00 |
| Human T-lymphotropic virus (HTLV)-1 | HTLV-1 IgG | 86687 | 15.00 |
| Human T-lymphotropic virus (HTLV)-2 | HTLV-2 IgG | 86688 | 25.00 |
| Human immunodeficiency virus (HIV) | 5th generation IgG with reflex ELISA | 86703 & 87390 | 55.00 |
| Strongyloides stercoralis | S. stercoralis IgG | 866820000 | 10.67 |
| Syphilis | RPR, IgM, IgG | 867800000 | 8.69 |
| Stool | |||
| Campylobacter species | GI pathogen panel | 870460000 | 2.34 |
| Clostridium difficile (C. diff) | C. diff toxin with reflex PCR | 87324 | 20.00 |
| Escherichia coli O157:H7 | E. coli O157:H7 | 870460000 | 1.48 |
| Helicobacter pylori (H. pylori) | H. pylori antigen with reflex ELISA | 87338 | 24.00 |
| Salmonella | GI pathogen panel | 870450000 | 5.23 |
| Shigella | GI pathogen panel | 870450000 | 5.23 |
| Vibrio | GI pathogen panel | 87046 | 2.34 |
| Yersinia | GI pathogen panel | 870460000 | 1.40 |
| Rotavirus | GI pathogen panel | 86759 | 23.00 |
| Adenovirus | Adenovirus DNA PCR | 877980000 | 350.00 |
| Norovirus | GI pathogen panel | 877990000 | 736.00 |
| Giardia | Ova and parasite screen | 87329 | 21.00 |
| Cryptosporidia | Ova and parasite screen | 87328 | 21.00 |
| Vancomycin-resistant Enterococcus (VRE) | VRE screen | 870810000 | 6.00 (bundled with CRE, ESBL) |
| Carbapenem-resistant Enterobacteriaceae (CRE) | CRE screen | 870810000 | |
| Extended-spectrum β-lactamase-producing Enterobacteriaceae (ESBL) | ESBL screen | 870810000 | |
| SARS-CoV-2 | SARS-CoV-2 | 86769 | 100.00 |
| Nasopharynx | |||
| Methicillin-resistant Staphylococcus aureus | MRSA screening culture | 87641 | 62.00 |
| SARS-CoV-2 | SARS-CoV-2 | 86769 | 100.00 |
| Total Cost (Pre-COVID, all donors) | 63 286.72 | ||
| Total Cost (Post-COVID, all donors) | 66 426.48 | ||
| Total Cost (Pre-COVID, all recipients) | 38 424.08 | ||
| Total Cost (Post-COVID, all recipients) | 2460.24 | ||
| Total Cost (Pre-COVID, per donor/recipient) | 2260.24 | ||
| Total Cost (Post-COVID, per donor/recipient) | 2460.24 | ||