Testing
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It is a well-crafted and thoughtfully constructed piece of writing, which has the capacity to appeal to a broad range of readers. It is a well-crafted and thoughtfully constructed piece of writing, which has the capacity to appeal to a broad range of readers.
Is your child getting a test done in clinic today?
At TAPAC, we strive to provide the best care with the least amount of stress to our patients. We consider part of that care is to offer in-house screening and testing services, including the ones listed below. Some of these tests are performed at routine well visits (see what to expect at each visit here) based on the American Academy of Pediatrics guidelines. Other tests are performed based on collaborative decision making between the patient, parent and provider when your child is sick.
While the billing for these tests is consistent for every patient, the out of pocket cost (if any) for all of these tests varies greatly by each insurance carrier and even individual insurance plans.
*While it is always within your rights as a patient to decline any of these tests, please know that it is our duty to document that we have offered these services at the recommended times/intervals and the reason why it was not performed*
To learn more about each test, see below.
Hearing Screen
Performed at every well visit starting at 3 years of age, as recommended by the American Academy of Pediatrics.
Vision Screen
Performed at every well visit starting at 3 years of age, as recommended by the American Academy of Pediatrics. This will NOT be performed if the patient sees an eye doctor yearly.
Lead
Routine screenings at 9 months and 2 years age to ensure that no child is inadvertently experiencing lead poisoning. This screening is typically covered by insurances at least twice for children under the age of 6 years of age. For children receiving WIC services, lead and hemoglobin are often performed at similar age ranges. If your child has already received this screening at their WIC apt prior to their well visit, bringing proof of testing can save your child another finger poke!
Hemoglobin
Screening for anemia, we typically do screenings at 9 months, 2 years and teenage girls at well visits. For children receiving WIC services, lead and hemoglobin are often performed at similar age ranges. If your child has already received this screening at their WIC apt prior to their well visit, bringing proof of testing can save your child another finger poke!
Lipid Screen
The “cholesterol screen” is routinely performed at 9 years and 17 years of age, and also for children with BMI above 95th%. This helps identify children with high cholesterol.
Hemoglobin A1C
Different than the hemoglobin noted above, this is a diabetes screening for at-risk children. Results greater than 5.7% are at risk for pre-diabetes, while above 6% would warrant a further workup.
GC/Chlamydia
Recommended for teenagers 16 years and up due to the “silent” nature of these STDs.
Unlike most of the tests listed on this page, this test is not performed at TAPAC.
A urine sample is collected by the patient and sent to an offsite laboratory (either Munson or LabCorp) to be performed. While TAPAC will inform you of any positive results and manage the treatment if applicable, the bill for this test will come from the laboratory directly.
Spirometry
This is a test that should be performed every year for patients with asthma who are prescribed a controller steroid inhaler. This test requires a fair amount of patient participation and may be difficult for children under 8 years of age.
Rapid Strep
Rapid FLU and COVID
These nasal swabs can be performed individually (in the case that you only are interested in one result or the other) or together (one swab that will test for FLU A, FLU B and COVID). The testing for FLU (which screens for both FLU A and FLU B) is the cheapest test, where the COVID and COVID/FLU tests are about equal in pricing. Since the National State of Emergency has ended, insurances have been variable in their coverage of COVID testing.
Rapid RSV
Since there is no specific treatment for RSV aside from supporting the symptoms, this test is not used as frequently in clinic. However, it is a well known fact that RSV symptoms peak on day 5 of illness, so occasionally (usually when patients are already showing signs of respiratory distress early in the course of illness) the provider may feel it is warranted to determine how closely your child should have follow up.
Rapid Mono
Also known as the Monospot Test, this is a finger poke that screens for mononucleosis, a viral infection that causes sore throat and fatigue. Typically this test is not performed if the patient has been sick for less than a week to avoid false negative results. While there is no medication treatment for mono, it is often useful as a confirmation test as patients with mono will often take 3-6 weeks to fully recover from this illness.
