Co-Vid Testing

There are 2 types of tests. One tests looks for the virus and it is called an antigen
test. The other tests looks for a history of exposure to the virus and it is an
antibody test. There are 2 types of antibodies and they mean different things.
Antigen Test looks for the Viral RNA. This is the test where the oropharynx is
sampled with a long nasal swab. This test is best for new onset of illness and
determines if a person is contagious. This test can also find asymptomatic carriers
of the virus. The yield on this tests decreases over time as the virus migrates away
from the oropharynx and towards the lungs.

Antibody Test looks for the bodies response to the virus. After 5 days of exposure
to the virus, the body begins making an antibody called IgM. This antibody stays in
the body for 4 weeks and if a person has just IgM and no symptoms, they are
assumed to be contagious for 7 days from the time of the test. The body also
makes another antibody called IgG and the body begins making IgG about 2 weeks
after being exposed to the virus and then stays in the body for months to years.
The presence of IgG is the bodies best hope for having long lasting immunity.
Therefore, a company who wants to improve the safety of their work environment
prior to opening would screen all of their employees looking for asymptomatic
carriers. You could either perform a nasal swab looking for the virus and/or an
antibody test looking for the presence of IgM antibody without the presence of IgG.
Any employee who is demonstrating any symptoms of an illness would of course
self quarantine and would be tested within the first couple of days with a nasal
swab looking for the viral RNA.

A physician is able to stratify the risk based on current or historical symptoms and
exposure history. A physician is also able to help interpret the tests in order to
manage the work environment. CoVid is a unique virus in that it has the ability to
infect individuals through aerosolized droplets, contact and oral-fecal transmission.
A work place is able to mitigate these risks by maintaining 6 feet of space, wearing
masks and good hand hygiene. CoVid transmission benefits from time and proximity.
The longer people spend together the more likely they art to infect one another.

Living with CoVid is possible if people are smart, conscientious and courteous.

Testing at Cottonwood Family Medicine
Antigen Screens or Nasal Swabs for the virus - $200 with 24 hour turnaround
Antibody Tests -$100 for 24 hour test with Cole & $110 for 10 minute test
Call to schedule an appointment with Cottonwood 208-995-2875

Mobile Charges or Home Visits for Individual Patients:

Antigen - $265
Antibody - $165 & $175
Call to schedule an appointment with Cottonwood 208-995-2875

Mobile Charges for Groups greater then 10

Antigen - $180
Antibody $80 & $90
Call to schedule an appointment with Cottonwood 208-995-2875

Business Package:

Physician on call and providing direction for the following:
Consultation with Questions and Answers for Business Policies
Provide Guidance on necessity of testing
Interpretation of test results
Recommendations on necessity of repeat testing
$10/(total # of people employed) per month for less then 50 employees
$7 for 50-100 employees
$5 for 100-250 employees

On Site Testing:

Baseline Antibody Tests for employees $75/test
Symptomatic Antigen Test $140/test
Repeat Antibody Tests $75/test

An Example of Business Expense:

Dental Office with 10 employees with high exposure:
Month #1:
Monthly Cost of $100 to have Physician Available:
Answer Questions about Policies
Direction on testing ie. symptomatic employee
Baseline Antibody Test for all employees = $750
First Month Cost $100 + $750 = $850
Month #2:
Monthly Cost of $100 to have Physician Available
Would recommend random testing of 1/2 of employees = $375
Second Month Cost of $100 + $375 = $475

Marketing Office with 60 employees with minimal exposure

Month #1:
Monthly Cost of $420 to have Physician Available
Baseline Antibody Test for 1/2 employees = $2250
First Month Cost $420 + $2250 = $2700
Month #2
Test the other 1/2 of employees
Second Month Cost of $420 + $2250 = $2700
Month #3
Test Random 25% of employees
Third Month Cost $420 + Tests as needed

Manufacturing with 120 employees working in close proximity

Month #1
Monthly Cost of $600 to have Physician Available
Baseline Antibody Test employees $9000
First Month Cost $600 + $9000 = $9600
Month #2
Would randomly test 25% of employees $2250
Second Month Cost of $600 + $2250 = $2850

If you are interested in learning more about our Business Package please contact
Kirk Miller MD at 208-863-7266 or kirkmillermd@me.com.